General Discussion
In reply to the discussion: Obama administration issues rules for individual mandate, America continues to exist [View all]bvar22
(39,909 posts)This sounds more like Whistling-Past-the-Graveyard than a reality based prediction of what will happen in 2014.
The best estimates I have seen are that there will be 40 MILLION to 70 MILLION uninsured Americans in 2014.
That is a BUNCH of Americans that will immediately be affected by The Mandate.
How many MILLIONS was the Democratic majority in 2012?
*Some of these MILLIONS will be covered by the Medicaid expansion,
but some of them won't...depending on which state they live in, and whether that state chooses to go along with the Medicaid Expansion which the Supreme Court has deemed as "optional",
and if that particular state chooses NOT to do so, will there be an immediate enrollment in the National Medicaid expansion that has been promised, or will there be a prolonged Limbo?
Have the agencies been funded and staffed?
Have all the forms been printed?
Is the necessary oversight in place?
We ARE talking about 40 - 70 MILLION human beings,
and 2014 is fast approaching.
*Some of these MILLIONS of Americans WILL qualify for a subsidy ranging from 100% to whatever depending on their taxable income from the previous year. They will be able to use this "subsidy" to purchase Health Insurance on "The Exchange".
They may, or may NOT, be able to choose among the 3 plans offered on the exchange:
The Bronze Plan, The Silver Plan, or the Gold Plan.
(The citizens don't actually SEE "The Subsidy". That goes directly to the Health Insurance Corporation, and it would be more correct to say that the Health Insurance Corporations are being subsidized, but THAT is harder to SELL).
The Deductible and Co-Pays for each plan will decrease according to the richness of the plan the mandated buyers can afford.
The Bronze Plan will cover 60% of the actual cost of the delivered Health Care, up to certain limits, but I haven't been unable to determine if the upper limit fluctuates with whatever plan somebody chooses from The Exchange.
Once the upper limit is reached, the Government will cover additional costs,
but I haven't been able to uncover the the mechanism for covering these costs.
Will the patient be billed directly on Delivery of Health Care and laterreimbursed?
Can they Take-It-Off-of-Their-Taxes and receive it as a refund the following year?
Or is the Door to the Public Treasury going to be WIDE OPEN to the Health Insurance Industry to just take whatever they say covers the "additional costs"?
If the upper limit of actual-out-of-pocket-expense for Health Care at the point of delivery is FIXED at a particular dollar amount,
then someone would have to be a damned ignorant fool to buy anything other than the Bronze Coverage,
but, somehow, due to my faith in the Uniquely American System, I can't help but believe that those who can only afford to buy the Bronze Plan won't receive as much coverage as someone who can afford the Gold Plan, AND it will cost the poorest MORE.
Thus, we have created a multi-tiered Caste System of Health Care delivery where those who need it the most, receive less.
Anyway, I don't see things going all that smoothly in 2014.
I see confusion, chaos, and MILLIONS of angry Americans who will blame the Democratic Party,
and rightly so.
They passed a complicated Republican Health Insurance scam
without forcing the Republicans to take ANY responsibility for it.
All the Republicans have to do is say, "Yep. We voted against it."
Every time Bush-the-Lesser got in hot water over Iraq,
all he had to do was say, "..but the Democrats voted for it too!"
(I fucking HATED every time he did that)
The Republicans won't have to accept ANY responsibility.
So, from the Git-Go, over 1/2 of our politicians (Republicans),
and way over 1/2 of our Media have a Vested Interest in making 2014 as confusing, complicated, and difficult as possible,
because the Republicans can say with a Big Smile, "Yep. Not our fault. We voted against it."
Tea Bagger Summer will look like a Sunday School Picnic compared to 2014.
I don't think the creators of the ACA have any concept of the lives of low income Americans,
or they would have NEVER entertained the idea of partial subsidies, with the recipient coming-out-of-his-own-pocket to pay the remainder.
Once that money is IN-their-Pocket, it is THEIR money, and they won't let go of it without pain & anger,
MORE combustible RAGE when they find out that the IRS is The Collection Agency Hammer.
I live in low income America, and don't know anybody that is going to be happy about THAT.
It is much easier to simply take it out of the paycheck where they won't ever see it, or feel it, or own it,
but what does this low income American know about Low Income America?
Anyway, we will see.
It looks like my wife & I will personally benefit from the Medicaid Expansion.
We currently grow our own food, and live on a laughably low taxable income,
so we got THAT going for us.
Good Luck to ALL in 2014.