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Matt J

SWGB
May 9, 2007
24,862
9,670
AndrewG, those people behind him aren't congress, they're supporters. Thanks to the endless drone of NO from the right there were compromises. Of course the GOP loves to then throw those compromises back in people's faces and say they are broken promises.
 

sadie1

Beach Lover
May 31, 2009
144
17
lol he has no control. if premiums lower i assure you benefits much lower. if he screws with insurance co's they'll simply stop writing business and crush the system
 

scooterbug44

SoWal Expert
May 8, 2007
16,706
3,339
Sowal
Reality check.

In order for health care reform to save a family $2,500 a year, all it has to do is make a small reduction in rate increases, what is paid for services or prescription medicine, reduce fraud, or the amount we all currently pay for the uninsured.

Simply changing my annual premium increase to 10 or 15% instead of the typical 25 to 30% makes that math work.

So would letting me join a pool with other self insured people.

They can't "work with my employer" as shown in your clip, as none of the Sowal small businesses that I have worked for have ever been able to find a reasonably priced company health care plan.

And since many Sowallers would like to just be able to GET insurance, I am less worried about how it was "sold" and much more concerned about making it a reality.
 

Alicia Leonard

SoWal Insider
Reality check.

In order for health care reform to save a family $2,500 a year, all it has to do is make a small reduction in rate increases, what is paid for services or prescription medicine, reduce fraud, or the amount we all currently pay for the uninsured.

Simply changing my annual premium increase to 10 or 15% instead of the typical 25 to 30% makes that math work.

So would letting me join a pool with other self insured people.

They can't "work with my employer" as shown in your clip, as none of the Sowal small businesses that I have worked for have ever been able to find a reasonably priced company health care plan.

And since many Sowallers would like to just be able to GET insurance, I am less worried about how it was "sold" and much more concerned about making it a reality.

And that we won't be discriminated against and charged more for being women. This takes effect as soon as it's signed.
 
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Bob Wells

Beach Fanatic
Jul 25, 2008
3,380
2,857
lol he has no control. if premiums lower i assure you benefits much lower. if he screws with insurance co's they'll simply stop writing business and crush the system

Insurance companies will not stop writing policies, they have share holder waiting on their profits.
 

30ashopper

SoWal Insider
Apr 30, 2008
6,845
3,471
59
Right here!
The plans that will be offered through the state run exchanges are regulated, but only in terms what's provided in the plans. The actual cost of these plans is yet to be determined, but the bill does set maximum individual payouts based on income. The difference between the two will be covered by cuts to medicare and taxes on people who make more than 200K a year.

The amount of the subsidy will depend on income, so I'm not sure where this $2500.00 number came from.

On the top end, a family of four with about 90K a year in combined taxable income would receive government subsidies paid to the insurance agency equal to the difference between about 10% of the family's taxable income, and the cost of the plan. So the max they would pay would be around $9000.00 per year.

On the bottom end, a family of four with taxable income of around 30K a year would only have to pay about 3% of annual taxable income, meaning they would only have to pay about $900.00 per year.

Both families would have the exact same healthcare plan, they would just pay different amounts.

So the amount families will receive in government subsidies will depends on how much income they earn. The less they earn, the more the government pays out.

Families below 30K a year in income will be forced into signing up for Medicaid. The income numbers for individuals are similar but scaled down, 14K a year to 45K a year.

Note, all families will be required by law to purchase insurance if their employer doesn't offer a plan, which companies of a certain size will be required by law to provide.

I imagine the top end group will have very few people in it since I'm guessing most families at these income levels are already covered through employers. The majority of the subsidies will be going to the lower and middle tear income levels - families making between 30K and say 70K a year.

I'm curious, if anyone is willing to disclose income, how many folks on SoWal will qualify for the exchange system?
 

sisters4

Beach Lover
Jul 19, 2005
198
29
Hopefully people realize that employers have to find a health insurance company who will bid on their employee demographic and willingness to participate. Depending on what kind of business you have depends on what kind of bids you can get. If you employ mostly young men you are going to get a much better deal than if you employ middle aged woman for instance. That involves educating your employees. It is so funny because I have seen people enroll with major medical insurance and then want to disenroll after they have a procedure done and do not understand why they can't do that. I am not sure what Scooterbug is referring to about some clip. I bet the small businesses he/she has worked for have tried to find plans. Most businesses want to help their employees with health insurance. It is a great recruitment tool and benefits the people who make most businesses run. It isn't because business owners don't care. They are trying. Since reform isn't going to be enacted until 2014 hopefully there is time get some common sense into this plan. How about everyone takes responsibility for a high deductible? The one thing I am happy about is the coverage for goats who need braces!
 

scooterbug44

SoWal Expert
May 8, 2007
16,706
3,339
Sowal
To clarify, my employers all wanted their employees to have health insurance - but the group plans were just too expensive, so they ended up paying for either part or all of our individual plans.......... but the costs were high (and just kept getting higher over the years) and that still didn't help my fellow employees who couldn't GET individual insurance.
 

futurebeachbum

Beach Fanatic
Jul 11, 2005
1,100
375
70
Snellsburg, GA
www.myfloridacottage.com
How about everyone takes responsibility for a high deductible?

That's really the way plans should work. We should manage routine trips to the Doctor as sensible consumers, going only when its really necessary. Catastrophic illness, on the other hand, is something that everyone needs.

30 years ago, that's how most plans worked. Since then, we've gone to $10 & $15 copay plans that actually incent people to go to the doctor frivolously. Same for prescriptions.

I tried to change my company's plan out this year from a low deductible, Aetna PPO to a high deductible plan with an HSA (Health Savings Account) assuming it would help incent my employees to manage their spending, give them another retirement funding vehicle and have minimal impact on my company's health care costs. (I currently spend about $8800 per employee per year and they each spend about $2200. I pay 80%)

Boy was I wrong, If I had done that it (and seeded each employees HSA) it would have substantially raised my insurance costs. That still makes no sense to me.
 
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