This one I have not heard before. On the Megyn Kelly show last night, Dr. Scott Gottlieb, a practicing physician and former Senior Policy Advisor for the DHHS Center for Medicare and Medicaid Services (CMMS), exposed another of the nuggets that Nancy Pelosi said we could discover only after we passed the ACA. Dr. Gottlieb has examined the details of the Bronze, Gold, and Platinum plans offered through the exchanges in many states, and as he put it, in some states those who buy insurance cannot “buy up” their benefits. By that he means that, even if the buyer pays a higher premium in order to get the Gold or Platinum plans, they will only get lower co-pays and lower deductibles, but no better selection of doctors, hospitals, and other medical providers. In other words, their increased premiums will just go toward pre-paying their deductibles, not toward better health care.