Obama’s Keep Your Doctor Promise

Alex Altman expects it to come back to bite the president:

“No matter how we reform health care,” Obama said in 2009, “we will keep this promise: if you like your doctor, you will be able to keep your doctor. Period.” It’s not that simple. In order to participate in health-insurance exchanges, insurers needed to find a way to tamp down the high costs of premiums. As a result, many will narrow their networks, shrinking the range of doctors that are available to patients under their plan, experts say.

Chait counters:

The main difference between Keep Your Plan and Keep Your Doctor is that Obamacare’s disruption of the individual insurance market was a conscious policy choice. Obamacare creates regulations that, by design, phase out health-care plans that are based on skimming healthy people off the insurance pool. It does not create regulations designed to force people out of existing doctor-patient relationships. Keep Your Plan has been a political disaster for Obama because it was a broken promise. Keep Your Doctor is not even close to a clear-cut broken promise.

Cohn argues that Obamacare isn’t to blame for limited network plans:

[A]ccording to nearly every source inside and outside the industry I’ve consulted, the primary reason carriers are offering so many small-network plans in the exchanges is that they believe consumers want them. Their marketing research suggests that, when forced to choose between paying higher premiums for wider networks or lower premiums for narrower networks, the majority of people will go for the cheaper insurance. The one survey I’ve seen on this question, by Morning Consult, suggests the carriers may be right: In that survey, nearly 60 percent of respondents said they’d opt for plans with fewer provider choices if meant saving on premiums.