“Suppose, for example, that Congress took the advice of those who want to ban insurance discrimination on the basis of medical history, and stopped there. What would happen next? The answer, as any health care economist will tell you, is that if Congress didn’t simultaneously require that healthy people buy insurance, there would be a “death spiral”: healthier Americans would choose not to buy insurance, leading to high premiums for those who remain, driving out more people, and so on.”
If this went on long enough, eventually it would mean no one would have health insurance. It would destroy the health insurance industry. They’d come asking for a bailout. The government could be forced to take them over. The government would now control health insurance. It would be impossible to abolish this program once created, so it would be a de-facto public option, even once the industry recovered . Ta-Da!
As John Hodgman would say, you’re welcome.