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But how will we pay for all those expanded insurance subsidies?!? https://twitter.com/ab_ibarra/status/1242160479193026560
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Mar 25, 2020 00:21
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Willa Rogers posted:Hurrah, today's the 10th anniversary of the ACA being signed into law! Where's my dnd peeps who are celebrating? No, millions of Americans risk dying because the meh half-measure we did have has been dismantled by Republicans and left people with even less. Strong work looking like you're cheering these deaths as an I told you so.
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Mar 25, 2020 14:26
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An effect of the stimulus legislation now before Congress will be that the beefed-up unemployment-comp benefits will result in recipients making more than the woefully low expanded-Medicaid threshold, and thus having to purchase private, narrow-network marketplace plans if they want or need insurance. There were murmurs of the legislation tackling surprise billing; is that clause still contained in the Senate plan?
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Mar 25, 2020 17:11
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tetrapyloctomy posted:No, millions of Americans risk dying because the meh half-measure we did have has been dismantled by Republicans and left people with even less. Strong work looking like you're cheering these deaths as an I told you so. "Don't put your hand on that hot stove you will get burned" *Neolib hand smacks palmfirst onto the burner* "Strong work looking like you're cheering on my charred flesh as an I told you so!"
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Mar 25, 2020 17:31
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VitalSigns posted:"Don't put your hand on that hot stove you will get burned" I don't believe anyone in here thought the PP-ACA was great, or even good. But to blame it and Democrats for the situation we're in rather than on the people who dismantled the small protections it did offer (as well as necessary healthcare infrastructure) is laughably dumb, and taking victory laps because people are dying is gross regardless of the veracity of the claim. But whatever, you guys keep feeling smart online while my coworker and I figure out our plan in our small ED that only has three ventilators and three negative pressure rooms because Republicans in our state legislature keep cutting aid both to the hospital system as well as our underserved catchment area.
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Mar 26, 2020 09:12
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Ah, yes: It was those dastardly republicans who thought it was perfectly fine for people making $30k/year to spend up to half of their net income on out-of-pocket costs. It was the dastardly republicans who wrote into the bill that deductibles could rise with inflation, but expanded Medicaid didn't. It was those dastardly republicans who made a "drafting error" (read: lovely pay-go rules) that aged out the silver-level cost-sharing subsidies. And it was those dastardly republicans who killed the public option in the (dem-controlled) Senate Finance Committee and voted down Dorgan's amendments to control drug-pricing after the republican president, in 2009, made backroom deals with PhRMA and the AHA. If only we'd had a democratic president + dem-majority congress back when the ACA was drafted! Sorry your state sucks, Tetra, but plenty of us have lived in blue states that have decimated public-health funding too; as republican president Obama said in 2009, 2010, 2011 and 2012, government had to live "within its means" even if it meant cutting low-income heating & social security and deferring Medicare to age 67.
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Mar 26, 2020 23:00
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Willa Rogers posted:An effect of the stimulus legislation now before Congress will be that the beefed-up unemployment-comp benefits will result in recipients making more than the woefully low expanded-Medicaid threshold, and thus having to purchase private, narrow-network marketplace plans if they want or need insurance. I was wondering about how the unemployment worked with medicaid - is medicaid done on a month by month actual earnings basis or what? I know that going under the 138% FPL line on ACA isn't a problem and you won't be punished, but what happens if you underestimate earnings, get put on medicaid, then make too much - when is the 'too much' counted?
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Mar 27, 2020 15:11
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mastershakeman posted:I was wondering about how the unemployment worked with medicaid - is medicaid done on a month by month actual earnings basis or what? I know that going under the 138% FPL line on ACA isn't a problem and you won't be punished, but what happens if you underestimate earnings, get put on medicaid, then make too much - when is the 'too much' counted? Technically, eligibility is determined on a month-by-month basis at the state level, but state agencies are rarely agile (ie: staffed) enough to process claims that quickly. I was on Medicaid for all of 2018 and most of 2019, but around Q3 of 2019 I started earning more than the expanded-Medicaid threshold so I tried to research it. I couldn't find any info as to whether I'd be dinged at tax time, or told by the state to repay my Medicaid premiums, beyond: 1. If you've used Medicaid for medical services and you're above the threshold by the end of the year the state (IL, at least) can require you to repay the state for those medical costs. (Just what someone earning the princely sum of $20k can afford, on top of some lovely bronze plan with an $8k annual dedictible, right?) 2. If you're still accruing medical costs after you've terminated Medicaid bc of earning too much money, some states (including IL) have "spend-down" provisions that you can count against your income in order to re-qualify for Medicaid. eg: You start a job making $24k/year, or $2,000/month, but you spend $500 in a month toward medical care out-of-pocket expenses. Medicaid will cover those expenses. (edit: for that month only, lol.) It's a lovely threshold, and lovely bureaucracy, and you're left with lovely choices for employer-provided or individual insurance. I ended up filing a change-of-income form on IL's abe site in 9/2019, then a DHS staffer called me to explain that I was earning too much for Medicaid (duh!). On Nov. 30 I received a letter that my Medicaid was terminated as of 12/1/19, and since I was Medicare-eligible as of 1/1/20 I just went naked on insurance for November. I'm really surprised (not really) that the newly passed stim bill elided over insurance/Medicaid coverage but if I were someone who's been laid off I'd just apply for Medicaid and worry about the repayment deets later. Ain't no one gonna go be tested or treated for covid19 or anything else looking down the barrel of some crappy ACA plan with an $8,000/year deductible, even with the congressional assurances that "testing is free."
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Mar 31, 2020 02:43
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From KFF's survey on employer-provided health insurance this past December: This is particularly notable since employer-provided insurance has been lauded as the wonderful insurance that no one wants to give up in exchange for Medicare-for-All. Willa Rogers fucked around with this message at 02:49 on Mar 31, 2020 |
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Mar 31, 2020 02:46
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Cause them people dumb as poo poo or had employer insurance when it was actually good.
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Apr 1, 2020 17:16
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Employer insurance has never been good. It’s always been a crapshoot that’ll screw you over in creative ways if you actually need to use it. And then if you have serious problems, you lose it when you lose your job! AND, prior to the ACA that would often trigger pre-existing-condition clauses, meaning your condition would never be covered again. Some people get lucky and haven’t needed it or manage to avoid all the surprise billing/restricted network/unclear coverage/deductible timing minefields.
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Apr 1, 2020 18:47
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So everyone now has access to affordable healthcare, right? Just checking, since the thread's been dead for four months.
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Aug 25, 2020 04:15
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Nah, the people who didn't are all dead now too. 
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Aug 25, 2020 04:18
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Not exactly been any news. None of the current candidates really give a poo poo 
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Aug 25, 2020 05:11
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Willa Rogers posted:So everyone now has access to affordable healthcare, right? I'm glad you're still around
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Aug 25, 2020 14:06
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Willa Rogers posted:So everyone now has access to affordable healthcare, right? I literally think every day about moving back to Canada or Britain. I don't like living in the US, but I wouldn't like living in the UK or Canada again either - I just think that I would have better access to health care.
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Aug 25, 2020 16:30
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My family informed me that my grandfather's prostate cancer came back after 10 years. Scans showed spread, but small. Was supposed to start radiation, insurance delayed for a month and now its in his lungs and he has weeks. COOL COOL gently caress INSURANCE.
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Oct 2, 2020 15:32
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Have you seen my apex seals? I seem to have lost them.
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Yeah I pay about 10k a year for company family health insurance, and its a HSA high deductible plan that I've gotta sink 12k in first before they start coverage. The one year I said gently caress it and put the 10k in a savings account instead my son cut his hand and the surgery/stiches emptied that out and put me 24k in the hole. The sad part is it doesn't really change much because I couldn't afford care in either scenario...
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Oct 2, 2020 15:58
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I have VA healthcare and everyone should have my healthcare at a bare minimum. I see the doctor whenever I want. All of my drugs I can either pick up or get mailed to me. I have no copay, deductible, or out of pocket expenses whatsoever. I never have to worry about something being covered or finding a doctor that takes my insurance. Every time I talk to a friend or family member that has to deal with our healthcare system I get frustrated because it doesn't have to be that way.
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Oct 2, 2020 17:07
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Aeka 2.0 posted:My family informed me that my grandfather's prostate cancer came back after 10 years. Scans showed spread, but small. Was supposed to start radiation, insurance delayed for a month and now its in his lungs and he has weeks. I just wanted to express my deepest condolences as I am very close to my grandfather. He is also a prostate cancer survivor and, despite every attempt to destroy it, the NHS in Britain has kept it under control and him alive 99 years. I can only say that I feel your pain.
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Oct 2, 2020 21:58
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Mr. Nice! posted:I have VA healthcare and everyone should have my healthcare at a bare minimum. I see the doctor whenever I want. All of my drugs I can either pick up or get mailed to me. I have no copay, deductible, or out of pocket expenses whatsoever. I never have to worry about something being covered or finding a doctor that takes my insurance. But the VA is bad! I heard it on Fox!
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Oct 2, 2020 22:40
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Jaxyon posted:But the VA is bad! I heard it on Fox! Eh on the whole the care you get is pretty much average. Some places are better than others, but generally speaking its decent to great healthcare.
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Oct 2, 2020 23:16
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Mr. Nice! posted:Eh on the whole the care you get is pretty much average. Some places are better than others, but generally speaking its decent to great healthcare. Also seems silly to argue over shades of grey healthcare vs no healthcare save but for emergency room visits. Mediocre/Middling free healthcare looks like a loving ray of golden sunshine hope to a huge chunk of the US.
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Oct 3, 2020 01:20
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JustJeff88 posted:I just wanted to express my deepest condolences as I am very close to my grandfather. He is also a prostate cancer survivor and, despite every attempt to destroy it, the NHS in Britain has kept it under control and him alive 99 years. I can only say that I feel your pain. Thanks. The dude is 91, before this, he still golfs, drives, probably could wrestle my rear end to the ground, and flirts with the ladies. But now he can't stay awake for more than a few hours.
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Oct 3, 2020 12:58
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DandyLion posted:Also seems silly to argue over shades of grey healthcare vs no healthcare save but for emergency room visits. Mediocre/Middling free healthcare looks like a loving ray of golden sunshine hope to a huge chunk of the US. Agreed. The only thing I can’t see someone about on demand is for dental work, and I can still get emergency work for free.
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Oct 3, 2020 14:12
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