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Many See I.R.S. Penalties as More Affordable Than Health Insurance

nytimes.com

191–200 of 383 posts

Re: Many See I.R.S. Penalties as More Affordable Than Health Insurance

#191

Earlier quoted context omitted.

This is one of several reasons I have written off moving back to the US. A unexpected bonus of being an expat is I have no Obamacare requirement. I don't have to buy US insurance (since I couldn't use it anyway) and I don't face an IRS penalty.

Where's your greener pasture?

Thailand. It's not for everybody. But you can get world class medical care at a fraction of the price here.

Re: Many See I.R.S. Penalties as More Affordable Than Health Insurance

#192
post #146
post #133

Earlier quoted context omitted.

It's was pretty easy to predict: allowing enrollment after a diagnosis was politically popular but a terrible economic disincentive to not buy insurance (because at that point, it isn't insurance -- it's a subscription plan for your treatments). The young and healthy needed to enroll for the economics to work, but the individual mandate was delayed for years -- because coercion isn't popular politically, and there wa…

> After that, let the market bring costs down by removing regulations. This is hilarious, given that the US has the most expensive healthcare system in the world, outpacing far more regulated countries by vast amounts.... You might be right that you're hampered by bad regulation, but heavy regulation of the healthcare system have beaten the US consistently on cost for most of the developed world.

The United States' healthcare system undoubtedly is heavily regulated. It just so happens that it's simultaneously stupidly regulated: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2730786/

Re: Many See I.R.S. Penalties as More Affordable Than Health Insurance

#193

Earlier quoted context omitted.

Yeah, it's pretty crappy in NC. First year of ACA we only had one company even offering any insurance in my county. And yeah, it's county-based for some reason - if I lived 2 miles in another direction I'd have had multiple options about 10-15% cheaper than what I had available. Second year we had another option in our county which was about 15% higher than BCBS (which had gone up about 25% from the year before). App…

> Apparently some/much of this has to do with our state choosing to opt out of dealing with increased medicaid funding, so... yay... I guess they get to show obama how bad ACA is by... digging in their heels while we all just pay insanely increasing pricing? Well, the increased Medicaid funding is temporary, but comes with permanently higher Medicaid spending. So a state might reasonably not want to accept that offer…

Doesn't the federal government continue to cover 90% of the costs beyond 2020? That's still a pretty huge increase in funding.

Re: Many See I.R.S. Penalties as More Affordable Than Health Insurance

#194
post #54

I'm a Canadian. I'm curious to know what it would cost to match my level of coverage in the US. 1. Public medical care. Good care, normally easy to see a doctor. Excellent quality. Can use this as much as you need. 2. Occasional use of the parallel private billing system. Costs less than $300 Canadian to see a specialist. 3. Private coverage for paramedical claims (Physio, massage, drug plan, dental, vision, etc.). P…

Our employer-sponsored plan is roughly equivalent to this, and it costs the employer about $1,950 per month .

Interesting. Total private + public health care spending in my province is around $5000 per capita, per year. That covers everything I listed above.

Re: Many See I.R.S. Penalties as More Affordable Than Health Insurance

#196
post #175
post #133

Earlier quoted context omitted.

It's was pretty easy to predict: allowing enrollment after a diagnosis was politically popular but a terrible economic disincentive to not buy insurance (because at that point, it isn't insurance -- it's a subscription plan for your treatments). The young and healthy needed to enroll for the economics to work, but the individual mandate was delayed for years -- because coercion isn't popular politically, and there wa…

"I don't think the role of government is to take care of you, because it isn't the government taking care of you. It's the government coercing others to take care of you, against their will." The government does a lot of coercing people to do things against their will. That's why we have police, court systems, jails, and so on. Heck, we've had drafts! That's literally coercing young men to march headfirst into combat…

Was going to post something like this - you beat me to it.

"I don't think the role of government is to protect our country, because it isn't the government protecting our country. It's the government coercing others to protect our country, against their will."

Obviously, we have a volunteer force, but haven't always had that - conscription, as you brought up. It's fine to have a volunteer force, until we need more. Then force is brought in.

Re: Many See I.R.S. Penalties as More Affordable Than Health Insurance

#197
post #47
post #41

Earlier quoted context omitted.

And so it goes, National Healthcare like Britain or Canada is what America needs and what the medical establishment does not want. But somehow I think America would screw that up as well.

For what it's worth, I have talked to doctors who want single payer just as much as some of us.

I work in health tech and all 12 of the physicians I work with think single payer is the way to go.

Re: Many See I.R.S. Penalties as More Affordable Than Health Insurance

#198
post #67

Earlier quoted context omitted.

I understand premiums going up annually. I don't understand 30-50% increases year on year.

When I read this stuff, I'm a little astounded about how bad the situation must be in other states. Here in the Pacific Northwest, my premiums have actually been going down and the plan offerings are getting better. The provider I was on did go out of business so I had to switch, and I'm now paying less for more services. And, to be totally frank, having had a pre-existing condition that kept me from buying any insur…

" Here in the Pacific Northwest, my premiums have actually been going down and the plan offerings are getting better."

You are in the minority.

Every insurance company that provides Obamacare in Oregon is increasing rates for the average customer this year.

http://www.oregonlive.com/health/index.ssf/2015/07/more_than...

In fact, the State of Oregon has actually ordered some of the companies to increase their rates more than they'd originally planned.

http://www.cnbc.com/2015/06/22/oregon-dumps-cold-water-on-lo...

Re: Many See I.R.S. Penalties as More Affordable Than Health Insurance

#199
post #175
post #133

Earlier quoted context omitted.

It's was pretty easy to predict: allowing enrollment after a diagnosis was politically popular but a terrible economic disincentive to not buy insurance (because at that point, it isn't insurance -- it's a subscription plan for your treatments). The young and healthy needed to enroll for the economics to work, but the individual mandate was delayed for years -- because coercion isn't popular politically, and there wa…

"I don't think the role of government is to take care of you, because it isn't the government taking care of you. It's the government coercing others to take care of you, against their will." The government does a lot of coercing people to do things against their will. That's why we have police, court systems, jails, and so on. Heck, we've had drafts! That's literally coercing young men to march headfirst into combat…

[deleted]

Re: Many See I.R.S. Penalties as More Affordable Than Health Insurance

#200
post #27

Earlier quoted context omitted.

If you don't have preexisting conditions, you can still buy PPOs from the big insurers as non-ACA plans.

I spent many hours looking for this and couldn't find any individual PPO plans that cover Austin, Texas. If you know of one, please send it my way.

I am in Cedar Park and was offered the Scott & White PPO when I was on healthcare.gov. I didn't go with it due to the state limitation.
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