The Hot Spring Network

The current debate over how to reform healthcare insurance in the United States revolves around what insurers can and can't do in order to turn a profit. One major area of concern is whether coverage can be denied for pre-existing conditions. Another is whether there should be a "public option" where a government agency acts like an insurance fund in order to provide a care-centered, not-for-profit option.

The "public option" issue is about competition. With that competitive edge —no profit motive—, such an insurance plan could reduce costs across the board, for all who seek coverage. This raises the question of whether a new paradigm might be private not-for-profit insurers, possibly organized through doctors' associations and hospitals, which seek to establish a more reliable payment structure, under a larger-pool of coverage.

What might be needed to launch private not-for-profit healthcare insurers that meet Pres. Obama's call for a system that 1) covers everyone, 2) does not deny coverage for pre-existing conditions, and 3) provides quality care at affordable prices?

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