In her ninth year as insurance commissioner and her role as the point person in Kansas for implementing many elements of health reform, Praeger provides some perspective on the reasoning behind the Affordable Care Act. The individual mandate, which requires almost everyone to have health insurance, is designed to spread the risks of insurance coverage and address the costs of health care. “If we’re going to get our arms around the cost, I think we have to get everyone in the market, everyone getting access to health care services,” she says. The current system is unsustainable, Praeger says. “Is it really desirable for us to continue to have 30, 40, 50 million people in our country uninsured? I don’t think so. When I explain that to folks that way, they get it.” This is the second of six short videos.

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