GOP ACA Replacement Imminent....Predictions

[Thump553]

Is this referring to subsidies on the ACA exchange? How can he do this by executive order? Isn't it in direct violation of ACA which is law? I know several people who can't afford the full premiums and get subsidized plans on the exchange.

Trump will end health care cost-sharing subsidies -
http://www.cnn.com/2017/10/12/politics/obamacare-subsidies/index.html

I personally am treating this (and Trump's statement of intent to pull out of the Puerto Rico relief) as Trump's formal declaration of class warfare-Richy Rich against America, especially the middle classes.

Personally I'm within a year of going on Medicare so the skyrocketing premiums won't hurt me too much-unless Ryan gets his wish to gut that as well.

The sooner this bozo leaves office the better.

 

[K1052]

This seems fine....

 

[hal2kilo]

So does this mean I'll finally get what Trump promised?

Lower monthly cost
Lower deductibles
Lower prescription costs
Better coverage
Tons of choices, so many I won't know what to do with all the choices
Keeping my Doctor
Nobody dying on the street
Plus a lot more exciting stuff for me


I'm so excited I can't wait!

I see you are starting to get tired of winning.

 

[Puffnstuff]

If this were a made for TV movie could we call it "The Revenge of the Turds?"

 

[Ns1]

brutal. I do like how NY is at a mere 18.1%

This seems fine....

 

[K1052]

This is....not well thought out...Trump wants to extract a repeal of the ACA and/or wall funding from the Democrats to restart CSR payments. In no universe will that ploy actually work.

http://www.politico.com/story/2017/10/13/trump-opposes-bipartisan-obamacare-rescue-plan-243752

The administration, however, opened the door to negotiations on the now-canceled payments. After speaking to Senate Minority Leader Chuck Schumer (D-N.Y.) on Saturday, Trump said that a temporary deal could be struck on shoring up the insurance markets. Mulvaney suggested the insurance payments could be a bargaining chip in a broader negotiation with Congress to either repeal President Barack Obama’s signature healthcare law — or fund Trump’s long-stalled border wall with Mexico.

Mulvaney is bullish about securing Trump’s priorities in a December funding bill, and he threatened — not for the first time — a government shutdown if Trump doesn’t get them.

Threatening the Dems with a shutdown is like:

 

[Lanyap]

I personally am treating this (and Trump's statement of intent to pull out of the Puerto Rico relief) as Trump's formal declaration of class warfare-Richy Rich against America, especially the middle classes.

Personally I'm within a year of going on Medicare so the skyrocketing premiums won't hurt me too much-unless Ryan gets his wish to gut that as well.

The sooner this bozo leaves office the better.

My non-subsidized Florida Blue HMO plan premium has been increasing about 25% a year since 2016. It started at ~$2100/month then ~$2700/m for 2017 and now ~$3500/m for 2018. That's for a family plan with two older adults and one teenager. I have a few more years until medicare.

 

[SlowSpyder]

Trump gave congress a chance, they blew it.

 

[Fanatical Meat]

I see you are starting to get tired of winning.

Yes, but not a low energy loser

 

[JEDI]

What are cost-sharing subsidies?
this the silver plan where you have low out of pocket and low deductibles?

http://www.foxnews.com/politics/201...on-payments-what-are-subsidies-trump-cut.html

yep, CSS is The savings that could reduce a deductible of $3,500 to a few hundred dollars.
and yes, In order to qualify, people would have to be enrolled in the marketplace’s Silver plan

 

[sactoking]

This is....not well thought out...Trump wants to extract a repeal of the ACA and/or wall funding from the Democrats to restart CSR payments. In no universe will that ploy actually work.

http://www.politico.com/story/2017/10/13/trump-opposes-bipartisan-obamacare-rescue-plan-243752



Threatening the Dems with a shutdown is like:

Especially on this topic because the only reason the president has any say in the matter is congressional Republicans "defunded" the payments and the then-president continued them. If congress wants to restart the payments they can just restart the payments, they don't need the President. It's a worthless bargaining chip.

Even if you take the stance that congressional democrats need to take the deal because congressional Republicans will never restart the payments its still worthless because it's currently the subject of ongoing litigation. While most observers expect insurers to ultimately get paid thru the court of claims the district/appellate courts are technically hearing a slightly different matter and could still block the payments on the front end.

 

[JEDI]

My non-subsidized Florida Blue HMO plan premium has been increasing about 25% a year since 2016. It started at ~$2100/month then ~$2700/m for 2017 and now ~$3500/m for 2018. That's for a family plan with two older adults and one teenager. I have a few more years until medicare.

$42k/yr for health insurance?!
wouldn't it be cheaper if your 2 adult kids got their own insurance?
I assume they make below poverty thus qualify for premiums subsidies?

 

[Fanatical Meat]

Looks like that supposed 4K tax cut will go straight to insurance.
#MAGA!

 

[VRAMdemon]

I still don't get the Republican obsession with "allowing competition across state lines". Can't they already do that all they want, as long as they comply with the states' regulations. All the Republicans really mean is they want to eliminate the states' rights to regulate health plans.

This is going to be a disaster for my sister & family. They are in the individual market, and make just a little too much to qualify for subsidies.

Anyway..Charlie Dent-(R) was just on CNN saying that from here on, the GOP will have to own it.

 

[Fanatical Meat]

I still don't get the Republican obsession with "allowing competition across state lines". Can't they already do that all they want, as long as they comply with the states' regulations. All the Republicans really mean is they want to eliminate the states' rights to regulate health plans.

This is going to be a disaster for my sister & family. They are in the individual market, and make just a little too much to qualify for subsidies.

Anyway..Charlie Dent-(R) was just on CNN saying that from here on, the GOP will have to own it.

Years ago when this idea was floated it sounded good until you understand
What state regulates
How will insurance stay cheaper if it has to be regulated twice
What about the networks, will I need to go to a different state for a hospital or Dr visit
What insurance company wants to do this are there any reputable ones?

 

[K1052]

Especially on this topic because the only reason the president has any say in the matter is congressional Republicans "defunded" the payments and the then-president continued them. If congress wants to restart the payments they can just restart the payments, they don't need the President. It's a worthless bargaining chip.

Even if you take the stance that congressional democrats need to take the deal because congressional Republicans will never restart the payments its still worthless because it's currently the subject of ongoing litigation. While most observers expect insurers to ultimately get paid thru the court of claims the district/appellate courts are technically hearing a slightly different matter and could still block the payments on the front end.

Trump's underlying assumption is that anything he does to weaken the ACA will somehow compel Democrats to the table to engage in negotiations that would inevitably end in the program's destruction. To say this is a horribly flawed strategy is being kind.

 

[Fanatical Meat]

Trump's underlying assumption is that anything he does to weaken the ACA will somehow compel Democrats to the table to engage in negotiations that would inevitably end in the program's destruction. To say this is a horribly flawed strategy is being kind.

Listening to the radio, I just heard him say the same thing about the Iran deal, Democrats obstruct too much so he'll make a new deal if they don't join.

 

[K1052]

Listening to the radio, I just heard him say the same thing about the Iran deal, Democrats obstruct too much so he'll make a new deal if they don't join.

Trump can't even make deals with his own party to advance domestic legislation and NAFTA looks like it's sliding into the toilet under a host of unrealistic US demands.

If anybody wants to start taking bets on him successfully engaging in sensitive multilateral nuclear negotiations with hostile powers that could take years to come to fruition I've got money I want to throw down.

 

[VRAMdemon]

Years ago when this idea was floated it sounded good until you understand
What state regulates
How will insurance stay cheaper if it has to be regulated twice
What about the networks, will I need to go to a different state for a hospital or Dr visit
What insurance company wants to do this are there any reputable ones?

In the real world, how responsive will they be to complaints from other states? Presumably, all the insurance companies would be located in the state with the most favorable regulations. Is it realistic to think that the companies will move to the state with the most lax insurance board?

I wonder how would people deal with problems with their insurance company if it's across state lines? The way it works now is that you can complain to the insurance board of your state and they can pull the license of the insurance company if there are too many problems. But what can someone in Idaho do if their insurance company in Delaware doesn't pay the claims they are supposed to?

 

[Thump553]

I still don't get the Republican obsession with "allowing competition across state lines". Can't they already do that all they want, as long as they comply with the states' regulations. All the Republicans really mean is they want to eliminate the states' rights to regulate health plans.

This is going to be a disaster for my sister & family. They are in the individual market, and make just a little too much to qualify for subsidies.

Anyway..Charlie Dent-(R) was just on CNN saying that from here on, the GOP will have to own it.

The rationale, near as I understand it, is that some states have "less burdensome" regulations on the insurers thus those insurers' costs are less in those states thus they can offer insurance for cheaper. To which I say total hogwash.

Insurance, especially health insurance, is something that needs to be highly regulated. Even as a lawyer, I have never read a health insurance policy through and hopefully never will have to. The explanatory materials sent along are burdensome enough, and frankly beyond most peoples' ability to fully understand them.

Health insurance is a totally different beast than say life insurance, or auto insurance. It's easy to tell if someone died or not. Health policies can contain all sorts of provisions to weasel out of coverage, stuff you would never expect or anticipate until weeks after your treatment when the insurer denies coverage.

My state (CT) I'm sure, is a "burdensome" insurance regulator. But I'd much rather have a policy written under and enforced under those regulations than some state where the regulators are owned by the insurers.

The bad policies will drive out nearly all the good ones, as they will appear far cheaper. Consumers will greatly lose under this moronic plan. To apply free enterprise and free market solutions to health insurance is a fallacy.

 

[theeedude]

This seems fine....

Trump supporting middle aged Republican fatties, time to pay up, suckers.

 

[K1052]

Saw that Trump was complaining to the press that the Dems haven't come to the WH and worked out a healthcare deal with him.

I can't think what incentive they'd have to do this after publicly backsliding on the DACA understanding when they came the last time. Their demands will be presented when he needs them to fund the government/raise the debt ceiling.

 

[sactoking]

I'd just like to clarify that the executive order did NOT permit insurance companies to sell across state lines. As I mentioned earlier, that would take an act of Congress to achieve. No, this was much worse.

What the executive order DID do was instruct several executive branch agencies to revise existing regulations relating to certain types of health benefits. What the administration is looking to do is change some definitions so that employer associations can more freely form for the purposes of offering health benefits under ERISA. This means that they won't be subject to state regulation. So, you won't have to worry about insurers running off to low-regulation states, these MEWAS (multiple employer welfare agreements) will just form wherever and be subject only to federal regulation. Oh, and they won't have to offer EHB, rating restrictions, guaranteed availability, etc either.

MEWAS were a thing in the 80s and 90s and the fraud was so rampant that Congress had to subject them to state regulation to rein the in. That's what this administration is bringing back.

 

[Jhhnn]

Trump gave congress a chance, they blew it.

Yeh, their hard-on melted at the last moment but Donald still has his....

 

[Younigue]

Yeh, their hard-on melted at the last moment but Donald still has his....

Or at least what he insists is one. His supporters and the people who love his money will believe him.