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Obamacare and you

Started by Jacob, September 25, 2013, 12:59:55 PM

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What's the impact of Obamacare for you (and your family)? Assuming it doesn't get defunded or delayed, of course...

I live in a state that's embracing Obamacare and it looks like I'm set for cheaper and/or better healthcare.
9 (14.1%)
I live in a state that's embracing Obamacare and it looks like I'm going to be paying more and/or get worse coverage.
5 (7.8%)
I live in a state that's embracing Obamacare and it looks like I'm largely unaffected by Obamacare, other than the effects of the general political theatre.
6 (9.4%)
My state is embracing Obamacare, but I have no clue how it will impact me personally.
1 (1.6%)
I live in a state that's rejecting Obamacare and it looks like I'm set for cheaper and/or better healthcare.
0 (0%)
I live in a state that's rejecting Obamacare and it looks like I'm going to be paying more and/or get worse coverage.
1 (1.6%)
I live in a state that's rejecting Obamacare and it looks like I'm largely unaffected by Obamacare, other than the effects of the general political theatre.
7 (10.9%)
My state is rejecting Obamacare and I have no idea how Obamacare is going to impact me.
1 (1.6%)
The American health care system doesn't affect me, but I'm watching how the whole thing plays out with interest.
20 (31.3%)
The American health care system doesn't affect me and frankly I don't care.
8 (12.5%)
Some other option because the previous 10 were not enough...
6 (9.4%)

Total Members Voted: 63

The Minsky Moment

What is the flaw and why is this bad news?
Presumably the payments are kicking in because the premiums are low.  Wasn't that the objective?
The purpose of studying economics is not to acquire a set of ready-made answers to economic questions, but to learn how to avoid being deceived by economists.
--Joan Robinson

derspiess

Quote from: The Minsky Moment on July 22, 2014, 11:32:16 AM
What is the flaw and why is this bad news?
Presumably the payments are kicking in because the premiums are low.  Wasn't that the objective?

From what I'm reading, the flaw is that the law did not provide for subsidies for those on the federal exchange, just for those on the state exchanges.  So if the ruling holds then people on the federal exchange will lose their subsidies.  I think the LA Times is calling it a "wording glitch".

But I'm sure a simple executive order would close the gap.  Why not, at this point.
"If you can play a guitar and harmonica at the same time, like Bob Dylan or Neil Young, you're a genius. But make that extra bit of effort and strap some cymbals to your knees, suddenly people want to get the hell away from you."  --Rich Hall

The Minsky Moment

Quote from: derspiess on July 22, 2014, 11:42:41 AM
From what I'm reading, the flaw is that the law did not provide for subsidies for those on the federal exchange, just for those on the state exchanges.  So if the ruling holds then people on the federal exchange will lose their subsidies.  I think the LA Times is calling it a "wording glitch".

Got it.
I didn't open your link - I was responding to the "problem" raised in 11b's link.
Have to check out the DC circuit decision.
The purpose of studying economics is not to acquire a set of ready-made answers to economic questions, but to learn how to avoid being deceived by economists.
--Joan Robinson

Jacob

Quote from: derspiess on July 22, 2014, 11:22:19 AM
Oops.  I'm shocked that such a well-written piece of legislation contained a flaw of some sort.  I guess they had to pass it before they could check it for errors!

http://www.cnbc.com/id/101819065

Isn't that usually how it is with complex legislation, and the usual process involves some patches after it's passed? That's certainly what I've been led to believe.

frunk

Yes, but Congress will insist that it is broken, it's horrible, roll it all back rather than fix things as they come up.

derspiess

Quote from: Jacob on July 22, 2014, 02:11:34 PM
Quote from: derspiess on July 22, 2014, 11:22:19 AM
Oops.  I'm shocked that such a well-written piece of legislation contained a flaw of some sort.  I guess they had to pass it before they could check it for errors!

http://www.cnbc.com/id/101819065

Isn't that usually how it is with complex legislation, and the usual process involves some patches after it's passed? That's certainly what I've been led to believe.

Well, it was also sort of rushed through if you'll recall.
"If you can play a guitar and harmonica at the same time, like Bob Dylan or Neil Young, you're a genius. But make that extra bit of effort and strap some cymbals to your knees, suddenly people want to get the hell away from you."  --Rich Hall

Jacob

Quote from: derspiess on July 22, 2014, 02:18:39 PMWell, it was also sort of rushed through if you'll recall.

Yeah, I recall.

What would be ideal - and until recently apparently the standard operating procedure - is a good faith effort to fix these sort of minor glitches to give the legislation a chance to work as designed, but I'm not sure how likely that is at this point.

CountDeMoney

Today's rulings don't take away my healthcare coverage, derfetus. So solly.  Maybe next time.

derspiess

Quote from: CountDeMoney on July 22, 2014, 02:35:54 PM
Today's rulings don't take away my healthcare coverage, derfetus. So solly.  Maybe next time.

I was actually concerned about you, so I checked which states have their own exchanges and saw that Maryland had one.  Your subsidy, if you have one, is safe :hug:
"If you can play a guitar and harmonica at the same time, like Bob Dylan or Neil Young, you're a genius. But make that extra bit of effort and strap some cymbals to your knees, suddenly people want to get the hell away from you."  --Rich Hall

CountDeMoney

No subsidy, I'm paying my own way at the full advertised cost. So you can't use that one against me.  :yeah: :suckithaters:

The Minsky Moment

Maryland is in the 4th circuit anyways . . .

Checked out the DC Circuit ruling.  2 judges being quite deliberately dense.
The purpose of studying economics is not to acquire a set of ready-made answers to economic questions, but to learn how to avoid being deceived by economists.
--Joan Robinson

Admiral Yi

Quote from: CountDeMoney on July 22, 2014, 03:07:44 PM
No subsidy, I'm paying my own way at the full advertised cost. So you can't use that one against me.  :yeah: :suckithaters:

Fat cat.

grumbler

Quote from: The Minsky Moment on July 22, 2014, 03:45:26 PM
Maryland is in the 4th circuit anyways . . .

Checked out the DC Circuit ruling.  2 judges being quite deliberately dense.
We need them on the USSC, stat!  Some current justices can think. Others are named Roberts, Alito, and Thomas (I have no beef with Scalia, even if his votes are almost always "wrong" from my POV; he is a smart guy who has explicable reasons for his rulings).
The future is all around us, waiting, in moments of transition, to be born in moments of revelation. No one knows the shape of that future or where it will take us. We know only that it is always born in pain.   -G'Kar

Bayraktar!

derspiess

Quote from: The Minsky Moment on July 22, 2014, 03:45:26 PM
Maryland is in the 4th circuit anyways . . .

Checked out the DC Circuit ruling.  2 judges being quite deliberately dense.

How's that?  It sounds like the law only states that those who go through the state exchanges are eligible for subsidies.  If it doesn't mention the federal exchanges, then who has the authority to issue subsidies for those folks?
"If you can play a guitar and harmonica at the same time, like Bob Dylan or Neil Young, you're a genius. But make that extra bit of effort and strap some cymbals to your knees, suddenly people want to get the hell away from you."  --Rich Hall

The Minsky Moment

It doesn't say that.

The language is a little goofy because the way the Exchanges are set up and structured under ACA is goofy.  ACA doesn't say - a state can opt-out of creating exchanges.  The section which is directly referenced by the IRS code actually mandates each State to create an exchange.  There is no opt-out.  It defines "Exchange" somewhat self-referentially as the organ established in that state that facilitates the purchase of qualifying health plans.

A totally different section of ACA provides that if a particular State fails to comply that HHS is supposed to do it for them.  There is no such thing as a "federal exchange" in the law.  The term "federal exchange" is just a phrase that some people use to describe what happens when a State doesn't comply.  The actual word that ACA is uses to describe the thing that is created in that instance is simply "Exchange" - i.e. the very defined term used in the section about the State-mandated exchanges.  This ends up being an embarrassment for the DC circuit plurality - they keep using the phrase "federal Exchange" which doesn't exist in ACA and involves sticking a common adjective "federal" in front of a defined term "Exchange".

Is it possible to read this in the way the 2 DC circuit judges did?  Sure if you stand on your head, read it very selectively and grossly out of context, and completely ignore the purpose.  Problem is, the IRS usually gets lots of deference when writing its rules.  By law, their interpretation gets great deference and their reading of the statute can be upheld if it is "possible" reading of the statute.  The DC judges know this and so were forced to argue that not only is their reading correct, but that it is totally plain and unambiguous.  That doesn't pass the laugh test.
The purpose of studying economics is not to acquire a set of ready-made answers to economic questions, but to learn how to avoid being deceived by economists.
--Joan Robinson