suntzukali2 posted:
Obamacare doesnt give anyone healthcare really.
It penalize the average person if they dont have insurance. I think its a good law. This way people cant just go without insurance have some sort of medical issue then make the state pay for it(I.E> tax payers)
Obamacare does allow more people to get insurance through the state and closes some loopholes that some people fall in where they cant get it.
I will admit for obamacare to work more jobs will just have to offer insurance if not it will be a huge failure. However now people are also left with a decision take a job that doesn't offer insurance and pay a fine at the end of the year or just not work in those types of jobs forcing them to offer insurance later on.
Patient Protection and Affordable Care Act
PPACA includes numerous provisions to take effect over several years beginning in 2010. Policies issued before the law was promulgated are grandfathered from most federal regulations.
Guaranteed issue and partial community rating will require insurers to offer the same premium to all applicants of the same age and geographical location without regard to most pre-existing conditions (excluding tobacco use).[15]
A shared responsibility requirement, commonly called an individual mandate,[16] requires that nearly all persons not covered by an employer, Medicaid, Medicare, or other public insurance programs purchase an approved private insurance policy or pay a penalty, unless the applicable individual is a member of a recognized religious sect, exempted by the Internal Revenue Service, or waived in cases of financial hardship.[17]
Medicaid eligibility is expanded to include all individuals and families with incomes up to 133% of the poverty level along with a simplified CHIP enrollment process.[18][19]
Health insurance exchanges will commence operation in each state, offering a marketplace where individuals and small businesses can compare policies and premiums, and buy insurance (with a government subsidy if eligible).[20]
Low income persons and families above the Medicaid level and up to 400% of the federal poverty level will receive federal subsidies[21] on a sliding scale if they choose to purchase insurance via an exchange (persons at 150% of the poverty level would be subsidized such that their premium cost would be of 2% of income or $50 a month for a family of 4).[22]
Minimum standards for health insurance policies are to be established and annual and lifetime coverage caps will be banned.[23]
Firms employing 50 or more people but not offering health insurance will also pay a shared responsibility requirement if the government has had to subsidize an employee's health care.[24]
Very small businesses will be able to get subsidies if they purchase insurance through an exchange.[25]
Insurance companies are required to spend a certain percent of premium dollars on medical care improvement; if an insurer fails to meet this requirement, a rebate must be issued to the policy holder.[26]
Co-payments, co-insurance, and deductibles are to be eliminated for select health care insurance benefits considered to be part of an "essential benefits package"[27] for Level A or Level B preventive care.[28]
Changes are enacted that allow a restructuring of Medicare reimbursement from "fee-for-service" to "bundled payments."[29][30]
Additional support is provided for medical research and the National Institutes of Health.[31]
Summary of funding
The Act's provisions are intended to be funded by a variety of taxes and offsets. Major sources of new revenue include a much-broadened Medicare tax on incomes over $200,000 and $250,000, for individual and joint filers respectively, an annual fee on insurance providers, and a 40% tax on "Cadillac" insurance policies. There are also taxes on pharmaceuticals, high-cost diagnostic equipment, and a 10% federal sales tax on indoor tanning services. Offsets are from intended cost savings such as improved fairness in the Medicare Advantage program relative to traditional Medicare.[32]
Total new tax revenue from the Act will amount to $409.2 billion over the next 10 years. $78 billion will be realized before the end of fiscal 2014.[33] Summary of revenue sources:
Broaden Medicare tax base for high-income taxpayers: $210.2 billion
Annual fee on health insurance providers: $60 billion
40% excise tax on health coverage in excess of $10,200/$27,500: $32 billion
Impose annual fee on manufacturers and importers of branded drugs: $27 billion
Impose 2.3% excise tax on manufacturers and importers of certain medical devices: $20 billion
Require information reporting on payments to corporations: $17.1 billion
Raise 7.5% Adjusted Gross Income floor on medical expenses deduction to 10%: 15.2 billion
Limit contributions to flexible spending arrangements in cafeteria plans to $2,500: $13 billion
All other revenue sources: $14.9 billion
The way I read that is at least on paper you can get waivers to the penalty if your circumstances warrant, but there is plenty of provision for below the poverty line to get on-board with it due to a sliding scale.
I will say one thing though, my insurance costs went UP this open enrollment, not down.
-----signature-----
The Oatmeal Butterscotch paired with a Snickerdoodle
turned my cynical penis into a happy vagina
Then after an Oatmeal Cranberry and Double Chocolate,
it made my new vagina spontaneously sing the Trolololo Song in an elevator.
---AkagiyamaMissile
