General Discussion

jeff47

(26,549 posts)

71. No, they can't.

Reply to Luminous Animal (Reply #49)

Thu Jun 28, 2012, 11:45 PM

Jun 2012

A state can fail to set up an exchange. If they do so, the feds set up their exchange for them.

my family would not qualify for any exchange or subsidy.

That's only true if you're covered by employer-based insurance, and that premium sounds like you may not be covered by your employer. If you are not covered by a plan from your employer, you "qualify" for the exchanges.

So, where is this affordable insurance of which you speak?

Well, the exchanges won't exist until 2014, since Congress wanted to reduce the short-term cost of the bill. So it's a tad premature to expect the exchanges to lower cost.

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States can opt out of Medicaid expansion, citizens must buy x, and that's a progressive victory? [View all] usregimechange Jun 2012 OP

You don't have to buy X, and it's a victory for those who want affordable coverage or have pre-exist FarLeftFist Jun 2012 #1

Where is this affordable coverage of which you speak? Luminous Animal Jun 2012 #10

Health exchanges, subsidies, no cap, and the ability to pay only premiums vs. bankruptcy. FarLeftFist Jun 2012 #35

Health exchanges for some.... states can opt out. Luminous Animal Jun 2012 #49

With no lifetime cap you will only have to pay premiums. FarLeftFist Jun 2012 #54

The decision is an overall win but it isn't going to stop medical bankruptcies SickOfTheOnePct Jun 2012 #60

It's going to stop the vast majority of medical bankruptcies. Schema Thing Jun 2012 #80

Do you have any data to support that? SickOfTheOnePct Jun 2012 #106

http://www.healthleadersmedia.com/content/FIN-265414/Despite-ACA-OutofPocket-Medical-Costs-Lurk.html Schema Thing Jun 2012 #109

No, they can't. jeff47 Jun 2012 #71

states cannot opt out of the exchanges Schema Thing Jun 2012 #79

Wow, not disputing level of your premiums, but I bet at full phase-in you'll be better off. Hoyt Jun 2012 #82

I think you're counting your chickens before they've hatched. girl gone mad Jun 2012 #18

I think you need to read the bill. A lot of denial going on today. FarLeftFist Jun 2012 #37

At least I understand what is in the bill, including the fact that denials.. girl gone mad Jun 2012 #44

lolz. OH NO WE SHOULDN'T HELP MILLIONS BECAUSE WE CAN'T HELP THOUSANDS SO EVERYONE MUST SUFFER! FarLeftFist Jun 2012 #47

Thousands will continue to die.. girl gone mad Jun 2012 #90

would you rather have something flawed we can build on, or nothing at all? dionysus Jun 2012 #104

so states can also opt-IN to medicaid expansion, making it possible for good states nt msongs Jun 2012 #2

Even the ones that filed suit will eventually cave. HopeHoops Jun 2012 #5

Keep dreaming. Zalatix Jun 2012 #66

Wait until GOP-controlled states' citizens find out what they are saying no to Trekologer Jun 2012 #111

I'll say this: I hope it happens that way. Zalatix Jun 2012 #117

Yes. liberalmuse Jun 2012 #3

That and those under 26. HopeHoops Jun 2012 #6

Because of this, the insurance that I pay for my 22 daughter quintupled. Luminous Animal Jun 2012 #24

Yep SickOfTheOnePct Jun 2012 #33

So sorry to hear that... progress2k12nbynd Jun 2012 #81

That's premiums only. Lasher Jun 2012 #101

Actually, that's because of Healthy San Francisco, from the sound of it Scootaloo Jun 2012 #102

Yes. Who were they to drop someone on that ground? treestar Jun 2012 #112

That seems awfully high and if you're already paying for a family plan it shouldn't have changed. HopeHoops Jun 2012 #105

I think the insurance industry is fine with ACA tblue Jun 2012 #4

Congress is going to have to fix the "incentive" for the states to expand Medicaid now. EFerrari Jun 2012 #7

What? Insurance cos. have spent a shit load of money fighting it. NYC Liberal Jun 2012 #21

If states opt out of Medicaid expansion,it costs them dearly in fed. funds. You don't have to buy X. Honeycombe8 Jun 2012 #8

No, today's decision was that the Feds can't dock states for opting out of expanding Medicaid. n/t EFerrari Jun 2012 #11

That is not correct jeff47 Jun 2012 #72

A distinction without a difference. n/t EFerrari Jun 2012 #75

So according to you, millions of dollars is exactly the same as 0 dollars. jeff47 Jun 2012 #94

I'm confused about it, now. I THINK I read that the states have to opt out of Medicaid ENTIRELY. Honeycombe8 Jun 2012 #110

It doesn't cost them. If states opt out they still get the same amount they usually get. Autumn Jun 2012 #12

I read the opposite. nt Honeycombe8 Jun 2012 #36

You might want to re read that part.n/t Autumn Jun 2012 #41

Ditto jeff47 Jun 2012 #73

It doesn't cost states anything if they opt out of the Medicaid expansion SickOfTheOnePct Jun 2012 #13

Not exactly ProSense Jun 2012 #17

Yes, I realize that if they don't opt in they don't get the additional funding SickOfTheOnePct Jun 2012 #22

Perhaps, you shouldn't use complicated phrases such as "in the long run." Luminous Animal Jun 2012 #27

Math? ProSense Jun 2012 #31

I'm sorry I wasn't clearer SickOfTheOnePct Jun 2012 #34

And ProSense Jun 2012 #38

Was there a refutation of my claim in there somewhere? SickOfTheOnePct Jun 2012 #55

But they won't be saving because their citizens will get sicker & sicker and need more expensive FarLeftFist Jun 2012 #42

States don't pay for people that show up at ERs with no coverage SickOfTheOnePct Jun 2012 #62

Because there's nobody insured by the state by some program called Medicaid.... jeff47 Jun 2012 #74

Some states only offer Medicaid to the disabled, so unless the disabled roles go up, nothing goes up Lionessa Jun 2012 #92

And which states would those be? jeff47 Jun 2012 #93

My state gives funds to hospitals for ER care! JimDandy Jun 2012 #84

Not according to Rendel and Jerry Brown dsc Jun 2012 #87

$1.5B and $3B sound like big numbers Trekologer Jun 2012 #113

a fairer comparison would be deficit dsc Jun 2012 #116

Fed Government Picks Up the Tab for First Three Years Iggy Jun 2012 #39

Yes, feds pick up the tab for three years SickOfTheOnePct Jun 2012 #63

"They elected conservatives for a reason" Iggy Jun 2012 #103

It won't cost them anything in Federal Funds. They will still receive the funds that they Luminous Animal Jun 2012 #14

Exactly - the decision created a new donut hole for the poor n/t SickOfTheOnePct Jun 2012 #16

Notice how many red states are seally dipping into those funds here loyalsister Jun 2012 #67

Because these uncovered people won't fall into traditional Medicaid as their health and income fails jeff47 Jun 2012 #76

The Republicans are now going to be called out on votes that reject medicaid loyalsister Jun 2012 #64

They aren't driving up their state budgets if they don't expand Medicaid SickOfTheOnePct Jun 2012 #107

Medicaid rolls inevitably expand loyalsister Jun 2012 #108

States will continue to get funds for the natural growth that occurs under the current formulations SickOfTheOnePct Jun 2012 #115

Who are these people, these 'deadbeats' you speak of who can 'afford it but refuse to pay for it'? sabrina 1 Jun 2012 #83

You can't be dropped for preexisting conditions...Insurance companies have to spend rustydog Jun 2012 #9

It's a big loss of for many poor people SickOfTheOnePct Jun 2012 #15

Your argument ProSense Jun 2012 #20

You don't think the decision is a loss for the people that won't get Medicaid under this decision? SickOfTheOnePct Jun 2012 #25

How are you saying a gain is a loss? I agree, not perfect, but it's a WIN for millions. FarLeftFist Jun 2012 #45

I'm not saying it's a loss for everyone SickOfTheOnePct Jun 2012 #51

Prior to the ruling, states had to expand Medicaid or lose all Medicaid funding SickOfTheOnePct Jun 2012 #28

What? ProSense Jun 2012 #32

I think you need to look again SickOfTheOnePct Jun 2012 #46

No ProSense Jun 2012 #50

I never claimed that it did SickOfTheOnePct Jun 2012 #53

Now find a Physician that accepts Medicaid Riftaxe Jun 2012 #89

Small businesses already can deduct insurance premiums, by the way... Luminous Animal Jun 2012 #19

Fail thread is EPIC FAIL n/t GarroHorus Jun 2012 #23

+1,000 nt MADem Jun 2012 #30

Insurance finance reform. Autumn Jun 2012 #26

Well, you're in the minority. Would you be happier if Roberts threw his vote the other way and MADem Jun 2012 #29

It is mixed but disappointed we couldn't do more usregimechange Jun 2012 #43

The journey of a thousand miles begins with a single step. nt MADem Jun 2012 #48

If true, when is NAFTA going to be revised? AnotherMcIntosh Jun 2012 #57

When enough people rise up and decide it is an issue that is sufficiently important to merit MADem Jun 2012 #61

Been there. Done that. 2008. AnotherMcIntosh Jun 2012 #68

Ah, so, at first if you don't succeed....fuck it? MADem Jun 2012 #69

Maybe that is your way of handling it. Say "fuck it"? Be petulant? AnotherMcIntosh Jun 2012 #78

I am not the one who said "I tried ONCE ... in 2008." MADem Jun 2012 #85

Such emotional language. I wonder why? But who really cares? AnotherMcIntosh Jun 2012 #86

You're not the master at baiting that you apparently think you are. MADem Jun 2012 #88

No one is baiting you at all. AnotherMcIntosh Jun 2012 #96

That's exactly right--no one is baiting me! nt MADem Jun 2012 #98

Right. You are causing your own anger in that you cannot compel someone to agree with you. AnotherMcIntosh Jun 2012 #99

I am happy as a clam, couldn't be more thrilled today-- your concern is touching though. MADem Jun 2012 #100

It's an opening for Medicare for All... Rosco T. Jun 2012 #40

Thanks for letting me know Vermont doesn't exist. (nt) jeff47 Jun 2012 #77

States -- even the reddest -- aren't likely to do that. And, look at the legislation and you will Hoyt Jun 2012 #52

It is state-by-state, but it will be a sea-change for most bhikkhu Jun 2012 #56

DU Naysayers Health Insurance Plan: Bake Sales and Car Washes, and a penny jar on the counter. n/y progressivebydesign Jun 2012 #58

Which cost a penny more than what we have now and is just as effective. n/t EFerrari Jun 2012 #65

They're coming out of the woodwork, aren't they? All with a curious agenda. MADem Jun 2012 #70

I think you are misunderstanding what single payer is. girl gone mad Jun 2012 #91

Yes, it is bowens43 Jun 2012 #59

Optional services under medicaid loyalsister Jun 2012 #95

I remember a conversation with a fellow advocate loyalsister Jun 2012 #97

This is a start, and a BIG one. Enough of this purist foolishness. RBInMaine Jun 2012 #114