Paul Ryan asserts that more Americans would be uninsured under the House ACA replacement because enrollment numbers will always be lower in a non-coerced purchase environment. “We’re saying the government’s not going to force people to buy something that they don’t want to buy,”
The problem with this is that the best projections indicate that the "choice" to be uninsured will not be evenly distributed throughout the population. It will, instead, likely fall disproportionalitly on older Americans, the "non-elderly" pre-Medicaid crowd. This is likely because the premium band for age rating under the House bill is likely to raise health insurance premiums for older people considerably and at an amount likely not offset by the age-related health insurance purchase subsidy program.
What do we call these people, Senator Ryan, "the old invincibles?"
Missouri State of Mind 