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View Diary: HHS releases draft rules on key elements of Obamacare, including pre-existing conditions (109 comments)

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  •  The odd reality of working for GOP supporters (13+ / 0-)

    The business owners are staunch GOP supporters. Putting their money where their mouth is. Their mouths meanwhile eschew the ACA (Obamacare) as some kind of evil - every chance they get during open enrollment.


    They have an excellent wellness program and also took a lot of control for HI premium costing out of the hands of the likes of Aetna by going self-insured.

    They have had small or zero cost increases in their health insurance for three years, and;

    They booted the last health insurance company (acting as administrator) precisely because they didn't give them (in their view) sufficient credit for the good results they believe stem from the wellness programs.

    Which all sounds to me like a pre-emptive deployment of the tenets of the ACA. Bend the cost curve.

    Yet, these same owners and decision makers are regular Rush listeners / Faux News viewers and donors to causes GOP.

    Like I said, odd reality. Only way for me to make sense of it is to look at what they do - turning a deaf ear to what they say or how they it.

    •  Not so odd at all if you think about it. (1+ / 0-)
      Recommended by:
      Killer of Sacred Cows

      If they've got something that works well now, why would they want to risk it on a great unknown?

      That's actually a pretty rational outlook.  It's especially rational when you consider that ACA might force them to toss it all aside, depending on their industry and what their employees get paid.

      It would be much stranger if they were unhappy with the status quo.  In that case, change could look pretty good.

      LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

      by dinotrac on Tue Nov 20, 2012 at 02:53:31 PM PST

      [ Parent ]

      •  Ah, but on the plus side for the corp's, (1+ / 0-)
        Recommended by:

        They won't have to have entire departments (or pay them) dedicated to dealing with multiple health insurance companies and multiple policies for each.  Nor will they have to deal with the crap when their employees fall thru the cracks, or get screwed by their insurers.  It'll all be on the Feds and the exchanges.  They should be thrilled that never again will they have to deal with the fall out when an employee gets really sick and their insurance co wants to raise all their employees premiums.
        Everybody in, nobody out!

        •  Large corporations tend to handle that stuff (0+ / 0-)

          pretty well, and, considering the number of employees, don't tend to have that much staff dedicated to insurance.  
          Smaller companies probably have a harder time of it -- and should be cheering changes that reduce the advantages their larger competitors hold.

          LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

          by dinotrac on Tue Nov 20, 2012 at 05:15:13 PM PST

          [ Parent ]

    •  What bothers them is that poor people (2+ / 0-)
      Recommended by:
      ItsSimpleSimon, ichibon

      ...people at the bottom of the wage scale, will be subsidized by the government -- to the extent necessary to buy health insurance from the same carrier that rich people use.

      That thought makes their souls shrivel up to size of an old hazelnut.

      A child of five would understand this. Send someone to fetch a child of five. -- Groucho Marx

      by Pluto on Tue Nov 20, 2012 at 03:16:28 PM PST

      [ Parent ]

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