Is the mandate penalty large enough?

Earlier this week, David Nather of POLITICO reported that health insurers are telling the Obama Administration that the penalty for not having coverage will not be sufficiently large to encourage enough healthy people to sign up. However, if the goal is to avoid a destabilizing level of adverse selection, the best evidence we have is that it may be, when fully phased in, just fine. My latest post on the JAMA Forum goes over some of that evidence.


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