Obamacare premiums going way up for many (22% on average)

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SP33Demon

Lifer
Jun 22, 2001
27,929
142
106
Reciting some incredibly pedantic article you managed to read once doesn't exactly help illustrate that you can understand basic concepts.
Holy f you got owned by glenn. Your pathetic attempt to save face in the above comment is hilarious at best.
 

SP33Demon

Lifer
Jun 22, 2001
27,929
142
106
You shouldn't use terms you don't understand like "amortizing" since you use them incorrectly. "Health insurance" as it's currently constructed isn't insurance because it fails the basic distinguising characteristics of insurance. Namely allowing the participants to pay a slight fee to lock in the certainty of premiums that mirror the expected median share of liability in a larger risk pool in order to protect against the possibility of their specific actual risk being significantly more than the median AND both the cost of the premia and the fees you're paying to obtain the insurance in the first place. You're not buying "insurance" when you're:

(1) Not conducting any underwriting, because there is no possible means of determining what the expected median risk is,
(2) Paying premia to cover events that have a 100% possibility of happening (like annual checkups, birth control) because your risk IS the median risk, there is no risk shifting going on thus it's not insurance by definition. It's exactly what I said it was, a prepaid medical expense account.
(3) Paying significantly more in premia than the expected median liability you expect to incur because that excess is specifically intended to pay benefits on behalf of someone else other than you.

And yes, Obamacare isn't much different than the social safety net, because that's not insurance either!
Not bad, and I agree on the prepaid medical expense account. There is no risk since they will make money off the penalty anyway. It's a fucking scam, just like obama promising to save the american people $2500. Someone cue up that clip that he barked around 500+ times since 2008.
 

agent00f

Lifer
Jun 9, 2016
12,203
1,242
86
Holy f you got owned by glenn. Your pathetic attempt to save face in the above comment is hilarious at best.

Actually neither you nor he has any clue what insurance actually means at any sort of conceptual level, eg. http://www.investopedia.com/terms/i/insurance.asp. Just because someone's trying to be pedantic doesn't mean they're technically correct at all. I only didn't bother to correct him due to lack of any desire to be a co-moron.

He's merely repeating what he read off some anti-obama blog for white nationalist sorts with low educational attainment, and you were just impress at a technical-sounding post made by another conservative. Both are representative of the voter brain trust the right has to rely on these days, leading the way to candidates that pander to educational failures.
 

ivwshane

Lifer
May 15, 2000
32,333
15,128
136
www.healthcare.gov

48 year old single male / zip 28358. My comparable UHC "Silver Plan" proposed by BC/BS for an individual - No dental, ... $5K deductible for $800/month. What is so affordable about that? ...and all you people can say is it's my fault for how my local elections went. Are you fucking retarded??? I guess I should have voted against all of my other conservative ideologies just so I wouldn't get screwed by the ACA, per your train of thought.

Its called priorities. You opted to vote for people who told you they would preserve the 2nd amendment they claimed was under attack. Now you can deal with your decision. I certainly am not going to shed a tear for your dumb ass.
 

HumblePie

Lifer
Oct 30, 2000
14,667
440
126
So bshole, look carefully at this post and realize this is the kind of person who is funding your care. An actual, real life person and not an abstraction. One who likely can't save money for his kid's education, move to a safer neighborhood, buy a more suitable car for his family, or save for his own retirement. Because thousands of his money is going to you and those like you. And instead of falling down on your knees in thanks you complain about his "greed."


Also love to go over this with people. Using rough figures, this is basically a fun exercise to see how bad certain people at certain earning points can be screwed over.

Take right now average family of 4 making a combined income of $100,000 a year. Seems like the good life right?

Tax bracket is 25% so basically $25,000 are gone to federal taxes. There are a few ways to lower this burden, like dependent credits and such. Basically drops that burden to around $15,000 at the lowest if you are lucky. Typically around $20,000. So out of $100,000 you have only $80,000 to work with. But a decent silver plan with a couple of claims is going to run the average household about $50,000 in health costs. That is NON subsidized, but $100,000 is over 400% of the FPL. Leaving said family with $30,000 now for everything else. This is for an average silver plan with a 70%/30% split with a 3,000-5,000 deductible and coverage for medical, dental, and vision. Prices around here are about $2,000 to $2,500 for silver plans like that per month.

Throw in child care costs like day care, which exceed state college tuition costs practically everywhere, and that's about $20,000 on average. So now down to $10,000 a year to cover food, transportation, rest/mortgage, electricity, water, garbage collection, and other bill. Basically stretching thing that $10,000 left to a family. Maybe $15,000 if you were good at getting more taxes back from the federal level for some reason. I usually get $10K back, but that is because I am allowed to count the $6K I spend on property taxes here every year.

But had that same family been making $25,000 less per year, the subsidies would kick in pretty good. The tax bracket drops from 25% to 15%. Making a tax burden down to $11,250. Much of which can be claimed back through various deductions like above. Getting around $8K back means basically having $72,000 left over, which is pretty damn close to what the average family after taxes at $100,000 has left over. Difference is now that if both families are using .gov healthcare plans, the second family gets only out of pocket healthcosts per year of a max of 8.21% of their income level because they are at 300% of the FPL. Chances are they are eligible for medicaid in their state that basically takes up the rest of the cost making family two's out of pocket medical expenses for a year typically about $6,000. A far sight lower than $50,000 that would have been incurred had they made $25,000 more per year.

Leaving family of 4 making $75,000 far wealthier at the end of the year than family of 4 making $100,000 per year. Not exactly what I call fair at all.
 
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Reactions: highland145

SP33Demon

Lifer
Jun 22, 2001
27,929
142
106
Also love to go over this with people. Using rough figures, this is basically a fun exercise to see how bad certain people at certain earning points can be screwed over.

Take right now average family of 4 making a combined income of $100,000 a year. Seems like the good life right?

Tax bracket is 25% so basically $25,000 are gone to federal taxes. There are a few ways to lower this burden, like dependent credits and such. Basically drops that burden to around $15,000 at the lowest if you are lucky. Typically around $20,000. So out of $100,000 you have only $80,000 to work with. But a decent silver plan with a couple of claims is going to run the average household about $50,000 in health costs. That is NON subsidized, but $100,000 is over 400% of the FPL. Leaving said family with $30,000 now for everything else. This is for an average silver plan with a 70%/30% split with a 3,000-5,000 deductible and coverage for medical, dental, and vision. Prices around here are about $2,000 to $2,500 for silver plans like that per month.

Throw in child care costs like day care, which exceed state college tuition costs practically everywhere, and that's about $20,000 on average. So now down to $10,000 a year to cover food, transportation, rest/mortgage, electricity, water, garbage collection, and other bill. Basically stretching thing that $10,000 left to a family. Maybe $15,000 if you were good at getting more taxes back from the federal level for some reason. I usually get $10K back, but that is because I am allowed to count the $6K I spend on property taxes here every year.

But had that same family been making $25,000 less per year, the subsidies would kick in pretty good. The tax bracket drops from 25% to 15%. Making a tax burden down to $11,250. Much of which can be claimed back through various deductions like above. Getting around $8K back means basically having $72,000 left over, which is pretty damn close to what the average family after taxes at $100,000 has left over. Difference is now i both families are using .gov healthcare plans, the second family gets only out of pocket healthcosts per year of a max of 8.21% of their income level because they are at 300% of the FPL. Chances are they are eligible for medicaid in their state that basically takes up the rest of the cost making family two's out of pocket medical expenses for a year typically about $6,000. A far sight lower than $50,000 that would have been incurred had they made $25,000 more per year.

Leaving family of 4 making $75,000 far wealthier at the end of the year than family of 4 making $100,000 per year. Not exactly what I call fair at all.
Solid summary of how the middle class is getting fucked. It's almost better to just make less if you're going the obamacare route. Then again, i'm glad I don't have to go the obamacare route. Sorry man.
 

HumblePie

Lifer
Oct 30, 2000
14,667
440
126
Solid summary of how the middle class is getting fucked. It's almost better to just make less if you're going the obamacare route. Then again, i'm glad I don't have to go the obamacare route. Sorry man.

Yah, personally I would rather have a flat percentage taken out of my pay for healthcare that goes to a single payer system and I'm done with paying anything more. Adjust the percentage based on cost of living figures for a given person's area and be done with it. Leave's both families in the above scenario with proper medical care for their families and doesn't screw one family over.
 

agent00f

Lifer
Jun 9, 2016
12,203
1,242
86
This has literally became comedy hour. Starting with someone talkin' figures yet can't figure out how margin taxation works:

Also love to go over this with people. Using rough figures, this is basically a fun exercise to see how bad certain people at certain earning points can be screwed over.

Take right now average family of 4 making a combined income of $100,000 a year. Seems like the good life right?

Tax bracket is 25% so basically $25,000 are gone to federal taxes.

Followed by another yahoo who nods in agreement just to take a swipe at obamacare, even though it's his own party's plan which does little to nothing about actual healthcare costs:

Solid summary of how the middle class is getting fucked. It's almost better to just make less if you're going the obamacare route. Then again, i'm glad I don't have to go the obamacare route. Sorry man.

Let's see how he responds to yahoo 1's renewed support for socialism communism:

Yah, personally I would rather have a flat percentage taken out of my pay for healthcare that goes to a single payer system and I'm done with paying anything more. Adjust the percentage based on cost of living figures for a given person's area and be done with it. Leave's both families in the above scenario with proper medical care for their families and doesn't screw one family over.

Let's also clarify that obamacare .gov plans are for people who can't get access to an insurance pool through a real job, so it's more or less the gov giving a healthcare option to people who'd otherwise have little to none. The bulk of legit "middle class" a la petit-bourgeois are hardly the concerned here.
 
Feb 4, 2009
34,703
15,951
136
Also love to go over this with people. Using rough figures, this is basically a fun exercise to see how bad certain people at certain earning points can be screwed over.

Take right now average family of 4 making a combined income of $100,000 a year. Seems like the good life right?

Tax bracket is 25% so basically $25,000 are gone to federal taxes. There are a few ways to lower this burden, like dependent credits and such. Basically drops that burden to around $15,000 at the lowest if you are lucky. Typically around $20,000. So out of $100,000 you have only $80,000 to work with. But a decent silver plan with a couple of claims is going to run the average household about $50,000 in health costs. That is NON subsidized, but $100,000 is over 400% of the FPL. Leaving said family with $30,000 now for everything else. This is for an average silver plan with a 70%/30% split with a 3,000-5,000 deductible and coverage for medical, dental, and vision. Prices around here are about $2,000 to $2,500 for silver plans like that per month.

Throw in child care costs like day care, which exceed state college tuition costs practically everywhere, and that's about $20,000 on average. So now down to $10,000 a year to cover food, transportation, rest/mortgage, electricity, water, garbage collection, and other bill. Basically stretching thing that $10,000 left to a family. Maybe $15,000 if you were good at getting more taxes back from the federal level for some reason. I usually get $10K back, but that is because I am allowed to count the $6K I spend on property taxes here every year.

But had that same family been making $25,000 less per year, the subsidies would kick in pretty good. The tax bracket drops from 25% to 15%. Making a tax burden down to $11,250. Much of which can be claimed back through various deductions like above. Getting around $8K back means basically having $72,000 left over, which is pretty damn close to what the average family after taxes at $100,000 has left over. Difference is now that if both families are using .gov healthcare plans, the second family gets only out of pocket healthcosts per year of a max of 8.21% of their income level because they are at 300% of the FPL. Chances are they are eligible for medicaid in their state that basically takes up the rest of the cost making family two's out of pocket medical expenses for a year typically about $6,000. A far sight lower than $50,000 that would have been incurred had they made $25,000 more per year.

Leaving family of 4 making $75,000 far wealthier at the end of the year than family of 4 making $100,000 per year. Not exactly what I call fair at all.

While you appear pretty knowledgeable on this subject and I'll assume the above is correct. I'd still wager 100 percent of the 75k households would happily trade places with the 100k households. We all focus on the negative but higher income = better debt to earnings which makes everything easier. Buying a home, buying a car, saving for retirement, better net pay increases.
 

spinejam

Diamond Member
Feb 17, 2005
3,503
1
81
Its called priorities. You opted to vote for people who told you they would preserve the 2nd amendment they claimed was under attack. Now you can deal with your decision. I certainly am not going to shed a tear for your dumb ass.

How the fuck do you know who I voted for? I'm an Independent and actually voted for Obama / NC - Democratic ticket you asshole so go fuck yourself! Why are you bringing up the 2nd Amendment??? ...and no one here is asking for sympathy - purpose was enlighten the ignorance of the situation that some of us face - that's all! Most of the folks in this country aren't affected by this so they don't give a rats ass!
 

HumblePie

Lifer
Oct 30, 2000
14,667
440
126
While you appear pretty knowledgeable on this subject and I'll assume the above is correct. I'd still wager 100 percent of the 75k households would happily trade places with the 100k households. We all focus on the negative but higher income = better debt to earnings which makes everything easier. Buying a home, buying a car, saving for retirement, better net pay increases.

Normally someone at those ranges are on employer subsidized healthcare plans. Which bring down costs for families by a bunch. So this doesn't affect the majority of families out there. I'm using an extreme case of a gap in the system that can cause problems in some cases. Significant problems actually. For reference, I'm family B making over 100K as a contractor, but not so much it's really uncomfortable. The only saving grace I have is that my wife has medicaid due to disability she has and had before were met. So medicaid takes over costs where my insurance doesn't in her case. So long as the kids and myself don't require any major emergency care, it isn't as bad as it could be until I get a position that has employer subsidized healthcare again.

But there has always been some interesting cases with the tax code laws and stuff like there where there are times it is much better to be at the top of the bracket below than to barely move up to the next bracket. Throwing ACA into the mix just exacerbated the issue for some families in certain situations. For those families the situation only gets worse as plans increase dramatically in cost every year.
 

pete6032

Diamond Member
Dec 3, 2010
7,579
3,124
136
I just got my renewal notice today. I'm in my 20s and healthy. I was previously paying $190/month with Blue Cross for an individual minimal/catastrophic plan with $6k deductible and the new premium will be $290 per month starting in January. Fortunately I'll be on employer paid insurance by then.
 

rudder

Lifer
Nov 9, 2000
19,441
86
91
What specifically is wrong with his post? Do you have a link to refute his link or you just playing the little dictator as is typical for you?

His post has content, yours is nothing but words.

This is modus operandi for leftists on this board. They do not really refute anything but rather keep repeating that Benghazi never happened, all these wiki emails are faked Russian hacks, the Clinton Foundation is a legitimate charity, the republicans are behind the obamacare death spiral etc. And rather than present a logical argument on subject... They loudly proclaim any post that does not agree with living in liberal la la land is idiotic and simply wrong.
 

werepossum

Elite Member
Jul 10, 2006
29,873
463
126
You should really get a colonoscopy since you are full of sh!t.
https://www.healthcare.gov/preventive-care-adults/
The last "free" colonoscopy cost me several thousand dollars.

Anybody here gotten a free colonoscopy from Obamacare?

I'm a bit OT on this and I only say it because I care. If prep and/or cost is preventing a colonoscopy go this route

http://www.cologuardtest.com/

Its pretty accurate and i will say it worked as advertised for my fiancee. You will need to pressure your doctor to prescribe it but they will do it.
Thanks, that is very useful. My wife refuses to get a colonoscopy because she knows a lot of women who suffered torn or perforated bowels from the procedure, requiring hospitalization. I'll suggest this.

I'm glad I have a self insured foreign employer. I pay $47 week for Medical, Dental, Vision, Supplemental health, and legal.
Holy crap that's good. Obamacare has for the first time made me wish I worked for a big corporation. Or better yet, for the government.

Meanwhile in Tennessee, we switched to United Healthcare because our one year increase with BlueCross BlueShield was 67%. Now UH has severed its relationship with Memorial Health Initiative, largest in our area and which includes every one of our doctors plus the only hospitals I would choose. And in our Obamacare "insurance" plan, any money spent out of network does not even apply to your deductible. So either we change every doctor, or we now have the world's most expensive unconscious only emergency care only policy. Really hoping somebody blinks here.

People like us, employed by small businesses or with individual policies, are the collateral damage by design. Won't be long before people like us are on Medicaid and feeling lucky to have health insurance at all.
 
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cbrunny

Diamond Member
Oct 12, 2007
6,791
406
126
good time to buy shares in your local health factory hospital. Gotta get your slice of that 22%, right? Profit from sickness. That's the American way.
 

highland145

Lifer
Oct 12, 2009
43,551
5,960
136
The last "free" colonoscopy cost me several thousand dollars.

Anybody here gotten a free colonoscopy from Obamacare?

Meanwhile in Tennessee, we switched to United Healthcare because our one year increase with BlueCross BlueShield was 67%. Now UH has severed its relationship with Memorial Health Initiative, largest in our area and which includes every one of our doctors plus the only hospitals I would choose. And in our Obamacare "insurance" plan, any money spent out of network does not even apply to your deductible. So either we change every doctor, or we now have the world's most expensive unconscious only emergency care only policy. Really hoping somebody blinks here.

People like us, employed by small businesses or with individual policies, are the collateral damage by design. Won't be long before people like us are on Medicaid and feeling lucky to have health insurance at all.
Going on the 15th for the consult. I'll let you know after the reaming.

Medishare or Samaritan maybe. What you and I have already doesn't pay shit so I'm looking to drop out of the system all together. Half the cost and no penalty. And less $$ to support subsidies.
 

Meghan54

Lifer
Oct 18, 2009
11,573
5,096
136
While you appear pretty knowledgeable on this subject and I'll assume the above is correct. I'd still wager 100 percent of the 75k households would happily trade places with the 100k households. We all focus on the negative but higher income = better debt to earnings which makes everything easier. Buying a home, buying a car, saving for retirement, better net pay increases.


He's not completely accurate in his financial assessment.

First, he makes this claim:

Take right now average family of 4 making a combined income of $100,000 a year. Seems like the good life right?

Tax bracket is 25% so basically $25,000 are gone to federal taxes. There are a few ways to lower this burden, like dependent credits and such. Basically drops that burden to around $15,000 at the lowest if you are lucky. Typically around $20,000.

Sounds reasonable, doesn't it? Except it's not reality.

Let's take his family of 4 with a $100k income and really look into the tax situation, esp. since it centers on federal income tax (assumed because of the mention of the 25% tax bracket $100k earners eventually find themselves in.)

First, what's been distorted and left out by Mr. Pie is the fact that $100k of income is NOT fully subject to a 25% tax rate, and I cannot believe people still try that game. The first $18,550 of income for a family filing jointly is subject to a 10% tax rate, not 25%. The next bracket, 15%, is subjected to the income between $18,551-$75,300. The 25% bracket, the next in line, only applies to the income above $75,300. So his total contributions are much lower than his "typically $20k" estimate on tax burden.

In fact, following along on a Form 1040, taking 4 personal exemptions (4 x $4000=$16,000) and the standard deduction for married filing jointly ($12,600) reduces the taxable income for that family of 4 with $100k income to $71,400...which is the amount one should adjust their withholding on for tax purposes. The owed federal tax on the taxable income of $71,400 in 2015 was $9,784, or an effective federal tax rate of 9.784%.

Of course, this makes the assumption the family is making no pre-tax contributions to an IRA/401k, which would further reduce federal income tax exposure. If said family took the max, it'd reduce their taxable income to $53,400 which would produce a federal income tax burden of $7,084...a far cry from the $20k federal income tax burden suggested by Mr. Pie.

And as an aside, who works in a job that pays $100k per year that isn't offered health insurance by their employer? Obamacare isn't really geared towards people/families that can obtain good health ins. via an employee benefit package and I have yet to understand why these oddball irrelevant examples are made except to conflate/confuse/spread FUD about the purpose of the ins. coverage plans.

The rest of the argument is odd. While I guess some states will allow Medicaid to be given to a family of 4 with $75k income, my state, GA, has an income limit for PeachCare for Kids, the GA form of Medicaid for children only, of $61,110, or 252% of FPL. Actual Medicaid, again for kids only, is income limited to $50,925 for the kid's under 1 year of age, falls to mid-$30k income limits older than 1 year old. If the adults want Medicaid coverage, it's income limited to $7,836 yearly income to qualify. $75k is a tad above $8k.

http://healthyfuturega.org/wp-content/uploads/2015/12/Income-Tables-2015.pdf


Now, different states do their Medicaid differently and I'm sure income limits are higher in places. But in almost all instances, adults trying to acquire Medicaid have very, very low income limits...their much broader/higher when talking kids, but then again, in this case the Medicaid is only for the kids.

I'm sure other states are more liberal in their healthcare outreach, such as CA, NY, MA, etc....you know, those dastardly "liberal" states. But for a huge chunk of the country, Medicaid isn't much of an option.

And, again, not to be repetitive, but who works at a job that pays $75k that isn't being offered employer subsidized health insurance via benefits?
 
Reactions: nickqt and Pens1566

interchange

Diamond Member
Oct 10, 1999
8,022
2,872
136
Well I'm a doctor at a university, and my health insurance sucks in my opinion and is getting much worse. The best part of it was an out of pocket maximum after which 100% of allowable expenses were covered. However, in 2 years time this went from $9k to $13k to $20k, deductibles up about 40%, and out of network reimbursement down 20% after deductible. Premium costs are hardly relevant to whether the insurance is any good, yet it's what we all look at to compare plans.

Regardless of how we look at ACA, the more relevant info here is that the system is still massively broken.
 

highland145

Lifer
Oct 12, 2009
43,551
5,960
136
Well I'm a doctor at a university, and my health insurance sucks in my opinion and is getting much worse. The best part of it was an out of pocket maximum after which 100% of allowable expenses were covered. However, in 2 years time this went from $9k to $13k to $20k, deductibles up about 40%, and out of network reimbursement down 20% after deductible. Premium costs are hardly relevant to whether the insurance is any good, yet it's what we all look at to compare plans.

Regardless of how we look at ACA, the more relevant info here is that the system is still massively broken.
Do you know if the bill coding was fixed with a universal coding system? IIRC that was a major cost because of so many different coding systems and it was on the list to be fixed before the passage of the ACA turd.
 

HumblePie

Lifer
Oct 30, 2000
14,667
440
126
He's not completely accurate in his financial assessment.

First, he makes this claim:



Sounds reasonable, doesn't it? Except it's not reality.

Let's take his family of 4 with a $100k income and really look into the tax situation, esp. since it centers on federal income tax (assumed because of the mention of the 25% tax bracket $100k earners eventually find themselves in.)

First, what's been distorted and left out by Mr. Pie is the fact that $100k of income is NOT fully subject to a 25% tax rate, and I cannot believe people still try that game. The first $18,550 of income for a family filing jointly is subject to a 10% tax rate, not 25%. The next bracket, 15%, is subjected to the income between $18,551-$75,300. The 25% bracket, the next in line, only applies to the income above $75,300. So his total contributions are much lower than his "typically $20k" estimate on tax burden.

In fact, following along on a Form 1040, taking 4 personal exemptions (4 x $4000=$16,000) and the standard deduction for married filing jointly ($12,600) reduces the taxable income for that family of 4 with $100k income to $71,400...which is the amount one should adjust their withholding on for tax purposes. The owed federal tax on the taxable income of $71,400 in 2015 was $9,784, or an effective federal tax rate of 9.784%.

Of course, this makes the assumption the family is making no pre-tax contributions to an IRA/401k, which would further reduce federal income tax exposure. If said family took the max, it'd reduce their taxable income to $53,400 which would produce a federal income tax burden of $7,084...a far cry from the $20k federal income tax burden suggested by Mr. Pie.

And as an aside, who works in a job that pays $100k per year that isn't offered health insurance by their employer? Obamacare isn't really geared towards people/families that can obtain good health ins. via an employee benefit package and I have yet to understand why these oddball irrelevant examples are made except to conflate/confuse/spread FUD about the purpose of the ins. coverage plans.

The rest of the argument is odd. While I guess some states will allow Medicaid to be given to a family of 4 with $75k income, my state, GA, has an income limit for PeachCare for Kids, the GA form of Medicaid for children only, of $61,110, or 252% of FPL. Actual Medicaid, again for kids only, is income limited to $50,925 for the kid's under 1 year of age, falls to mid-$30k income limits older than 1 year old. If the adults want Medicaid coverage, it's income limited to $7,836 yearly income to qualify. $75k is a tad above $8k.

http://healthyfuturega.org/wp-content/uploads/2015/12/Income-Tables-2015.pdf


Now, different states do their Medicaid differently and I'm sure income limits are higher in places. But in almost all instances, adults trying to acquire Medicaid have very, very low income limits...their much broader/higher when talking kids, but then again, in this case the Medicaid is only for the kids.

I'm sure other states are more liberal in their healthcare outreach, such as CA, NY, MA, etc....you know, those dastardly "liberal" states. But for a huge chunk of the country, Medicaid isn't much of an option.

And, again, not to be repetitive, but who works at a job that pays $75k that isn't being offered employer subsidized health insurance via benefits?

LOL What?

Did I state that you are getting reamed for the full 25%? No, I said you have deductions and credits that eat into that. At the very minimum the standard deduction

I can pull up my taxes for last year I filed for turbo tax and show what I paid and how much I got back. I claim 0 on my W2 so the feds take the max out of my paycheck.

Here is an example of what my taxes were 3 years ago when I bought my house and the year my son was born as well as my wife claiming some schooling item.

Made $95,000 that year. Was able to claim $32,000 in exemptions and deductions which lowered my tax bracket to the next tier down so I was at $63,000 taxable. I paid about $20,000 in taxes and got back $10,000 that year. For a family of 3.

Which made my actual tax to my "gross" income at a little over 10%. But that was a big year for me in terms of credits, exemptions, and deductions.

Years since it has been much higher. For 2015 my income was at about $109,000. Which put my adjusted income over $75,000.

https://www.irs.com/articles/2015-federal-tax-rates-personal-exemptions-and-standard-deductions

I had less deductions and claims because I didn't buy a new house to amortize points for, didn't just have another kid, no schooling creds, and other things I was able to claim on my 2012 versus 2015 taxes. Ended up paying about $18,000 on my 2015 taxes in federal taxes paid.

Again, for both years I also paid state sales taxes all year for Texas and property taxes. Property taxes were $5,400 for 2012 and $6,100 for 2015. Can't tell you how much I paid in sales taxes over the year. But it's about 8.25% on everything I buy around here. Since most years I try to put away another 10% of my yearly earnings into savings, which equates to another $5,000 or so in sales taxes for the year roughly.

I'm using some roundish numbers here to round to the near whole $100, but beyond that the numbers are what I'm looking at on my tax forms from turbo tax.


Of course for both years I was on employer subsidized health care. This year I'm pure contractor and making about $114K and paying for health care out of pocket. I'm looking to more or less paying $20,000 or more in federal taxes. $40,000 in health care costs, $5,000 in sales taxes, and another $6,000 in property taxes. Leaving me with about $43,000 for everything else. Mortgage is about $17,000 for the year. Of which I break down my bills further. $2,400 in auto/home insurance premiums for the year. $1,500 for cable/internet. $1,200 for cell service. $4,500 for utility charges for the year (electricity, sewer, trash, and sundry shit). Gas on 2 vehicles is about $3,000 for the year. Leaving me with about $13,400. Now another $7,200 for day care is toss in. Letting me have about $6,200 left over which has to cover food, clothing, and everything else.

Now if I had been making less money, like said $95,000 like I was in 2012 and having to using the healthcare.gov subsidized health care I would have payed out far less than $40,000 in medical costs for the family. I would be taxed almost $10,000 less. My other bills would be about the same, but I would only be out about $8,000 to $12,000 in medical costs. So while making $20,000 less I would have almost $40,000 MORE money over all due to subsidies and lower taxes. That is no joke.


As for the question of who works for a job that pays over $100,000 a year and isn't subsidized by an employer healthcare program the answer is simple. IT contractors. Same fora $75,000 a year job.

Done contract work on and off as an IT professional. When you are contract you don't get healthcare subsidizing programs through your employer. It's VERY common.
 
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hal2kilo

Lifer
Feb 24, 2009
23,652
10,515
136
He's not completely accurate in his financial assessment.

First, he makes this claim:



Sounds reasonable, doesn't it? Except it's not reality.

Let's take his family of 4 with a $100k income and really look into the tax situation, esp. since it centers on federal income tax (assumed because of the mention of the 25% tax bracket $100k earners eventually find themselves in.)

First, what's been distorted and left out by Mr. Pie is the fact that $100k of income is NOT fully subject to a 25% tax rate, and I cannot believe people still try that game. The first $18,550 of income for a family filing jointly is subject to a 10% tax rate, not 25%. The next bracket, 15%, is subjected to the income between $18,551-$75,300. The 25% bracket, the next in line, only applies to the income above $75,300. So his total contributions are much lower than his "typically $20k" estimate on tax burden.

In fact, following along on a Form 1040, taking 4 personal exemptions (4 x $4000=$16,000) and the standard deduction for married filing jointly ($12,600) reduces the taxable income for that family of 4 with $100k income to $71,400...which is the amount one should adjust their withholding on for tax purposes. The owed federal tax on the taxable income of $71,400 in 2015 was $9,784, or an effective federal tax rate of 9.784%.

Of course, this makes the assumption the family is making no pre-tax contributions to an IRA/401k, which would further reduce federal income tax exposure. If said family took the max, it'd reduce their taxable income to $53,400 which would produce a federal income tax burden of $7,084...a far cry from the $20k federal income tax burden suggested by Mr. Pie.

And as an aside, who works in a job that pays $100k per year that isn't offered health insurance by their employer? Obamacare isn't really geared towards people/families that can obtain good health ins. via an employee benefit package and I have yet to understand why these oddball irrelevant examples are made except to conflate/confuse/spread FUD about the purpose of the ins. coverage plans.

The rest of the argument is odd. While I guess some states will allow Medicaid to be given to a family of 4 with $75k income, my state, GA, has an income limit for PeachCare for Kids, the GA form of Medicaid for children only, of $61,110, or 252% of FPL. Actual Medicaid, again for kids only, is income limited to $50,925 for the kid's under 1 year of age, falls to mid-$30k income limits older than 1 year old. If the adults want Medicaid coverage, it's income limited to $7,836 yearly income to qualify. $75k is a tad above $8k.

http://healthyfuturega.org/wp-content/uploads/2015/12/Income-Tables-2015.pdf


Now, different states do their Medicaid differently and I'm sure income limits are higher in places. But in almost all instances, adults trying to acquire Medicaid have very, very low income limits...their much broader/higher when talking kids, but then again, in this case the Medicaid is only for the kids.

I'm sure other states are more liberal in their healthcare outreach, such as CA, NY, MA, etc....you know, those dastardly "liberal" states. But for a huge chunk of the country, Medicaid isn't much of an option.

And, again, not to be repetitive, but who works at a job that pays $75k that isn't being offered employer subsidized health insurance via benefits?
Stop spreading facts!
 

werepossum

Elite Member
Jul 10, 2006
29,873
463
126
Going on the 15th for the consult. I'll let you know after the reaming.

Medishare or Samaritan maybe. What you and I have already doesn't pay shit so I'm looking to drop out of the system all together. Half the cost and no penalty. And less $$ to support subsidies.
I'll be interested in how free is your free colonoscopy. Maybe mine was before all the free stuff was fully . . . um . . . free, I suppose. Or maybe there's a special Obama hymn I have to sing before I get shafted . . . By the doctor, I mean. For the government, that ship has sailed.

I too have been thinking about Medishare. We pay more at the doctor than if we had no insurance, even though the insurance we have pays nothing until after we've spent $6,000 in network. Out of network, it pays nothing, ever, except emergency (and only then if you are unconscious and/or traveling to an in-network hospital would endanger your life because of delay), and it never counts toward our deductible. And given that our insurance just dropped MHI, all our doctors and the only hospitals I'd want to use are out of network.

So bshole, look carefully at this post and realize this is the kind of person who is funding your care. An actual, real life person and not an abstraction. One who likely can't save money for his kid's education, move to a safer neighborhood, buy a more suitable car for his family, or save for his own retirement. Because thousands of his money is going to you and those like you. And instead of falling down on your knees in thanks you complain about his "greed."
Dude, bshole is the evil rich. He's a very well paid software engineer in a high income area who makes smart choices with his money. When he hates on the evil rich, he means those who are a lot richer than he, even though for most of the left, HE is the evil rich who must be punished.

I'm a bit OT on this and I only say it because I care. If prep and/or cost is preventing a colonoscopy go this route

http://www.cologuardtest.com/

Its pretty accurate and i will say it worked as advertised for my fiancee. You will need to pressure your doctor to prescribe it but they will do it.
thanks, man, I appreciate it. Even if I CAN get it free - really free, not the costs thousands of dollars free it cost last time - that is very useful for my wife, who refuses to get a colonoscopy because she knows several people who have had perforated bowels and required hospitalization.
 
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werepossum

Elite Member
Jul 10, 2006
29,873
463
126
Well I'm a doctor at a university, and my health insurance sucks in my opinion and is getting much worse. The best part of it was an out of pocket maximum after which 100% of allowable expenses were covered. However, in 2 years time this went from $9k to $13k to $20k, deductibles up about 40%, and out of network reimbursement down 20% after deductible. Premium costs are hardly relevant to whether the insurance is any good, yet it's what we all look at to compare plans.

Regardless of how we look at ACA, the more relevant info here is that the system is still massively broken.
Wow! I take it as a given that people like myself, median+ income earners working for small businesses or self-employed, are intentionally collateral damage. Democrats can't very well move us all to government insurance for the desperately poor without destroying what we have now, not without paying a huge political price. But I am surprised to see doctors at universities swept up in the basket of deplorables.
 
Reactions: highland145

charrison

Lifer
Oct 13, 1999
17,033
1
81
Mine will be going up 67% for 2017. The premiums will then be significantly more than my mortgage. Given the sky high deductibles, this is useless insurance. I will be paying the fine and getting non ACA hit by bus coverage for next year.
 
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