My Rant; Your Precious Obamacare

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by Micaho on 05 February 2013 - 23:02

Does anyone know what difference it will make that 27 states are refusing to set up the insurance exchanges required to implement Obamacare? Some people seem to think that this will make the plan unenforceable, but I don't understand all the complexities of the bill to know if that is a realistic possibility.

by fawndallas on 05 February 2013 - 23:02

Interesting Micaho, I did not know that.

If that is the case, this will make life very interesting in 2014. I will see what I can find out. I would at first suspect that there is federal money tyed into the Federal mandate that will make it very difficult for a state to actually not comply.

by hexe on 06 February 2013 - 05:02

fawndallas, you are right--I did make the assumption that you and your husband are the biological parents of your son, and for that I apologize. It was an easy leap to make, given your husband's health issues in combination with your son's premature birth and his frail constitution since then, but it was wrong of me to arrive at that conclusion with such limited data.

by joanro on 06 February 2013 - 14:02

Wonder what the percentage of babies available for adoption are crack babies? And what percentage have FAS? adopting a child with a strong constitution and zero health problems is probably about as likely as getting a puppy free of health problems from a puppy mill. I was raised in a foster home, but declined to be adopted, didn't want my name changed. ;-)

by fawndallas on 06 February 2013 - 14:02

Thanks.    I did understand what you were pointing out Hexe. I have fussed much at my husband's smoking.                                                I think my biggest frustration with the Obamacare is that my choices are going to be even more limited. I know my company is just using the Obamacare as an excuse. Now, walking away from them is going to be even harder. The saddest part of my company; we are in the healthcare industry, yet the employees don't get any break in costs.
I did start to think about how the states are going to handle the requirement for having some kind of state insurance. Where is that money going to come from? Premiums are just a portion of the money used by an insurance company for paying claims. I bet our state taxes go up to off set. So instead of our premiums going to just within our insurance group; now we have some type of taxes to help pay for the new state insurance?   As more of the work force retires, there is going to be more people using either the Medicare (which we all pay for) or the new state insurance.

As someone else stated, Obamacare only addresses part of the issue. No where is the cost of healthcare addressed.   Until that side is addressed, things are just going to get harder.

Does anyone have anything on Micaho question?

by beetree on 06 February 2013 - 15:02

Federal officials and federal contractors will set up and run the exchange in any state that is unable or unwilling to do so.

By Feb. 15, states must notify the federal government if they want to help with selected tasks, like consumer assistance and the supervision of health plans, in partnership with the federal government.

On Oct. 1, consumers can begin to enroll in health plans, for coverage starting on Jan. 1, 2014, when most Americans will be required to have insurance.

https://www.nytimes.com/2012/12/15/us/most-states-miss-deadline-to-set-up-health-exchanges.html

by fawndallas on 06 February 2013 - 15:02

Thanks Bee.

by joanro on 06 February 2013 - 15:02

Consumers.
Sounds like a bunch of worms in a compost bin.

by Micaho on 06 February 2013 - 15:02

Here is some of the information I have found. It is not as current as I would like, but the Freedomworks article is a little bit newer than the NYTimes article cited above.

"As the result of a drafting oversight, Congress neglected to include automatic appropriations for federally facilitated exchanges (FFEs). That means there’s money on hand to help states that want to set up the exchanges themselves, but the government’s options vis-a-vis states that can’t or won’t act on their own are more limited."(http://tpmdc.talkingpointsmemo.com/2012/07/affordable-care-act-insurance-exchanges-obamacare.php

"“The decision to postpone the Governors’ exchange deadlines is a silent defeat for the White House. We knew we were winning the fight against government-run health care when 27 states -more than half- refused to adopt a federal exchange. Today’s annoucement only confirms that Health and Human Services will not be able to meet the February 15th deadline. The wheels are coming off the bus, and the Administration is getting desperate." Jan 15, 2013 Freedomworks website(http://www.freedomworks.org/press-releases/governors-reject-health-care-exchanges-white-house?fb_action_ids=10151328142734014&fb_action_types=og.likes&fb_source=timeline_og&action_object_map={"10151328142734014":321991304573001}&action_type_map={"10151328142734014":"og.likes"}&action_ref_map)

Bottom line is that Congress in the ACA gave the government the right to set up state-based exchanges if the states refuse. They did not give the government the money to set up the exchanges, and heaven knows the government can't do anything without money. There were more articles about needing to get the House Appropriations Commitee to allocate the money to set up federally-run exhanges in non-compliant states. But the House Appropriations Committee is largely Republican, which doesn't bode well for the funding, hence the deadline being postponed indefinitely.

Don't know where this will lead, but things are not going as smoothly as expected after Obama's re-election.

by Two Moons on 06 February 2013 - 15:02

I sense a lot of resistance and this will be a real mess right from the start.

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