"It's clear something's wrong. Something's not working right," said Wilson, speaking to business leaders at the
The uninsured will "continue to need and to get health care services. (But) nothing is free," he said. "Uncompensated care is paid for somehow, some way. It will show up in health care premiums ultimately."
He said it takes six months to hire and train customer service representatives, and there isn't enough time to staff up to handle enrollment of so many more people before open enrollment starts
Overall, Wilson said the ACA has been good and bad. It's good because 500,000 to 600,000 more North Carolinians are insured today than before the law was passed. "Think of all the money that brings into the economy, (and) they are getting their (health care) needs attended to," he said.
But despite the federal requirement to have insurance, too few young, healthy people are buying policies, and that means their premiums are not balancing out the high cost of caring for sicker, older people. "Costs are much higher, and quite frankly there is no end in sight," Wilson said.
In the past two years, Wilson said
Both UnitedHealthcare and Aetna, which are much larger, for-profit, national companies, also reported losses on marketplace business and announced they won't participate in multiple states next year. That leaves
Instead of calling for repeal of the ACA, as
He outlined several suggestions, including a reduction the number of special enrollment periods. As it is, he said, people can "jump in and jump out" at too many times, allowing them to get insurance when they need it and drop it when they don't.
Although many of the changes he suggested would take action by
During a question and answer period, Wilson also said:
--He supports expansion of
"The fact that they are not covered by
--Because of skyrocketing drug prices, he supports a ban on pharmaceutical advertising. He also said the federal government should be authorized to negotiate drug prices under the
Last year, Wilson said
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