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View Diary: GAH! Just Stop making Employees the Metric for Which Businesses Must Comply with the Law (13 comments)

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  •  I'm hoping that employers scheme this so much (5+ / 0-)
    Recommended by:
    dfarrah, CwV, Bisbonian, TiaRachel, HeyMikey

    that the federal government winds up having to provide a public option insurance, like Medicare for all, that would eliminate the need for private insurance.  If enough employers get out / stay out of the insurance providing game, there will be so many millions still uninsured that there would be the market for an insurance program and with part-time employees not able to meet premiums unless there's a significant subsidy, someone is going to run the numbers and decide that it's cheaper to offer a public insurance option.  Sure, the numbers have already been run, but starting in 2014 I predict it will become plainly obvious when we see just how many people the ACA leaves behind.

    •  30 million people will remain uncovered (7+ / 0-)

      after full implementation of the ACA. Sure that's better than 50 million uncovered now, but if you're one of the 30 million who will still fall through the cracks due to affordability even with subsidies and caps, then it's small comfort.

      The ACA is basically a stop-gap jerryrigged system which will have to be improved upon and tweaked constantly. Step #1 will be re-introducing the public option, because costs will continue to spiral out of control without it. We need a government entity who can act as a single payer and negotiate reimbursements with the providers kind of like, kind of like, what's that big government program that recipients from both the right and left are so fond off that they wave placards about leaving it alone? Starts with an M? Medi . . . Medi . . Medicare! That's it! Yeah we need something just exactly like Medicare to be a public option. Here's a radical idea - why not make Medicare the public option?

      And for your reading pleasure, this guy sums it up nicelyMarty Kaplan: Being American Is Bad For Your Health

      You probably already know that America spends more on health care than any other country. That was one of the few facts to survive the political food fight pretending to be a serious national debate about the Affordable Care Act.

      But the airwaves also thrummed with so many sound bites from so many jingoistic know-nothings claiming that America has the best health care system in the world that today, most people don't realize how shockingly damaging it is to your wellness and longevity to be born in the U.S.A.

      “Human kindness has never weakened the stamina or softened the fiber of a free people. A nation does not have to be cruel to be tough.” FDR

      by Phoebe Loosinhouse on Tue Feb 05, 2013 at 09:50:52 AM PST

      [ Parent ]

      •  Make MedicAID the Public Option (2+ / 0-)
        Recommended by:
        HeyMikey, ColoTim

        and here's how:
        The exchanges in ACA offer competing plans from 4P insurance companies. If you make too little to afford any of them, there is a subsidy available. That goes up to something like 400% of povertyline (someone correct me if my numbers are wrong).
        What I'd like to see is MedicAid put into the exchanges to take the place of the subsidies. Just open it up to people up to 400% or 500% of the povertyline, possibly with a small premium for those between 200% and 500%.
        It would be much cheaper that subsidizing the 4Ps, it would attract a lot of young people, just starting out in the workforce, who's healthcare needs are minimal, it would form the catastrophic coverage that younger people need, it would expand MedicAid's base a lot, with healthier people.
        By de-stigmatizing MedicAid, a poverty program, and including a wider, more active membership, demand would improve the coverage for all.
        My reason to do that rather than MediCare, is that MediCare is geared to older people, it's a different kind of coverage therefore. What I'd like to see there is to bring the eligibility age down to 50. That would bring somewhat younger, healthier people into that system, helping to stabilize it's finances, too. Getting seniors into the system earlier and emphasizing wellness programs and preventative care, rather than strictly the reactive model, will make for healthier seniors overall.
        In the long run, with MedicAid in the exchanges and MediCare expanding younger, eventually market forces will drive the Insurance leaches out of the business, we will achieve Single Payer in the void they leave behind.
        The health insurance company that I paid ridiculous amounts to for almost no coverage, got out of the Health Insurance business when ACA passed. Seems that sucking out 15% of the premiums for profit and salaries wasn't enough for them.

        If I ran this circus, things would be DIFFERENT!

        by CwV on Tue Feb 05, 2013 at 11:25:03 AM PST

        [ Parent ]

      •  2009, over & over & over. (1+ / 0-)
        Recommended by:

        The GOP will continue its efforts to undermine reasonably priced universal care, for a mix of reasons:

        * True, blind adherence to extremist free-market ideology.

        * Desire to funnel money to drug companies, doctors, medical providers, who are big GOP campaign donors.

        * Desire to curry favor with wealthy voters, who can afford the best healthcare options & vote GOP.

        * Gotta have a controversy. If the Dems are for something, GOP reflexively thinks they have to oppose it.

        Thus every effort to expand coverage or reduce costs will be opposed by the GOP. Expect fights EVERY YEAR over tweaking Obamacare, until the day we have true universal coverage.

        "The true strength of our nation comes not from the might of our arms or the scale of our wealth, but from the enduring power of our ideals." - Barack Obama

        by HeyMikey on Tue Feb 05, 2013 at 11:52:43 AM PST

        [ Parent ]

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