The Nail In Obamacare's Coffin

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Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,266
126
In case you were wondering, yes you will almost certainly pay more under the ACA. It sounds like you are young and high income without employer sponsored insurance. That's not a common combination, but you will pay more.

How about amending the name at least. Something like, Affordable Care For Some And For Others Less Affordable Care Act.
 

Doppel

Lifer
Feb 5, 2011
13,306
3
0
You could have saved some by typing out Fuck you people that work in health care if my "plan" doesn't pay you oh well. Fuck you, too. No one EVER told people with substandard "health care" policies they could keep them once ACA kicked in. Pay for the health insurance policy if your employer offers it. If they don't get a new job and if that is not feasible now you actually have OPTIONS. GYHOOYSA

Goodness you are late to this party. Obama exactly told people they could keep health plans--and if you know the definition of grandfathering it is only relevant when discussing something that is no longer an option/compliant.

Did you really not read ANY of he multiple news articles on this? Nothing on NBC news or CNN? This matter is not a subjective one; the admin lied.
 

Svnla

Lifer
Nov 10, 2003
17,986
1,388
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Old:
http://www.bcbsm.com/index/2013-pla...le-health-insurance/young-adult-blue-max.html $101 a month

Max out of pocket $3500, $1K deductible, 2 free doctor visits a year with $30 copay that don't go into the deductible.

Obamacare:
http://www.bcbsm.com/index/plans/michigan-health-insurance/bronze/select-hmo.html $160 a month

Max out of pocket $6300, $5.9K deductible, $30 copay per primary care visit and $50 copay per specialist office visit *after* deductible.

But you are right, I get more with obamacare: maternity and gyno coverage and pediatric/prenatal/postnatal services for the kids i don't have, yaay!

Same here. I am on my own with no kid or spouse.

Before: less than $100 per month for basic plan with $5K deductible.

Now: $252 per month from the same company for the cheapest bronze plan with $6.3K deductible with benefits that I do not want or need (maternity, OBGNY, kids that I do not have, checkups that I do not need, and on and on).

This is better for me right? Yup, pay over 2x of what I used to pay for things that I do not want or need AND with even higher deductible. I hope you guys and gals like your changes because I do not.
 
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Oct 30, 2004
11,442
32
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The current system was better than obamacare. What needs to happen is the the arrival of a free market system.

How would the poor and the seriously ill be able to afford health care? Would people have to hire attorneys to read over 1000 page insurance contracts packed full of clauses that allow rescission when someone gets sick?
 
Apr 27, 2012
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How would the poor and the seriously ill be able to afford health care? Would people have to hire attorneys to read over 1000 page insurance contracts packed full of clauses that allow rescission when someone gets sick?

The free market would reduce costs and make it more affordable.
 
Feb 6, 2007
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The free market would reduce costs and make it more affordable.

The best way for a free market insurer to reduce costs is to limit the amount they have to pay out, which means refusing insurance for people who are likely to require premiums paid out, ie people with pre-existing conditions. You don't insure those people, they're required to use emergency rooms and other such avenues to get service, and that drives the price of healthcare up for everybody. You might recognize this as basically the system we had in place before (which didn't work). So what do you do? Require insurers to insure everyone regardless of pre-existing conditions? That's no longer a free market.

Free markets are based around financial incentives. There's no financial incentive for an insurance company to insure someone who is going to require significant, costly medical treatment. But there is a vested interest in a society making sure its citizens don't just die because they aren't rich. How do you propose to fix that gap? The free market had a chance and it failed.
 
Apr 27, 2012
10,086
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The best way for a free market insurer to reduce costs is to limit the amount they have to pay out, which means refusing insurance for people who are likely to require premiums paid out, ie people with pre-existing conditions. You don't insure those people, they're required to use emergency rooms and other such avenues to get service, and that drives the price of healthcare up for everybody. You might recognize this as basically the system we had in place before (which didn't work). So what do you do? Require insurers to insure everyone regardless of pre-existing conditions? That's no longer a free market.

Free markets are based around financial incentives. There's no financial incentive for an insurance company to insure someone who is going to require significant, costly medical treatment. But there is a vested interest in a society making sure its citizens don't just die because they aren't rich. How do you propose to fix that gap? The free market had a chance and it failed.

No it didn't. You're a liar. The government doesn't have the right to force insurance companies to cover people.
 
Feb 6, 2007
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No it didn't. You're a liar. The government doesn't have the right to force insurance companies to cover people.

What do you do with the people who insurance companies refuse to insure? If they get sick, do we let them die? Sorry, you weren't successful enough in life to afford to continue? That's the failing of the free market solution; the insurance companies have no financial incentive to cover everyone.
 

Fern

Elite Member
Sep 30, 2003
26,907
173
106
"because their existing policies don’t meet the standards mandated by the new health care law."
What does that mean?

Besides I had my insurance "cancelled" multiple times by Blue Cross. Always something that needed to change and my premiums increased.

Here. Read this: http://www.aarp.org/health/health-insurance/info-08-2013/affordable-care-act-health-benefits.html

There are 10 "Essential benefits" required under Obamacare. Most of these 10 categories contains a number of (sub) requirements. If your existing policy did not contain these you get cancelled.

Anybody saying that HI polices that do not contain all of the essential requirements are crappy policies is lying MoFo. You don't do drugs or drink alcohol yet you must purchase coverage for drug counseling? My wife and I are in our mid - 50's yet we must carry maternity coverage and pediatric medical coverage? WTH? The list goes on...

I think this is going to be revisited. Too much unnecessary crap required in even a basic plan. It's downright stupid.

Fern
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,266
126
The free market had a chance and it failed.

There is no more a free market health care system than fairies in your drawers. "The Free Market" whatever that is won't fix things if there was, but let's not pretend there is one, unless we're talking cash.
 

halik

Lifer
Oct 10, 2000
25,696
1
0
There's no real need. If you are a young person with income high enough to not qualify for subsidies but don't get health insurance through your job you'll likely pay more.

This is with the numbers I had as a full time grad student with part time job/working over the summer with some classes. With $25K annual income, I qualify for $426 in tax subsidies, or about $35.50 a month. The cheapest plan under obama care with $6K deductible is $50 more a month. To maintain the same amount of coverage under obama care, I would be paying 85% more a month after subsidies.

I certainly was not high income individual, yet obamacare increases my effective premium 85%.
 
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Fern

Elite Member
Sep 30, 2003
26,907
173
106
-snip-

Free markets are based around financial incentives. There's no financial incentive for an insurance company to insure someone who is going to require significant, costly medical treatment. But there is a vested interest in a society making sure its citizens don't just die because they aren't rich. How do you propose to fix that gap? The free market had a chance and it failed.

Please answer me this:

If I get really sick, need hospitalization for an extended period and can't work and therefore lose my income, how does Obamacare help me? If I'm sick and can't work I can't pay for continued HI; I'll be dropped for nonpayment. Oh, and don't answer Medicaid because to qualify for it I'd have to lose my house and all my assets, and given my age (and am not a pregnant woman or have any dependents) I still probably couldn't qualify.

The new system is the same as the old system: You get really ill and can't work so you have no money and lose insurance and end up bankrupt etc with other people funding (not an insurance company) your HC.

So, if "The free market had a chance and it failed" how does Obamacare fix this?

Fern
 
Feb 6, 2007
16,432
1
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So, if "The free market had a chance and it failed" how does Obamacare fix this?

It doesn't. Don't mistake my disagreement with a free market solution to health care as an agreement with Obamacare. Obamacare is just mandating that people get insurance through private insurers. It's not a solution, it's a continuation of the underlying problem that a profit-driven corporation is not the ideal vehicle for determining matters relating to individuals' health. Our country was founded on the principal that the role of government is to provide for the general welfare, and profit-driven insurance doesn't really work with that.
 

loganone

Member
Jul 29, 2008
55
0
0
This is with the numbers I had as a full time grad student with part time job/working over the summer with some classes. With $25K annual income, I qualify for $426 in tax subsidies, or about $35.50 a month. The cheapest plan under obama care with $6K deductible is $50 more a month. To maintain the same amount of coverage under obama care, I would be paying 85% more a month after subsidies.

I certainly was not high income individual, yet obamacare increases my effective premium 85%.
This seems like something a lot of the "but subsidies!" crowd seem to be glossing over. If you make more money than a part time Walmart cashier the trinket about of subsidies aren't going to be anywhere near enough to offset the skyrocketing premiums.
 

halik

Lifer
Oct 10, 2000
25,696
1
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Actually to put the above in more of a perspective,
$25,000/year, the after-subsidy increase under obamacare is *$1008 a year or about 4% defacto tax increase

* $101/mo before obamacare, $220/mo after obamacare less $35/mo subsidy
 

shady28

Platinum Member
Apr 11, 2004
2,520
397
126
This is with the numbers I had as a full time grad student with part time job/working over the summer with some classes. With $25K annual income, I qualify for $426 in tax subsidies, or about $35.50 a month. The cheapest plan under obama care with $6K deductible is $50 more a month. To maintain the same amount of coverage under obama care, I would be paying 85% more a month after subsidies.

I certainly was not high income individual, yet obamacare increases my effective premium 85%.

This is the fallacy I see with Obamacare and young people. I'm 44, so not young anymore, but not so far away that I don't remember the very predictable thought process.

Single person making ~$20k / yr, 2x the poverty line. That's maybe $1400 per month after taxes. Lets see how far that goes.

Rent : ~$500 / month; this is livable but not very
Utils : $100 / month if frugal (electric, gas)
Car Insurance : $80 /month - you're young and it's high, this is on a low risk car liability only most likely
Food : $320 / month; you don't get to eat out much
Gas : $160/ month; this is only 12 gallons per week or ~1100 miles per month in an avg car

So far, up to $1160.

Right now you have no cable, no cell phone, no internet, and no money set aside for anything. You have $240 left, per month.

And the Obama thinks you're going to spend $200/mo on healthcare?

Right, okay, whatever.


Edit: For any who don't realize it - this doesn't include things like oil changes, clothing, haircuts, etc either.
 
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michal1980

Diamond Member
Mar 7, 2003
8,019
43
91
There's no real need. If you are a young person with income high enough to not qualify for subsidies but don't get health insurance through your job you'll likely pay more.

It used to be that the dems went after the rich to fund their socialism.

now its just 'high enough income'.

IE if you make 4x the poverty level. Your a rich asshole. pay up to support the slackers.
 

berzerker60

Golden Member
Jul 18, 2012
1,233
1
0
This is the fallacy I see with Obamacare and young people. I'm 44, so not young anymore, but not so far away that I don't remember the very predictable thought process.

Single person making ~$20k / yr, 2x the poverty line. That's maybe $1400 per month after taxes. Lets see how far that goes.

Rent : ~$500 / month; this is livable but not very
Utils : $100 / month if frugal (electric, gas)
Car Insurance : $80 /month - you're young and it's high, this is on a low risk car liability only most likely
Food : $320 / month; you don't get to eat out much
Gas : $160/ month; this is only 12 gallons per week or ~1100 miles per month in an avg car

So far, up to $1160.

Right now you have no cable, no cell phone, no internet, and no money set aside for anything. You have $240 left, per month.

And the Obama thinks you're going to spend $200/mo on healthcare?

Right, okay, whatever.


Edit: For any who don't realize it - this doesn't include things like oil changes, clothing, haircuts, etc either.

Health care is less important than a car and gas? Why are all of those automatically 'just the price things cost,' but insurance costs are this outrageous burden?
 

michal1980

Diamond Member
Mar 7, 2003
8,019
43
91
This is the fallacy I see with Obamacare and young people. I'm 44, so not young anymore, but not so far away that I don't remember the very predictable thought process.

Single person making ~$20k / yr, 2x the poverty line. That's maybe $1400 per month after taxes. Lets see how far that goes.

Rent : ~$500 / month; this is livable but not very
Utils : $100 / month if frugal (electric, gas)
Car Insurance : $80 /month - you're young and it's high, this is on a low risk car liability only most likely
Food : $320 / month; you don't get to eat out much
Gas : $160/ month; this is only 12 gallons per week or ~1100 miles per month in an avg car

So far, up to $1160.

Right now you have no cable, no cell phone, no internet, and no money set aside for anything. You have $240 left, per month.

And the Obama thinks you're going to spend $200/mo on healthcare?

Right, okay, whatever.


Edit: For any who don't realize it - this doesn't include things like oil changes, clothing, haircuts, etc either.

but that $200 month doesn't cover any actual care.

ZERO. You get nothing for that. Dr visit. Will still cost you a copay. specialist visit a copay.

plus you need to come up with $6000 to cover the yearly deductible.

That's 8400 dollars a year before you get any real insurance. approximately 25% of your income mandated to be spent on insurance. All because you are rich at 25k.
 

Doppel

Lifer
Feb 5, 2011
13,306
3
0
The free market would reduce costs and make it more affordable.
Nonetheless the really poor can NEVER pay for what they use in healthcare, so a free market system would never afford them much access. If you work a McDonald's or worse no job at all you are simply not worth enough to give you back a surgeon and MRI and hospital bed, etc. so it must be given by charity.
 

Subyman

Moderator <br> VC&G Forum
Mar 18, 2005
7,876
32
86
The Bronze plans are simply laughable and only good for 20 year olds. My problem with this plan is that they lump everyone into the same group. Young people subsidize older folks and the unhealthy. My plan with a $1000 deductible, $30 doctor's co pay and $10 prescription copay went from $220 a month to $380 for a comparable plan that increases my deductible. It is an insanely bad deal. I'm hoping I can stay with my current plan, but I guarantee my premiums are going UP because of Obama care.
 
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