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Thread: More Obamacare fuckups

  1. #1701

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    WASHINGTON (AP) — The nation's uninsured rate dropped modestly this month as the major coverage expansion under President Barack Obama's health care law got underway, according to a closely watched survey released Thursday.

    The Gallup-Healthways Well-Being Index found that the uninsured rate for U.S. adults dropped by 1.2 percentage points in January, to 16.1 percent. The biggest change was for unemployed people, a drop of 6.7 percentage points. That was followed by a 2.6 percentage-point decline for nonwhites. Traditionally both groups are far more likely to be uninsured than the population as a whole.

    The survey found no appreciable change among young adults ages 18-34. Members of that coveted, low-cost demographic have been ambivalent about signing up so far.

    More...
    It's just an aberration. No way is it a trend.

  2. #1702

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    Gotta love HuffPost.

    Target Cuts Health Care. For Some, It's Not A Bad Thing

    When Target announced last week that it would be slashing health benefits for part-time workers, one of those part-timers said she was actually happy to receive a letter saying she wouldn’t have Target-sponsored health care come April 1. “It’s probably a really good thing,” said the employee, who makes slightly more than $9 an hour setting up displays at an Arizona Target.

    “If they kept that in place, I probably wouldn’t be able to go to HealthCare.gov,” she said. The worker, who asked for anonymity to protect her job, said she was already scoping out her options on the government-run health care site before Target made the announcement. She hasn't gotten to the point of doing a direct price comparison yet, but the 63-year-old already determined that she'll be able to choose a plan under Obamacare with fewer co-pays than her Target coverage, so she'll pay less or nothing at all when she visits the doctor.

    "It was great to have health coverage, it was better than what a lot of people had, but was it a great plan? No, not really," she said.

    As Target, Trader Joe’s and others face criticism for cutting health benefits in response to the new law, the reality is that some, like the 63-year-old Arizona Target employee, may actually be better off by being forced to turn to the marketplaces set up as part of the Affordable Care Act for coverage.

    “They could very well come out ahead,” taking the $500 provided by Target to pay for coverage and enrolling in a plan through Obamacare, said Ken Jacobs, the chair of the University of California-Berkeley’s Labor Center.

    Some workers may make so little that they qualify for free coverage under the law's Medicaid expansion. And for workers making up to roughly 250 percent of the poverty level, or about $28,000 a year for 2013, the subsidies they'd get by enrolling in coverage through Obamacare could be worth more than the tax breaks they'd get for opting into their company-sponsored insurance, according to an analysis from Eugene Steuerle, a senior fellow at the Urban Institute.

    That includes a mix of tax credits on a sliding scale, as well as extra subsidies to cut out-of-pocket costs like deductibles and co-insurance.

    As the Target blog post announcing the change notes, in many cases workers could be disqualified from taking advantage of the Obamacare subsidies if they still had the opportunity to opt for affordable coverage through Target. When contacted by The Huffington Post, a Target spokeswoman said the company couldn’t say what share of part-time workers would be affected by the changes because the number of part-time workers “fluctuates often." In the blog post, the company said less than 10 percent of its total workforce participates in the plan being discontinued.

    “Target could be doing some of their workers a favor,” said Paul Fronstin, a senior research associate at the Employee Benefit Research Institute. “They’ve become eligible for subsidies in the exchanges, and that may be better for them.”

    Still, “the devil is in the details,” according to Fronstin. If a worker lives in a state that didn't expand Medicaid under the law and they make poverty-level wages or less -- a real possibility for a part-time worker making slightly more than minimum wage -- they'd get no subsidies or tax breaks to help with the cost of coverage, very likely making it unaffordable. Premium tax credits and out-of-pocket subsidies are only available to those who earn between poverty and four times that amount, because Congress intended the Medicaid expansion to be mandatory nationwide, a plan upended by the 2012 Supreme Court ruling that states could opt out.

    And while some workers may have incomes low enough to qualify for subsidies on their own, their spouses may make enough to disqualify them. That’s the case for one Target warehouse worker, who asked to remain anonymous to protect his job. “They said flat out in the bottom of the page [of HealthCare.gov)], you don’t qualify, because my wife makes too much money to be considered low-income,” the worker said.

    Going on his wife’s insurance isn’t financially feasible either, he said, because it would cost “half her paycheck per week.” The worker, who makes $9 an hour, said even though he likes his job, he’s looking around for other work because he needs the health coverage.

    “I don’t want Obamacare, I have insurance,” he said. “Even if I qualified for it, I don’t need government assistance if [Target] just keeps helping me.”

    It's worth noting that Target's decision to offer benefits to part-time workers in the first place is relatively uncommon. In addition, the company waited to drop coverage until it seemed part-time workers would have a viable alternative.

    Still, Target and others companies' decisions to cut part-time benefits highlights a “weakness” in Obamacare’s employer mandate, Jacobs said, because it allows employers that traditionally offered part-time benefits as a way to attract the best workers a reason to drop the coverage. Some part-time workers erupted at Trader Joe's after the company announced in September that it would be slashing benefits. Many said they opted to work at Trader Joe's for the company's generous benefits, which are atypical of grocery industry.

    As the Trader Joe's example illustrates, an unintended consequence of Obamacare could be to push companies to "race to the bottom," Jacobs said, as they get rid of benefits for part-time workers because they now have a viable alternative.

    “We wouldn’t expect a large number of employers to be cutting benefits for many workers. This low-wage, part-time work is where you expect to see it take place,” Jacobs said.
    I love how they start out saying that Target is actually doing people a favor by dropping their healthcare coverage then towards the bottom of the article after everyone has fallen asleep or skipped to the next article they talk about all of the bad things that are happening to people as a result of Target's decision.

    I also like how their first example of someone "benefiting" from this situation flat out admitted she hasn't done any direct price comparisons yet and the person who said he doesn't like this decision has done direct price comparisons.

    Only in Obama's America!

    Seriously, like Target gives a shit about its employees? If that were the case wouldn't they be giving all of their employees a platinum level healthcare plan while paying for 100% of the premiums? "No no no no no! We're doing our employees a favor by slashing their benefits!" And the sheeple gobble it up like candy.

    Target found a way to save money while attempting to look like the "good guy".
    Last edited by Tgo01; 01-28-2014 at 04:54 PM.

  3. #1703

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    A couple Obamacare fuckups from Denver recently.

    1) Crossfit coach from Denver paralyzed in freak accident 1/14; No health insurance.
    2) Clients of mine have a friend who needed an emergency apendectomy last week. No health insurance.

    The fuckup here is that we're all going to have to pay the freight for these two. Too bad the individual mandate isn't enforced yet.

  4. #1704

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    Quote Originally Posted by cwolff View Post
    The fuckup here is that we're all going to have to pay the freight for these two.
    I don't understand this train of thought. It's not like if someone goes to the hospital without insurance that the hospital just treats them free of charge and passes the bill onto the next schmuck who pays their bills.

  5. #1705

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    Quote Originally Posted by Tgo01 View Post
    I don't understand this train of thought. It's not like if someone goes to the hospital without insurance that the hospital just treats them free of charge and passes the bill onto the next schmuck who pays their bills.
    Except they do. Then you rationalize about it and whinge a lot.

  6. #1706

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    Quote Originally Posted by Warriorbird View Post
    Except they do. Then you rationalize about it and whinge a lot.
    Really? If someone walks in without insurance the hospital just treats them for free? Really? They don't send them a bill? Am I on Candid Camera? Is this thing on?

  7. #1707

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    Quote Originally Posted by Tgo01 View Post
    I don't understand this train of thought. It's not like if someone goes to the hospital without insurance that the hospital just treats them free of charge and passes the bill onto the next schmuck who pays their bills.
    That is true. We all end up paying for it in some manner but you will not personally be paying for these two. You pay through having higher costs in the entire system. A few people don't matter, but it adds up since we have more then a few people who are uninsured but still use the health care system. It's a big reason why the GOP pushed so hard for individual mandates (catastrophic coverage) initially.

  8. #1708

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    Quote Originally Posted by cwolff View Post
    That is true. We all end up paying for it in some manner but you will not personally be paying for these two. You pay through having higher costs in the entire system. A few people don't matter, but it adds up since we have more then a few people who are uninsured but still use the health care system. It's a big reason why the GOP pushed so hard for individual mandates (catastrophic coverage) initially.
    I think you misunderstood my point. The hospital still charges someone without insurance. They are still obligated to pay that bill. True they might just ignore it or they might file for bankruptcy and have it written off but this thinking that if someone walks into a hospital without insurance they are treated for free and have no obligation to pay is just mind boggling. Especially considering many people without insurance make an effort to pay their hospital bill and in many cases pay the whole thing.

  9. #1709

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    Quote Originally Posted by Tgo01 View Post
    I think you misunderstood my point. The hospital still charges someone without insurance. They are still obligated to pay that bill. True they might just ignore it or they might file for bankruptcy and have it written off but this thinking that if someone walks into a hospital without insurance they are treated for free and have no obligation to pay is just mind boggling. Especially considering many people without insurance make an effort to pay their hospital bill and in many cases pay the whole thing.
    I'm not so sure about many paying cash for hospital stays. Even a minor event costs way more than most folks can afford. I do get that they are obligated to the payment, but it ain't getting paid. The hospital will take it as a loss and move on. All those losses getting absorbed means they have to charge more somewhere else.

  10. #1710

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    Quote Originally Posted by cwolff View Post
    I'm not so sure about many paying cash for hospital stays. Even a minor event costs way more than most folks can afford. I do get that they are obligated to the payment, but it ain't getting paid. The hospital will take it as a loss and move on. All those losses getting absorbed means they have to charge more somewhere else.
    I think it depends largely on the treatment.

    In the case of the paralyzed coach I'm sure he's not going to bother paying and will just file for bankruptcy.

    The cost of the appendectomy could be as little as 5-10k. The person could choose to setup payment arrangements and pay 150 or so a month until it's paid off.

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