EXCHANGE: One size doesn't fit all

It is critical for Idaho to support Governor Otter’s recommendation to create a state-based health insurance exchange. The new law gives us no choice. We will have an exchange, either federal or state-based. Idahoans can design a state-based exchange to fit Idaho’s unique needs, or endure a federal exchange that will be “one- size-fits-all.” As a physician, I communicate with insurance companies to make sure my patients get care. Under a federal exchange, anytime my patient is denied payment for a medication, X-ray or lab test, my only option will be to call a federal “1-800 number” and talk to a stranger (if I get to talk to a human at all).

Idaho’s medical costs are lower than much of the U.S., but if we have a federal exchange, our costs will go up as it will include states that have higher costs. A federal exchange will take away local control and increase the prices we pay in premiums.

Health insurance exchanges are intended to make health insurance options clearer and more competitive for individuals and small businesses. If you already have private insurance, Medicare or Medicaid you will not have to change anything.

The time is now to let your legislators know that you want them to support the state-based exchange. Sign the governor’s petition to support an Idaho exchange at gov.idaho.gov/petition.com. Please let your legislators know that you want them to support the state based exchange. You can find contact info at legislature.idaho.gov. For more information go to keepitinidaho.com.

LEANNE ROUSSEAU, M.D.

Post Falls