Another indication that national subsidies for health insurance won’t work the way proponents claim.

Massachusetts is cutting $115 million from its Commonwealth Care. There are broad effects on payments to care management companies, dental coverage, automatic enrollment for poor people, and coverage for legal (not illegal) residents.

So Massachusetts politicians had a plan to reach universal coverage, have spent billions of dollars and are still moving away from universal coverage. Why is it bad again to oppose universal coverage and save the money from the start?

At the same time families in Massachusetts have been told their health insurance does not qualify as insurance. So they have to find new coverage that costs more.

It’s not a question of whether we ration health care – care is, after all, a scarce resource – but of who decides.