Yesterday, Rep. Mike Ross (D-Ark) -- leader of the conservative Blue Dog's health reform efforts -- made the not-so-surprising announcement that he would oppose a health reform bill if it included a public option, a government-backed insurance choice.
Rep. Ross said he made the decision because "an overwhelming number" of his constituents supposedly oppose a public option. It also He also said it was paramount that health reform legislation serve "those of you who like your current health insurance plan."
But most of Rep. Ross' constituents have little way to compare how their health plans size up, because one company -- Blue Cross Blue Shield of Arkansas -- dominates the health insurance market.
In Arkansas, Blue Cross controls 75 percent of the state's health insurance market in HMO and PPO plans, according to an American Medical Association report in 2007
(the latest figures available).
The state ranks 5th-highest in the nation for the share of the market dominated by one company (tied with Montana).
And in a state with little health insurance competition, Rep. Ross' district is among the worst. Arkansas' 4th Congressional district includes Texarkana, which ranked as the city with the least health insurance competition in the country out of 313 metro areas analyzed in the AMA study.
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http://www.southernstudies.org/2009/09/residents-have-few-health-insurance-options-in-arkansas-blue-dogs-district.html