Many of the discussions we have had this quarter relate to the relationship between the public and private sectors in providing insurance, regulating and working to ensure social outcomes. The ACA, and the debate regarding whether to keep, reform or replace it, have further focused our attention on the role the government in acting as direct insurer, requiring that individuals purchase insurance, subsidize insurance or restrict the behavior of private insurers.
Building on our conversations this year, as well as your understanding of economics choose either one of the two prompts and in 500 words or less, respond:
1) Public sector involvement is critical to the provision of health insurance, as provider of first or last resort and regulator. The absence of a fully functioning public sector will result in a market collapse.
2) The public sector’s role can be limited to regulating the market, much like banking. While the market may look differently than it does today, the market does not require that the public sector play that great a role.
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