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Whither Obamacare?

Started by Jacob, January 05, 2017, 01:25:36 AM

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What will the GOP do to Obamacare?

There will be much sturm und drang, but ultimately no concrete action will be taken. It'll still be Obamacare.
5 (13.2%)
They'll attempt to rebrand it and own it, changing a few details, but otherwise leaving it in place.
6 (15.8%)
They'll replace it with something terrific that provides better coverage and cheaper too for the populace.
2 (5.3%)
They'll repeal it without a replacement, leaving large number of Americans without coverage for a significant period of time, perhaps forever.
17 (44.7%)
They'll repeal it with a replacement that screws over some people, but still covers some people significantly and call that an improvement.
7 (18.4%)
Some other outcome.
1 (2.6%)

Total Members Voted: 38

Admiral Yi

Quote from: Zanza on July 30, 2017, 09:36:24 AM
Does he actually believe posting angry tweets has any impact?

He must.  It won him the most powerful office in the world.

The Brain

Quote from: Admiral Yi on July 30, 2017, 10:48:08 AM
Quote from: Zanza on July 30, 2017, 09:36:24 AM
Does he actually believe posting angry tweets has any impact?

He must.  It won him the most powerful office in the world.

Too bad the office is the laughing stock of the world. :(
Women want me. Men want to be with me.

CountDeMoney

Quote from: The Brain on July 30, 2017, 10:49:15 AM
Too bad the office is the laughing stock of the world. :(

As far as he's concerned, that's got nothing to do with him.

Zanza

Quote from: Admiral Yi on July 30, 2017, 10:48:08 AM
Quote from: Zanza on July 30, 2017, 09:36:24 AM
Does he actually believe posting angry tweets has any impact?

He must.  It won him the most powerful office in the world.
Maybe he does believe it works.
Anyway, the US presidency is clearly the office with the most potential power in the world, but the current incumbent is not able to actually use that potential power due to his inadequacy for the office.

CountDeMoney

Quote from: Zanza on July 30, 2017, 12:12:54 PM
Anyway, the US presidency is clearly the office with the most potential power in the world, but the current incumbent is not able to actually use that potential power due to his inadequacy for the office.

It's analogous to a chimp with a revolver.  Don't worry;  sooner or later, something's getting shot.



There's nothing potential about it.  It is the most powerful office in the world.  And the world has been adjusting accordingly.

Admiral Yi

Quote from: Zanza on July 30, 2017, 12:12:54 PM
Maybe he does believe it works.
Anyway, the US presidency is clearly the office with the most potential power in the world, but the current incumbent is not able to actually use that potential power due to his inadequacy for the office.

No great skill required to launch a nuke or order the bombing of North Korea.

The Minsky Moment

Under Obama there were significant annual premium increases, usually 6-8%.  Above inflation but still manageable.

Just got my rate estimate for next year.  The carrier had initially be talking about a 8-10% increase but changed that when Trump started mucking about with reimbursements.  Instead it's 40% premium increase.  FORTY.  And that's not all.  Co-pay rates are tripling from 10 to 30% and the out of pocket max is also going up by 40%.

Rough estimate Trump's sabotage and incompetence will cost me about 8K in 2018.

Oh yeah and my taxes are going way up too.
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

CountDeMoney

Mine went up 39%.  My monthly healthcare bill in 2018 is going to be only $90 less than my mortgage.

Don't fucking like it, either make more money or be happy with just being white, right? 


Hey, so how about those Nazis? Whacky, huh?

Admiral Yi

Quote from: The Minsky Moment on November 02, 2017, 09:50:19 AM
Under Obama there were significant annual premium increases, usually 6-8%.  Above inflation but still manageable.

Just got my rate estimate for next year.  The carrier had initially be talking about a 8-10% increase but changed that when Trump started mucking about with reimbursements.  Instead it's 40% premium increase.  FORTY.  And that's not all.  Co-pay rates are tripling from 10 to 30% and the out of pocket max is also going up by 40%.

Rough estimate Trump's sabotage and incompetence will cost me about 8K in 2018.

Oh yeah and my taxes are going way up too.

You get employer-provided, unsubisdized health insurance, yeah?  What kind of reimbursement is Trump mucking around with that could affect your rates?  And how do you feel about Chachi now?

The Minsky Moment

Quote from: Admiral Yi on November 02, 2017, 11:00:03 AM
What kind of reimbursement is Trump mucking around with that could affect your rates?

Last month, Trump unilaterally cancelled the CSR payments used to reimburse insurers to lowering OOP costs on subsidized obamacare enrolees.  That's the big hit - the insurers basically have to recoup that off the backs of the uninsured pool.  The other factor is that insurers are pricing in defections that are assumed will increase because of noises about repealing or not enforcing the mandate.

My particular insurer went on record as saying the increase would have been 9-10% absent the Trump stuff.  You could accuse them of being self-serving, but that accords with what independent analysis from Brookings, etc. are saying.
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

Of course you duck the hard question.  :rolleyes:

derspiess

Quote from: Zanza on July 30, 2017, 09:36:24 AM
Does he actually believe posting angry tweets has any impact?

Keeps this forum alive :P
"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

Hey MM, Governor Hogan granted the marketplace insurers the opportunity to redo the 2018 price estimates they had already provided to Maryland's health exchange once Der Trumpenführer said he was no longer going to faithfully execute the Office of President of the United States.
So, after telling customers what to expect in prices, they asked for and got a last minute do-over on October 26, thanks to the Human Cheetos Stain.

The Minsky Moment

Quote from: Admiral Yi on November 02, 2017, 11:21:02 AM
Of course you duck the hard question.  :rolleyes:

Joanie loves Chachi?  I made it a point not to watch Happy Days spinoffs.
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

garbon

Well Murkowski has shown her true red colors.

http://www.newsminer.com/opinion/community_perspectives/alaskan-senator-supports-free-choice-for-health-care/article_fb6235da-ce98-11e7-951c-db26231e7ffb.html

QuoteAlaskan senator supports free choice for health care

I have always supported the freedom to choose. I believe that the federal government should not force anyone to buy something they do not wish to buy in order to avoid being taxed. That is the fundamental reason why I opposed the Affordable Care Act from its inception and also why I cosponsored a bill to repeal the individual mandate tax penalty starting as early as 2013. And that is why I support the repeal of that tax today.

Over the course of this year, the Senate has considered bills that would have repealed Medicaid expansion, completely transformed the base Medicaid program, converted the individual exchanges into a block grant program, cut Planned Parenthood out of Medicaid reimbursement for a year, and other measures. All of those bills went far beyond the fundamental problems presented by the ACA and would have unnecessarily taken away access to care from those who need it most.

The ACA has helped many people in our state and across the country. There is no question about that. Some people have been able to buy insurance for the first time in their life; mental health and substance abuse coverage is more accessible now; and insurers cannot arbitrarily deny coverage to those with pre-existing conditions. I do not support taking care away from these people, but there are many for whom this law has not been helpful. It is important to emphasize that eliminating this tax penalty does not take care away from anyone. Instead, it provides important relief to those who have been penalized for choosing not to buy unaffordable insurance.

Alaskans pay the highest price for premiums in the country. That is why the number of people enrolled on the exchange in Alaska has shrunk every year since the ACA was passed. People have been forced out of the market by the high cost of insurance, with some often forced to pay a tax because the price of insurance was too high for them to afford.

A silver plan for a family of four, with a $9,000 deductible, will cost about $2,160 per month in 2018. If this family does not qualify for the advanced premium tax credits, they face the choice of paying almost $35,000 in 2018 just for health insurance premiums before their insurance really kicks in, or potentially paying a tax of $695 or 2.5 percent of their income. An individual could be paying around $709 per month for a plan with a $3,000 deductible. With no tax credits, that person would pay over $11,500 per year before insurance starts to help, or pay the tax for not having coverage.

Alaskans paid over $9 million to the IRS under this penalty in 2014, and over $12 million in 2015. There are Alaskans making the calculated risk to go without insurance and pay the tax. They prefer to take a gamble, pay for care out of pocket, and hope nothing too bad happens because the insurance available to purchase is unaffordable. Eliminating this tax would allow Alaskans to have greater control over their money and health care decisions.

Repealing the individual mandate simply restores to people the freedom to choose. Nothing else about the structure of the ACA would be changed. If you currently get tax credits to help pay for your insurance, you could still receive those credits if you choose to buy an exchange plan. If you are enrolled on Medicaid or received coverage under Medicaid expansion, you could still be enrolled if you choose to be. The only difference would be is if you choose to not buy health insurance, the government would not levy a tax on you.

Protecting the gains we've made with provisions of the ACA while providing greater control to states and options for individuals is why I have been working for bipartisan solutions to the health care challenges we face. Instead of taxing people for not being able to afford coverage, we should be working to reduce costs and provide options. That is precisely what the bipartisan legislation introduced by Sen. Lamar Alexander, R-Tennessee, and Sen. Patty Murray, D-Washington, which I have cosponsored, achieves.

While I support repealing the individual mandate, I strongly support enacting the bipartisan compromise Alexander/Murray legislation into law as fast as possible to stabilize our markets, provide more control to states and more choices to individuals.

She's so full of shit. Yeah nothing will change about access to healthcare if people are able to opt out of insurance.  I was speaking with my sister yesterday who was telling me about how already per Trump comments, her premium was remaining the same with fewer services (mental health, labwork) to be covered.
"I've never been quite sure what the point of a eunuch is, if truth be told. It seems to me they're only men with the useful bits cut off."
I drank because I wanted to drown my sorrows, but now the damned things have learned to swim.