thegreekdog wrote:So, let me ask youse this one: what does the legislation do differently?
Here is what it does (according to msn.com):
(1) Under the legislation, most Americans would have to have insurance by 2014 or pay a penalty. Some people woudl be exempted from the insurance requirement (financial hardship, religious beliefs, American Indians).
thegreekdog response: Financial hardship? Really? Wasn't that the point of the legislation?
No, poor people already qualify for Medicaid. I believe their coverage is expanded.
thegreekdog wrote:(2) If one cannot afford health insurance, one might be eligible for Medicaid, which will be expanded "sharply" beginning in 2014.
thegreekdog response: I wonder if this part of the plan has been budgeted by the CBO. I suspect the answer is no. However, again, wasn't the point of this bill to insure the people who could not afford health insurance? I mean, that's what all the Democrat talking points have been about.
Actually, the answer to CBO is "yes".. at least as of about 2 weeks ago. I have no idea about more recent changes. Those likely did not go through any such analysis yet.
As for the second part, no. It was not for truly poor people, it was for the working poor, primarily.
thegreekdog wrote:(3) If one is not eligible for Medicaid, and one cannot afford health insurance, one might be eligible for government subsidies to help pay for private insurance that would be sold in the state-based insurance market placed, slated to begin operation in 2014.
thegreekdog response: 2014? Really? See responses to #1 and #2.
Its all tied together.
thegreekdog wrote:(4) If you have a medical condition, the bill would make it easier for you to get coverage because insurers would be barred from rejecting applicants based on health status once the exchanges are operating in 2014. The bill creates a temporary high-risk insurance pool for people with medical problems who have been rejected by insurers and have been uninsured at least 6 months.
thegreekdog response: Good, this was kind of a point of the whole debate. However, again, has the CBO budgeted this one yet?
Yes, this definitely was. Thought you had read the report?
thegreekdog wrote:(5) Companies with fewer than 50 workers wouldn't face any penalties if they didn't offer insurance. Companies can get tax credits to help buy insurance. Firms with more than 50 employees that do not offer insurance would have to pay a fee of $2000 per full-time employee.
thegreekdog response: I like most of this, except the $2,000 fee. What if that's cheaper than offering insurance to your employees?
That is why the fee is $2000. It is supposed to roughly balance out for most people. Where it doesn't, that money is going to help pay for the necessary subsidies for those employees.
thegreekdog wrote:(6) Medicare - This year, seniors who enter the Part D coverage gap would get $250 to help pay their medications. Drug company discounts on brand-name drugs and federal subsidies and discounts for all drugs would reduce the gap (indicated previously).
thegreekdog response - Great. $250.
I am not terribly thrilled by this, either.
thegreekdog wrote:(7) The bill is estimated to cost $940 billion over a decade. Because of higher taxes and fees and billions of dollars in Medicare payment cuts to providers, the bill narrows the budget deficit by $138 billion over 10 years.
thegreekdog response - Great.
(8) Starting in 2013, individuals would pay a higher Medicare payroll tax of 2.35% of earnings of more than $200,000 a year and couples earning more than $250,000 (an increase of 0.9%). In addition, there is an additional 3.8% on unearned income such as dividends and interest over the threshhold.
thegreekdog response - Fine.
I agree also
thegreekdog wrote:(9) Starting in 2018, the bill would impose a 40% excise tax on the portion of most employer-sponsored health coverage that exceeds $10,200 a year for individuals and $27,500 for families.
thegreekdog response - Interesting.
Essentially, this was a way for these companies to provide more pay tax-free. But, these policies are often so extensive that they give holders no incentive to reduce their personnal costs at all.
Also, well, money has to come from somewhere. Why should companies get a tax break for offering spa treatments and voluntary plastic surgary?
thegreekdog wrote:My overall response is that this will cost a whole hell of a lot more than we think it does, partly because only 6 years of the plan is "paid for" and partly because I don't think this will change a whole lot of who is insured and who is not. Can anyone find that somewhere? Based on my reading of msn, it doesn't look like a whole lot of people who are currently uninsured will become insured magically as a result of this bill. So, those costs that we currently incur to provide healthcare to those people will still be costs going forward. And then we'll have the Heatlhcare Bill #2... which will be government insurance (the original plan). At least, that's what I think will happen.
Time will tell. It is not the bill originally proposed. This one is much more for the insurance companies.
I find it ironic that debates over abortion and other inanities resulted in us getting a bill that makes insurance companies cheer.