As rates are being proposed for the
2016 year for the health exchanges ordered under law, Louisiana suffers
through a 12 percent average increase for this year, tied for
fourth-highest among the states and District of Columbia, which set the average
premium for a “silver” plan at $359 a month, sixth-highest in the country and
well above the national average of $314, for a state whose per capita income ranks only 30th. But, guess what, for
those receiving subsidies, the price is expected to go up hardly at all – which
means, of course, that taxpayers get billed for almost all of these increases.
This is one reason why Louisiana’s
rates are so high and promise to go higher and more intensely so – given the
relatively poor lifestyle choices made by a large number of qualifiers for
subsidies (Louisiana as a whole ranks near the bottom of
states on a number of key health indicators reflective of habits in the
areas of eating, drinking, smoking, and exercise), their health is worse, but
with them not having to pay much if anything for health care (either through
Obamacare or Medicaid), they have reduced incentive to make the effort to live
healthier lives that would cut down on costs. However, another reason is that
the health insurance market nationally has become more and more concentrated,
reflected particularly in Louisiana.