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View Diary: Rules finalized for the good stuff in Obamacare (106 comments)

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  •  It will also rob the federal treasury (3+ / 0-)
    Recommended by:
    themis, Willa Rogers, alwaysquestion

    Because ACA provides tax credits to help cover the cost of insurance premiums, the continuing rise in those premiums will begin to make a substantial drain on the treasury.

    If you think the howling about deficits is bad now, wait until you see the deficit rise with all the tax credits under ACA.   Our leaders will be forced to choose between placing real cost controls on insurance companies or force more of the costs onto an unwilling public.  They've already begun some of the latter with recent rules changes in ACA.

    Democratic Leaders must be very clear they stand with the working class of our country. Democrats must hold the line in demanding that deficit reduction is done fairly -- not on the backs of the elderly, the sick, children and the poor.

    by Betty Pinson on Fri Feb 22, 2013 at 02:56:30 PM PST

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    •  A lot of that is paid for... (3+ / 0-)
      Recommended by:
      themis, alwaysquestion, glorificus

      it didn't get nearly the press I thought it would, but in addition to raising the capital gains tax from 15% to 20% at the beginning of this year, there is an additional surtax of 3.9% on capital gains in ACA. That's going to raise a good chunk of money.

      And, believe it or not, Mitt Romney's 13% tax rate is long gone! He'll now be paying at least 23.9%, and probably even a couple percent more because the fiscal cliff deal also contained a cut in the charitable contribution deduction that will hit people like 'poor' Mitt pretty hard.

      'Poor Mitt', indeed!!!

      If you have links to the tax credits and especially stats on what they will cost, please share.

      Cheers.

      Against stupidity the gods themselves contend in vain. Friedrich Schiller

      by databob on Fri Feb 22, 2013 at 03:07:03 PM PST

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      •  It would have been paid for if (2+ / 0-)
        Recommended by:
        Willa Rogers, alwaysquestion

        ACA had been developed in a way that handles real cost control.  Those forecasts were developed before the rules were written and so many other aspects of ACA changed.

        I'll have to dig around here, but the gist of it is that insurance premiums are still rising at astronomical rates.  Many of them have figured out how to work around the medical loss ratio restrictions written into ACA.

        So far, the Obama administration has addressed the problem by cutting the number of people eligible for tax credits to help pay for premiums.  That may be like sticking a finger in the dyke, though.  It's going to get much worse.

        I predict Obama will try to keep the whole thing afloat until he leaves office in a few years, after which time it will become a full blown crisis.

        Democratic Leaders must be very clear they stand with the working class of our country. Democrats must hold the line in demanding that deficit reduction is done fairly -- not on the backs of the elderly, the sick, children and the poor.

        by Betty Pinson on Fri Feb 22, 2013 at 03:16:59 PM PST

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      •  Link to NYT on the latest ACA cost-shifting (0+ / 0-)

        Federal Rule Limits Aid to Families Who Can’t Afford Employers’ Health Coverage

        I must admit it was pretty damn clever of the WH to issue this as an IRS rule to allow them to take the blame.  

        Democratic Leaders must be very clear they stand with the working class of our country. Democrats must hold the line in demanding that deficit reduction is done fairly -- not on the backs of the elderly, the sick, children and the poor.

        by Betty Pinson on Fri Feb 22, 2013 at 03:24:04 PM PST

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        •  Thanks for the info (0+ / 0-)

          I agree that ACA is less than it should have been.... by a long shot. Unfortunately, it was the best that could be achieved at the time with the obvious opposition.

          It's quite possible that ACA may fail due to its weaknesses, or due to other factors like the doctor shortage.

          But hey, it's all we've got!

          As for the tax credit limit, that's a bummer, and I hate to see people in need shunted aside, but I don't think these people - who don't have health insurance right now, and won't have to pay the Roberts 'tax' - are any worse off than they are right now, are they? (Please let me know if my analysis is wrong)

          So maybe the way to look at it is the 'lifeboat' view: if the ship's not sinking immediately, but we can't get everyone to shore on the lifeboat on one trip, then some folks will have to stay behind until we can get the rest to shore and come back.

          If unpleasant exclusions like this are what it takes to (hopefully) make ACA work, then these people can be added later. I don't like it any more than you do, but we can't 'save' everybody in one trip.

          Cheers.

          Against stupidity the gods themselves contend in vain. Friedrich Schiller

          by databob on Fri Feb 22, 2013 at 03:38:34 PM PST

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          •  I agree (0+ / 0-)

            The Medicaid expansion alone was worth the effort, provided it becomes a reality as promised.    We'll have to wait and see, I fear there will be more tinkering with the eligibility for that one before it's rolled out in 2014.  They may add age and other restrictions.  

            I have a hard time predicting what changes they'll make, I don't have the criminally sociopathic creativity necessary to devise those kinds of changes.

            Democratic Leaders must be very clear they stand with the working class of our country. Democrats must hold the line in demanding that deficit reduction is done fairly -- not on the backs of the elderly, the sick, children and the poor.

            by Betty Pinson on Fri Feb 22, 2013 at 03:43:08 PM PST

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          •  Except that this issue won't be revisited again (0+ / 0-)

            for another generation.  Perhaps your grandkids may live to see it fixed.

            You have watched Faux News, now lose 2d10 SAN.

            by Throw The Bums Out on Fri Feb 22, 2013 at 11:36:10 PM PST

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    •  Congressional Budget Office analyzed PPACA (0+ / 0-)

      They put some numbers on its effects on the deficit.

      You won't believe me if I tell you, but it should be easy to look up.

      Freedom isn't free. Patriots pay taxes.

      by Dogs are fuzzy on Fri Feb 22, 2013 at 09:29:14 PM PST

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