Friday, October 14, 2016

More Lies from the Shameless Media: O'Care edition

First, hateful right-wing politicians repeat the terrible canard that "[i]t doesn't make any sense. The insurance model doesn't work here."

Now, the press itself is promulgating obvious disinformation:

"More Than 1 Million in Obamacare to Lose Plans as Insurers Quit"

This has been debunked again and again. Here, for example:

The ObamaTax vs Your Salary

FoIB, and clinical psychologist, Dana Beezley-Smith has written a rather interesting take on how the ACA has impacted employees' wages:
My question concerned promises that the Affordable Care Act (ACA) would increase the incomes of American employees. “How would that work?” I wondered.

And she successfully fuses economic theory with real-world, real life experience, and even brings in our old "friend" Jonathan Gruber.

Recommended.

Thursday, October 13, 2016

Sad (Potential) Vendor Trick

So a few weeks ago, got an email from an outfit called "Agent Pipeline" touting a new (to me, anyway) product called "Minimum Essential Coverage Plans." These are stripped down plans that meet the strict ACA guidelines enough that policyholders avoid the ObamaTax,  but because they're pretty bare-bones supposedly save money.

I'm currently working on an interesting case where there are a sizable number of employees who don't qualify for the group health plan (hours worked) but manage to make too much to qualify for Medicaid. So I thought that perhaps this might be something to look into for those folks.

The plan covers the general Minimum Essential benefits (preventive care, x-rays, etc), and is quite affordable: about $150 a month for a single person. It also covers quite a range of telemedicine services, and because it's not an ObamaPlan, one can enroll outside Open Enrollment without a qualifying event.

So, pretty sweet-looking, but I had a few questions:
1 – Is this available for groups/employer-based only, or for individuals, as well? Also, what about associations?

2 – If group, what’s minimum size, and are there participation requirements (either number of people and/or employer premium contributions)?

3 – Pretty sure I know the answer to this, but what about catastrophic claims (cancer, etc)?

4 – The brochure says you’ll accept $$ from HSA accounts, but these plans aren’t on the 213d list of approved expenses. How does that work here?
These seem pretty obvious, simple things to me, and so I expected a prompt reply.

That was two weeks ago, with a helpful nagmail in-between, and still none.

'Tis a shame, no?

Late Week LinkFest

From the "Stopped Clock Twice-a-Day Department:" Sarah Kliff's post on "The Obamacare problem that Democrats don’t want to talk about" touches on some common themes we've written about for many years. And she puts a decidedly human face on the problem:
"Pieknik is a 37-year-old PhD student ... She earns $42,000, which is just slightly too much to qualify for tax credits where she lives ... So right now she’s facing a choice: Pay a lot more money, or scale back her level of coverage."
I'll note in passing that, at age 37, the "free" maternity care that makes up a substantial part of that premium is likely not a big selling point for her.

And from the "In Case You Missed it Department," we learn that North Star State governor Mark Dayton agrees with both Ms Kliff and noted right-winger Bill Clinton:

"Democratic Gov. Mark Dayton on Wednesday said that the increase in health insurance costs in Minnesota highlights “some serious blemishes right now and serious deficiencies” in the federal health care law known as Obamacare."
No kidding.

I still don't understand why these people keep telling obvious lies.

Finally, FoIB Allison Bell has at least a partial answer to a question we've been asking for a while now:

"About 94.5 percent of tax filers who owed mandate penalties paid them by December 2015"

She also noted that the IRS was giving some late-payers a break by writing off over a quarter of all late payments.

To be sure:

"The IRS wrote off some of those late payments because the people who owed the payments were dead"

Doesn't necessarily keep them from voting, of course.

Tuesday, October 11, 2016

Deathwatch: Belgian child edition

CanuckCare & Medical Tourism, Revisited

We've been blogging about the propensity for many of our Neighbors to the North to come south of the border to receive actual health care, such as in this post from over 6 years ago:

"Canadian Premier Danny Williams has chosen to circumvent the obviously superior (and free!) Canadian health care system, by flying to the United States for heart surgery, which is widely and freely available in his home country."

Previously, other powerful Canadians, such as MP Belinda Stronach had also chosen to have care rendered here.

Now FoIB Holly R helpfully alerts us to this factoid:

"An estimated 52,000 Canadians left the country to receive non-emergency health care in 2014"

Reason I bring this up is that recently, one of the two major party Presidential candidates averred that many Canadians come here for care that is supposedly widely and quickly available in their own country. Now, it's true that there have been recent attempts to privatize at least some sectors of the Canadian boondoggle health care system, with mixed results. But the fact remains that such care is unavailable to the majority of Canadians, and the sad truth is that the implosion of our own system impacts them, as well.

Just an observation.

Monday, October 10, 2016

Captain Obvious Speaks