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-   -   Entire ACA upheld by Supreme Court (http://www.derbytrail.com/forums/showthread.php?t=47311)

pointman 06-28-2012 12:10 PM

Quote:

Originally Posted by Riot (Post 871837)
Naw. Your head is exploding :D

Wow, you are so clever aren't you. :wf

pointman 06-28-2012 12:13 PM

Quote:

Originally Posted by Danzig (Post 871839)
yeah, i know. everyone knows that something had to be done to fix the health care mess.
you'd think more would be unhappy that obama made a deal with pharma and the health insurers to produce this bloated abortion of a health 'fix'. but, hey, why worry? this only will cause current medicaid spendiing to explode-and many states are already hurting with their current budget. so, eventually taxes will have to be increased dramatically to pay for all these 'fixes'.

better to have taken a hit jobs-wise in the short run (bcbs, aetna, humana, etc would all have shut down) and have a proper fix in the long run. but no, let's just make a confusing patchwork of rules and regulations and subsidize a family of four with almost 70k in income, we'll worry about how to pay for it all later.
so, i'll keep paying monthly for health insurance, as i always have. i won't see any price decreases...but there will be a corresponding increase in taxes, because how else will increased medicaid and those subsidies be paid for? it would have been better to just have everyone pay a tax for health care, cradle to grave coverage, because then i wouldn't have hundreds per month going to united healthcare anymore. i'll still have that to pay, and new taxes coming as well.

But haven't you heard, 40 million more Americans are going to get health insurance coverage and the cost of healtcare is going to go down! :rolleyes:

I have a bridge in Brooklyn that is for sale, great price.

Riot 06-28-2012 12:14 PM

Quote:

Originally Posted by pointman (Post 871841)
But haven't you heard, 40 million more Americans are going to get health insurance coverage and the cost of healtcare is going to go down! :rolleyes:

I have a bridge in Brooklyn that is for sale, great price.

It's sad you don't believe in free-market capitalism.

pointman 06-28-2012 12:19 PM

Quote:

Originally Posted by Riot (Post 871844)
It's sad you don't believe in free-market capitalism.

LOL, this is one of your most delusional statements yet! I criticize a decision that allows the government to force Americans to purchase something or be penalized and takes an entire industry out of the free market and put under government control and you claim I don't believe in free market capitalism!

The fantasy world of Riot, please get your meds ASAP. Now the rest of us are forced to pay for it so there are no more excuses.

Riot 06-28-2012 12:25 PM

Quote:

Originally Posted by pointman (Post 871845)
LOL, this is one of your most delusional statements yet! I criticize a decision that allows the government to force Americans to purchase something or be penalized and takes an entire industry out of the free market and put under government control and you claim I don't believe in free market capitalism!

The fantasy world of Riot, please get your meds ASAP. Now the rest of us are forced to pay for it so there are no more excuses.

You make a passionate case, unfiltered by rational argument :tro: And resorting to your fallback, name-calling and personal attack.

Dude. Get yourself some prozac or something.

Danzig 06-28-2012 12:27 PM

Quote:

Originally Posted by pointman (Post 871841)
But haven't you heard, 40 million more Americans are going to get health insurance coverage and the cost of healtcare is going to go down! :rolleyes:

I have a bridge in Brooklyn that is for sale, great price.

that's impossible and illogical to assume. but i know that's not your thinking.
there's no way the cost of healthcare will go down. insurance companies are just chomping at the bit to add to their roles-but that also adds to the claims they will be paying.
then there's the mound of 'freebies' added on that will be covered 'at no cost'- but that cost will be included in the premiums.
kids to age 26 on their parents' policies-another increase(as an aside, why 26? kids are into their majority by then, by several years). i had all three of my children by age 26-i'm sure my parents would have been thrilled to have had to pay for me to be on their policy all that time, rather than on my husbands. no doubt the with child portion of said policy would have paid for all that maternity care. :rolleyes:
congress said the price tag for this new program must be under one trillion dollars. cbo already adjusted that tag to over one trillion earlier this year. in other words, congress was duped.

joeydb 06-28-2012 12:42 PM

Quote:

Originally Posted by Riot (Post 871844)
It's sad you don't believe in free-market capitalism.

LOL - yeah - more demand and decreasing supply ALWAYS leads to lower prices ... Brilliant. :rolleyes:

MaTH716 06-28-2012 12:47 PM

How does this work with all the now legal, illegal's living in the country? Not to mention all the regular illegals that are here?

Riot 06-28-2012 12:48 PM

Quote:

Originally Posted by joeydb (Post 871853)
LOL - yeah - more demand and decreasing supply ALWAYS leads to lower prices ... Brilliant. :rolleyes:

Nice to see you realize that it doesn't always work!

My, my - a day of breakthroughs on Derby Trail :D

Riot 06-28-2012 12:51 PM

Quote:

Originally Posted by MaTH716 (Post 871856)
How does this work with all the now legal, illegal's living in the country? Not to mention all the regular illegals that are here?

The same way healthcare for people not legally within the US works now ;)

GenuineRisk 06-28-2012 12:53 PM

Quote:

Originally Posted by Danzig (Post 871849)
that's impossible and illogical to assume. but i know that's not your thinking.
there's no way the cost of healthcare will go down. insurance companies are just chomping at the bit to add to their roles-but that also adds to the claims they will be paying.
then there's the mound of 'freebies' added on that will be covered 'at no cost'- but that cost will be included in the premiums.
kids to age 26 on their parents' policies-another increase(as an aside, why 26? kids are into their majority by then, by several years). i had all three of my children by age 26-i'm sure my parents would have been thrilled to have had to pay for me to be on their policy all that time, rather than on my husbands. no doubt the with child portion of said policy would have paid for all that maternity care. :rolleyes:
congress said the price tag for this new program must be under one trillion dollars. cbo already adjusted that tag to over one trillion earlier this year. in other words, congress was duped.

Except that you have to compare the cost of the program with the cost of doing nothing. Our current health care system is not sustainable. We had a choice- reform, or decide that the poor and middle class need to be left to die. Which is certainly a position, and, judging from some of the comments on this board, one that some posters here would be just fine with, but it's not the kind of America I believe in ("provide for the general welfare," as is said in the Preamble, is more like the nation I believe in). I don't think it's the kind of nation you believe in, either.

I agree with you 100% that universal Medicare would be the best and cheapest option, but unfortunately in today's political climate, that was never a possibility.

I would be surprised if your health care costs go up due to the ACA. I really would (and remember, it starts in 2014, so any increases companies make now that they blame on ACA are bs lies).

The main group of people who will find themselves liable for the tax are singles with an income of about $30,000- $80,000. Below that they will likely be covered by expanded Medicaid (as, other than Arizona and Texas and a few other Neo-Confederate bastions of "f*ck the poor" states, I don't see many refusing the additional Medicaid monies), and above that, they likely already have health insurance. When I was making $30,000 a year, I paid over $3,000 a year for private health insurance (my job didn't offer it). It sucked, but I managed. Those people can certainly afford $600 a year for a tax penalty.

joeydb 06-28-2012 12:53 PM

Quote:

Originally Posted by Riot (Post 871857)
Nice to see you realize that it doesn't always work!

My, my - a day of breakthroughs on Derby Trail :D

Uhhh - taking this nice and slow now:

Increasing demand raises prices, even with constant supply.
Decreasing demand lowers prices, even with constant supply.
Increasing supply lowers prices, even with constant demand.
Decreasing supply raises prices, even with constant demand.

Soooo, increasing demand and decreasing supply during the same time period will cause a largeincrease in prices.

And yes - the laws of supply and demand always work, just like the laws of gravity.

Re-read that again until it makes sense to you.

Riot 06-28-2012 12:55 PM

Quote:

Originally Posted by joeydb (Post 871861)
Uhhh - taking this nice and slow now:

Increasing demand raises prices, even with constant supply.
Decreasing demand lowers prices, even with constant supply.
Increasing supply lowers prices, even with constant demand.
Decreasing supply raises prices, even with constant demand.

Soooo, increasing demand and decreasing supply during the same time period will cause a largeincrease in prices.

And yes - the laws of supply and demand always work, just like the laws of gravity.

Re-read that again until it makes sense to you.

Except we don't live in an unfettered, true free-market marketplace.

Danzig 06-28-2012 01:13 PM

Quote:

Originally Posted by MaTH716 (Post 871856)
How does this work with all the now legal, illegal's living in the country? Not to mention all the regular illegals that are here?

supposedly illegals won't be covered. one of the systems exchanges will have to be linked to is INS-in order to make sure anyone applying is here legally.
the state exchanges will also have to be linked in with the irs, because premiums, stop losses, etc will be determined by last years income. but keep in mind, things don't always start and end on 12/31/20--, so when someone turns a year older, or if you divorce during the year, or there are other changes, then when you file your taxes, you have to pay back any overpayments of premium subsidies.
speaking of subsidies, a family of four with almost 70k in income will receive subsidies to help pay for their health care. their deductibles and stop losses also will be 'subsidized'. now, in ny city, i can see why that would need subsidized...here in arkansas, where the cost of living is incredibly low-that's a joke. that's damn good money around here. which is exactly why the levels should be handled on a state by state basis, not on federal poverty levels. what pays in many areas doesn't in others. how's it feel to know you'll be helping to pay for insurance for someone well in the top 10% of income in this state??? give you a warm, fuzzy feeling?

Danzig 06-28-2012 01:18 PM

Quote:

Originally Posted by GenuineRisk (Post 871860)
Except that you have to compare the cost of the program with the cost of doing nothing. Our current health care system is not sustainable. We had a choice- reform, or decide that the poor and middle class need to be left to die. Which is certainly a position, and, judging from some of the comments on this board, one that some posters here would be just fine with, but it's not the kind of America I believe in ("provide for the general welfare," as is said in the Preamble, is more like the nation I believe in). I don't think it's the kind of nation you believe in, either.

I agree with you 100% that universal Medicare would be the best and cheapest option, but unfortunately in today's political climate, that was never a possibility.

I would be surprised if your health care costs go up due to the ACA. I really would (and remember, it starts in 2014, so any increases companies make now that they blame on ACA are bs lies).

The main group of people who will find themselves liable for the tax are singles with an income of about $30,000- $80,000. Below that they will likely be covered by expanded Medicaid (as, other than Arizona and Texas and a few other Neo-Confederate bastions of "f*ck the poor" states, I don't see many refusing the additional Medicaid monies), and above that, they likely already have health insurance. When I was making $30,000 a year, I paid over $3,000 a year for private health insurance (my job didn't offer it). It sucked, but I managed. Those people can certainly afford $600 a year for a tax penalty.

except i never advocated doing nothing, but i appreciate the dissertation. my premiums will continue to increase as they always have, along with copays and deductibles.
but now to go along with that, there will be increase in taxes, because this program will turn out to be far more expensive than people think-the cbo already adjusted the cost upwards once. and since medicare, medicaid and other federal programs have all come in at a far higher price than initially proposed, i feel safe in assuming this one will as well.
as for the states, if they swell their roles, they'll get an increase. or they can grow no more and keep current funding. they certainly won't see a better bottom line by increasing through aca.
oh, and i pay over 3k a year right now, and that's group coverage. not sure why anyone assumes that group is cheaper-it's not. my son bought his own, individual plan and selected his deductible-it cost him less than going with his employer sponsored coverage, which can turn no one down, so the price is higher for some.


i can't help but think that a bad fix is no fix at all. will more harm than good be the ultimate outcome? as the adage says, the road to hell is paved with good intentions. a wish and a dream still have to be paid for.

MaTH716 06-28-2012 01:32 PM

Quote:

Originally Posted by Danzig (Post 871864)
supposedly illegals won't be covered. one of the systems exchanges will have to be linked to is INS-in order to make sure anyone applying is here legally.
the state exchanges will also have to be linked in with the irs, because premiums, stop losses, etc will be determined by last years income. but keep in mind, things don't always start and end on 12/31/20--, so when someone turns a year older, or if you divorce during the year, or there are other changes, then when you file your taxes, you have to pay back any overpayments of premium subsidies.
speaking of subsidies, a family of four with almost 70k in income will receive subsidies to help pay for their health care. their deductibles and stop losses also will be 'subsidized'. now, in ny city, i can see why that would need subsidized...here in arkansas, where the cost of living is incredibly low-that's a joke. that's damn good money around here. which is exactly why the levels should be handled on a state by state basis, not on federal poverty levels. what pays in many areas doesn't in others. how's it feel to know you'll be helping to pay for insurance for someone well in the top 10% of income in this state??? give you a warm, fuzzy feeling?

Thanks for answering Dani.

Danzig 06-28-2012 01:49 PM

another question....

can anyone tell me of any existing tax that is levied for not doing something? not buying, not selling, not owning, not working? not partaking in any way, so you pay for non-participation?
i opted to remain on a well, rather than tie into city/county water. wonder how long before they figure this one out and start billing??

Honu 06-28-2012 01:51 PM

On of one of those articles Riot posted I answered the health care questions and found out the ACA doesnt do anything at all for me and my partner. Our combined income puts us about 2k into another bracket. Unless the Feds wont consider our household income as combined because they dont consider our domestic partnership as valid, which they must because the IRS taxed us for the first time as combined income because Ca. is a community property state, which in my opinon is b ulls hit in light of the fact that they wont let my partner have my SS bennies when I die. Lucky I have insurance thru my gf's job. When I had my ACL transplant last year the hospital actualy gave me a discount for having insurance :)

Danzig 06-28-2012 01:54 PM

another question...

if i don't put my 22 year old daughter back on my health policy, do i get a fine? or does she?

Riot 06-28-2012 01:57 PM

http://taxfoundation.org/article/how...-bill-financed



Update: Per the suggestion of Washington Post writer Ezra Klein, we have posted more detail pertaining to what is in some of the larger categories in the pie chart above.

Main Components in Net Cuts to Medicare ($416.5 billion)

Reductions in annual updates to Medicare FFS payment rates = $196 billion cut
Medicare Advantage rates based upon fee-for-service rates = $136 billion cut
Medicare Part D "donut hole" fix = $42.6 billion increase
Payment Adjustments for Home Health Care = $39.7 billion cut
Medicare Disproportionate Share Hospital (DSH) Payments = $22.1 billion cut
Revision to the Medicare Improvement Fund = $20.7 billion cut
Reducing Part D Premium Subsidy for High-Income Beneficiaries = $10.7 billion cut
Interactions between Medicare programs = $29.1 billion cut

Main Components in Other Provisions ($149 billion)

Associated effects of coverage provisions on revenues = $46 billion
Exclusion of unprocessed fuels from the cellulosic biofuel producer credit = $23.6 billion
Require information reporting on payments to corporations = $17.1 billion
Raise 7.5% AGI floor on medical expenses deduction to 10% = $15.2 billion
Limitations to the use of HSAs, MSAs, FSAs, etc. = $19.4 billion

Other Net Spending Cuts ($52 billion)

Education reforms = $19 billion cut, which is the difference between approximately $58 billion in spending reductions via reform of the student loan program and approximately $39 billion in greater spending on higher education programs, most notably Pell Grants
Community Living Assistance Services and Supports = $70 billion in cuts
Category is netted lower by increases in other health programs such as public health programs and spending on community health centers

Riot 06-28-2012 02:02 PM

Quote:

Originally Posted by Honu (Post 871870)
On of one of those articles Riot posted I answered the health care questions and found out the ACA doesnt do anything at all for me and my partner.

It may not give you financial subsidies, but yes, you both get all the consumer protection benefits: no lifetime cap, no kicking you off when you get sick, etc.

And, in 2014 when the state exchanges are up, you'll have other options for purchasing competitively-priced health care from competitive providers

Just "wow" on the nonsense you have to put up with, tax-wise, with your household. That needs to be fixed, too.

You got a discount for having your ACL done with insurance. That's great. My insurance company approved payment for my operation to the hospital, then 6 months later decided not to pay. I had to pay "full price", no discounts, out of pocket. That practice is now illegal with the ACA. For you and I, and your partner. Thank god.

Riot 06-28-2012 02:05 PM

Quote:

Originally Posted by Danzig (Post 871871)
another question...

if i don't put my 22 year old daughter back on my health policy, do i get a fine? or does she?

I know it has only been two years since this law was passed and has been in effect, but there always has been an excellent website for all your repeated - and repeated, and repeated, and repeated - questions and concerns, Danzig.

www.healthcare.gov

Honu 06-28-2012 02:20 PM

Quote:

Originally Posted by Riot (Post 871875)
It may not give you financial subsidies, but yes, you both get all the consumer protection benefits: no lifetime cap, no kicking you off when you get sick, etc.

And, in 2014 when the state exchanges are up, you'll have other options for purchasing competitively-priced health care from competitive providers

Just "wow" on the nonsense you have to put up with, tax-wise, with your household. That needs to be fixed, too.

You got a discount for having your ACL done with insurance. That's great. My insurance company approved payment for my operation to the hospital, then 6 months later decided not to pay. I had to pay "full price", no discounts, out of pocket. That practice is now illegal with the ACA. For you and I, and your partner. Thank god.

There are good parts and bad parts to the heath reform, the good is obvious, the bad to me is the federal government forcing people to buy a product or pay a fine. Its not right. I see alot of people refusing to buy or pay the fine on principle alone which I support. They, the feds, in my opinon have overstepped what Ill feel comfortable with as far as the government is concerned. We the people should be able to decide if we want to participate in the program or not. It is opening up a whole new can worms when it comes to laws taxes and fines and what the feds can do with their power.

Riot 06-28-2012 02:23 PM

Quote:

Originally Posted by Honu (Post 871883)
There are good parts and bad parts to the heath reform, the good is obvious, the bad to me is the federal government forcing people to buy a product or pay a fine.

The Supreme Court reiterated today, in the decision, that people do not have to purchase the product, and can choose not to pay the fine.

Danzig 06-28-2012 02:31 PM

Quote:

Originally Posted by Honu (Post 871883)
There are good parts and bad parts to the heath reform, the good is obvious, the bad to me is the federal government forcing people to buy a product or pay a fine. Its not right. I see alot of people refusing to buy or pay the fine on principle alone which I support. They, the feds, in my opinon have overstepped what Ill feel comfortable with as far as the government is concerned. We the people should be able to decide if we want to participate in the program or not. It is opening up a whole new can worms when it comes to laws taxes and fines and what the feds can do with their power.

it's funny to me that the first thing that happened after the ruling is that shares in health care providers all went up in price.

and when kids turn 26, then what? a guy who works at the wellness center just turned 26, so he currently doesn't have insurance.

it's not a tax, obama said so. but it is a tax, roberts said so. on something you don't get. i guess it's an un-tax.
i wonder what marshall would say.

Riot 06-28-2012 02:40 PM

From the Twitterverse
 
"It's okay for the GOP to start pretending that they like Romneycare now"
- JUSTICE JOHN ROBERTS

"ITS INTERNATIONAL ALL-CAPS DAY ON RIGHT-WING BLOGS!!!!!!"

"The votes are in - I still have insurance!" - unemployed college-educated 22-year-old still on parents insurance

"BREAKING: Conservatives planning to leave U.S., but can't find wealthy Western democracy without universal health care"

"The Onion ‏@TheOnion
Commentary: I Don't Want Health Care If Just Anyone Can Have It"

"The Onion@TheOnion
Republicans, leukemia team up to repeal health care law"

"LOLGOP ‏@LOLGOP
Scalia points out that slaves didn't get health care and rarely complained, as far as he can tell"

And, for extra fun, video of CNN and Fox News, who both initially wrongly reported the Supreme Court decision http://core.talkingpointsmemo.com/tv...-on-aca-ruling

Honu 06-28-2012 03:09 PM

Quote:

Originally Posted by Riot (Post 871887)
The Supreme Court reiterated today, in the decision, that people do not have to purchase the product, and can choose not to pay the fine.

So that wording will be removed?

Riot 06-28-2012 03:35 PM

Quote:

Originally Posted by Honu (Post 871899)
So that wording will be removed?

No. Just like taxes, you can choose not to follow the law. The Supreme Court said today that people are free to choose not to purchase, and not to pay the fine, either. But of course, like income taxes, they would still be subject to a penalty.

Although penalties are assessed, there is nothing currently in place to allow collection any of the penalties at this time. The IRS is forbidden from trying to collect them. That has to be initiated by removing some wording in the law by Congress.

It is anticipated that more people will want health insurance at a rate they can afford, even if they don't make much money, than choose to be without it. That's why the exchanges exist, so prices to purchase drop.

So the law is designed to "wait and see" how many non-compliant people turn up, before any punishment is initiated.

Practically speaking, from that "what would it mean for you" web page page:http://www.washingtonpost.com/wp-srv...u/struck-down/

Quote:

Single make $35,000/year: If you do not obtain insurance coverage by 2014 you will be assessed a tax penalty. The penalty becomes progressively greater from 2014 through 2016, when it reaches full strength. At that point, assuming your current income remains the same and your household consists of 1 uninsured adult, you would be subject to a penalty of about $695. You are exempt from the penalty if the least expensive plan option in your area exceeds eight percent of your income.
That last sentence is for people that earn too much to qualify for any federal assistance, but any insurance would be greater than 8% of income. For example, you make $75,000 a year, and can't find insurance for less than $500 a month. You don't have to pay any penalty.

Did you try entering yourself and your partner separately (unmarried) to see what each of you are eligible for?

Clip-Clop 06-28-2012 03:53 PM

Quote:

Originally Posted by Riot (Post 871887)
The Supreme Court reiterated today, in the decision, that people do not have to purchase the product, and can choose not to pay the fine.

Sounds like a mandate to me:zz:...if you don't have to purcahse the product or pay the fine then how is it mandatory?

Danzig 06-28-2012 04:03 PM

Quote:

Originally Posted by Clip-Clop (Post 871909)
Sounds like a mandate to me:zz:...if you don't have to purcahse the product or pay the fine then how is it mandatory?

if they can't fine...er, tax, then there's no mandate. it would still blow up the whole package. that was why the health providers went for this plan, it makes people buy it.
the only way, from what i've read, to keep from paying the fine is if the coverage price exceeds a set percentage of your income. but with subsidies being what they are, i don't see how that could occur.

Clip-Clop 06-28-2012 04:07 PM

http://www.youtube.com/watch?feature...&v=rL7ak__MGyw

This was great stuff.

Danzig 06-28-2012 04:20 PM

Quote:

Originally Posted by Clip-Clop (Post 871914)

how in the hell can it be deficit neutral?? how can doubling medicaid rolls not cause an increase in spending? how can subsidizing premiums not cost money?
in what fuci<ing thomas more utopian fantasy land does this **** work? is believable? it's not logical!! if you have x amount on medicaid now...you double that-what does that do to the cost of providing that care alone? well, i would think one could safely extrapolate that if you double the membership of a group, that would also double the cost of covering that group. that's just medicaid. what about the subsidies? who will pay that? and if your stop loss is a certain amount, who is funding that? with what? monopoly money??
adding people with pre-existing conditions-who will pay for those? high risk coverages, who will pay? all the' free' add ons, where will that money come from?

oh, wait...let me guess, because hospitals are going to magically cut their costs, right? LMAO. yeah, sure they will. sure they will. and that'll make up aaaallll the difference.

dear god. and people think that'll happen. HA!

Clip-Clop 06-28-2012 04:23 PM

Quote:

Originally Posted by Danzig (Post 871918)
how in the hell can it be deficit neutral?? how can doubling medicaid rolls not cause an increase in spending? how can subsidizing premiums not cost money?
in what fuci<ing thomas more utopian fantasy land does this **** work? is believable? it's not logical!! if you have x amount on medicaid now...you double that-what does that do to the cost of providing that care alone? well, i would think one could safely extrapolate that if you double the membership of a group, that would also double the cost of covering that group. that's just medicaid. what about the subsidies? who will pay that? and if your stop loss is a certain amount, who is funding that? with what? monopoly money??
adding people with pre-existing conditions-who will pay for those? high risk coverages, who will pay? all the' free' add ons, where will that money come from?

oh, wait...let me guess, because hospitals are going to magically cut their costs, right? LMAO. yeah, sure they will. sure they will. and that'll make up aaaallll the difference.

dear god. and people think that'll happen. HA!

They will, because they will only be paid what the gov't thinks is fair.

Danzig 06-28-2012 04:26 PM

Quote:

Originally Posted by Clip-Clop (Post 871923)
They will, because they will only be paid what the gov't thinks is fair.

lol
yeah, sure. that's why people are throwing money at health providers stock right now, because we all know how profitable things are when there are price controls.

well, at least it'll be interesting to watch how it all turns out.

Riot 06-28-2012 04:45 PM

"Obamacare a big tax hike on middle class America? No."
by Joan McCarter

Chief Justice John Roberts (who might want to think about increasing his security detail) is today's number one traitor for the Right. Roberts did conservatives a solid in one thing, however—he gave them their talking point by declaring that the individual mandate isn't really a mandate, but a tax. With some help from Rush Limbaugh, that's the new narrative from Republicans.

Speaker John Boehner calls it a tax hike. Ditto Rep. Joe Walsh (R-FormerlyADeadbeatDad), calling it a "new tax on middle class America." Sarah Palin, of course, piled on.

So did Mitt Romney, putting himself in some dubious company by declaring the same thing: "Obamacare raises taxes."

Well, not really, as Chris Hayes explains:

Quote:

There is a difference between something being a tax and being permissible under congress' taxing authority.
— @chrislhayes via web
The Supreme Court ruling gives the federal government taxing authority, which is by no means the same as the imposition of a broad new tax.

No, this is not a massive tax increase on the American people. It's a penalty paid by people who choose not to purchase insurance. The Congressional Budget Office estimates that it will hit about 4 million Americans, about 1 percent of the population.

Now, it's refreshing that Republicans care about a different 1 percent for a change, but that still doesn't make this a tax hike.

And what's (way, way) more, most of the federal spending for the ACA is in tax credits for middle class people to help them afford insurance. Which is actually more like a tax cut.

Facts aside, since you know Republicans won't be swayed by them, here's the other part that Republicans, particularly Romney, have to tread carefully around. It's exactly how Mitt Romney expanded health insurance coverage in Massachusetts. If you don't buy health insurance in Massachusetts, guess what?

You pay a tax, as Mr. Romney explains at that link.

You pay a tax and take personal responsibility. (Remember that phrase, Mr. Romney? It's a real favorite in your set. Or was.)

The individual mandate isn't the route most of us on the left would have taken toward universal health coverage. But it's the route settled on by pragmatic, moderate political leaders like Barack Obama. And Mitt Romney.

Danzig 06-28-2012 07:26 PM

got home from work and spanish class. figured i'd start looking in my usual spots for more being said on obamacare, and here's something interesting already. and it goes more into what i said earlier-that if states can't be forced (and today's ruling takes away the one big stick to force them) into participating by expanding medicaid, what would that do to ppuca:

http://www.slate.com/articles/health...the_poor_.html

Don’t Celebrate Yet
The Supreme Court’s decision will make it much harder to extend health insurance to America’s poor.
By Darshak Sanghavi|Posted Thursday, June 28, 2012, at 7:45 PM ET

and here's the teeth of it:

"When one understands that the ACA’s real impact will derive from its expansion of Medicaid, the Supreme Court’s decision seems more worrisome. By limiting the federal government’s power to expand Medicaid in many states, the Supreme Court has seriously damaged the liberal dream of universal health coverage. As I wrote last fall, almost half of all people who qualify for free health insurance never sign up, especially in the Southern states where the highest number of uninsured people live. That’s not because inhabitants are lazy; it’s because those states create all kinds of barriers to Medicaid enrollment, since they have to assume some of the costs. The Supreme Court’s decision leaves the federal government without a big stick to beat ornery states like Texas, Florida, and Mississippi into expanding Medicaid, which means it has been left powerless to make sure that poor people get their coverage.

State reluctance to expand Medicaid gets at the core problem in health care today—it’s just too damn expensive and the ACA does very little about that. Currently, the average person consumes $5,000 per year in health care. By simple math, newly insuring 60 million people will cost taxpayers $300 billion annually, a far higher number than many policymakers admit. (For example, health care costs now consume 54 percent of Massachusetts’s budget, with the lion’s share going to the expanded Medicaid, despite massive federal subsidies.) And the dream that newly insured people will take advantage of more preventive services, often touted as a means to cut costs, hasn’t panned out, according to a meticulous new study from Oregon."

...i know the focus was on the IM, because that was felt to be the constitutional bugaboo. but there's far more to the whole thing. by ruling that they can't cut current state medicaid funding, there is NO earthly reason for a state to decide to expand their program, especially with many already suffering budget-wise with their current medicaid outlays vs funding.
then there's the fact, since i've read more on the ruling, that they've slashed the fine amounts-you've just removed a real reason for people to go after coverage. it should cost MORE, not less, to not buy it, if the intent is to get young, healthy, non-insurance buying people to decide to buy it.

so, they didn't remove the heart, but it's still possible it's a mortal blow.

Riot 06-28-2012 09:13 PM

Quote:

Originally Posted by Clip-Clop (Post 871909)
Sounds like a mandate to me:zz:...if you don't have to purcahse the product or pay the fine then how is it mandatory?

If too many people (so it affects the pricing) choose to defy the law, then the Congress can insert collection language regarding the penalty so it will stick.

Kinda silly decision for folks to make, when the choice is

a) affordable comprehensive health care, you pay according to your income level

b) no health care

pointman 06-28-2012 09:21 PM

Quote:

Originally Posted by Danzig (Post 871972)
got home from work and spanish class. figured i'd start looking in my usual spots for more being said on obamacare, and here's something interesting already. and it goes more into what i said earlier-that if states can't be forced (and today's ruling takes away the one big stick to force them) into participating by expanding medicaid, what would that do to ppuca:

http://www.slate.com/articles/health...the_poor_.html

Don’t Celebrate Yet
The Supreme Court’s decision will make it much harder to extend health insurance to America’s poor.
By Darshak Sanghavi|Posted Thursday, June 28, 2012, at 7:45 PM ET

and here's the teeth of it:

"When one understands that the ACA’s real impact will derive from its expansion of Medicaid, the Supreme Court’s decision seems more worrisome. By limiting the federal government’s power to expand Medicaid in many states, the Supreme Court has seriously damaged the liberal dream of universal health coverage. As I wrote last fall, almost half of all people who qualify for free health insurance never sign up, especially in the Southern states where the highest number of uninsured people live. That’s not because inhabitants are lazy; it’s because those states create all kinds of barriers to Medicaid enrollment, since they have to assume some of the costs. The Supreme Court’s decision leaves the federal government without a big stick to beat ornery states like Texas, Florida, and Mississippi into expanding Medicaid, which means it has been left powerless to make sure that poor people get their coverage.

State reluctance to expand Medicaid gets at the core problem in health care today—it’s just too damn expensive and the ACA does very little about that. Currently, the average person consumes $5,000 per year in health care. By simple math, newly insuring 60 million people will cost taxpayers $300 billion annually, a far higher number than many policymakers admit. (For example, health care costs now consume 54 percent of Massachusetts’s budget, with the lion’s share going to the expanded Medicaid, despite massive federal subsidies.) And the dream that newly insured people will take advantage of more preventive services, often touted as a means to cut costs, hasn’t panned out, according to a meticulous new study from Oregon."

...i know the focus was on the IM, because that was felt to be the constitutional bugaboo. but there's far more to the whole thing. by ruling that they can't cut current state medicaid funding, there is NO earthly reason for a state to decide to expand their program, especially with many already suffering budget-wise with their current medicaid outlays vs funding.
then there's the fact, since i've read more on the ruling, that they've slashed the fine amounts-you've just removed a real reason for people to go after coverage. it should cost MORE, not less, to not buy it, if the intent is to get young, healthy, non-insurance buying people to decide to buy it.

so, they didn't remove the heart, but it's still possible it's a mortal blow.

You mean that insuring another 60 million people won't pay for itself? I thought that Obamacare won't add to the deficit and Riot assured us it wouldn't, how could this be? She even gave us a pie chart.

Riot 06-28-2012 09:26 PM

Quote:

Originally Posted by pointman (Post 871992)
You mean that insuring another 60 million people won't pay for itself? I thought that Obamacare won't add to the deficit and Riot assured us it wouldn't, how could this be? She even gave us a pie chart.

^^^ often confuses on-line persona with bitchy 14-year-old mean girl :)

The Supremes did remove the ability to withhold all Medicaid funds from states that just want to take the money, not actually spend it on their poor people via Medicaid, and run. Feds can still withhold some Medicaid money.

So if states want to step up, take Medicare money, then announce they are not going to spend it on the poor who are on Medicaid ... well, good luck the next election, Gov.

Danzig 06-29-2012 09:08 AM

Quote:

Originally Posted by pointman (Post 871992)
You mean that insuring another 60 million people won't pay for itself? I thought that Obamacare won't add to the deficit and Riot assured us it wouldn't, how could this be? She even gave us a pie chart.

yeah, a pie in the sky chart, viewed thru rose colored glasses.


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