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Health Care reform, you must buy insurance

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From an article on CNN web site aobut health insurance.

So if I make $30,000 a year, I have to buy health insurance by law. According to the article, the average premiums per year is $3,500.00. [Kaiser] That's about $290.00 per month. with the subsidy of $850.00 I still have to pay $220.00 per month for health insurance.

My car payment is that much. So now I have to take the money I would buy a car with and buy health insurance because its the law. And, I have to send my money to a private insurance company whether I want to or not. Pretty soon, by law, I'll have to buy an american made car, and be told how much I have to spend to buy it.

I can see the car industry sales tanking more than it already has. No one is going to be able to afford a new car when health insurance payments cost as much even with a subsidy.

Somethings not right about this and the american people don't seem to realize we are being told we must buy something from a private company by law.

See the article here:

http://www.cnn.com/2010/HEALTH/03/25/health.care.law.basics/

3. You could get a subsidy to buy insurance if you make less than $88,000 per year for a family of four.

How the health care bill could affect you RELATED TOPICS
Health Care Costs
Health Care Issues
Health Care Policy
Health Care Reform
Starting in 2014, the health care reform bill provides subsidies for people who don't get insurance from their employers and therefore have to buy it on their own. The size of the subsidy depends on your income, whether you're single or have a family, your age, and where you live.

Here are a few examples:

? A 40-year old individual making $30,000 a year in a medium-cost area of the country will get an $850 subsidy toward buying a policy, which should cost about $3,500, according to a Kaiser Family Foundation subsidy calculator.

? A 40-year-old in the same city who has a family of four and is making $60,000 will get a $4,220 subsidy toward a policy that costs $9,435.

You can estimate your own subsidy by using the

35 replies

by gsg

A hospital cannot refuse to treat someone regardless of insurance status or ability to pay if it's an emergency. That's why patients with an ingrown toenail go to the ER. Even though we treat them 50 times a year and know they can't pay, we can't refuse them. That's called EMTALA. So, we can't refuse to treat someone without insurance.

We also can't be the police. Are we going to be required to turn the names of everyone who is treated who doesn't have proof of insurance over to the police?

Will they go to jail?

by dr. frumious bandersnatch

This is the worst law ever enacted by the worst Congress and President we have ever had. The Health Insurance mandate within the Health System overhaul legistration is directly in oposition to everything we believe in, everything the founding fathers fought and died for, it is a mockery of the system imposed by a ploitical puppet who would destroy us simply to see his place in the history books assured. I would refuse to pay any fine, period. Where do they get the authority/power to tell us we MUST pay for this from our own pocket? Stand up and be counted, remove every single last one of the traitors from office this November and impeach Omama, be done with them and repeal this horrible "obamanation" of a law. Return us to liberty and freedom and the rights granted us by the Constitution, vote the bums out!

by notsochiguy

"Somethings not right about this and the american people don't seem to realize we are being told we must buy something from a private company by law. "

Auto Insurance. Only two states don't require it (from what I can tell from quick online searches), and those states require that you be able to prove you can pay for damage should an accident occur (financial responsibility).

While I think something needed to be done about the spiraling costs of health care, I don't feel this was it.

by maxwell edison

The comparison to mandated auto insurance is a false one.

The auto insurance mandate is for liability coverage only, in case someone else is harmed (person or property) by your driving. There is no law in any state requiring collision or comprehensive insurance to cover one's own loss. If you run your car into a tree and you don't have collision and comprehensive insurance, too bad; you have to pay for the damages out of your own pocket (although your liability insurance would pay for the tree if it were damaged).

If your automobile is financed, the lender might require full coverage as a condition of the loan, but it's not by law. I don't finance automobiles, and as such, I carry liability only insurance on all of my vehicles. (However, the automobiles I buy don't cost $60,000 - more like $6,000. I paid $4,500 for the one I'm currently driving.)

Mandated medical insurance is more analogous to mandated collision and comprehensive insurance. If you run into a tree while skiing, and you don't have medical insurance, but emergency treatment must be given (by law), then the person should be held accountable for the cost.

There's the financial liability argument, contending that the medical system has to absorb non-payers, which is, in turn, a cost passed onto the paying customers, but that's for emergency treatment only. Shop lifting as also a cost passed onto the paying customers, but it doesn't mean we all have to buy shoppers insurance.

The mandated medical insurance is not limited to emergency treatment. If medical insurance is mandated, it should be done so for emergency treatment only, and it should give medical facilities more leeway to turn down non-emergency visits to an emergency facility. But tougher accountability laws would be a better option than mandated insurance laws.

Personally speaking, I'd rather have a catastrophic only medical insurance option, and pay for the little stuff out of my own pocket; but that option's seldom discussed. In fact, if that was the rule instead of the exception, overall medical costs would plummet.

by notsochiguy

I quoted a part that said it was wrong for Americans to be told to buy something from a third party and stated that this was already the case; in the form of being told you need to buy auto insurance (in most states, anyway).

I couldn't think of an adequate comparison to this bill that didn't involve the bodily functions of a domesticated bovine.

EDIT: I see where you may get the impression that the word similar in the previous post's title relays that I was trying to compare the two forms of insurance. Not the case, as stated. Was referring to the state of being mandated by the government to go to a third party to be 'in compliance with the law'.

by charliespencer

I don't want to drive a car on public roads. Millions of Americans don't own or operate automobiles, choosing to using public transportation instead. Their choice exempts them from the auto insurance 'requirements', either collision or comprehensive as Max pointed out. There is no such exemption in the health insurance mandate; it's like requiring those who don't drive or own cars to purchase auto insurance anyway.

I was undecided on the passage of this package until a couple of weeks ago, then reached a decision. I understand the reasoning behind this mandate; it's needed if the insurance companies are going to be required to accept people with pre-existing conditions. I decided this mandate is not worth that 'benefit'.

If people want affordable health insurance, they should begin paying for it BEFORE their spleens rupture or they get AIDS. If they aren't willing to do be responsible for their own economic future, I fully support the insurance company's option to refuse to accept them or to accept them at higher rates. You may be able to convince me that children born with a medical condition should be accepted at the same rate as other children, but parents should already coverage for their children when the kids start school.

This position is not meant as a condemnation of the entire bill, just the 'mandatory purchase by consumers / mandatory acceptance by insurers' portions.

by notsochiguy

...I wasn't comparing Auto insurance to Health Care. I just stated that there was already a precedence in place for the government telling people they had to buy something in order to be in compliance.

I apologize if the way it was worded (the title, specifically) implied otherwise.

To elaborate on the point further though, you can opt out of the US plan: move to another country. It is about as realistic an alternative as not driving nowadays! ;)

by slayer_

Why didn't the US just follow what other developed countries do, free public health care.

by fregeus

You and I both know that we pay for our health care through higher taxes. So we should call it Federally Funded Health Care. There is nothing free about it.

That being said, I am damn glad I don't live in the States. I love FFHC!

TCB

by slayer_

It just means we would have bigger election campaigns wasting money!
Fortunately we have elections almost every year or so, and they last a month a most.

by charliespencer

Or 'free' health care either. Someone is paying for it; in most cases everyone in that country via taxes. I don't have a problem with a government-run system, having grown up a military brat, but don't ever think it's 'free'.

by slayer_

But I can walk into any hospital, show my Manitoba health card, and get treatment for anything...... in 6 months time. That to me is effectively free, I did not directly pay for it, and I got the service that I paid for.

by cg it

from a private insurance company and you pay them. The government doesn't collect your money via a tax.

What the government spin is, those with pre-exsiting conditions or those because of health issues can't get insurance, will now be able to buy insurance. Key word is buy it. The other key word is, you have to buy it by law. So all those who can't get insurance will, but they pay the premiums, not the government. I can see those who can't get it, figure they get a freebee and then find out they have to pay anywhere from $150.00 to $300.00 per month for health insurance. I can see them all in an uproar that they have to pay that much a month, when they thought they were getting a freebee.

by maxwell edison

..... I would imagine a person could get an exemption in any state if it could be proved that that person has the financial wherewithal to personally cover any possible liability claims. But then again, anyone with pockets that deep would gladly purchase liability insurance to keep people's hands out of them.

by charliespencer

If you want to play linguistic games and include the word 'directly', go right ahead. You and every other tax payer is paying for it indirectly in your taxes. If you think that's 'free', you're misunderstanding a basic principle of economics.

by slayer_

The word is meaningless if it cannot be used in any modern context.

I could say, I only paid 1% of the countries health bills, and I don't know what that amounted to. But I used a lot. 2 wart removals, dozens of doctor appointments and specialist appointments for my stomach, dozens of chiropractor visits.

by charliespencer

Correct, at least in economic terms.

Ever heard of the phrase 'opportunity cost'? It's the value of the options you didn't choose when you select between many opportunities. Those people who choose to spend time (the most valuable commodity of all, since you can't buy more) writing open source software are paying for the development costs by sacrificing everything else they could be doing with their time, including activities that could be directly generating income. When viewed in those economic terms, nothing is 'free'.

The mechanisms behind your health care program isn't much different from an insurance system. You pay a portion of your income for a service you may or (hopefully) may not need. Some participants use more of the service, some use less, but the theory is that the costs are spread across all participants. We just use different organizations to aggregate the income and disburse the expenses. Either model can be managed efficiently or inefficiently; neither is inherently superior.

by cg it

who likened the health car bill to government passing a law that you must buy at least 1 an american made car. If you don't buy 1 american made car, your fined.

by jck

I currently work at a job that I either:

a) take what they offer for insurance
or
b) don't take it and not get compensated for it

So if I don't take what they offer, I lose out on $7000+ in health, dental and vision coverage, plus then I would have to pay out another $2700 per year?

Personally, I'd like to have the law require my employer to give me the money they spend on my insurance, and let me pay $2700 and keep the other $4500 in my pocket.

Of course, I make a lot more than $30k so I won't get any subsidy probably.

Oh well...

by charliespencer

Get the employer out of the loop. Instead, roll the money they would have spent into my pay instead. If an insurance company wants to work through HR to offer all employees a discount rate, like cell phone providers or Sam's Club does, great.

by maxwell edison

Health savings accounts, into which the employers would deposit the $$ that previously went to pay for the premium, from which the employee could pay for the insurance policy of choice, including lower-cost catastrophic-only care; and the remaining $$ could be used for any medical-related expenses, or a person could pay for those out-of-pocket, letting the extra $$ carry-over year-to-year, earning tax-free interest, that could be used later in life when a person's medical expenses are higher, or to pay for a higher deductibles if and when necessary.

Obama and the Democrats in Congress, however, will have no discussion on Health Savings Accounts. I suppose it's because it puts [i]personal[/i] with [i]responsibility[/i]. They'll also have no part in discussing opening-up the insurance market across state lines, real and meaningful tort reform, and any number of other REAL cost-cutting proposals.

http://spectator.org/archives/2009/11/18/the-republican-alternative/print

by fregeus

..the health care costs can be written off as en expense in the books and they don't pay tax on it. But if they give it to you, it becomes part of your compensation, and that is taxable (to you).

I am in Canada, it could be different.

TCB

by dr. frumious bandersnatch

Several major health insurance companies just announced today they will not be bound by the "all children with pre-existing conditions will be insured" provision of the new "law". And so it goes, this is just the beginning of another billion dollars to the lawyers over the next 5 to 10 years along with raising health care cost to pay for it. Obama is a fool.

by cg it

That's how this health care bill was written. Nothing really happens until around the reelection time. So insurnace companies that do not currently provide a policy for pre-existing conditions or have limits on a policy about preexisting conditions, don't have to provide a policy for preexisting conditions until 2014.

After that, all health care policies provided by health care insurers can't exclude policy holders based on preexisting conditions or place limits to care on the policy based on preexisting conditions.

That's because 32 million americans who don't have a health insurance policy will have to buy one, and if you look on the web for the cheapest one, you'll find, in California, that's around $144.00 per month. Take 144 and multiple that by 32 million as see what you get. That's how much money the insurance company stands to collect each month!!!

The average citizen has to pay for health insurance. Either they must buy a policy or their employer offers one and the employee has the premium cost deducted from their paycheck.

I think all those who believe their getting a freebee because they couldn't afford a policy or were turned down, will find out that before, if they couldn't afford it, they didn't have to pay. Now they don't have a choice about it and the amount the government will reimburse them isn't a lot compared to what they pay per month.

by dr. frumious bandersnatch

Agreed, none of this is "free" and it will bankrupt us if allowed to go forward. All those folks out there thinking that the near trillion dollar price tag will cover ALL Americans had better wake up and realize this thing only covers 10% of the population, 35 million people who, for whatever reason, don't have healthcare now. That's 970 billion dollars to cover 35 million people. That's $27,714.29 per person. Sure sounds like they are getting a "cadillac" plan as Mr. Obama has said many times will be taxed to pay for health care. And round, and round we go closer and closer to the event horizon....

by slayer_

I figured Quebec was as well, but maybe not.

There is a reason Manitoba is the murder capital of Canada every year.

Again, I know its racist to say so but, when 40% of my income is lost to people on welfare, people that, simply believe they are entitled to get everything for free and not do a damn thing to earn it, I think I have paid for my right to use my freedom of speech on a public forum.

by cg it

and as long as they have the pay for service model, doctors private practices, hospitals, will continue to provide services, even if it's not really needed, because that's how they get paid. More services, more money.

It's the same as billable hours for attorneys. More hours more money.

The real stickler is, health care often ends up being a life or death issue. Without it, you die, with it, you live longer. So how do we pay for that? and what do we do with those who don't pay for it? Do we say tough luck? Do we make everyone buy a health care card with your DNA on it which provides you with health care? How do we keep the health care providers from doing what the attorneys do, which is keep billing more and more to keep the money rolling in which is escallating costs?

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