There are already more than a dozen reasons people can use to avoid paying the penalty for not having health insurance. Now the federal government has added four more “hardship exemptions”. Under the new rules, people can apply for a hardship exemption that excuses them from having to have health insurance if they:

  • Live in an area where there are no marketplace plans.
  • Live in an area where there is just one insurer selling marketplace plans.
  • Can’t find an affordable marketplace plan that doesn’t cover abortion.
  • Experience “personal circumstances” that make it difficult for them to buy a marketplace plan, including not being able to find a plan in their area that gives them access to specialty care they need.

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Policymakers should provide consumers more freedom to choose the insurance coverage that is best for their families. A useful first step: rescinding an Obama Administration–imposed federal rule that improperly limits the sale and renewal of short-term limited-duration (STLD) health insurance policies. While this will afford consumers some relief, Congress should go further by supporting Trump Administration efforts to provide access to more affordable insurance by replacing Obamacare with a solution that returns resources and flexibility to the states. Taken together, these steps provide policymakers concrete options that would do much to help consumers find affordable alternatives to Obamacare policies.
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What the British government is doing to a baby and his family is almost unbelievable. The government has determined that Alfie Evans, afflicted as he is by a rare neurodegenerative disorder, has so poor a quality of life that no efforts should be made to keep him alive.

He was taken off ventilation, but continued, surprising the doctors, to breathe. He has also been deprived of water and food. His parents want to take him to Italy, where a hospital is willing to treat him. The British government says no, and has police stationed to keep the boy from being rescued.

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This year could mark a significant shift for Medicaid programs across the country, as some states look to expand the government insurance program to more poor Americans while others seek to add more requirements for people who benefit.

Initiatives to get Medicaid expansion put on the November ballot are underway in Utah, Nebraska, Idaho and Montana. And Virginia lawmakers appear on the verge of securing an expansion deal, after years of rejecting the idea.

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