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Obama care collapsing.....

Oompa Loompa

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When you stop subsidizing, then the insured pays 100%, which is what will happen if a solution isn't found. So people will most likely drop coverage, or choose a junk plans that don't meet aca standards of coverage. As I've posted before, those were supposed to be temporary plans lasting no more than 4 months, but Trump changed the rules so they can last up to 3 years.

The subsidy model isnt new with the ACA. It's the same model with employers. Employees pay part and the employer subsidizes the rest. Since its the govt exchange the govt takes on that role.

Aca participants have more choice than employees do. Short of changing to Medicare for all, this is the model we have to work with.

The profits wont crumble though, higher prices just get.passed on to the rest of us. Hospitals are still required to provide emergency care. We will be paying higher prices to compensate for the uninsured.
No. The insured will not pay 100%. I know this may seem like a fairytale, but at one time, the government did not subsidie insurance companies. This was a time before Barack Obama. When people could get premium health insurance for their entire family for less than $600 per month. Now, you are lucky to find a bronze plan for $2k. Why? Because Obama created a system in which billions of dollars are directly given to insurance companies for doing absolutely nothing in return.
 
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Belk

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I assume it goes toward insurance premiums. Which, in a sense, is practically what is happening now. The only difference, as far as I can tell, is that people are no longer limited to selecting only what is available on the Obamacare marketplace. However, I can see a floodgate of fraud with pop-up fake insurance companies begging for your voucher money. I am afraid that the only solution is stop all subsidizing, and premiums will drop like a rock. When insurance companies realize that Uncle Sam is no longer giving everyone $2,000 per month to cover premiums, premiums will almost instantly drop by $2,000 within weeks, and their profits will crumble.
Swe o

See post 258.
1765501034190.png
 
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Belk

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No. The insured will not pay 100%. I know this may seem like a fairytale, but at one time, the government did not subsidie insurance companies. This was a time before Barack Obama. When people could get premium health insurance for their entire family for less than $600 per month. Now, you are lucky to find a bronze plan for $2k. Why? Because Obama created a system in which billions of dollars are directly given to insurance companies for doing absolutely nothing in return.
This ignores how risk pooling works.

 
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iluvatar5150

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No. The insured will not pay 100%. I know this may seem like a fairytale, but at one time, the government did not subsidie insurance companies. This was a time before Barack Obama. When people could get premium health insurance for their entire family for less than $600 per month. Now, you are lucky to find a bronze plan for $2k. Why? Because Obama created a system in which billions of dollars are directly given to insurance companies for doing absolutely nothing in return.
For one thing, "before Barack Obama" was almost 20 years ago. Everything is more expensive now.

Second, what did that pre-Obama family plan cover? Part of the problem with plans on the older individual market was that they often didn't cover very much and/or had severe restrictions like lifetime payout caps or overly broad definitions of pre-existing conditions. This AHIP study from 2006/2007 shows average individual rates in line with what you described, but also shows how rates were higher in states that had rules prohibiting some of these sorts of restrictions (which makes sense). According to a Kaiser poll from 2008, average premiums for employer-sponsored family plans were $12,680 and had nearly doubled in the 8 years prior, so it's not like there wasn't a problem.
 
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wing2000

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I believe the plan that has been tossed around was to give people vouchers directly so they can buy whatever health insurance they want. Better than throwing more money at insurance companies so they can raise rates and profit margins.

$2,000 in our HSA.? That might cover the ER facility fee...but not much else....but I'm sure my superior negotiating skills will convice the Hospital to lower my bill!
 
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wing2000

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President Donald Trump has not endorsed a plan to prevent Obamacare rates from spiking in three weeks, leaving Republicans without a clear path ahead of a key vote.

....apparently helpless unless Trump weighs in?
 
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Belk

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$2,000 in our HSA.? That might cover the ER facility fee...but not much else....but I'm sure my superior negotiating skills will convice the Hospital to lower my bill!
My current insurance plan is $2,000 a month. Per person.
 
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essentialsaltes

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House GOP will not allow amendment vote to extend ObamaCare subsidies

Speaker Mike Johnson (R-La.) said there will not be an amendment vote on extending expiring ObamaCare enhanced subsidies as part of a House Republican health care bill this week, in a move that is infuriating moderate Republicans who had been pushing to go on the record about the subsidies.

Johnson said at a press conference Tuesday that about a dozen Republican members in competitive districts are “fighting hard to make sure that they reduce costs for all of their constituents.”

[A dozen would be enough to pass the measure, assuming the Democrats voted for it.]

Rep. Mike Lawler (R-N.Y.), one of the members who had been pushing for a vote to extend the subsidies that expire Dec. 31, fumed at the decision as he emerged from a House Republican Conference meeting Tuesday morning.

“I think it’s idiotic not to have an up-or-down vote on this issue,” Lawler said, adding: “It is political malpractice.”

[Johnson has already voted for 'down'; the opinions of party members aren't needed.]
 
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essentialsaltes

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ACA shoppers face sticker shock as Congress dithers on health care

According to a KFF poll released in December, about half of current enrollees who are registered to vote said that if their overall health care expenses — copays, deductibles, and premiums — increased by $1,000 next year, it would have a "major impact" on whether they vote in next year's midterm elections or which party's candidate they support.

"Before I sign up, I will wait and see what happens," said poll participant Daniela Perez, a 34-year-old education consultant in Chicago who says her current plan will increase to $1,200 a month from about $180 this year without an extension of the tax credits. "I'm not super hopeful. Seems like everything is in gridlock."

"They said, based on our salary, we don't qualify," said Debra Nweke, who, at 64, is retired, while her husband, 62, still works. They live in Southern California and are looking at coverage going from $1,000 a month this year to $2,400 monthly next year if they stay in the same ACA plan. "How can you have health insurance that is more than your rent?"

"Our prices are going up, but even at that, I don't have any other options," said Andrew Schwarz, a 38-year-old preacher in Bowie, Texas, who gets ACA coverage for himself and his wife. His three children are on a state health insurance program because the family qualifies as low-income.

Schwarz said that while the health system overall has many problems, Obamacare has worked out for his family. They'll just have to take the additional cost out of somewhere else in the family budget, he said.

Meanwhile, the clock is ticking for shoppers. People needed to choose their ACA plan by Monday for coverage to begin Jan. 1. Open enrollment continues in most states until Jan. 15 for coverage beginning Feb. 1.
 
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essentialsaltes

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Belk

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Always in His Presence

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Anyone ever wonder why the Obama Care program has steadily increased at a level two to three times the rate of other insurance programs?

Why is private healthcare (through a company) so much less than the 7% that is forced to go to Obama Care?
 
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essentialsaltes

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Always in His Presence

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Because the company is paying 84% of the premium and the employee pays 16%.
I'm speaking of total cost - not just employee portion

Here are the sources that support the trends shown in the "High-Level Trend Comparison" table for ACA Marketplace and Employer-Sponsored Private Insurance premiums:

Sources by Year Range

2014–2016 (ACA launch)
  • ACA Marketplace experienced volatility as markets stabilized.
  • Employer-sponsored insurance saw modest increases.
    Source: KFF Health System Tracker
2017–2019
  • ACA premiums spiked due to policy changes and insurer exits.
  • Employer-sponsored plans remained steadier.
    Source: KFF Health System Tracker
2020–2022
  • ACA premium growth slowed due to expanded federal subsidies.
  • Employer premiums rose steadily with higher out-of-pocket costs.
    Source: KFF Premiums Research
2023–2024
  • ACA premiums rose again, with double-digit increases in some regions.
  • Employer premiums increased 7% annually — fastest in a decade.
    Source: KFF Premiums Research

2025–2026 (projected)
  • ACA premiums expected to rise sharply as enhanced subsidies expire.
  • Employer-sponsored plans projected to rise more slowly.
    Source
 
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essentialsaltes

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In 2024, individual market insurance [ACA] premiums averaged $540 per member per month, slightly below the average $587 per member per month premium for fully-insured employer coverage.


 
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Always in His Presence

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Here are the sources that support the trends shown in the "High-Level Trend Comparison" table for ACA Marketplace and Employer-Sponsored Private Insurance premiums:

Sources by Year Range

2014–2016 (ACA launch)
  • ACA Marketplace experienced volatility as markets stabilized.
  • Employer-sponsored insurance saw modest increases.
    Source: KFF Health System Tracker
2017–2019
  • ACA premiums spiked due to policy changes and insurer exits.
  • Employer-sponsored plans remained steadier.
    Source: KFF Health System Tracker
2020–2022
  • ACA premium growth slowed due to expanded federal subsidies.
  • Employer premiums rose steadily with higher out-of-pocket costs.
    Source: KFF Premiums Research
2023–2024
  • ACA premiums rose again, with double-digit increases in some regions.
  • Employer premiums increased 7% annually — fastest in a decade.
    Source: KFF Premiums Research

2025–2026 (projected)
  • ACA premiums expected to rise sharply as enhanced subsidies expire.
  • Employer-sponsored plans projected to rise more slowly.
 
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camille70

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Here are the sources that support the trends shown in the "High-Level Trend Comparison" table for ACA Marketplace and Employer-Sponsored Private Insurance premiums:

Sources by Year Range

2014–2016 (ACA launch)
  • ACA Marketplace experienced volatility as markets stabilized.
  • Employer-sponsored insurance saw modest increases.
    Source: KFF Health System Tracker
2017–2019
  • ACA premiums spiked due to policy changes and insurer exits.
  • Employer-sponsored plans remained steadier.
    Source: KFF Health System Tracker
2020–2022
  • ACA premium growth slowed due to expanded federal subsidies.
  • Employer premiums rose steadily with higher out-of-pocket costs.
    Source: KFF Premiums Research
2023–2024
  • ACA premiums rose again, with double-digit increases in some regions.
  • Employer premiums increased 7% annually — fastest in a decade.
    Source: KFF Premiums Research

2025–2026 (projected)
  • ACA premiums expected to rise sharply as enhanced subsidies expire.
  • Employer-sponsored plans projected to rise more slowly.

What happened 2017-2019 to cause the spikes and exits?
 
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essentialsaltes

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4 Republicans defy Speaker Johnson to force House vote on extending ACA subsidies

Republican Reps. Brian Fitzpatrick, Robert Bresnahan and Ryan Mackenzie, all from Pennsylvania, and Mike Lawler of New York signed on Wednesday morning, pushing it to the magic number.

[Vote could come in January.]
Here it is, January. This, I gather, was a procedural vote before the real vote.

9 Republicans vote with Democrats to set up House vote on 3-year extension of ACA subsidies

The measure passed by a 221-205 vote. Notably, nine House Republicans broke ranks and voted with Democrats in favor of the procedural motion to discharge. These lawmakers include Reps. Mike Lawler and Nick LaLota of New York, Rob Bresnahan, Ryan Mackenzie and Brian Fitzpatrick of Pennsylvania, Maria Salazar of Florida, David Valadao of California, Thomas Kean of New Jersey, and Max Miller of Ohio.

Last month, the Senate rejected a three-year extension of the subsidies when the measure fell short of the 60-vote threshold, though four Republicans -- Sens. Susan Collins of Maine, Josh Hawley of Missouri, and Lisa Murkowski and Dan Sullivan of Alaska -- all crossed the aisle in support of the measure.

President Donald Trump has publicly expressed his opposition to extending the subsidies.

 
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Laodicean60

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What happened 2017-2019 to cause the spikes and exits?
Expiration if the Reinsurance Program and why it was for three years is beyond me. Politics?

Insurer's undercharged initially then had to raise prices, so they say.
 
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