Cbo Analysis of the Managed Competition Act Hearing Before the Committee On Fi

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Cbo Analysis of the Managed Competition Act Hearing Before the Committee On Fi
United States Congress Senate Committee On Fina
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We could get close to Hawaii. Dr. Reischauer. Yes. Senator Packwood. In that case, why go for a mandate? Dr. Reischauer. That is a judgment for you to make, not for me to make. Senator Packwood. I understand that. And as I indicated, I have supported mandates. But no one likes mandates in and of them- selves for the fun of it. If you can get what we pretty much all agree is universal coverage, none of us are thinking we are going to get to 100 percent — Hawaii does not get to 100 percent — if y...ou can get close to it without the compulsion, why have the compul- sion? What is the advantage of mandates for the sake of mandates? Dr. Reischauer. Well, for the sake of mandates, there is no rea- son to have them. As you say, nobody would say, "Hey, let us have a mandate; they are fun. " You are trying to achieve something. What you are trying to achieve is an equitable distribution of the costs and the benefits of health insurance. To the extent that you allow some folks to escape participation in the system, by and large those folks will be relatively healthy.

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