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‘It didn’t use to be like this’: woeful US healthcare system exposed by CEO killing
(www.theguardian.com)
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One of "Obamacare's" selling points was to outlaw effectively-fake health insurance plans that were written upfront not to cover any actual care. Those policies had been around a lot longer than the mid-90s, but most employers were smart enough to avoid them, so they were really only a problem for poorer people buying individual insurance, and who cares about them?
My guess is that the old fake-insurance providers are the ones who figured out how to get around the ACA coverage requirements in ways that aren't technically violations. Or figured out that no one was going to enforce penalties for those violations. Those practices have now crept into 'mainstream' providers, but it sure looks like no one cared until a CEO died.