The Boston Globe reports,

The number of people who appear to be gaming the state’s health insurance system by purchasing coverage only when they are sick quadrupled from 2006 to 2008, according to a long-awaited report released yesterday from the Massachusetts Division of Insurance.

Pointer from Tyler Cowen. Health insurance reform means that the government destroys the freedom of insurance companies to design their own contracts. Instead, health insurance companies simply administer programs designed by the government. This puts a significant burden on government technocrats to design an economically rational system. That may prove difficult. The Dutch claim to have done a good job. Their example might be worth studying, in any case.