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Old 03-08-2017, 12:08 AM
 
Location: Chesapeake Bay
6,046 posts, read 4,815,358 times
Reputation: 3544

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Quote:
Originally Posted by Vision67 View Post
It looks like nothing will replace the ACA

https://www.washingtonpost.com/power...=.4a680a126d2e

It the GOP can't agree among themselves, the law won't change.
Congress should have continued on with their Benghazi inquisitions rather than destroy their good reputation with this insurance stuff.
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Old 03-09-2017, 01:21 AM
 
Location: Wisconsin
25,576 posts, read 56,463,917 times
Reputation: 23378
For the wonky among us, this is an absolutely outstanding video featuring a reporter from Kaiser Health on the new legislation, the effects thereof, and issues surrounding it.

This gal really knows her stuff - about 38 minutes:

https://www.c-span.org/video/?425071...nt-legislation

If you're interested in the subject, you won't get bored.
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Old 03-09-2017, 07:21 AM
 
Location: Full time in the RV
3,417 posts, read 7,786,636 times
Reputation: 3332
Quote:
Originally Posted by Ariadne22 View Post
For the wonky among us, this is an absolutely outstanding video featuring a reporter from Kaiser Health on the new legislation, the effects thereof, and issues surrounding it.

This gal really knows her stuff - about 38 minutes:

https://www.c-span.org/video/?425071...nt-legislation

If you're interested in the subject, you won't get bored.
Thanks for this. It was interesting.

Repeal taxes on the wealthy, rework other tax models like HSAs, basically anything to help people who already have money keep more of it. Nothing about broader networks, provider choices, lower premiums or deductibles, better health care. Do I have that right?
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Old 03-09-2017, 07:38 AM
 
12,022 posts, read 11,565,479 times
Reputation: 11136
Quote:
Originally Posted by RMD3819 View Post
Thanks for this. It was interesting.

Repeal taxes on the wealthy, rework other tax models like HSAs, basically anything to help people who already have money keep more of it. Nothing about broader networks, provider choices, lower premiums or deductibles, better health care. Do I have that right?
Ryancare gets young, healthy people into private insurance. The unprofitable rural poor and older people will have to pay more or go without if they can't get into Medicare or Medicaid.

The plan largely fails to account for the fact that insurance is priced locally, not nationally.

With the tax credits favoring the young, it looks like private insurance is trying to poach the most profitable segment of the Medicaid customer base.
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Old 03-09-2017, 07:49 AM
 
14,247 posts, read 17,916,997 times
Reputation: 13807
Quote:
Originally Posted by lchoro View Post
Ryancare gets young, healthy people into private insurance. The unprofitable rural poor and older people will have to pay more or go without if they can't get into Medicare or Medicaid.

The plan largely fails to account for the fact that insurance is priced locally, not nationally.

With the tax credits favoring the young, it looks like private insurance is trying to poach the most profitable segment of the Medicaid customer base.
While leaving the least profitable segment to be covered by the taxpayer as is already the case. This is just another taxpayer subsidy to the insurance industry.
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Old 03-09-2017, 07:56 AM
 
10,226 posts, read 6,312,506 times
Reputation: 11287
Quote:
Originally Posted by MissTerri View Post
How long can they charge someone who had a lapse in coverage the extra 30%? Forever? How big of a lapse do they have to have in order to have to pay that extra 30%? What if they signed up for a health sharing ministry because they got priced out of the market? Will they never be able to buy health insurance again due to that extra 30%?

Does this bill do anything to address the cost of health care?
What about employer group plans? Will they check on each new employee to see how long they were without health insurance between jobs for group plans also?

My DIL changed jobs: quit on Friday and started on Monday, and her new employer insurance did not kick in for 90 days. Cobra Mandatory??? She also covers my daughter because her employer insurance was very, very BAD. Penalty for both of them?

Another aspect. Medicare. I stopped working at 62 before the ACA. It would have cost us $1,000 a month for me to be put on my husband's employer plan. Unaffordable. I went without insurance until I aged into Medicare. Fortunately, right at the exact time ACA was enacted. So, would my Medicare be increased by 30% for going without health insurance for 3 years? I only have Original Medicare with no supplemental or private health insurance company to charge me an extra 30% for being uninsured. Oh, wait, I will get a Voucher instead to buy my own insurance on the open market? Yeah, right, Hello, circular file.
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Old 03-09-2017, 09:46 AM
 
2,333 posts, read 1,488,341 times
Reputation: 922
The 30% surcharge is just for a year. So figure if you pay $1k/month on your premium, you'll be paying an extra $3,600 (over the course of a year) to make up for the fact that you skipped out on 2+ months of insurance. Now the question is, is that more or less than what you would pay in the individual mandate? Remember the individual mandate is prorated - you skip 3 months, you only pay the fee for 3 months, not for the full year. And the max penalty is $2,500 for a person making $100k opting out a full year. Hmm.. $3,600 vs. $2,500 - hard one.

So tell me how this is any better than the mandate, and for whom is it better? And before you say "the insurance companies" - not really. It just incentivizes people to skip out on insurance as long as possible, and their max penalty is capped at a year.
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Old 03-09-2017, 10:05 AM
 
Location: Living rent free in your head
42,839 posts, read 26,247,208 times
Reputation: 34039
Quote:
Originally Posted by BicoastalAnn View Post
The 30% surcharge is just for a year. So figure if you pay $1k/month on your premium, you'll be paying an extra $3,600 (over the course of a year) to make up for the fact that you skipped out on 2+ months of insurance. Now the question is, is that more or less than what you would pay in the individual mandate? Remember the individual mandate is prorated - you skip 3 months, you only pay the fee for 3 months, not for the full year. And the max penalty is $2,500 for a person making $100k opting out a full year. Hmm.. $3,600 vs. $2,500 - hard one.

So tell me how this is any better than the mandate, and for whom is it better? And before you say "the insurance companies" - not really. It just incentivizes people to skip out on insurance as long as possible, and their max penalty is capped at a year.
two issues here, your figures change a great deal if you input a single person without coverage for a year with a $50,000 AGI, their ACA penalty would be $992.00 but under Trumpcare the penalty would still be $3,600.

As with most other issues, Trumpcare benefits higher wage earners and younger, healthier people. I think it was foolish for them to think no one would notice.
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Old 03-09-2017, 10:30 AM
 
2,333 posts, read 1,488,341 times
Reputation: 922
Quote:
Originally Posted by 2sleepy View Post
two issues here, your figures change a great deal if you input a single person without coverage for a year with a $50,000 AGI, their ACA penalty would be $992.00 but under Trumpcare the penalty would still be $3,600.

As with most other issues, Trumpcare benefits higher wage earners and younger, healthier people. I think it was foolish for them to think no one would notice.
Yes, I just used $100k because most people in this country don't make that much. So even at that high of a salary, the ACA mandate is a better deal. For those making less, the ACA penalty is a MUCH better deal.
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Old 03-09-2017, 10:34 AM
 
Location: Middle of nowhere
24,260 posts, read 14,200,998 times
Reputation: 9895
Another proposal was released.

https://www.congress.gov/bill/115th-...bill/1275/text

"World's Greatest Healthcare Plan of 2017"
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