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So.....did your insurance premium go up?

RDKirk

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Know someone, an American retiree, who had a leg wound that quickly went bad. After a nurse happened to see it, he was in a specialist's office the next day, and surgery the next or the day after.

Three times my father, a farmer and blue-collar worker, was found with a life-threatening condition, and each time he had specialist help right then or the day after.

My serious question for those who are on health care in other countries: How long would the retiree I know and my father would have had to wait to see a specialist?
I have never heard of a case in Canada or the UK or anywhere else in Europe that people had immediately life-threatening conditions that were not seen to immediately.

But I've heard of many cases where a citizen of those nations would have received care in a few weeks or even months for which many Americans would not receive care at all because they had no way to afford it.
 
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RDKirk

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It’s less about screw you than the fact it doesn’t come to mind. The majority are focused on their circumstances and everyone isn’t forthcoming about their finances. It isn’t uncommon for a person to keep problems to themselves and that was the norm for a while.

~bella
The "screw you, I got mine" attitude comes out when you force them into a discussion about it...and there is no other response they can make. They are in a position to have satisfactory coverage, and must be all your fault if you don't.
 
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bèlla

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The "screw you, I got mine" attitude comes out when you force them into a discussion about it...and their is no other response they can make. They are in a position to have satisfactory coverage, and must be all your fault if you don't.

Why would you force someone to discuss their healthcare coverage and why would they comply?

~bella
 
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RDKirk

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Why would you force someone to discuss their healthcare coverage and why would they comply?

~bella
We're in such a discussion right now.

It happens, usually when someone starts an anti-"Obamacare" rant and expects everyone to agree.
 
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We're in such a discussion right now.

It happens, usually when someone starts an anti-"Obamacare" rant and expects everyone to agree.
Given that Obamacare prevents doctors from referring patients to hospitals that they have a stake in, don't expect everyone to think it's the best thing since sliced bread, either. That provision was obviously put in to prevent financial abuse of the system. Problem is, that's how rural areas got hospitals in the first place.
 
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RDKirk

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Given that Obamacare prevents doctors from referring patients to hospitals that they have a stake in, don't expect everyone to think it's the best thing since sliced bread, either. That provision was obviously put in to prevent financial abuse of the system. Problem is, that's how rural areas got hospitals in the first place.
Obamacare certainly has its faults.

But let's remember...it was the brainchild of a Republican after all.

And now the Republicans decry it, but propose nothing but nihilism to replace it.
 
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wing2000

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My wife's rose a whopping 6% - the reason - her company in not part of the Unaffordable health care program.

From a survey of employers:
"Annual premiums for employer-sponsored family health coverage reached $26,993 this year, 6% higher than in 2024. On average, workers contributed $6,850 toward the cost of family coverage. The average deductible among covered workers in a plan with a general annual deductible was $1,886 for single coverage."


My employer provided insurance plan for 2026 reflects the 6% rise noted above.

For those who don't have insurance through their employer, they face a diferent scenario:

"For 2026, across 312 insurers participating in the ACA Marketplaces from the 50 states and the District of Columbia, this analysis shows a median proposed premium increase of 18%, which is about 11 percentage points higher than last year. This is the largest rate change insurers have requested since 2018, the last time that policy uncertainty contributed to sharp premium increases. On average, ACA Marketplace insurers are raising premiums by about 20% in 2026. Based on a more detailed analysis of available documents from insurers in 19 states and the District of Columbia, like in prior years, growth in health care prices stood out as a key factor driving costs in 2026. Insurers cite increasing cost and utilization of high-priced drugs as well as general market factors, such as increasing labor costs and inflation, as contributing to premium increases.

In addition to rising healthcare costs, the majority of insurers are also taking into account the potential expiration of enhanced premium tax credits in their premium rate increases for the next year. The expiration of enhanced tax credits will lead to out-of-pocket premiums for ACA marketplace enrollees increasing by an average of more than 75%, with insurers expecting healthier enrollees to drop coverage. That, in turn, increases underlying premiums. Other federal policy changes, like the implementation of tariffs and the ACA Marketplace Integrity and Affordability rule were also discussed, though to a lesser extent."


To summarize, your wife and I are fortunate to work for employers who provide health insurance at an affordable rate. Tomorrow, either one of us could be laid off and be forced into the marketplace....a marketplace that is no longer subsidized by the government. And, if either one of us have pre-existing conditions, obtaining insurance by not be feasable.
 
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Always in His Presence

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From a survey of employers:
"Annual premiums for employer-sponsored family health coverage reached $26,993 this year, 6% higher than in 2024. On average, workers contributed $6,850 toward the cost of family coverage. The average deductible among covered workers in a plan with a general annual deductible was $1,886 for single coverage."


My employer provided insurance plan for 2026 reflects the 6% rise noted above.

For those who don't have insurance through their employer, they face a diferent scenario:

"For 2026, across 312 insurers participating in the ACA Marketplaces from the 50 states and the District of Columbia, this analysis shows a median proposed premium increase of 18%, which is about 11 percentage points higher than last year. This is the largest rate change insurers have requested since 2018, the last time that policy uncertainty contributed to sharp premium increases. On average, ACA Marketplace insurers are raising premiums by about 20% in 2026. Based on a more detailed analysis of available documents from insurers in 19 states and the District of Columbia, like in prior years, growth in health care prices stood out as a key factor driving costs in 2026. Insurers cite increasing cost and utilization of high-priced drugs as well as general market factors, such as increasing labor costs and inflation, as contributing to premium increases.

In addition to rising healthcare costs, the majority of insurers are also taking into account the potential expiration of enhanced premium tax credits in their premium rate increases for the next year. The expiration of enhanced tax credits will lead to out-of-pocket premiums for ACA marketplace enrollees increasing by an average of more than 75%, with insurers expecting healthier enrollees to drop coverage. That, in turn, increases underlying premiums. Other federal policy changes, like the implementation of tariffs and the ACA Marketplace Integrity and Affordability rule were also discussed, though to a lesser extent."


To summarize, your wife and I are fortunate to work for employers who provide health insurance at an affordable rate. Tomorrow, either one of us could be laid off and be forced into the marketplace....a marketplace that is no longer subsidized by the government. And, if either one of us have pre-existing conditions, obtaining insurance by not be feasable.
it begs the question why are private corporations so much better at managing the cost of healthcare than the government?

A company with a couple hundred people in their employ can offer better plans at lower costs than the government with millions?


That's what we did - $50.00 a month per person through our primary care and it covered standard visits, shots, x-rays etc.. We also took out a devastating illness insurance (69.50 a month) that covers major health issues. That make our current health coverage $169.00 a month.

My wife needed an MRI a few years back - cost of deductible with insurance $2,100.00 - cash price - $700.00.
 
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RDKirk

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it begs the question why are private corporations so much better at managing the cost of healthcare than the government?

A company with a couple hundred people in their employ can offer better plans at lower costs than the government with millions?
The problem is not just with that company and its "couple hundred people," but all the linked insurance infrastructure with all their employees and stockholders.

The medical billing industry, for instance, is a multi-billion dollar industry...and they're just pushing paper mostly _sideways._ The amount of deliberate inefficiency in medical billing is astounding and demoralizing...and we patients are ultimately the ones who pay for it.
 
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wing2000

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A company with a couple hundred people in their employ can offer better plans at lower costs than the government with millions?

Do they though? How much is your wife's company paying to supplement the cost of her coverage? How much would the Federal government pay in a similar Medicare plan? I don't think you know.
 
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Always in His Presence

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The problem is not just with that company and its "couple hundred people," but all the linked insurance infrastructure with all their employees and stockholders.

The medical billing industry, for instance, is a multi-billion dollar industry...and they're just pushing paper mostly _sideways._ The amount of deliberate inefficiency in medical billing is astounding and demoralizing...and we patients are ultimately the ones who pay for it.
Both Company and Government deal with the same - why is the insurance from the Government so much more?
 
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wing2000

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The medical billing industry, for instance, is a multi-billion dollar industry...and they're just pushing paper mostly _sideways._ The amount of deliberate inefficiency in medical billing is astounding and demoralizing...and we patients are ultimately the ones who pay for it.

....and all the time we as employees spend tracking medical bills, medical coding, co-pays, deductables, etc. Much of which is on company time....
 
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Always in His Presence

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Do they though? How much is your wife's company paying to supplement the cost of her coverage? How much would the Federal government pay in a similar Medicare plan? I don't think you know.
My wife is not old enough for Medicare - so you can remove that from the equation.

The company, if having to pay what the government is paying would be out of business.
 
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essentialsaltes

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The company, if having to pay what the government is paying would be out of business.
From a survey of employers:
"Annual premiums for employer-sponsored family health coverage reached $26,993 this year, 6% higher than in 2024. On average, workers contributed $6,850 toward the cost of family coverage.
Which means the companies covered the other $20,000.

On average, employees pay only a sixth of the actual cost of their personal health coverage, and a quarter of family coverage.
 
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wing2000

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Always in His Presence

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Which means the companies covered the other $20,000.

On average, employees pay only a sixth of the actual cost of their personal health coverage, and a quarter of family coverage.
Very good - now compare to what the tax payer pays by funding the Unaffordable Care Act -
 
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wing2000

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Which means the companies covered the other $20,000.

On average, employees pay only a sixth of the actual cost of their personal health coverage, and a quarter of family coverage.

I have a United Health Care - high deductable HSA Heath plan with my employer (for my wife and myself):

In 2026, the annual costs are:
Company pays: $18,700
I pay: $8,600...Correction, I pay 4,181 per year.
 
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Always in His Presence

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Of course...but I was using Medicare as an example. Use Medicaid if you prefer.

My wife is working age and has been gainfully employed for years - she does not qualify for Medicaid either.
...but you don't know what the government is paying for a similar medicad policy.
What is the government (the tax payer) spending for the Unaffordable Care Act policies?
 
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wing2000

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