Trump approved a Brian Kemp scheme to close healthcare.gov to 430,000 people

[Nevilledog]

Link to tweet

Tweet text:
Ezra Klein
@ezraklein
Trump is trailing in Georgia. He needs to turn that around.

So what did he do? Approved a Brian Kemp scheme to close http://healthcare.gov to the 430,000 people who current insure through it. Now they need to use private brokers or markets.

Trump just ended HealthCare.gov in Georgia
On election eve, the Trump administration is still working to roll back Obamacare.
vox.com
2:42 PM · Nov 2, 2020

[dalton99a]

1. Spread this far and wide

[brer cat]

2. They never stop the cruelty. nt

[Sedona]

3. 430,001

I'm on healthcare.gov in Georgia.

I'm 58 years old with pre existing conditions.

I'm basically fucked

[Hoyt]

7. How are you screwed? The same plans, and probably more will exist on the new exchange.

It's not as good as it could/should be, but it's better than what we had previously.

[Hoyt]

4. To be fair, 12 states run their own exchanges including California, NY, Massachusetts, Vermont.

Several other states are considering it.

https://www.healthinsurance.org/state-health-insurance-exchanges/

Advantages to SBM --

A state’s decision to set up its own marketplace creates an opportunity for more significant policy changes. In particular, operating an SBM makes it easier for a state to provide state-funded subsidies to supplement those the federal government already provides to help people afford marketplace plans. States that rely on the FFM have no way to seamlessly integrate state-funded subsidies with federal premium tax credits. If a state is willing to invest in a supplemental state tax credit, this is a good reason to make the transition to an SBM.

Several states with SBMs have moved or are considering moving in this direction:

Massachusetts has long provided sizable subsidies to people with incomes up to 300 percent of the federal poverty level. For example, people with incomes below 150 percent of poverty are guaranteed a $0 premium plan option with low out-of-pocket costs, compared to premiums of $48 to $63 per month for benchmark coverage in other states.

Vermont provides supplemental premium and cost-sharing assistance to people with incomes between up to 300 percent of poverty.

California provides state subsidies, beginning in 2020, for people with incomes between 400 and 600 percent of poverty (who have incomes too high to qualify for the federal subsidies) and supplemental subsidies for people with incomes between 200 and 400 percent of poverty.

Maryland’s exchange is studying boosting subsidies for younger people, with the goals of reducing uninsurance among this group and improving the risk profile of its individual market.

There is strong evidence that increasing subsidies boosts marketplace enrollment and reduces uninsured rates.[26] For example, a careful study of Massachusetts’ additional subsidies finds that cutting premiums by about $40 per month increases take-up of individual market coverage among eligible people by 14 to 24 percentage points, with larger effects at lower income levels.[27] Add-on subsidies for people who already qualify for federal premium tax credits can be especially cost effective for states: if the state subsidies lead more uninsured people to enroll, the federal government will cover most of the cost (through the premium tax credits), while the state pays only for the incremental subsidies.

https://www.cbpp.org/research/health/adopting-a-state-based-health-insurance-marketplace-poses-risks-and-challenges#:~:text=A%20state's%20decision%20to%20set,help%20people%20afford%20marketplace%20plans.

Maybe it's just an attempt to criticize trump. I'm OK with that, Despise trump and he has gone out of his way to reduce funding for the federal exchange. However, I don't think it's in our interest to trash states developing their own exchanges. Usually like Klein, but he should have done some more research on this or couched it differently.

[Nevilledog]

5. Dude..... It's Brian Kemp. He hasn't even accidentally helped someone.

[Hoyt]

6. I'm well aware it's KKKemp, but the new exchange is a move in the right direction. I don't mind

giving people I wouldn't vote for under any circumstance credit when they do something right, Dude.

[Nevilledog]

8. Not a dude

[Sedona]

10. Exactly, I just take it for granted I'm screwed and will lose my subsidy

Because KKKemp

[Hoyt]

11. Have you inquired about coverage under the new exchange? Despise KKKemp, but I'd check to see

how you will come out. The new plan is going to help some folks get on Medicaid that weren't covered before and aren't covered in many other states.

I don't think KKKemp went as far as he should have, but there are some people who will have access to coverage who didn't have access under ACA.

[Sedona]

12. I have no idea where to look

I have not been contacted by any anyone about this least of all my current provider, Kaiser Permanente, (who I LOVE BTW)

I was on the California Exchange 2014-2016 and loved it, UCLA Health was amazing.

I can't imagine KKKemp will provide anything remotely as good as I got in LA. I can't even.

I'm a hot mess today and likely will be for the next 24-48 hours no matter how this all turns out.

I'll take your word it might be good and check it out next week.

Hoyt, if you have some kind of inside info about what's happening with the Georgia exchange please share it with the rest of us who are terrified we're going to lose our health care.

Thanks.

[Hoyt]

13. Agree that it won't be as good as California. I would contact your current

plan and ask them what you need to do for 2021. You might not need to do anything.

Once you have that info, you can decide if you want to try the new Georgia Exchange. I’m not even sure it’s up right now.

It’s definitely confusing. I’m on my phone right now., so hard to search. Once you check with your current plan, if you still don’t have a satisfactory answer, let me know and I’ll see what I can find. You do need to get an answer no later than Dec 15.

I know not being insured is scary. I once carried 2 policies because I was afraid one might cancel for a relatively mild pre-existing condition.

Take care, and here’s hoping for a big Democratic win tomorrow.

BTW - I had Kaiser when I lived in Atlanta. Liked it too.

[sakabatou]

9. He wants people to die