re: #126 recusancy
The gov policy would not take losses. You would have to pay premiums just like other health insurance. If they take a loss they would adjust premiums accordingly. It would be run just like a private company only with a lower overhead, no profit taking, and a larger risk pool which would lower costs.
There’s a leap of faith there, though. Congress has not been good about the “if they take a loss they increase premiums” thing, as premium calculations become politicized and interest groups lobby for particular outcomes.