Trump to gut ACA via executive order
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Anonymous
FUN FACT: Under the ACA the vast majority of Medicaid comes from the federal government. Not the states. Your 1/3-1/2 of the state budget going to Medicaid. WRONG. 17.5% of VA State Budget (not Medicaid explanation state). Maryland 24.2^ (Medicaid expansion state). Republicans want to block grant MedicId, which will push more of the cost of Medicaid to the states. https://ballotpedia.org/Medicaid_spending_in_Virginia https://ballotpedia.org/Medicaid_spending_in_Maryland -- not FUN FACT guy, because I know what the F--k I am ttlkimg about. |
Anonymous
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Anonymous
What is the difference? What is the cost sharing subsidy? |
Anonymous
I am running out now.....yes, a life beyond DCUM....and don't have time to explain. I'll come back later this afternoon to explain (but if someone else wants to do it, have at it), |
Anonymous
So, that website is wrong? Because according to that table, $70K for family of 2 does indeed qualify for a tax credit -- maybe you were thinking subsidy like cash in hand, and the premium cannot be more than 9.69% of their income. So, I your example is still incorrect. How is the tax credit any different than what the R plan proposed for such a family? They, too, wanted to give out tax credits only, and also take away cost sharing subsidies to lower income folks. |
Anonymous
That's correct.. the ^PP premium is capped according to ACA rules. But, the actual premium will probably go up, and it's the upper middle income folks that will get screwed. Trump's EO is not well thought out in terms of who is going to get screwed by this. It's not the lower/middle who's premiums are capped. It's the middle/upper who don't qualify - a large % of his base. Please refer to tables https://www.healthinsurance.org/obamacare/will-you-receive-an-obamacare-premium-subsidy/ |
Anonymous
Correct. Those are 2015 numbers. The Feds only agreed to pay the cost for three years. NOW what (for the states that agreed to federal subsidies by expanding their medicare rolls)? Virginia did not buy into expanding the medicaid rolls to begin with. Idiot democrats look at that as leaving federal money on the table. 
You put someone on sugar to get them hooked. That's exactly why the donkeys were busy loading up the state medicaid rolls in as many states as possible. But, when the federal sugar runs out, THEN WHAT, IDIOT? Hello? 17.5% of VA State Budget (not Medicaid explanation state). Maryland 24.2^ (Medicaid expansion state). What does that tell you, especially a few years down the road, when state medicaid costs crowd out other state services ? Do you have any concept of long term viability when it comes to budgets, or do want every state to be another donkey blue Illinois |
Anonymous
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Stick these FUN FACTS up your angus, sideways.
2. Medicaid's Obamacare expansion will bankrupt states. In his most recent book Plunder and Deceit: Big Government's Exploitation of Young People and the Future, Levin writes that Medicaid now includes "those making 138 percent of the poverty line–that is, an annual income of $16,105 for an individual and $32,913 for a family of four" in the 31 states and Washington, D.C. that chose to agree to the expansion. The problem is that Medicaid already swallows almost 26 percent of states' budgets, and while the federal government agreed to pay the entire cost of the expansion for the first three years, their share of the burden decreasingly falls until the states likely have to pay for the full burden of the Medicaid expansion. 4. Medicaid and Medicare are projected to be major drivers of the debt in coming years. According to the Committee for a Responsible Federal Budget, "federal health spending is the fastest growing part of the budget": Spending on federal health care programs is projected to rise substantially over the next thirty years. Medicare spending is expected to increase from 3.2 percent of Gross Domestic Product (GDP) this year to 5.7 percent by 2046, while Medicaid, the Children's Health Insurance Program, and ACA subsides will grow from 2.3 percent of GDP to 3.1 percent. As a result, total federal health spending will increase by 3.4 percent of GDP over the next three decades. http://www.dailywire.com/news/13303/7-things-you-need-know-about-medicaid-aaron-bandler# |
Anonymous
I just did a calculation on that website, and it showed that $70k for a family of 2 got $0 tax credit. Nothing. They are on the hook for the full amount, which can run close to $2000 for the both of them. That would be more than $20k in premiums for a moderate-earning premiums. And remember....they still will have to cough up thousands of dollars to cover medical care on their own before the insurance even kicks in. |
Anonymous
Huh? I thought the libsters kept demeaning his "base" as the uneducated working class, who will still be protected with subsidies if their premiums go over 9% of MAGI. So if you're earning $40k, you'll pay around $300 for a silver plan. Without it, if you're in your 50s, you'd pay at least twice that. But now you're saying that the middle/upper gets screwed by rising premiums? Nothing new there. Obamacare set in place a scheme that has caused premiums to rise an average of 20% a year - even 50% in some states - even doubling in a state or two! That's what people have been screaming about for years. Now just you watch, all the libs will be blaming Trump for next year's increase. |
Anonymous
OK, I'm back....There are two categories of "taxpayer assistance" with Obamacare, beyond those who get Medicaid (the really poor folks). 1) Premium subsidies. This is the amount that moderate earners (say, $30kish to $48kish) get to offset the cost of the insurance plans, capping their share at 9% of income. So a 58-year-old earning $35,000, for example, might only have to pay $280 for a $680 insurance plan. They qualify for a $400 premium subsidy. 2) Cost-sharing reimbursements. But there's a second category, say....for people earning somewhere in the teens (the point where Medicaid would kick in) and $30k. They still get the premium subsidies, so a person earning $25,000 would only have to pay around $180 for that same $680 plan (9% of income), but they get EXTRA taxpayer subsidies to help with the out-of-pocket costs. An example would be that instead of having to pay the $20 copay for a doctor visit, they would only pay $5. It is this latter category that a court ruled illegal, and which Trump is stopping. You will till get premium subsidies, the first category. (That's it in a nutshell, and I estimated numbers for examples because the 9% cap is actually slightly more at 9.xx%.) |
Anonymous
Because Trump is going to make it worse. |
Anonymous
Correct... and when the premiums go up, which they will do because Trump is doing away with #2, #1 subsidy still remains in place, and the net difference of the increae in premiums will be passed on to higher earners in the form of higher premiums for them. Again, the lower/middle will be fine. It's the middle/upper who will be screwed. |
Anonymous
Probably because the premiums in that area are relatively low. Where is this, zip code? I live in MoCo and our premium is $1100 family of four, silver plan, oldest person is 50+. |
Anonymous
My friend and her husband (she is 59 and he is 61) were paying $2000 a year just for the two of them, in FFX. They dropped it this year because they said they can't keep paying $25k for insurance. I personally think she's taking a big risk, but that's what they decided. (Don't know what metal plan it was.) I can believe all this. I'm also 59 and am paying $832 for a high-level silver plan. I really wanted a gold plan, since the deductible was only $2000, but the cost was $1050. It might be that there is a big price jump as you move into the late 50s. Also FFX. |