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View Diary: Some of the faces of Medicaid expansion in Arkansas (22 comments)

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  •  Leans left, and really covers Arkansas well (0+ / 0-)

    Worth reading.



    Women create the entire labor force.
    ---------------------------------------------
    Sympathy is the strongest instinct in human nature. - Charles Darwin

    by splashy on Thu May 08, 2014 at 08:29:00 PM PDT

    [ Parent ]

    •  just wish more average Arkansan read it (0+ / 0-)

      They're the ones who need to see this news the most. Then again they are seeing this news if they know any middle class or poor people, anyway.

      It's great they are covering this. I like the writing (I checked out their website).

      On one side, a few people have money issues because of the ACA and are angry. That may really negatively effect some people true. But on the other side, much suffering is remedied and lives are truly being saved.

      I said that to my cousin who can't afford a bronze plan-he only has one company he has to go with no competition who was complaining about the ACA on the whole. I said "at least some people won't die now". He's left without insurance and mad about it. But, he'd be without insurance without the ACA also.

      •  If he can't afford it (0+ / 0-)

        He should be able to get help.



        Women create the entire labor force.
        ---------------------------------------------
        Sympathy is the strongest instinct in human nature. - Charles Darwin

        by splashy on Fri May 09, 2014 at 10:21:07 AM PDT

        [ Parent ]

        •  nope according to 2 navigators (0+ / 0-)

          he makes a tiny bit over the cutoff for extended Medicaid.

          I am entirely pro ACA. It's not single payer but it's a foot in the door toward that, I hope.

          But there are in fact people who have fallen between the cracks. If you live in an expensive area especially I think the  subsidies may not be enough for people who make just over the cutoff for extended Medicaid. IT really isn't that high. Rent in his area for a 1 BR apartment is about $1100 a month. I also wonder if single people are at a disadvantage because the "poverty limit" numbers don't entirely correct for the fact that it is more expensive per family member to be single (rent for 2 BR for a family of 3 would only be a couple of hundred dollars more; I experience this phenomenon myself with other programs).

          Some people DO need to live alone (if they have no immediate family, I mean are Unable to live with unrelated random room mates)My cousin lives in S. NH. Single and in his late 50s his entire community his job (blue collar) and support system is there so moving would be very bad for him if that's what people would suggest. NH may be particularly difficult for someone like him because he had only ONE "choice" of insurance. I don't know if that means no competition to lower price?

          I think we need to not be in denial that some people's needs are not currently met, people who cannot afford subsidies. Given the numbers of people who the ACA helps it is worth it, sadly, to currently have a much smaller # of people like my cousin-maybe only 100s of thousands

          But if you are that person it sucks.

          •  If he's just over the amount for Medicaid (0+ / 0-)

            He should be able to get help paying premiums on the exchanges, making it very low cost.

            No way he's paying the full price of the premiums.



            Women create the entire labor force.
            ---------------------------------------------
            Sympathy is the strongest instinct in human nature. - Charles Darwin

            by splashy on Sat May 10, 2014 at 07:35:24 AM PDT

            [ Parent ]

            •  It's curious you question the veracity of this. (0+ / 0-)

              Me, my cousin, and two navigators against your claim that something "should be" a certain way.

              Maybe this was misleading, surely it was not clear so that's on me. I did not say he is paying full price, or mean that. People who can't afford subsidies, I said, meaning he can't afford it even with the subsidies.

              I didn't say it outright because We All Know that if you make just over the cutoff for extended Medicaid (it is extended Medicaid I'm talking about not just  Medicaid) you will get maximum subsidies.

              He cannot afford it with the subsidies. They aren't enough. There are a whole bunch of people, probably 100s of thousands (so a tiny percentage of the overall) who make just over the extended Medicaid cut off who cannot afford plans even with the subsidy.

              There are people here on DK with families who have said that their premium with subsidy is <$100/month. My cousin--single man late fifties in an expensive area with only one company one plan at each level--was required to pay with subsidy over $200/month

              He can't afford it. As I said before, we shouldn't be in denial that there are working class people who are falling between the cracks and can't afford their insurance WITH the subsidy. I suspect it is mostly single people in expensive areas (as explained above). That does not mean what he has is better or that he could do better not with the ACA, that is not the argument.
              It is that he can't cover  himself with the ACA.

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