Obamacare signups?

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senseamp

Lifer
Feb 5, 2006
35,787
6,195
126
Medical services can't be denied by a patient's inability to pay, that's the law.

In ER, and only to the extent of stabilizing the patient for discharge. Good luck finding cancer early and treating it at the ER. But once you are terminal, sure, come in, they'll give you a pain killer.
 
Nov 8, 2012
20,828
4,777
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and that is in NO way the insurance companies taking advantage of a situation, correct?

Not that I'm aware of. You would think the additional competition would help drive down prices - instead we have seen nothing but substantial increases. You would also think that employer plans wouldn't be related - but due to the additional paperwork and registration requirements behind the scenes employer plans like mine are seeing a 10% rise year over year.

Absolutely ridiculous. Good job squeezing that middle class tighter and tighter. How is anyone going to get their new iPhone?!
 
Nov 8, 2012
20,828
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What's your point? Even if you incorporate that data the years after the ACA still look awfully good from a health care inflation standpoint, wouldn't you agree?

No you dolt. Did you not read the article response I posted? Of course not. It's essentially saying that the health care inflation rate (the real one, not your cherry picked one) is very closely in line with the CPI rate. Hence, this whole notion that the ACA has driven down the costs of health care is barbarically laughable. CPI has been down and is a graph PRECISELY like the one posted for health care.

The point simply being, the ACA had NOTHING to do with the significant drops in health care inflation - most of which happened before Obama was EVEN IN THE SENATE. Where you get off thinking the ACA played a part in the inflation drops is beyond me. Regardless, as Doc Savage eloquently put it, you're going to see a BIT of variance in either graph after this enrollment period...
 

fskimospy

Elite Member
Mar 10, 2006
84,708
49,291
136
No you dolt. Did you not read the article response I posted? Of course not. It's essentially saying that the health care inflation rate (the real one, not your cherry picked one) is very closely in line with the CPI rate. Hence, this whole notion that the ACA has driven down the costs of health care is barbarically laughable. CPI has been down and is a graph PRECISELY like the one posted for health care.

The point simply being, the ACA had NOTHING to do with the significant drops in health care inflation - most of which happened before Obama was EVEN IN THE SENATE. Where you get off thinking the ACA played a part in the inflation drops is beyond me. Regardless, as Doc Savage eloquently put it, you're going to see a BIT of variance in either graph after this enrollment period...

I strongly suggest you go read your original post in this conversation and what I replied to it before you make yourself look any stupider than you already have.

Seriously, you're embarrassing yourself.
 

woolfe9998

Lifer
Apr 8, 2013
16,189
14,102
136
No you dolt. Did you not read the article response I posted? Of course not. It's essentially saying that the health care inflation rate (the real one, not your cherry picked one) is very closely in line with the CPI rate. Hence, this whole notion that the ACA has driven down the costs of health care is barbarically laughable. CPI has been down and is a graph PRECISELY like the one posted for health care.

The point simply being, the ACA had NOTHING to do with the significant drops in health care inflation - most of which happened before Obama was EVEN IN THE SENATE. Where you get off thinking the ACA played a part in the inflation drops is beyond me. Regardless, as Doc Savage eloquently put it, you're going to see a BIT of variance in either graph after this enrollment period...

I read your Forbes article, and looked at the charts. I'm going off the second chart here which is the one where he added in the supposed 20% of healthcare expenses not included in the first chart. The author says basically what you just said, to wit,

If Obamacare is the cause of this remarkable slowdown in health inflation, then how does Mr. Phillips explain that this slowdown clearly began in 2003-2004, before President Obama had even been elected to the Senate?

The problem is, that is not what his chart shows. Look at it. It shows some decline in 2003-2004, then an uptick in 2005. On average is stays about flat from 2005 through 2009, where it takes a dip, then moves up again in 2010. After the 2010 spike, it then goes unevenly downward. Bottom line is, there is no downward trend which started in 2003-4. It isn't shown.

I do agree with the author that correlation doesn't prove causation. Where I disagree is with his dyslexic reading of his own chart. Correlation doesn't prove causation, but the correlation is certainly evident in both charts.

Can someone else look at this for a reality check? I'm beginning to wonder if I'm the dyslexic one because I don't understand how the author can misdescribe his own chart.
 

dullard

Elite Member
May 21, 2001
25,203
3,617
126
Good points. However there are a few problems with them.
1. The 2 main insurers(the two I am willing to choose based on my needs) send you straight to the gov website to sign up.
2. I have today and tomorrow to do this as I will be on a jobsite starting Wednesday and lasting a couple weeks. So my timeline for this is quite short. If the system wasn't so F'd up, I'd have already had this done but due to BHOcare I have to jump through all these extra BROKEN hoops that didn't exist before. And no, the website isn't there just to compare. I don't think you've actually had to do this on your own if you think that's all it does.
That sucks that your two insurers send you to the website. You probably can still walk in their doors and sign up (or call).

You have from Nov 1 to Dec 15, 2015 to do this to have coverage on Jan 1, 2016. A few weeks on a jobsite probably won't interfere. You have until Jan 31, 2016 to do it at all (but then you'd probably want temporary insurance until your normal insurance kicks in). Luckily temporary insurance is often in the $50/$100 range. If all of that fails because you can't possibly do it, try getting a friend/family member power of attorney to do it for you. But I find it hard to believe that in the next 3 months you can't possibly do it.

No, comparing prices isn't all it does. But most people can just call up their insurance company and order it without ever needing to use the government website. You just don't get the subsidies right away though (you get them all, you just have to wait).
 
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MagickMan

Diamond Member
Aug 11, 2008
7,537
3
76
In ER, and only to the extent of stabilizing the patient for discharge. Good luck finding cancer early and treating it at the ER. But once you are terminal, sure, come in, they'll give you a pain killer.

Citation?
 

OverVolt

Lifer
Aug 31, 2002
14,278
89
91
Going to have to go with s0me0nesmind1 since eski seems only capable of trying to shame him. Oh eski. I don't care that you always miss the point its the people who believe you and join in because they don't know any better. Oh well.
 
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sportage

Lifer
Feb 1, 2008
11,493
3,159
136
My personal experience with my employer based insurance, plans, options and cost have nearly flatlined now that ACA i.e. Obamacare i.e. Romney Care, i.e. Trump care (you KNOW Donald will keep ACA plus take full credit when elected) has become law.

Typically in the past before ACA, employee rates went up 25% year after year.
And worse, companies keep switching companies they participate with.
Talk about keeping your favorite doctor(s) under the old system.... yeah right.
Nice republican talking point they toss out there against ACA, but... if that was actually true.
Now, with ACA, our company plan(s) went up $4 the first year, $3 the second, and projected to be less than $10 increase for 2016.
Yeah it goes up , but nowheres near 25% as in the past pre ACA years.

But all ACA i.e. Obamacare is are the same old insurance for profit companies that we had before. And everyone knows how that system works. Someway somehow insurance companies will find new ways to keep costs rising and denying people coverage.
That is why some sort of national health system is needed, but that would have to be created by smart people outside of government.
The end result would still be national or government health insurance for all, but managed by some detached or unique government agency.
Like a mini government all unto itself and managed solely by the best people Donald Trump could round up.

PS.
One huge but forgotten advantage with employer based insurance today resulting directly from ACA i.e. Obamacare is the fact other family members can be brought onboard ones plan despite preexisting conditions.
Several employees have had their spouse lose a job and with that their healthcare, and that suddenly unemployed spouse had some sort of medical condition as well.
Before ACA, that spouse would never have been allowed onto their spouses company plan with a preexisting condition.
Nor their child with a preexisting condition, for that matter.
Now with ACA reforms, several employees have brought their spouse onboard with their company plan.
But you'll never hear congressional republicans nor republican president hopefuls talk about THAT.
It's only about 50% Obamacare by itself.
The other 50% were the ACA reforms that went into action.
 
Last edited:
Nov 30, 2006
15,456
389
121
What's your point? Even if you incorporate that data the years after the ACA still look awfully good from a health care inflation standpoint, wouldn't you agree?
No, I don't agree that ACA still looks awfully good from a health care inflation standpoint. Did you not understand my post? The graph you cited did not include the huge premium and deductible cap increases for 2016. Average premium (deductible cap) increases for 2016 are as follows: Bronze 11% (10-11%), Silver 10% (6-8%), Gold 14% (?), Platinum 16% (-4%). When you subtract the expected 1.5% CPI increase for 2016, that Excess Health Inflation graph you linked goes off the chart for 2016.

https://www.healthpocket.com/health...6-obamacare-premiums-deductibles#.Vji7y7erRpg
 
Last edited:
Nov 30, 2006
15,456
389
121
Going to have to go with s0me0nesmind1 since eski seems only capable of trying to shame him. Oh eski. I don't care that you always miss the point its the people who believe you and join in because they don't know any better. Oh well.
Unfortunately, there are many here who take what he says at face value.
 

fskimospy

Elite Member
Mar 10, 2006
84,708
49,291
136
No, I don't agree that ACA still looks awfully good from a health care inflation standpoint. Did you not understand my post? The graph you cited did not include the huge premium and deductible cap increases for 2016. Average premium (deductible cap) increases for 2016 are as follows: Bronze 11% (10-11%), Silver 10% (6-8%), Gold 14% (?), Platinum 16% (-4%). When you subtract the expected 1.5% CPI increase for 2016, that Excess Health Inflation graph you linked goes off the chart for 2016.

https://www.healthpocket.com/health...6-obamacare-premiums-deductibles#.Vji7y7erRpg

No, I understood your post perfectly well. Your first problem is only taking marketplace premiums and deductibles instead of taking all health spending and your second mistake is only taking one year instead of all of them since the ACA or at a minimum 2013 to present. Now compare the excess health care inflation to what happened in the years before.

Now doesn't the ACA look awfully good once you stop trying to cherry pick your data? Don't be duped again, friend.
 
Nov 30, 2006
15,456
389
121
No, I understood your post perfectly well. Your first problem is only taking marketplace premiums and deductibles instead of taking all health spending and your second mistake is only taking one year instead of all of them since the ACA or at a minimum 2013 to present. Now compare the excess health care inflation to what happened in the years before.

Now doesn't the ACA look awfully good once you stop trying to cherry pick your data? Don't be duped again, friend.
Wow...just wow.
 

fskimospy

Elite Member
Mar 10, 2006
84,708
49,291
136
Going to have to go with s0me0nesmind1 since eski seems only capable of trying to shame him. Oh eski. I don't care that you always miss the point its the people who believe you and join in because they don't know any better. Oh well.

Darn, I know I was waiting for the coveted Overvolt endorsement. Your track record of predictions is really good so you appear to have an impressive mastery of economic issues like this. (How's that bond rate prediction coming? Lol.)
 
Nov 8, 2012
20,828
4,777
146
Going to have to go with s0me0nesmind1 since eski seems only capable of trying to shame him. Oh eski. I don't care that you always miss the point its the people who believe you and join in because they don't know any better. Oh well.

He will just keep going, driving himself further into the mud. It's pretty fucking hilarious after a while. Every single post I make, regardless of how stupid he makes himself - is a guaranteed reply.

It's especially cute with his "Oh s0me0nesmind, you're embarrassing yourself! Just stop". I'm going to make a topic that the sky is blue, I'm sure he will be the first to counter
 

fskimospy

Elite Member
Mar 10, 2006
84,708
49,291
136
Wow...just wow.

Haha. Same old DSF. Provide an argument you don't understand and then pretend when people point out the flaws in it that they are doing something crazy.

Maybe instead of 'health care inflation' you meant 'average increase in posted (not paid) prices and deductibles in one relatively small segment of US health care during one of the three years of the ACA's implementation'. Is that what you meant? If not, you're going to have to explain how the numbers you provided represent or act as an accurate proxy for total health care inflation. (Good luck, haha)

I wouldn't want to stoop to the accusations of dishonesty that you so frequently throw around when people challenge you, but if you keep trying to equate the two it seems that we've got a case of profound ignorance or...well...?
 

wetech

Senior member
Jul 16, 2002
871
6
81
My personal experience with my employer based insurance, plans, options and cost have nearly flatlined now that ACA i.e. Obamacare i.e. Romney Care, i.e. Trump care (you KNOW Donald will keep ACA plus take full credit when elected) has become law.

Typically in the past before ACA, employee rates went up 25% year after year.
And worse, companies keep switching companies they participate with.
Talk about keeping your favorite doctor(s) under the old system.... yeah right.
Nice republican talking point they toss out there against ACA, but... if that was actually true.
Now, with ACA, our company plan(s) went up $4 the first year, $3 the second, and projected to be less than $10 increase for 2016.
Yeah it goes up , but nowheres near 25% as in the past pre ACA years.

But all ACA i.e. Obamacare is are the same old insurance for profit companies that we had before. And everyone knows how that system works. Someway somehow insurance companies will find new ways to keep costs rising and denying people coverage.
That is why some sort of national health system is needed, but that would have to be created by smart people outside of government.
The end result would still be national or government health insurance for all, but managed by some detached or unique government agency.
Like a mini government all unto itself and managed solely by the best people Donald Trump could round up.

PS.
One huge but forgotten advantage with employer based insurance today resulting directly from ACA i.e. Obamacare is the fact other family members can be brought onboard ones plan despite preexisting conditions.
Several employees have had their spouse lose a job and with that their healthcare, and that suddenly unemployed spouse had some sort of medical condition as well.
Before ACA, that spouse would never have been allowed onto their spouses company plan with a preexisting condition.
Nor their child with a preexisting condition, for that matter.
Now with ACA reforms, several employees have brought their spouse onboard with their company plan.
But you'll never hear congressional republicans nor republican president hopefuls talk about THAT.
It's only about 50% Obamacare by itself.
The other 50% were the ACA reforms that went into action.

Anecdotes are fun. My experience was the exact opposite with employer HC. Modest increases prior ACA enactment, then 20% increases afterwards with higher deductibles for several years.
 

senseamp

Lifer
Feb 5, 2006
35,787
6,195
126
Citation?

Wait, what? I thought you knew what you were talking about...

https://en.wikipedia.org/wiki/Emergency_Medical_Treatment_and_Active_Labor_Act

Non-covered medical conditions

Not all medical conditions qualify for uncompensated mandated services imposed by EMTALA, which is contrary to the misperception that many individuals assume that if they are ill, they will be treated, regardless of their ability to pay.

The sole purpose for the EMTALA mandated MSE is to require Emergency Departments to make a determination whether an emergency medical condition does or does not exist, using their normal assessment and diagnostic protocols. Since the MSE is a mandated EMTALA service, health insurers are required to cover benefits for their subscribers. They are also required to cover EMTALA mandated services necessary to stabilize individuals determined to have an EMC.

EMTALA intentionally omitted any requirement for hospitals to provide uncompensated stabilizing treatment for individuals with medical conditions determined not to be an EMC. Therefore, such individuals are not eligible for further uncompensated examination and treatment beyond the MSE.
 

CountZero

Golden Member
Jul 10, 2001
1,796
36
86
ACA sucks because it still uses private insurance companies. Outside of regulating the crap out of private insurance companies (far more than ACA already does) and health care providers or just moving to universal healthcare it is about as good as you can do. It reigns in a lot of issues with private insurance but fails to reign in costs on either side of the equation.

It is sad that as good as we can do in this country is objectively crap but that is what we get.

I don't have personal experience with the exchanges but my mom worked at a call center helping people sign up. She ended quitting as she got tired of telling people they make too much for medicaid but too little for subsidies since their governor didn't sign on for medicaid expansion.
 
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