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View Poll Results: Retired- under 65? Do you get Obamacare Subsidies?
Yes and I am proud of it 28 31.46%
No, I am paying for the insurance without help 30 33.71%
My ex employer pays for my health insurance 21 23.60%
What is Obamacare? 10 11.24%
Voters: 89. You may not vote on this poll

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Old 01-20-2017, 03:57 AM
 
71,559 posts, read 71,730,589 times
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throw everyone on medicare , better link income/assets to premiums , and call it a day . remove disability from social security , make it part of welfare which it is and stop the rampant disability fraud . you can fund medicare and ss with that money saved by controlling disability better . .

just watch a few episodes of judge judy to see how bad disability abuse is .

problem solved .

Last edited by mathjak107; 01-20-2017 at 04:16 AM..
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Old 01-20-2017, 05:58 AM
 
Location: Forests of Maine
30,682 posts, read 49,449,101 times
Reputation: 19134
Quote:
Originally Posted by TwoByFour View Post
So submariner, what exactly are you suggesting? I am all ears. Hell the whole US is all ears. It is a huge problem as to how we provide healthcare for everyone yet maintain low costs and high quality. It seems that whatever system is implemented one of those things suffers. I don't pretend to know the answer but I feel strongly that we cannot abandon the most needy people.
You say: "I feel strongly that we cannot abandon the most needy people". We have too many people today who can not afford coverage. We have already abandoned them with the ACA. Fixing the ACA is not 'abandoning' those who have already been abandoned by the ACA. We need healthcare coverage for everyone. People touting the ACA do not seem to understand that abandoning our citizens is wrong.



Because we do have litigation, we do not have sawdust on operating room floors, doctors wearing bodily fluid stained aprons and smoking over patients. So some litigation is good.

Our doctors are NOT on a government pay-scale. There is an incentive to become a doctor. This allows there to be a rigorous process they must go through and many prospective doctors do not complete the process. All of this keeps our minimum standard high. Our over-all doctor to patient ratio in the USA is not a bad one. This is a good thing.

There is an incentive for doctors to become specialists, therefore we have lots of specialists. With lots of specialists, our waiting lines are short. This is also good.

There are many metrics where our medical system beats those of other nations.



Our problems are that we have too much litigation and not enough oversight in pharmaceutical industry and medical implements industry. Our healthcare industry costs too much. Litigation and out-of-control profits in the pharmaceutical and medical implements industries, seem to be the root cause of these issues.
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Old 01-20-2017, 06:57 AM
 
Location: SoCal
13,226 posts, read 6,326,744 times
Reputation: 9844
Quote:
Originally Posted by mathjak107 View Post
throw everyone on medicare , better link income/assets to premiums , and call it a day . remove disability from social security , make it part of welfare which it is and stop the rampant disability fraud . you can fund medicare and ss with that money saved by controlling disability better . .

just watch a few episodes of judge judy to see how bad disability abuse is .

problem solved .
I saw TV ads from lawyers solicitations people for disability insurance. They know how to help people claim for disability. So it's possible.
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Old 01-20-2017, 07:02 AM
 
35 posts, read 17,845 times
Reputation: 56
Quote:
Originally Posted by Curious Investor View Post
So you have a million dollars. Your retired and need to make that money last for over thirty years. Assuming a 4% annual withdrawal that is only $40K a year. If you have to spend tons of money on health care premiums that have gone way up due to Obama Care rules, don't you deserve some help from the taxpayers?

Ahhhh.... now it comes out... the 'entitlement' argument that taxpayers owe you something... You aren't owed ANYTHING that isn't constitutional/Bill of Rights. Everyone's (well OC's subscribers get the brunt of it, but it was a matter of choice) premiums went way up. Deal with it.

First of all, the withdrawal rate of 4% is dwarfed by the return any investor can easily generate (even after you pay a top-notch advisor)... I retired at 46, and if I only had $1M in (tax-exempt/deferred) investments, the calculations demonstrated (assuming nothing utterly decimating affected our society, which would affect us all) would last me until 86. Not a safe enough margin for me, but for this is based on your scenario statements. Rule of thumb I was taught was to take your last-year's salary, multiply by 20 (I use 30), and that is the minimum amount you need to have saved at retirement age to maintain a basic lifestyle. Do you stuff your money in a mattress?
I evaluated the OC rates (BTW, the subsidies provided are considered income, and so they are taxed), but more importantly, the true coverage that it provided. I found, in my specific scenario, it was far cheaper to buy a private policy (as I am in the high-risk pool), than to have massive co-pays and denial of services under OC. The OC plan, IMHO, is an utter failure, and having competition among insurers provides an advantage to consumers. I would rather pay $1200/mo for private insurance that covers almost all of my typical $85K/year medical bills, than have OC for $85/mo, and I have to dish out over $45K a year on non-reimbursed bills.
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Old 01-20-2017, 07:17 AM
 
35 posts, read 17,845 times
Reputation: 56
Quote:
Originally Posted by yellowsnow View Post
That's not always the best strategy. Sometimes it is better to be poor than have just a little. My SO's cousin has Medicare and Medicaid is his secondary. Medicaid pays his Medicare premiums and ALL his healthcare is free. No co pays and all his prescriptions are free too. This is because he is low income. He worked all his life but lived in a very high COL area and barely scraped by.
Perhaps free, but then there is free healthcare, and then there is good healthcare. Sort of like how much of Europe and socialized-medicine countries work. You have stated a sample size of one (SO's cousin). That demonstrates existence of free healthcare. States nothing about good healthcare. In my 20 years experience in the healthcare environment, as well as the spouse and literally almost all my relatives, pray that the cousin does not have anything medically really bad happen to him/her. Youse gets whats youse pays for....
Your argument is that it is all free... so be it... but most would never, ever trade places when it comes to medical care. The docs/hospitals we go to in the US don't take Medicare/Medicaid, because the reimbursement is so poor, and thus the quality of care is suspect.

JMHO
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Old 01-20-2017, 07:22 AM
 
Location: SoCal
13,226 posts, read 6,326,744 times
Reputation: 9844
It's the opposite here. I had to sign up for Medicare because the doctor dropped our BCBS insurance.
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Old 01-20-2017, 07:29 AM
 
35 posts, read 17,845 times
Reputation: 56
Quote:
Originally Posted by NewbieHere View Post
I saw TV ads from lawyers solicitations people for disability insurance. They know how to help people claim for disability. So it's possible.
Oh Geez... ambulance chasers.... First of all, federally-funded disability is taxable income, private is not. Anyone who does not take out private term disability insurance plan when they are young, are true risk-takers with their livelihood as they age. At 25 years old the plans are really cheap, and will pay to 65 yo or beyond, and income-level changes are available. I argue that this is as important as life insurance (unless you have no kids, and then you don't need life insurance if you chose a self-sufficient spouse), but protecting your income is #1.
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Old 01-20-2017, 07:38 AM
 
Location: SoCal
13,226 posts, read 6,326,744 times
Reputation: 9844
Quote:
Originally Posted by MyronSubotnick View Post
Oh Geez... ambulance chasers.... First of all, federally-funded disability is taxable income, private is not. Anyone who does not take out private term disability insurance plan when they are young, are true risk-takers with their livelihood as they age. At 25 years old the plans are really cheap, and will pay to 65 yo or beyond, and income-level changes are available. I argue that this is as important as life insurance (unless you have no kids, and then you don't need life insurance if you chose a self-sufficient spouse), but protecting your income is #1.
I got the feeling it was federal government disability.
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Old 01-20-2017, 07:45 AM
 
50 posts, read 33,155 times
Reputation: 48
The people getting screwed are the ones between 55-65 who make good money (which according to the ACA is anything over $63,500 for a couple). Those premiums are around $1,400 per month. Hillary had a public option plan to buy into Medicare, but that's out now.

Sucks that wealthy retirees are paying $200 a month while the rest of us foot the bill, frankly. I'll be happy to see it repealed.
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Old 01-20-2017, 07:53 AM
 
Location: Southern California
372 posts, read 448,278 times
Reputation: 559
Quote:

I evaluated the OC rates (BTW, the subsidies provided are considered income, and so they are taxed)
ACA tax credits are not considered income and are not taxed.

See healthinsurance.org/FAQs
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