Quote:
Originally Posted by florida.bob
The person making 1 penny more, by definition, has a greater ability to pay. Such is life when the qualification for subsidy is an income amount. But fear not, in the long run there will be a universal single payer system where there be no subsidy qualifying....
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Typical ACA supporter response and I predicted this as well.
To further my issue with the ACA.
Right now there is also the 8% of Modified adjusted income rule.
https://www.healthcare.gov/fees-exem...-from-the-fee/
Meaning if the LOWEST health premiums on the market place are more than 8% of your adjusted gross income, you can opt out of the ACA.
This presents a huge issue especially for those who have seen their premiums jacked up (and overall cost if you include deductible).
The exemption doesn't take into account for the up to $12700 deductible.
Say you have a family of 4. In florida, lots of plans to choose from. Say family makes $100K a year adjusted gross income (pretty good income). The typical premium for a family husband age 38, wife age 36 with 2 kids ages 8 and 10. Pre ACA (circa 2013) was around $700/month-800/month with a max out of pocket of $6000.
Now under the ACA the typical plan still is roughly $700/month-800 yet the max out of the pocket is $12700.
I can assure you the number of american making over 100K is a lot. 100K may seem like a high income...say in the 1980s. But it's not an affluent income.
Any "emergency surgery" like appendix, fixing a fracture arm will easily eat the entire $12700.
Which sends their total out of pocket (health premiums $8400 a year plus $12700) close to 20% of their adjusted income.
The ACA was not designed for the slightly upper middle class family in hand. It's a huge doughnut hole.
And someone making 100K adjusted income doesn't have the extra $6000-7000 a year in out of pocket to cover the "emergency surgery". You saying "tough, that is life". Is the same thing as me saying "tough taht is life to those making less than 200-250% of poverty"
As for single payer, good luck with that. Vermont axed their single payer. Because it would require a 19% health tax on it's own citizen.
Single payer only will work if al those exempted (say VA veterans, medicare, all those retired with nice health care pensions plans etc) pay their "full share". And that will take a lot of political maneuvering. Remember Bush 43 won 2004 election by 4 million votes. Obama 44 won 2012 by 5 million votes.