Insurers try to avoid signing up consumers for some health plans even though they are officially counted as options under the ACA. The result is less freedom to choose.
States are testing the waters with Medicare-for-all type plans while waiting for federal solutions. The cost of single-payer plans could be the biggest hurdle.
Allowing more consumers to band together for group insurance could further undercut the Affordable Care Act. Health plans will be cautious about the risk inherent with these plans.
