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Enlarging insurance pool makes sense

Enrollment at the state's health insurance exchange is up in 2018, despite Republican efforts to repeal the Affordable Care Act.

Kudos to Del. Dan Morhaim for his continuing focus on improving the state’s procurement processes to benefit taxpayers (“Pooling insurance makes sense for Maryland,” Jan. 10). Once again, he proposes an innovative approach to saving taxpayer dollars and improving the product purchased, in this case health insurance for government workers. Increasing the size of the insurance pool to almost 250,000 by combining employees of government entities — state, county and local (including Baltimore) governments and school systems — would create economies of scale in bargaining power, spreading of insurance risks and administrative costs, thus getting better coverage for employees and saving the taxpayers money.

This is how Medicare and other single payer models with millions of covered lives work. Clearly, this is an idea that should be explored as a way to improve the coverage while controlling costs in one of governments’ largest obligations.

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David Meyers, Baltimore

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