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...health insurance couldn't be much worse than they are now. As one-person (or one-family) risk pools, they have no leverage, premiums are often prohibitively expensive, choice is usually limited and comparing available plans - in the event that more than one exists - is nearly impossible. That problem is at the root of much of what health-care reform is supposed to change, and one of the primary weapons intended to do that is a poorly understood, often overlooked facet of the various proposals that is dubbed the health-insurance exchange. (Read "Howard Dean on the Politics of Health...

Author: /time Magazine | Title: Behind the Health-Insurance Exchanges | 8/12/2009 | See Source »

...traditional Republican principles and wasn't part of the generation of Republican leaders who betrayed them. He speaks for the tea-party base, the limited-government purists who believe the GOP lost favor because its leaders were insufficiently rather than overly conservative. They see Crist as part of the problem, a big-spending, eco-radical, finger-in-the-wind Democrat-lite. (See pictures of GOP memorabilia...

Author: /time Magazine | Title: GOP at War with Itself in Florida Senate Race | 8/12/2009 | See Source »

...management laws. But it's not clear how much of the base will accept Crist's last-minute embrace. And if popular centrists like Crist can't win primaries, moderates will keep fleeing, the vicious cycle will continue, and the party will be in trouble. "The governor is a problem solver above all else," says Crist's political strategist, George LeMieux. "He's a national model of a Republican leader who serves all the people, not just his party...

Author: /time Magazine | Title: GOP at War with Itself in Florida Senate Race | 8/12/2009 | See Source »

...modern Republican Party, that's a problem. Crist has one year to solve...

Author: /time Magazine | Title: GOP at War with Itself in Florida Senate Race | 8/12/2009 | See Source »

Then there's the problem of adverse selection. Under the House plan, the exchange would be the only place private insurers would be allowed to market and sell individual insurance policies. But under the plan from the one Senate committee that has released legislation, insurers could still sell insurance outside the exchanges. This is a recipe for failure, according to Karen Pollitz, a health-policy researcher at Georgetown University. "Anytime you've got competing markets, there is an opportunity for risks to get shifted," she says. (Both the House and Senate plans would allow, but not require, small businesses...

Author: /time Magazine | Title: Behind the Health-Insurance Exchanges | 8/12/2009 | See Source »

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