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Freddie Stubbs

(29,853 posts)
Tue Aug 13, 2013, 08:26 AM Aug 2013

Another Obamacare delay: Out-of-pocket caps waived for a year

Source: Alabama.com

Enactment of the part of the Affordable Care Act that would cap expenses such as co-pays and deductibles has been delayed a year, according to a Forbes Magazine story.

Originally under the act, starting in 2014, deductibles were to be limited to $2,000 per year for individual plans, and $4,000 per year for family plans. Also, there was to be no lifetime limits on "the dollar value of benefits for any participant or beneficiary." In other words, you would not have a lifetime cap on insurance coverage.

Both of those provisions will be delayed until 2015 because, according to the White House, businesses need more time to figure out how to comply with the new rules.

The delay was first announced in February when the Department of Labor published the rule delaying the caps in the Federal Register. The change went largely unnoticed until The New York Times published an article about it on Monday.

Read more: http://blog.al.com/wire/2013/08/another_obamacare_delay_out-of.html

144 replies = new reply since forum marked as read
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Another Obamacare delay: Out-of-pocket caps waived for a year (Original Post) Freddie Stubbs Aug 2013 OP
Medicare for All, including dental and optical. Everything else is just window dressing. Scuba Aug 2013 #1
This is what I fear the most Harmony Blue Aug 2013 #19
Perhaps that was the idea. Scuba Aug 2013 #27
You are actively assisting Republicans in their goal. nt tridim Aug 2013 #40
Can you explain that, please? Scuba Aug 2013 #49
Yes, crim son Aug 2013 #58
It was an observation. AtheistCrusader Aug 2013 #68
If? We have a couple generations who have been awash in the idea that the jtuck004 Aug 2013 #102
Never mind government health care works jut fine in the rest of the world. RC Aug 2013 #46
Hear hear! BlueManFan Aug 2013 #62
+ infinity! n/t Lugnut Aug 2013 #63
''Everything else is just window dressing.'' DeSwiss Aug 2013 #69
Only if "window dressing" equals evil for profit Half-Century Man Aug 2013 #80
How would that effect the solvency of Medicare? Freddie Stubbs Aug 2013 #110
Tax the wealthy a little more ... Scuba Aug 2013 #111
Tax the super wealthy a LOT more wordpix Aug 2013 #116
Good idea, but will never happen in the USA unless the "peasants" revolt. ConcernedCanuk Aug 2013 #124
+1000, O-care is proving to be R-care; R for Repug and Repeal wordpix Aug 2013 #115
+1000 burnsei sensei Aug 2013 #134
"businesses need more time to figure out how to comply" Eric J in MN Aug 2013 #2
Thats exactly what I thought. n/t winterpark Aug 2013 #17
I'd give them until the end of the year atreides1 Aug 2013 #31
Don't be holding your breath. RC Aug 2013 #48
They can change their own policies in the time it takes lightning to flash, but Jackpine Radical Aug 2013 #41
More likely time to figure how to dump their insurance plans zeemike Aug 2013 #74
Did the population get time to... Half-Century Man Aug 2013 #85
I wouldn't give them the time. christx30 Aug 2013 #113
I guess three Duckhunter935 Aug 2013 #3
Is it my imagination or does enlightenment Aug 2013 #4
I couldn't agree more. Ed Suspicious Aug 2013 #7
You are quite correct. another_liberal Aug 2013 #10
Don''t worry the chaos will worsen Harmony Blue Aug 2013 #16
100% pure FUD. Heartless, cold, disgusting. nt tridim Aug 2013 #39
That's how it looks to me, too. City Lights Aug 2013 #13
The edited version does not make sense, either Kolesar Aug 2013 #26
nah it`s not your imagination madrchsod Aug 2013 #28
It's definitely not your imagination Yo_Mama Aug 2013 #42
That's Obama in a nutshell. Protect the 1% at all costs. forestpath Aug 2013 #57
You noticed. They keep finding new ways to screw us. chimpymustgo Aug 2013 #131
bad products do not elicit burnsei sensei Aug 2013 #135
I'm shocked, shocked I tell you hobbit709 Aug 2013 #5
Yep... awoke_in_2003 Aug 2013 #109
Need more time to figure out how to comply? djean111 Aug 2013 #6
Premiums, co-pays and deductibles are ALREADY going down in states that have implemented the ACA tridim Aug 2013 #9
Oh, yes, going down for now. djean111 Aug 2013 #15
And for those of us in red states, our premiums are going UPPPPPP.... AllyCat Aug 2013 #66
Actually I believe them that they need more time but cstanleytech Aug 2013 #20
Universal health care should have been the goal Harmony Blue Aug 2013 #8
30 million newly insured poor people been snookered? tridim Aug 2013 #11
This will be stripped away as well Harmony Blue Aug 2013 #12
No, it will not. Period. tridim Aug 2013 #21
The Obama Administration obviously can do as they wish Harmony Blue Aug 2013 #29
The HHS/ACA website is a good use of time Kolesar Aug 2013 #33
It's a delay, not non-enforcement. Relax. tridim Aug 2013 #35
The fact the Obama administration seems to feel uncompelled to implement the law they passed? Chan790 Aug 2013 #114
uh, the waivers? Doctor_J Aug 2013 #142
Making stuff up. former9thward Aug 2013 #53
You are 100% wrong. tridim Aug 2013 #89
If a person has no "disposable income", then unless the government covers 100% of the cost hughee99 Aug 2013 #139
These people have a mandate to buy insurance from the same old crooks dflprincess Aug 2013 #128
People tried. They threw them in jail. RC Aug 2013 #72
I didn't think it could get any worse than it already was Cal Carpenter Aug 2013 #14
I work for an insurance company.. tridim Aug 2013 #24
Oh, for pity's sake. enlightenment Aug 2013 #45
Do you want 30 million poor people to have insurance, or not? tridim Aug 2013 #84
I would like 50 million people to have access to enlightenment Aug 2013 #91
So would I. What's your point? tridim Aug 2013 #94
Conversations like this enlightenment Aug 2013 #105
Do you want a unicorn? Chan790 Aug 2013 #117
Which would you rather have. zeemike Aug 2013 #77
If I were running the company, I would take my share of the 30 million new customers... tridim Aug 2013 #82
Sorry but what it sounds like to me is. zeemike Aug 2013 #98
Make up your mind--is the law an abomination or is the problem geek tragedy Aug 2013 #143
No surprise here Puzzledtraveller Aug 2013 #18
I am not as cynical as some....... Swede Atlanta Aug 2013 #22
I would have bought coverage with deductibles > $2000/year Kolesar Aug 2013 #23
That's nice and I'm happy for you. Jackpine Radical Aug 2013 #44
Subsidies! Kolesar Aug 2013 #47
I believe the subsidies help with the premiums, not with the deductibles. Jackpine Radical Aug 2013 #51
What's the deductible for Medicaid patients? Kolesar Aug 2013 #52
I don't know, but even if there is none, Jackpine Radical Aug 2013 #56
slightly above that line gets one a 91% subsidy. Kolesar Aug 2013 #61
Sure, but what's the deductible? Jackpine Radical Aug 2013 #120
Look it up at the ACA website ... eom Kolesar Aug 2013 #129
I did. That was a rhetorical question. Jackpine Radical Aug 2013 #132
Then buy the silver plan or the gold plan...eom Kolesar Aug 2013 #141
A lien on personal property is what covers Medicaid expenses DJ13 Aug 2013 #65
so how is care "affordable" under the PPACA, if you can't afford to get sick? nt antigop Aug 2013 #25
Good point Harmony Blue Aug 2013 #32
Do you want the ACA repealed? tridim Aug 2013 #38
Insurance may be affordable. djean111 Aug 2013 #34
I changed the title -- PPACA---> AFFORDABLE CARE ACT. antigop Aug 2013 #36
So, repeal the ACA? tridim Aug 2013 #37
No, stimulation Kolesar Aug 2013 #54
I'll take that as a yes. tridim Aug 2013 #87
Huh? Kolesar Aug 2013 #95
Stop with the Sophie's choice. djean111 Aug 2013 #60
I'll take that as a yes. tridim Aug 2013 #86
oh noes!!!!!! djean111 Aug 2013 #100
Good question. historylovr Aug 2013 #59
+10 RC Aug 2013 #75
Silly DUer, INSURANCE will be affordable. Medical care, not so much. kestrel91316 Aug 2013 #73
for many the premiums will be unaffordable. Older people can be charged three times what a younger antigop Aug 2013 #88
I'm one of those "older people", so I am well aware. I qualify for a huge subsidy with my kestrel91316 Aug 2013 #107
can you get a teaching job or something -- something with healthcare? antigop Aug 2013 #108
A more relevant question that takes in yours is: burnsei sensei Aug 2013 #136
that's the problem I've had with the PPACA from day one. Medical bankruptcies will continue. antigop Aug 2013 #138
whittling it down, little by little. nt Javaman Aug 2013 #30
"businesses need more time to figure out how to comply with the new rules" - translation: Triana Aug 2013 #43
How so? Kolesar Aug 2013 #50
I'm sure they'll think of something. n/t Triana Aug 2013 #78
So WHO does Obama "care" about again? Because it certainly doesn't seem to be forestpath Aug 2013 #55
Here Kolesar Aug 2013 #64
Right-wing "news" sources cilla4progress Aug 2013 #67
Jesus Jumping Christ it's in the FUCKING FEDERAL REGISTER. Dreamer Tatum Aug 2013 #92
... cilla4progress Aug 2013 #119
NYT yesterday Skeeter Barnes Aug 2013 #97
Thanks. cilla4progress Aug 2013 #104
So, the question again...when do you think they will delay the refusal of pre-existing conditions? Safetykitten Aug 2013 #70
So now medical bankruptcies caused by lack of out-of-pocket kestrel91316 Aug 2013 #71
That's not what the article said Kolesar Aug 2013 #79
It seems to me they are trying to repeal all parts of the law that help THE PEOPLE loudsue Aug 2013 #76
"businesses" = corporate Obama and US government controllers. Is it funny yet? L0oniX Aug 2013 #81
They way things are going, I am beginning to wonder if Obama might repeal obamacare himself n2doc Aug 2013 #83
When do we get the affordable part? pediatricmedic Aug 2013 #90
wtf? "Businesses need more time...?" mike_c Aug 2013 #93
This Is Political Malpractice, Sir The Magistrate Aug 2013 #96
I agree Harmony Blue Aug 2013 #123
Since this part is delayed, so should the mandate be delayed TheProgressive Aug 2013 #99
Why am I not surprised area51 Aug 2013 #101
Sounds to me that they are pushing hard to delay implementation into 2016 in order to WCGreen Aug 2013 #103
wow the republicans can just sit back, obama will end up getting rid of obama care all by himself leftyohiolib Aug 2013 #106
It's really seeming like what he wanted was a sincere-looking effort and a failure... Chan790 Aug 2013 #118
...but the insurance companies have to return money of they make over 20% profit... Sancho Aug 2013 #112
A question for the ACA enthusiasts Jim Lane Aug 2013 #121
LOL Skittles Aug 2013 #122
starting to think Obamacare is a cruel joke /nt limpyhobbler Aug 2013 #125
what is left.. to rollback, other than the individual mandate? ..nt quadrature Aug 2013 #126
This is misleading in that a $2k deductible is the cap for an individual "silver" plan dflprincess Aug 2013 #127
Thanks for noting that...eom Kolesar Aug 2013 #130
As of this week, burnsei sensei Aug 2013 #133
It will not. You and I were sold to the insurance companies. The seller was The Democratic Party. Safetykitten Aug 2013 #137
We bought the tag lines, "access" Puzzledtraveller Aug 2013 #140
kick n/t area51 Aug 2013 #144
 

Scuba

(53,475 posts)
1. Medicare for All, including dental and optical. Everything else is just window dressing.
Tue Aug 13, 2013, 08:30 AM
Aug 2013

Or worse, evidence the R's will use to "prove" that government health care doesn't work.

Harmony Blue

(3,978 posts)
19. This is what I fear the most
Tue Aug 13, 2013, 09:10 AM
Aug 2013

if the idea sinks in that government can't help they set back the chance of Universal health care reform for a generation.

AtheistCrusader

(33,982 posts)
68. It was an observation.
Tue Aug 13, 2013, 10:28 AM
Aug 2013

An uncomfortable one that rings true. Excepting Medicare Part D/Prescription Drug Benefit, this issue WAS off the table for a decade, since the last president pushed it.

I don't think it unreasonable to fear it might happen again. (And that poster is clearly concerned, not cheering the fact. Nor a concern troll)

 

jtuck004

(15,882 posts)
102. If? We have a couple generations who have been awash in the idea that the
Tue Aug 13, 2013, 12:13 PM
Aug 2013

government is an adversary, to be gotten rid of, instead of something we use to help ourselves.

And we are gonna have a hell of a time putting that genie back in the bottle.

 

RC

(25,592 posts)
46. Never mind government health care works jut fine in the rest of the world.
Tue Aug 13, 2013, 09:51 AM
Aug 2013

For some reason the laws of physics are different in this country, than the rest of the universe.

 

DeSwiss

(27,137 posts)
69. ''Everything else is just window dressing.''
Tue Aug 13, 2013, 10:37 AM
Aug 2013
- Exactly. That's what it is. All of it. In spades.

Half-Century Man

(5,279 posts)
80. Only if "window dressing" equals evil for profit
Tue Aug 13, 2013, 11:20 AM
Aug 2013

Full universal health care, al la military style health care, is the only acceptable solution. Everything else is simply stones in the road to real health care.

Freddie Stubbs

(29,853 posts)
110. How would that effect the solvency of Medicare?
Tue Aug 13, 2013, 02:54 PM
Aug 2013

The current system is funded by future beneficiaries. If everyone is a beneficiary, who pays?

 

Scuba

(53,475 posts)
111. Tax the wealthy a little more ...
Tue Aug 13, 2013, 03:13 PM
Aug 2013

... cut the military a whole bunch.

We have plenty of money. It's all about priorities.

wordpix

(18,652 posts)
116. Tax the super wealthy a LOT more
Tue Aug 13, 2013, 03:59 PM
Aug 2013

They will need more business expenses for tax deductions if the gov does that and will therefore hire more people, thus creating jobs and large clamor for infrastructure projects.

 

ConcernedCanuk

(13,509 posts)
124. Good idea, but will never happen in the USA unless the "peasants" revolt.
Tue Aug 13, 2013, 10:23 PM
Aug 2013

.
.
.

Tax the Wealthy?

Cut the Military?

Wealthy and Military run the USA . . .

You already know that . .

CC

wordpix

(18,652 posts)
115. +1000, O-care is proving to be R-care; R for Repug and Repeal
Tue Aug 13, 2013, 03:57 PM
Aug 2013

poor corporations cannot figure out how the caps work so they need another year, and another and another

Eric J in MN

(35,619 posts)
2. "businesses need more time to figure out how to comply"
Tue Aug 13, 2013, 08:31 AM
Aug 2013

It doesn't seem very complicated. The insurance companies needs to pay the bills in excess of that, and voila, compliance.

atreides1

(16,067 posts)
31. I'd give them until the end of the year
Tue Aug 13, 2013, 09:26 AM
Aug 2013

They've had time, what they were hoping for was a repeal of the law...and it might very well get repealed before implementation in 2015!

The president needs to tell them in a very public manner that they have had the time and now they have until December 31st to get it together!

 

RC

(25,592 posts)
48. Don't be holding your breath.
Tue Aug 13, 2013, 09:52 AM
Aug 2013
The president needs to tell them in a very public manner that they have had the time and now they have until December 31st to get it together!

Jackpine Radical

(45,274 posts)
41. They can change their own policies in the time it takes lightning to flash, but
Tue Aug 13, 2013, 09:40 AM
Aug 2013

4 years warning, on a %^$# bill they themselves wrote a lot of, and they need more time.

The caps are exactly the kind of provision that helps the insured, and are among the FIRST things that should be implemented to bring relief to the public.

But, I guess when you dance with the Devil, he gets to call the tune.

zeemike

(18,998 posts)
74. More likely time to figure how to dump their insurance plans
Tue Aug 13, 2013, 10:55 AM
Aug 2013

And tell their employees to get their own insurance now that we have exchanges.
Because that is what they want, and probably what they will get.

Half-Century Man

(5,279 posts)
85. Did the population get time to...
Tue Aug 13, 2013, 11:27 AM
Aug 2013

...figure out how to comply to the 55 mph speed limit in the 70s? To figure out the ever escalating severity of the war on drugs?

just deal with it.

christx30

(6,241 posts)
113. I wouldn't give them the time.
Tue Aug 13, 2013, 03:36 PM
Aug 2013

The law is the law. Force them to comply, or fine them and fire everyone. People and companies don't have the right to do what's best for themselves.
Comply or die.

enlightenment

(8,830 posts)
4. Is it my imagination or does
Tue Aug 13, 2013, 08:33 AM
Aug 2013

it seem like the only things that are being waived are those that protect businesses and the insurance companies?

What makes them think that people are going to be beating the doors down to buy individual coverage when they are slowly whittling away the things that make the mandate palatable? How about waiving the mandate until the businesses and insurance companies are in compliance, because this is starting to look like a one-way street.

edited for spelling

 

another_liberal

(8,821 posts)
10. You are quite correct.
Tue Aug 13, 2013, 08:47 AM
Aug 2013

Last edited Tue Aug 13, 2013, 01:37 PM - Edit history (1)

What you suggest would seem fair, if companies get a break why should we have to hold up our end of what was a fairly lopsided deal to begin with, and yes, rather one-sided as well.

Kolesar

(31,182 posts)
26. The edited version does not make sense, either
Tue Aug 13, 2013, 09:19 AM
Aug 2013

Why delay the mandate? I don't see what that has to do with "deductibles".

madrchsod

(58,162 posts)
28. nah it`s not your imagination
Tue Aug 13, 2013, 09:23 AM
Aug 2013

it`s that creeping feeling that you know something is`t quite right.

i`d say you pretty much sum up what is happening

Yo_Mama

(8,303 posts)
42. It's definitely not your imagination
Tue Aug 13, 2013, 09:40 AM
Aug 2013

DEFINITELY NOT.

All of this, of course, is a crushing blow to individuals who have health problems and will have been waiting four years for what they have been promised, and aren't going to be getting it.

And here I'll go a little further. I am a computer programmer and a financial systems designer. If you want to monitor this sort of thing, you establish a central database and simply update it at the end of each day. This is not rocket science, and it would be a strikingly dumb programmer who couldn't get this done in a week.

So I don't believe claims about the technical difficulties.

burnsei sensei

(1,820 posts)
135. bad products do not elicit
Wed Aug 14, 2013, 09:08 AM
Aug 2013

much consumer interest.
I suppose that's a lesson the insurance companies and the denizens of AHIP will have to learn the hard way.

 

djean111

(14,255 posts)
6. Need more time to figure out how to comply?
Tue Aug 13, 2013, 08:37 AM
Aug 2013

Bullshit.
Basically, the only part of the ACA that will be left, after a year or two, will be the requirement to buy health insurance.
The premiums and co-pays and deductibles will just keep going up.

tridim

(45,358 posts)
9. Premiums, co-pays and deductibles are ALREADY going down in states that have implemented the ACA
Tue Aug 13, 2013, 08:45 AM
Aug 2013

As per the law.

The ACA is not going away, it will only get better. Your FUD-ish prediction is pretty much straight up BS.

 

djean111

(14,255 posts)
15. Oh, yes, going down for now.
Tue Aug 13, 2013, 08:58 AM
Aug 2013

As soon as more requirements are waived, it will be quite easy to work around that 80% or 85% rule.
I think insurance companies are just waiting to see what else will get waived. Co-pays and caps are just easily changed table entries. What the insurance companies are doing is looking at their bottom lines with the caps and digging in their heels.
I would like to be wrong - the only good thing I see is that single payer might be hastened because insurance companies just cannot imagine anything but steadily growing profit at the expense of granting health care. After the first flush of money coming in from new policyholders, they will want to keep the same amount and more of profit increasing every quarter. And now they will get taxpayer money in subsidies, guaranteed.

AllyCat

(16,152 posts)
66. And for those of us in red states, our premiums are going UPPPPPP....
Tue Aug 13, 2013, 10:26 AM
Aug 2013

with no hope of relief now. My premiums are set to go up 10% in just a few short months unless we can bargain a better contract with management that won't bargain. Wisconsin has been royally f*cked by Walker. And this is why we need universal, single-payer or some other non-profit system. ACA was only meant to help us a little and the corporations don't even want THAT little bit.

cstanleytech

(26,251 posts)
20. Actually I believe them that they need more time but
Tue Aug 13, 2013, 09:13 AM
Aug 2013

I also believe its their own fault because I will lay you odds that they were more focused on fighting the program and or trying to find loopholes to evade it than they were in implementing it.

Harmony Blue

(3,978 posts)
8. Universal health care should have been the goal
Tue Aug 13, 2013, 08:43 AM
Aug 2013

for those that supported this frankenstein attempt at healthcare reform...you have been snookered once again.

tridim

(45,358 posts)
11. 30 million newly insured poor people been snookered?
Tue Aug 13, 2013, 08:48 AM
Aug 2013

That's pretty freaking cold dude.

These people have affordable health care for the first time in their lives, and you can't fucking stand it. Pathetic.

Harmony Blue

(3,978 posts)
29. The Obama Administration obviously can do as they wish
Tue Aug 13, 2013, 09:23 AM
Aug 2013

as to which portions of the law can be enforced.

No different than the CWA or CAA. Give it enough time and the deal will become lopsided. I will let the audience decide which participant is left standing with a bag and a hole at the bottom of it.

The Clean Air Act and Clean Water Act had delays as well, but the reasons were very real.

tridim

(45,358 posts)
35. It's a delay, not non-enforcement. Relax.
Tue Aug 13, 2013, 09:33 AM
Aug 2013

All of our country's major social programs have had growing pains. Not because they are inherently flawed, but because half of the country is regressive.

 

Chan790

(20,176 posts)
114. The fact the Obama administration seems to feel uncompelled to implement the law they passed?
Tue Aug 13, 2013, 03:56 PM
Aug 2013

They're fast running out of things to exempt or rollback before healthcare under ACA is what healthcare was before ACA. Rollbacks just give the GOP another 2 years to attempt to repeal or turn-back the law before it's fully implemented.

No rollbacks should have been permitted of any section of the law, except by act of both houses of Congress. The dates specified in the law should have been enforced as written. It's really starting to seem like the Obama administration didn't want to actually pass anything...but to have the proposal that became the ACA be rejected so Obama could go back to the voters in 2012 and say "Well, I tried." Once it passed, the WH knew they screwed the only constituency they really ever wanted: big business.

A law unenforced, rolled-back, under constant threat of repeal or ignored is no law at-all. They passed ACA with specific provisions and dates, they should live with what they passed.

hughee99

(16,113 posts)
139. If a person has no "disposable income", then unless the government covers 100% of the cost
Wed Aug 14, 2013, 12:08 PM
Aug 2013

AND the co-pays, they might still be mandating insurance that one can't afford. There's a cost to buying the bronze plan that only covers certain things, and then there's another cost for deductibles and co-pays that one still might not be able to afford, preventing them from USING the health care they paid for.

dflprincess

(28,072 posts)
128. These people have a mandate to buy insurance from the same old crooks
Tue Aug 13, 2013, 11:29 PM
Aug 2013

There is nothing in the bill that guarantees access to care.

Cal Carpenter

(4,959 posts)
14. I didn't think it could get any worse than it already was
Tue Aug 13, 2013, 08:58 AM
Aug 2013

as it was written and passed.

And yet, here we are, yet another delay on behalf of the insurance cos and businesses.

tridim

(45,358 posts)
24. I work for an insurance company..
Tue Aug 13, 2013, 09:18 AM
Aug 2013

Where "Obamacare" is a four letter word. They can't stand the 80/20 law.

You are completely WRONG.

I guess you're just another one of those people who can't stand to see 30 million poor people getting affordable health care for the first time in their lives.

enlightenment

(8,830 posts)
45. Oh, for pity's sake.
Tue Aug 13, 2013, 09:49 AM
Aug 2013

Get over yourself.

This constant "you people are just haters" crap is so old it's growing mold. You are not going to be able to shut down the conversation, tridim - no matter how hard you try.

tridim

(45,358 posts)
84. Do you want 30 million poor people to have insurance, or not?
Tue Aug 13, 2013, 11:26 AM
Aug 2013

It's an easy question.

Like The President, my answer is yes.

enlightenment

(8,830 posts)
91. I would like 50 million people to have access to
Tue Aug 13, 2013, 11:31 AM
Aug 2013

health CARE.

Your strawman is looking a bit ragged; you use it far too much.

tridim

(45,358 posts)
94. So would I. What's your point?
Tue Aug 13, 2013, 11:35 AM
Aug 2013

The 30 million number is a fact, not a strawman.

I can use it 30 million times and it'll still be a fact. Sorry pal.

enlightenment

(8,830 posts)
105. Conversations like this
Tue Aug 13, 2013, 01:10 PM
Aug 2013

make me understand why so many on DU simply revert to that rolling eye smilie.

Deliberate obfuscation doesn't make you sound smart, but keep on riding that one-trick pony of yours. It suits you.

 

Chan790

(20,176 posts)
117. Do you want a unicorn?
Tue Aug 13, 2013, 04:00 PM
Aug 2013

I'd argue that with the constant rollbacks, as one of that 30M...it's probable that most of them will still not have any meaningful insurance until the law is fully-implemented...or never.

Since I expect rollbacks on the tail of the current rollbacks, with additional rollbacks in the interregnum that we're looking at never.

zeemike

(18,998 posts)
77. Which would you rather have.
Tue Aug 13, 2013, 11:06 AM
Aug 2013

30% of a million people or 20 % of 10 million people that were compelled to buy your product?
Besides that is all in the accounting process, and that can be manipulated so easly...and that 4 letter word is Boom.

tridim

(45,358 posts)
82. If I were running the company, I would take my share of the 30 million new customers...
Tue Aug 13, 2013, 11:24 AM
Aug 2013

By making damn sure we get a spot in the exchange. However, management would rather take a hit and maintain their anti-Obama(care) ideology than gain the new revenue. It's one of the most stupid things I've ever witnessed in business.

Meanwhile, my individual insurance premiums are dropping like a rock because the provider is following the law, and taking the perks. The 80/20 law is working incredibly well.

zeemike

(18,998 posts)
98. Sorry but what it sounds like to me is.
Tue Aug 13, 2013, 11:54 AM
Aug 2013

Please Brear Fox don't through us in that brier patch.

That because the insurance industry had the money and lobbying ability to stop the ACA but did not do it...they let it get by and were crying that is was going to be bad for them, so that we would think it was good for us...and would accept the mandate to buy their products.

 

Swede Atlanta

(3,596 posts)
22. I am not as cynical as some.......
Tue Aug 13, 2013, 09:15 AM
Aug 2013

It does seem this should not be complex and they have known about this for 3 years.

But I always expected that implementation of the ACA would encounter some bumps in the road, some delays, etc.

I don't like the delay but if we are slowly inching forward it is better than nothing. I would prefer single payer but that isn't going to happen anytime soon.

Kolesar

(31,182 posts)
23. I would have bought coverage with deductibles > $2000/year
Tue Aug 13, 2013, 09:16 AM
Aug 2013

I would not be financially ruined if I had to cover $2000 of medical expenses. Our mortgage is paid off and our finances are in order.

Jackpine Radical

(45,274 posts)
44. That's nice and I'm happy for you.
Tue Aug 13, 2013, 09:45 AM
Aug 2013

Now let's talk about the people who can't afford the $2k and won't get needed health care as a result.

Kolesar

(31,182 posts)
52. What's the deductible for Medicaid patients?
Tue Aug 13, 2013, 09:56 AM
Aug 2013

He who would have used Medicaid in my family is dead, so I quit looking into it and don't know the deductible. There is Medicaid for quite poor and disabled people. What is their deductible?

Jackpine Radical

(45,274 posts)
56. I don't know, but even if there is none,
Tue Aug 13, 2013, 10:00 AM
Aug 2013

then Medicaid recipients may not have to pay, but everyone even slightly above that line will, and in many states (e.g. Wisconsin), they're finding ways to exclude more & more people from eligibility. I think that Walker managed to kick something like 50,000 people off the Medical Assistance/Badgercare rolls.

Kolesar

(31,182 posts)
61. slightly above that line gets one a 91% subsidy.
Tue Aug 13, 2013, 10:10 AM
Aug 2013

A $30,000 income gets one insurance for $2,512 per year and a $500 tax credit/subsidy.
http://kff.org/interactive/subsidy-calculator/

Jackpine Radical

(45,274 posts)
132. I did. That was a rhetorical question.
Wed Aug 14, 2013, 08:56 AM
Aug 2013

For the Bronze plan, depending on things like the size of your family & whether you smoke, it gets into the thousands, with a pretty lousy copay along with it.

 

djean111

(14,255 posts)
34. Insurance may be affordable.
Tue Aug 13, 2013, 09:27 AM
Aug 2013

Affordable insurance is not the same thing as affordable health care.

antigop

(12,778 posts)
36. I changed the title -- PPACA---> AFFORDABLE CARE ACT.
Tue Aug 13, 2013, 09:34 AM
Aug 2013

How can health care be "affordable" if you can't afford to get sick?

 

djean111

(14,255 posts)
60. Stop with the Sophie's choice.
Tue Aug 13, 2013, 10:04 AM
Aug 2013

Evidently it is not the ACA or nothing for the insurance companies.

historylovr

(1,557 posts)
59. Good question.
Tue Aug 13, 2013, 10:02 AM
Aug 2013

If you can barely afford the insurance on top of your other expenses, how can you afford to actually see a doctor? Obviously you can't. But Affordable Care Act sounds a lot better than Mandatory Health Insurance Act, you know, for PR purposes.

 

RC

(25,592 posts)
75. +10
Tue Aug 13, 2013, 10:58 AM
Aug 2013

Without Single Payer, Universal Health Care and cutting out the parasitic middleman, Obamacare, ACA or whatever it ends up being called, will decay into another version of unlimited profits for the health insurance companies. It is already starting.

 

kestrel91316

(51,666 posts)
73. Silly DUer, INSURANCE will be affordable. Medical care, not so much.
Tue Aug 13, 2013, 10:53 AM
Aug 2013

This puts me right back in the same position I was in, except for the preventive and screening coverage. If I get sick or injured, I'll still be bankrupted because.....................

IT'S THE DEDUCTIBLES AND CO-PAYS, STUPID!

antigop

(12,778 posts)
88. for many the premiums will be unaffordable. Older people can be charged three times what a younger
Tue Aug 13, 2013, 11:28 AM
Aug 2013

person is charged. Take a look at what an empty nester couple, age 55-64, that makes just above the 400% FPL has to pay in premiums.

400% FPL for a couple really isn't living high on the hog, especially in a state like CA or NY.

Same goes for an older single person making just above 400% FPL.

 

kestrel91316

(51,666 posts)
107. I'm one of those "older people", so I am well aware. I qualify for a huge subsidy with my
Tue Aug 13, 2013, 01:42 PM
Aug 2013

greatly diminished self-employment income in recent years, thanks to the ongoing Great Recession in CA. And of course we have the highest medical insurance rates in the country right where I live.

About the only benefit I'll get from the ACA is the screening and prevention care. Like I said, if I get sick or injured, it may very well bankrupt me. I walk and bike carefully, lol, and eat like a vegan. Prevention is EVERYTHING to me.

antigop

(12,778 posts)
108. can you get a teaching job or something -- something with healthcare?
Tue Aug 13, 2013, 01:52 PM
Aug 2013

I know--you shouldn't have to do this. But it literally is a matter of life and death.

Best of luck to you, kestrel. All of us are one job loss away from being in the same boat.

antigop

(12,778 posts)
138. that's the problem I've had with the PPACA from day one. Medical bankruptcies will continue.
Wed Aug 14, 2013, 11:19 AM
Aug 2013

And people won't get the care they need because they can't afford it.

Surely we can do better than this as a society.

 

Triana

(22,666 posts)
43. "businesses need more time to figure out how to comply with the new rules" - translation:
Tue Aug 13, 2013, 09:42 AM
Aug 2013

"Insurance companies need more time to figure out how to get around the new rules" - or some variation thereof.

Kolesar

(31,182 posts)
50. How so?
Tue Aug 13, 2013, 09:54 AM
Aug 2013

Businesses had been offering high deductible insurance policies and must end them. How does your analysis work?

 

forestpath

(3,102 posts)
55. So WHO does Obama "care" about again? Because it certainly doesn't seem to be
Tue Aug 13, 2013, 10:00 AM
Aug 2013

people who need health insurance.

Dreamer Tatum

(10,926 posts)
92. Jesus Jumping Christ it's in the FUCKING FEDERAL REGISTER.
Tue Aug 13, 2013, 11:32 AM
Aug 2013

Is THAT a "right wing" news source?

Does ANY news you don't like come from "right wing" news sources? Would the fact that you don't like it suddenly MAKE it a "right wing" news source?

Grow UP.

 

Safetykitten

(5,162 posts)
70. So, the question again...when do you think they will delay the refusal of pre-existing conditions?
Tue Aug 13, 2013, 10:39 AM
Aug 2013

More passes and delays....

 

kestrel91316

(51,666 posts)
71. So now medical bankruptcies caused by lack of out-of-pocket
Tue Aug 13, 2013, 10:50 AM
Aug 2013

caps and lifetime limit coverage cut-offs will continue unabated.

Fuck this shit. May as well not have the law at all now.

loudsue

(14,087 posts)
76. It seems to me they are trying to repeal all parts of the law that help THE PEOPLE
Tue Aug 13, 2013, 11:00 AM
Aug 2013

and enforce all parts of the law that help insurance companies.

More in line with the corporate rule we are now under.

 

L0oniX

(31,493 posts)
81. "businesses" = corporate Obama and US government controllers. Is it funny yet?
Tue Aug 13, 2013, 11:22 AM
Aug 2013

ACA will be just another way to forcefully extract money for your life. No cap on co-pays? Oh wow geeze ...can you guess what that co-pay % will be? I can. Hmmmm "deductibles were to be limited to $2,000 per year" So uhmmm at least $2000 in co-pays ....well gee I can get insured for $400 a month with a $5000 yearly deductible. Problem is that I don't make make enough money to pay that nor enough to pay $2000 for an ACA deductible. If that is the deductible then I can imagine what the premium will be or can't I? Now they will delay that for another year so what happens in the mean time? I guess the IRS will be taking ACA out of my $274 a week take home pay and then let me worry about deductibles later.

Oh yea ...isn't that what insurance is all about? Take your money and not pay out? Unless you also pay for the lawyer to try to force them to pay? I don't believe or think ACA is going to allow you to use a lawyer to force them to help you.

Not only did Baucus and Obama take single payer off the table, now it's getting even farther whittled away ...and it's temporary right? Well we can't be having corporations be unprepared for ACA ...while everyone else has to be prepared to start paying in 2014?

Are they also delaying the IRS forced ACA deduction from my paycheck in 2014?

Boy oh boy ...I just can't wait for the next center right POTUS candidate telling us they will fix all this ...by compromising with the GOP enemy.

Hey ...I don't sound too pessimistic do I?


n2doc

(47,953 posts)
83. They way things are going, I am beginning to wonder if Obama might repeal obamacare himself
Tue Aug 13, 2013, 11:25 AM
Aug 2013

Or at least, those provisions the HC and insurance industry don't like. Maybe the Repubs will get their dream after all.

pediatricmedic

(397 posts)
90. When do we get the affordable part?
Tue Aug 13, 2013, 11:31 AM
Aug 2013

I work in health care and can honestly say people need affordable coverage. About 70% of what I do now is for free because people can not pay, they simply don't have the means. This delay really sounds like they are trying to figure out how to shift the burden to the individual or family that already can't afford it.


The system is fubar'd.

mike_c

(36,270 posts)
93. wtf? "Businesses need more time...?"
Tue Aug 13, 2013, 11:34 AM
Aug 2013

How many Americans will die or lose their livelihoods while we're accommodating "businesses?" I'm so fucking tired of leadership that puts "business" before people, the environment, etc.

The Magistrate

(95,243 posts)
96. This Is Political Malpractice, Sir
Tue Aug 13, 2013, 11:36 AM
Aug 2013

The limit on deductibles and the barring of lifetime caps are the chief attractions of the law, and essential to its gaining popular footing.

The companies can pound sand and eat losses....

Harmony Blue

(3,978 posts)
123. I agree
Tue Aug 13, 2013, 10:08 PM
Aug 2013

anytime policy is put in place it is expected delays would happen. I can't think of a single policy that didn't encounter delays (especially environmental policies). However, I too believe this is an integral part of this policy that would swing public opinion positively. However, without this key portion of the law not being enforced on an earlier date the ACA is starting to lose steam before it even is showcased.

 

TheProgressive

(1,656 posts)
99. Since this part is delayed, so should the mandate be delayed
Tue Aug 13, 2013, 12:03 PM
Aug 2013

People are mandated to have insurance, yet are receiving a
lesser promised product...

area51

(11,897 posts)
101. Why am I not surprised
Tue Aug 13, 2013, 12:08 PM
Aug 2013

that the waivers are all benefiting corps, not people?

And GingrichCare won't stop the following travesty from happening, which single-payer would have stopped from happening:

Woman hit with a $54k bill for snake bite treatment:
Today Show video link


WCGreen

(45,558 posts)
103. Sounds to me that they are pushing hard to delay implementation into 2016 in order to
Tue Aug 13, 2013, 12:14 PM
Aug 2013

hope the public will sour just in time for a GOP president takes over and guts the program...

 

Chan790

(20,176 posts)
118. It's really seeming like what he wanted was a sincere-looking effort and a failure...
Tue Aug 13, 2013, 04:02 PM
Aug 2013

so he could go back to the voters and say "I tried" and run on it again in 2012.

When it passed, it was a serious "Oh shit!" moment. A policy they never really wanted but wanted to appear to be pursuing.

Sancho

(9,067 posts)
112. ...but the insurance companies have to return money of they make over 20% profit...
Tue Aug 13, 2013, 03:22 PM
Aug 2013

so this is not a way for the companies to rip off everyone...

 

Jim Lane

(11,175 posts)
121. A question for the ACA enthusiasts
Tue Aug 13, 2013, 07:02 PM
Aug 2013

I had the same reaction as TheProgressive (in #99): It seems that some of the patient protections are being delayed but the mandate will still kick in.

Does that mean that I will be compelled to buy insurance, but the for-profit health insurers will be allowed to set high co-pays and deductibles, making their product much less valuable to me, but I'll be forced to buy it anyway?

OK, I'm not forced to buy it, because I can always choose to pay the fine or surtax or whatever it's called. Depending on how the health insurers react to this latest modification, paying the fine might be the rational choice. If the fine is significantly less than the premiums I would pay, I'd have some money left over to buy actual health care, which crappy insurance might not provide to me.

I had previously thought that the worst-case scenario was that I'd essentially be buying catastrophic coverage. IOW, I'd get no value for my insurance premiums except that I'd be covered against major accident or illness that would generate a six-figure bill. If the insurers can impose a lifetime cap, though, I might not even get that.

dflprincess

(28,072 posts)
127. This is misleading in that a $2k deductible is the cap for an individual "silver" plan
Tue Aug 13, 2013, 11:19 PM
Aug 2013

The allowable deductible for a "bronze" plan is $6350... double that for a family.

burnsei sensei

(1,820 posts)
133. As of this week,
Wed Aug 14, 2013, 09:06 AM
Aug 2013

my husband, who suffers from clinical depression, was compelled to co-pay three-hundred dollars for one prescription and eighty-three for another.
He is on Medicare, and in a supplemental HMO.
It is possible that he is in the doughnut hole.
So, when does this circus end?

 

Safetykitten

(5,162 posts)
137. It will not. You and I were sold to the insurance companies. The seller was The Democratic Party.
Wed Aug 14, 2013, 10:15 AM
Aug 2013

We went cheap. We were a bargain. We will have them on our backs for the rest of our lives.

Puzzledtraveller

(5,937 posts)
140. We bought the tag lines, "access"
Wed Aug 14, 2013, 12:15 PM
Aug 2013

Technically we have always had access, but unless you got it through an employer or were considerably well off to purchase your own you went without, even then the costs could be astronomical for those who had it and certain bankruptcy for those who didn't. Access. A kid has access to a cookie jar kept on top of the refrigerator if he can only reach that high. Costs? We see what the story is now. It was touted this has to be good because the insurance companies hate it, WRONG. They wrote it. Even in places where medicaid will be expanded there will be those who will fall between being eligible for their states medicaid and the subsidies to purchase on the exchange. I predict they will have nothing, just the hit on their taxes that most cannot afford as they depend on those refunds. I've been a medicaid case worker for four years. I am only speaking for myself and not as an authority. Many of us just wanted the "win" the goal. No regard or concern to what was in the law and those who questioned it were ripped for it and still are.

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