General Discussion
In reply to the discussion: If you unfairly, wrongly and very publicly attack someone, shouldn't you apologize? [View all]Yo_Mama
(8,303 posts)First, if anyone here can name me an ACA Silver plan that's not Anthem in NH, please do. I could only find Anthem plans offered under the "Silver" category (subsidized). The subsidy is based on the Silver plans, so if you have to be on ACA, what other option do you have? So are you guys blaming Will because he supported ACA by buying one of their policies? Because if so, I do not see the logic.
Second, what you are ignoring is that these companies have set up "special" formularies for ACA plans. Aubagio is on the non-ACA formulary, which you can find here:
https://www.anthem.com/health-insurance/nsecurepdf/pharmacy_ABCBS_Anthem_Natl_DL_tiered
Mind you, when people were initially trying to buy plans most of them couldn't even get this information. You had to go to other websites to get it. So the theory that this was just pure laziness on his part is a little odd.
Will is upset because he just realized that he supported something that is going to deny an awful lot of people needed care. You are all trying to blame him for something that the rules of ACA allow and even encourage.
I do think there is a place within ACA to get stuff like this corrected, but people here are trying to claim it's not a problem when it is. As political advocacy this is totally ineffective, and of course what we should be doing is advocating so that the "special" insurance beneficiaries get the benefits other people get. Because, you know, otherwise an awful lot of people are going to be getting nasty surprises and thinking that ACA is a piece of shit, and that those who boast about it are either ignorant, or pieces of shit who just don't care about what happens to some very vulnerable people.
Drugs like this are EXCLUDED from the ACA formulary, which is "special", which you can find here:
http://www.anthem.com/Exchangedruglist4.pdf
Let's suppose that this couple can buy "non-special" coverage. Is that supposed to make this man LESS upset about the plight of all those who have no other option? Is DUs honest, real answer to this sort of thing just WTF, they're just poor people who should be thankful to have insurance at all even though it doesn't cover their needed medications? Is that progressive?
I don't think the president is a piece of shit, but I do think a lot of people are going to discover their ACA policies are pieces of shit. ACA supporters SHOULD be working to correct the real problems, instead of trying to claim they do not exist. Regulatory action will be needed.
ACA was never sold to the public as being this "special".
The point is not what the drug companies charge, but that ACA allows insurance companies to provide crappy coverage.