Sabotage Watch: Why Are Healthcare Premiums So High in Red States?

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Steve Benen notes today that after soliciting bids for the healthcare exchanges due to open next year, some states are announcing lower premiums than others:

The pattern isn’t exactly subtle: if you live in a state where officials want “Obamacare” to work, the law looks great. If you live in a state where officials are actively trying to undermine the law, regardless of what it does to you, your premiums, and your family’s access to quality and affordable care, then — you guessed it — the news isn’t as encouraging.

….My question is, what happens in those red states when residents start looking across borders and they wonder to themselves, “Why aren’t my benefits as great as theirs?” In theory, this should prompt those folks to start asking their state officials to do more of what works.

And this in turn might create an interesting political situation for red-state Republicans who want to listen to their constituents but who also want to undermine the health care law out of partisan spite.

It’ll be interesting to see if this pattern holds up once we get rate details from all the states. Right now it’s sort of hard to judge, since there aren’t all that many red states setting up exchanges in the first place. Most of the states who were really opposed to Obamacare simply punted on the whole thing and left everything up to the federal exchanges.

My guess is that once the dust settles, rates are going to be fairly similar across the country. Competition among insurance companies will get us part of the way there, and constituent pressure will eventually do the rest. In the end, residents of red states are going to have access to reasonably priced health insurance no matter how much it infuriates their Republican leaders.

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WHO DOESN’T LOVE A POSITIVE STORY—OR TWO?

“Great journalism really does make a difference in this world: it can even save kids.”

That’s what a civil rights lawyer wrote to Julia Lurie, the day after her major investigation into a psychiatric hospital chain that uses foster children as “cash cows” published, letting her know he was using her findings that same day in a hearing to keep a child out of one of the facilities we investigated.

That’s awesome. As is the fact that Julia, who spent a full year reporting this challenging story, promptly heard from a Senate committee that will use her work in their own investigation of Universal Health Services. There’s no doubt her revelations will continue to have a big impact in the months and years to come.

Like another story about Mother Jones’ real-world impact.

This one, a multiyear investigation, published in 2021, exposed conditions in sugar work camps in the Dominican Republic owned by Central Romana—the conglomerate behind brands like C&H and Domino, whose product ends up in our Hershey bars and other sweets. A year ago, the Biden administration banned sugar imports from Central Romana. And just recently, we learned of a previously undisclosed investigation from the Department of Homeland Security, looking into working conditions at Central Romana. How big of a deal is this?

“This could be the first time a corporation would be held criminally liable for forced labor in their own supply chains,” according to a retired special agent we talked to.

Wow.

And it is only because Mother Jones is funded primarily by donations from readers that we can mount ambitious, yearlong—or more—investigations like these two stories that are making waves.

About that: It’s unfathomably hard in the news business right now, and we came up about $28,000 short during our recent fall fundraising campaign. We simply have to make that up soon to avoid falling further behind than can be made up for, or needing to somehow trim $1 million from our budget, like happened last year.

If you can, please support the reporting you get from Mother Jones—that exists to make a difference, not a profit—with a donation of any amount today. We need more donations than normal to come in from this specific blurb to help close our funding gap before it gets any bigger.

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