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It allows tribes and tribal organizations to buy coverage for their employees from the Federal Employees Health Benefits Program.
In 1993, when President Bill Clinton put forward the broad outlines of his health care proposal in a speech to the National Governors Association in Tulsa, Okla., he called for requiring employers to buy coverage for their workers.
It is too little, she says, to buy coverage for her two daughters under the company's health insurance plan, and too little to afford anything better than her small home 40 yards from railroad tracks.
The question isn't, "Should we be doing this?" It is, "Should we be publicly subsidizing it?" We could say that you can have a basic package of health insurance, and if you want to buy coverage for other services with unknown benefits or with benefits that are potentially negative, that's up to you.
And now that Muslim wrath has spread beyond Denmark to other countries, Mr Keville says it is probably too late for European companies to buy coverage for political risk in the Middle East that takes effect immediately: "We'd look at any potential risk out there very nervously," he says.
Many of Mr. Obama's allies across the country remain concerned about computer glitches, confusion at hospitals, a blasé attitude among uninsured Americans and the possibility that people will be victimized by insurance fraud as they try to buy coverage for the first time.
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But they are required to buy coverage of only about $2.2 billion for liabilities, and the pool does not sell the utilities coverage for earthquake damage or business interruptions, suggesting it will again be up to the Japanese government to bear the brunt of those costs.
While not all industry groups are in complete agreement, there is enough of a consensus, according to people who have attended the meetings, that they have begun to tackle the next steps: how to enforce the requirement for everyone to have health insurance; how to make insurance affordable to the uninsured; and whether to require employers to help buy coverage for their employees.
Massachusetts already has a plan up and running that involves an individual requirement to buy coverage, subsidies for the poorest and a state-supervised insurance exchange.
The market for individually purchased insurance remains — in the words of Karen L. Pollitz, a senior federal health official — "a difficult place to buy coverage, especially for people who are in less-than-perfect health".
The mandate repeal eliminates one reason to buy coverage, especially for those who believe they need it the least.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com