- Increase the individual penalty so that the free riders get hurt if they aren’t in the system. Medicare does this very effectively and can be a model.
- Increase rating bands from three to five. Twenty-seven-year-olds simply can’t afford to subsidize older Americans to the extent that we have asked them to do so.
- Create a federal system to backstop high cost claimants. The luck of the draw should be spread evenly, not just to the risk pools where they fall.
- Rein in pharmacy inflation and mandate transparency.
- Do something about tort reform.
Hasday is president of Frenkel Benefits, an EPIC company, a major independent employee benefit broker.