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Will get as close as we can before single payer is initiated. The penalty for non coverage under ACA was so low it was laughable and not a good deterrent. All you had to do was adjust your withholding and not get a tax refund and govt could do nothing to recoup the money.
Last edited by NSHL10; 03-06-2017 at 08:01 AM..
Reason: added
A young family member struggled to pay her Obamacare policy premiums last fall, falling behind, but still thought she was on her way to catching up. They canceled her so she must have fallen 90 days behind. I'm pretty sure she has no insurance this year. Mandate or not, there's no way at her income she could ever come up with $200 a month in all the missed payments in order to keep enrolled. The struggle is real for young workers who don't have employer provided health insurance.
Health insurance is expensive. With single payer her taxes would have paid for her premium and she would not have needed an extra payment.
She could have gotten care during those 90 days and the providers would not have known that she was behind in payments. Insureres weren't allowed to report that. This is part of reason providers wouldn't touch exchange plans: these people couldn't afford their relatively inexpensive premiums, how can they pay their high deductibles?
VA is paid for by taxes, not premium contributions. You are comparing apples to oranges.
And you are contradicting yourself, in your earlier post you referred to "pools" as including:
Quote:
Originally Posted by NSHL10 View Post
ACA did not put everyone in one pool. You had an individual market, SHOP exchange, expanded medicaid, and group plans all separate from each other.
I was merely expanding on that, but it's clear that I am unable to articulate that in a way that you ca understand it.
Quote:
Originally Posted by NSHL10
Single payer won't happen over night. This first change will help drive the opinion towards single payer health care. People with employer covered insurance are holding single payer back as they feel they will be losing out. Understandable reaction as some will do better under single payer and some will do worse. Just like any changes to policy.
Single payer will never happen under a conservative administration, it offends them that people just "might" get health care without paying as much for it as someone else. And given that insurance companies own our congressional reps we will never have a solution that doesn't include giving them the biggest piece of the pie.
VA is paid for by taxes, not premium contributions. You are comparing apples to oranges.
Single payer won't happen over night. This first change will help drive the opinion towards single payer health care. People with employer covered insurance are holding single payer back as they feel they will be losing out. Understandable reaction as some will do better under single payer and some will do worse. Just like any changes to policy.
Agree! Start increasing the cost of employer covered insurance and that could change the dynamic.
Mandate is being replaced semantically with big premium increase if you missed the initial sign on during limited enrollment. That functions as a mandate with less political baggage.
It also wants to limit the time you have to pay your premium before you are cancelled, reducing it from 90 to 30 days, and will not allow you to re enroll the next calender year if you owed premium from the previous year. That will also help keep continued enrollment, functioning as a mandate.
From what I've read this morning, they also going to give you credit ahead, a form of subsidy so nobody will complain they don't have any money to buy. We save so many hours of productivity by not having to file 1095-A, both from the provider and receiver.
Health insurance is expensive. With single payer her taxes would have paid for her premium and she would not have needed an extra payment.
She could have gotten care during those 90 days and the providers would not have known that she was behind in payments. Insureres weren't allowed to report that. This is part of reason providers wouldn't touch exchange plans: these people couldn't afford their relatively inexpensive premiums, how can they pay their high deductibles?
Exactly.
Just got off the phone with another family member who bought insurance for this year off healthcare.gov. Doctor's office just told them, btw, did they realize they don't have insurance but a benefit plan that doesn't cover any of the maternity costs? He said they only had 3 plans to pick from, all nearly identical, all showing co-pays and deductibles, he had no idea it wasn't insurance. Not sure how that could happen, but somehow he messed up and now what do they do, no company will cover the pregnancy now.
A young family member struggled to pay her Obamacare policy premiums last fall, falling behind, but still thought she was on her way to catching up. They canceled her so she must have fallen 90 days behind. I'm pretty sure she has no insurance this year. Mandate or not, there's no way at her income she could ever come up with $200 a month in all the missed payments in order to keep enrolled. The struggle is real for young workers who don't have employer provided health insurance.
They are going to give credit ahead to pay. But honestly there is always somebody who will have some problem.
VA is paid for by taxes, not premium contributions. You are comparing apples to oranges.
Single payer won't happen over night. This first change will help drive the opinion towards single payer health care. People with employer covered insurance are holding single payer back as they feel they will be losing out. Understandable reaction as some will do better under single payer and some will do worse. Just like any changes to policy.
When Europe started with single health care or UHC, it was much cheaper. If we are going down that path it's not going to be that cheap. Also VA is a mess and that's single payer runs by government.
From what I've read this morning, they also going to give you credit ahead, a form of subsidy so nobody will complain they don't have any money to buy. We save so many hours of productivity by not having to file 1095-A, both from the provider and receiver.
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