There have been a spate of articles about how wonderful it is that this person or that person was able to quit a nasty job (or not take on a nasty job they thought they’d have to get) because of Obamacare lifting the burden of health insurance from their shoulders.
Here’s one, for example, from Diana Reese. She lives in Kansas, and writes:
Had the ACA not become law, I would have considered a job as a “lunch lady” in one of the nearby elementary schools ”” just to get health insurance.
My inspiration was an out-of-work accountant I met at a social event a couple of years ago. When asked what he did for a living, he laughed and said, “lunch lady.” Then he explained that he’d been laid off during the recession, and though his wife worked at a job she loved, she had no benefits. So he took a job at his children’s school, working a few hours a day to qualify for health insurance for his family…
Because of my own pre-existing condition, I couldn’t buy health insurance ”” at any price ”” before the ACA.
She goes on to add that, actually, her husband had been employed and she was covered under his health insurance, but that they knew it would end soon because it was a contract position. Therefore, since she was uninsurable any other way, she was considering the lunch lady route.
Only thing is, Kansas had a high-risk pool even prior to Obamacare, as did most states. And in Kansas it seems to have been a pretty good one. The following is taken from a piece on the subject that appeared in April of 2010 and describes the high-risk pool situation in Kansas right around the time Obamacare was passed, before Obamacare’s provisions had ever been implemented:
Kansas is among about 35 states that already have a high-risk pool and Sebelius signaled that her agency would work with existing programs rather than force upon them a new federal plan, though the law allows or requires the national government to create high-risk pools in states that don’t have or develop them in accordance with the new law’s provisions.
High-risk pools provide health insurance for people whose medical history makes it difficult or impossible for them to otherwise find affordable coverage.
In Kansas, about 1,800 people are enrolled in the state’s existing plan, which is managed by the Kansas Health Insurance Association.
Nationally, existing state high-risk pools cover about 200,000 people…
Kansas law governing the existing high-risk pool here allows for premiums up 150 percent the cost of a standard, non-group policy, though that has been held to 128 percent by decision of the risk-pool’s governing board.
So there was a high-risk pool that covered people with pre-existing conditions. It was somewhat more expensive than regular insurance, to be sure, but not so very very much more expensive. Most high-risk pools (which existed prior to Obamacare in most states) also provided subsidies for those with low incomes.
So, if Diana Reese had lived in Kansas when all of her insurance woes (or prospective insurance woes; it seems that Obamacare passed before her husband’s job ended) occurred—and the focus on Kansas in the article implies that she did—then she absolutely could have purchased insurance, and the price would not have been so very much higher either.
If you look at the chart in the middle of this page you’ll see that 35 states ran high-risk pools prior to Obamacare, and most had been in operation for many many years (Kansas had started its high-risk pool in 1993). The 15 states that didn’t have them didn’t necessarily leave their high-risk individual health insurance customers in the lurch, either. Some were guaranteed issue states, which meant pre-existing conditions could not be excluded at all: New Jersey, New York, Maine, Massachusetts, and Vermont had straight guaranteed issue, with Ohio, Oregon, Rhode Island, and Idaho having guaranteed issue with some restrictions involving previous continuous coverage.
There were some states where people were in a situation much like Reese describes, but it would appear that Reese (if she lived in Kansas immediately prior to Obamacare) could not have been considered one of those people, even potentially.
How do I know this sort of thing? I was in a high-risk pool for quite a few years. It was far from perfect—I paid about the same as I would have if I hadn’t had a pre-existing condition, and my deductibles were significantly higher—but I could certainly get insurance.
So I really, really wonder what Reese is talking about.









