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The Politics of the Individual Mandate

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Within the health policy, political, and legal communities, the term "individual mandate" refers to a requirement on individuals to purchase healthcare insurance. This policy mechanism is meant to coerce healthy and young individuals who have the means to purchase coverage to do so, in an attempt to moderate premium prices and to avoid a phenomenon known as "death spiral" in the individual and small group health insurance market. Given the political, legal, and policy-based attention the individual mandate has received since the passage of the Patient Protection and Affordable Care Act and the supplemental Health Care and Education Reconciliation Act, this thesis seeks to examine the historical, political, economic, and legal quandaries that are central to appreciating the components of this debate and understanding its eventual outcome.

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