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View Diary: Young adults getting critical health services under Obamacare (31 comments)

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  •  Single Payer will still save 400 billion dollars (0+ / 0-)

    With ACA, "the government is taking over health care" hurdle has been successfully negotiated.

    Let Republicans wail about how they want to Save Medicare and Replace Obamacare, then propose to Replace Obamacare with universal Medicare.

    People realize that Medicare pays their personal doctor, they aren't thrown into some MASH unit sick call when they are ill. Point out that universal Medicare will save that 400 billion and reduce the deficit (or pay for sequestered programs). Phase it in by covering kids up to age 6 the first year, then raising that age and lowering the upper age limit by one year per year, until everyone is covered. That will also allow plenty of time for health insurance companies to find an honest line of work without completely disrupting the lives of their current employees.

    It is still possible to win this thing.

    "The problems of incompetent, corrupt, corporatist government are incompetence, corruption and corporatism, not government." Jerome a Paris

    by Orinoco on Sat Apr 13, 2013 at 11:15:44 AM PDT

    [ Parent ]

    •  If We get there... (1+ / 0-)
      Recommended by:
      Orinoco

      IRS Gateway to Subsidies

      The government will use your federal income tax return as its first yardstick for how much of a tax break it contributes to your health coverage. And if you don’t have government-mandated health insurance a year from now, a penalty will be added to your federal tax obligations. ....

      If your income goes up substantially during the year, for example, you could have to give back all — or some — of the tax break.

      Oscar Hidalgo, spokesman for Covered California, the state’s recently created health reform insurance exchange, said staff are shaping plans to work with enrollees “to report changes in income that may change the amount of their subsidy. ....

      Even if enrollees promptly report changes to the insurance exchange, though, they could still receive an unexpected tax bill, said Levitt. (Story continues below graphic.)

      For example, if an exchange enrollee was unemployed during the beginning of 2014, she would receive a substantial subsidy for insurance. If she then got a job with health insurance that pays about $46,000 a year, there would be no way for the government to recover the subsidy until taxes were filed.

      Such an enrollee wouldn’t literally get a bill in the mail, but the IRS would then reconcile that benefit on her next tax return, creating a tax liability.

      Currently, the reduced tax credit amounts that people could have to give back are capped according to a sliding scale. They range from $300 for a person making about $23,000, to $1,250 for someone making about $45,000. However, there is legislation pending that seeks to remove the caps entirely.

      Yay!

      I just don't see how this will help us get there.  WRT Medicaid, there remains the gorilla in the room called "clawback."  Most of us do not know about it.  That part of the "bronze" plan will be a heavy hit for those force enrolled.  There is no choice.  Congress and the WH are not subject to clawback of their costs in their "platinum" plans.
      •  IRS Enforcement (1+ / 0-)
        Recommended by:
        Orinoco

        IRS ahead of HC delivery

        If we were truly civilized, we'd have single payer, which would save at least $400 billion a year and thousands of lives. And wouldn't have to spend $440 on the IRS that we could spend on, ya know, actually delivering care.
        This may not end well...
        •  Lack of Solidarity... (1+ / 0-)
          Recommended by:
          Orinoco

          "I've got Mine!"

          But the real issue here is how Lawrence thinks ObamaCare will be "embraced." The paper quotes a couple of Rutgers student:

          Alan Leal, a School of Arts and Sciences junior, said he thought younger people are less informed on the issue of health care.

          “Promoting this issue more directly and in simpler terms, as well as presenting the information in a hipper way, would be helpful,” he said.

          Write the "creative class" a check for those cool "navigator" web sites! *

          Donte Bronaugh, a School of Arts and Sciences sophomore, said if the act had not passed, he would not have health insurance under his parent’s program after college.

          “If I didn’t get a job after I graduated, I wouldn’t have had insurance,” he said. “Now I can do other things like go to [graduate] school.”

          And there you have it. Because pragmatism! No solidarity at all; it's exactly the same "I've got mine!" that Obama supporters deploy. I really don't blame Bronaugh for this; but I do blame Obama supporters for actively selling policies that throw the rest of us under the bus, and leading kids like Bronaugh astray. But 'twas ever thus!

          I hate the idea that the administration's cynical, corrupt, and unkind view of human nature could prevail.

          NOTE * Especially the ones who work for DFA?

          As I said above, the early benefits were targeted.  The real costs come in later.

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