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In fact, if the mandate is thrown out, a couple of issues are sure. First, a lot of those who would in any other case have acquired coverage is not going to do so as penalties for non-compliance are eliminated. Second, there will likely be a direct jump in particular person and small group premium rates, because the effects of the ACA provisions proscribing medical underwriting and pre-existing condition limitations will no longer be offset by an inflow of recent healthy insureds.
The administration’s thinking was most probably depending on three factors. First, provided that the complete Eleventh Circuit is considered even more conservative than the three-choose panel that struck down the mandate, the one benefit of a second listening to would have been to delay consideration by the Supreme Courtroom. Towards this was presumably factored the political danger of a further well-publicized rejection of the mandate offering extra ammunition for opponents of reform.
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