Comments

1
You can now get additional time to finish enrolling on request.
2
Dear young people:

It is true that your premiums may go up, your deductible may be higher, and it is true that the current plan you are on may be terminated by your insurance company.

BUT!

Part of the ACA is that preventative treatments and medications (the kind of medical care young people need 99% of the time) now comes with no member liability. That means that it carries no copay, is paid at 100%, and the deductible does not apply.

So while your premium may go up, your actual costs will likely go down, since you will have fewer copays, fewer services that require a deductible, and fewer coinsurances.

Be a real American and sign up. To help yourself and your neighbors.
3
I signed my wife and me up for ACA on the Washington Healthplanfinder site and had no problems. We were able to find an insurer that allowed us to keep visiting the same clinic we'd been paying out of pocket for.

Since then, my wife has had emergency gall bladder surgery, which we were able to get taken care of without being bankrupted. I've found out I have cataracts and will be able to get them taken care of as well.

The ACA is an important first step towards single payer and justice in health care access.
4
Under ACA there is a strong financial incentive for healthcare payers and providers to help plan members manage chronic conditions like diabetes. Before the ACA, not so much. So it's a win from that perspective as well.
5
In before Seattleblues complains about being robbed.
6
It sounds like the best solution for people like Grant living with chronic illness, but I admit I still don't understand the great benefit of ACA. I was a bartender for 17 years and I rarely had $250 extra a month (and, to be perfectly honest, when I did have it I blew it on something nice, like a plane ticket to visit my family). I understand that $250/month is inexpensive for healthcare, but how is anyone supposed to pay that and invest/save and, you know, have a life.

I have insurance now because I'm married to someone who works for a corporation. But I'm a college instructor and make about the same as when I was a bartender—in the 1990s. There is no way I could afford ACA if I was single. My students have said the same: they resent that this is marketed toward young people yet they can't imagine having $250 extra a month.
7
Congrats on the health insurance! I hope others take advantage of the opportunity, as well.

When I was 25, I wasn't allowed to be on my parents' health insurance anymore, and was living on my own with my first very own apartment. Luckily, I was working for an employer who provided coverage. I got appendicitis and ended up in the ER, surgery, and four days in the hospital. I was perfectly healthy and happy the day before this developed. I can't imagine what that would have done to my fragile finances if I didn't have insurance. It may have changed my entire future.

Don't let an unforeseeable illness or injury also be an unforeseen financial disaster. Get health insurance!
8
I wanted to get in and out before Seattleblues starts spouting her lies. My insurance was "canceled" like most insurance is each year. The plans switch and change. This is not new. That has been happening for years. The new plan I picked is only 67 cents more a month and gives me so much more than my old plan. The biggest being there's no lifetime cap. A catastrophic accident or illness would have bankrupted my family before. Now I am quite comfortable with the unknown. My plan is actually cheaper than before because my prescriptions are cheaper.

The ACA is a good thing - not the best thing but a step in the right direction. The only reason conservatives hate this plan is because it was a huge accomplishment by President Obama. That is the only reason. The ACA is literally the conservatives plan from the nineties with a few minor tweaks that help more low income people. Fuck the liars and their lies.
9
The ACA is a great thing. I know many people who did not have health insurance - myself included, who now are covered at a fair rate (or through Medicare).

Anyone who rails against the ACA hasn't been in the scary place of being uninsured (or they are a Tea Party Bigot).

Sign up! I did and it took about 30 minutes and I was covered retroactively to the first of the month. I got my health card in the mail just two days later. No problems, easy as pie and now I'm covered! No complaints here!

10
Oops - I meant Medicaid, not Medicare.
11
@6: Most of your students are young enough to be covered under their parents' insurance (those who have it, of course). And for young people with little income I'm quite sure there are plans for much less than $250 a month.
12
I helped sign my friend up for Medicare on the Washington State Health Plan Finder. It took twenty minutes and the process was flawless. My sign up took even less time because for paid plans there are a lot less steps for verification. I was able to keep my own doctor and the hospital I want is covered. The payment plan works and I was able to easily set it to auto-pay. I have had zero problems. Just make sure you are going to the right place because there are some scam sites. Go to www.access.wa.gov then click on Health Care Coverage on the right.
13
Oh crap I also meant Medicaid instead of Medicare. It was a lifeline for my friend.
14
"kindly shut the fuck up."

Excuse me? How about a little gratitude? Maybe a "thank you"? To whom, you might ask? To me!, and all the other "makers" who are partially or wholly paying for health insurance for "the takers".

And you wonder why we are so opposed to most public assistance? It's attitudes like the author's.

Unbelievable . . .
15
Here's some data on cost effectiveness of prevention vs. treatment from the New England Journal of Medicine: http://www.nejm.org/doi/full/10.1056/NEJ…

The main conclusion of this meta-study is that "efficient investment in health care programs are roughly equal for prevention and treatment". For certain preventive measures like vaccinations and smoking prevention programs, there is a clear win for prevention, but for other conditions it's not always clear.
17
"I'm also a taker. So are you." No, I'm not a taker. Speaking strictly about medical expenses, I am not a taker. No one is paying any premium for my coverage. My employer is self-insured. Even if they weren't, or you want to describe medical self-insurance as having a "premium" component, the maker/taker argument doesn't apply to private insurance relationships, because they are voluntary.

I "make" and some of that goes to pay for people who receive publicly subsidized insurance.

Care to rephrase?
18
@15: that study is critical of the indiscriminate use of lab tests and preventative prescriptions on populations with low risk factors - which is certainly a valid criticism, there are too many unnecessary screening tests ordered. However, it is not criticizing the kind of risk pooling and health quality interventions that underpin the ACA (as well as the Medicare STARs program.) When that study was published in 2008 the ACA hadn't been passed yet.
20
@17,
The problem, of course, is that no one believes they will be a "taker" until it happens to them, often unexpectedly. Some day you may become a taker. I hope that never happens, but accidents or chance diseases can befall anyone.

Most of the people who go bankrupt due to medical costs DID have insurance. Pre-ACA though, insurance companies could simply drop those people if they ever had to cover them.
21
It's cute how Randroids think that infectious diseases, cancer and car crashes give a discernable shit about their penny-ante "philosophy".
22
@20) If we are lucky, we will get old. When we get old we will eventually get sick. Unless we top ourselves at this time, we will all then be "takers" like mo-fo's, if we are lucky.
23
Already signed up. I'm just happy that this year I get to be covered, unlike previous years when I would apply, be rejected, and hope against hope that I wouldn't have a uterine cyst explode again. Detractors, keep telling me about how being covered is somehow a bad thing. And then go fuck yourselves.
24
@14: Shut the fuck up.
25
@22, Word.
26
@14: As someone who has been employed since age 14, never taken a dime of public assistance and pays their own insurance premiums, I am telling you to shut the fuck up.
28
The entire idea of "makers" and "takers" is absurd. Anybody who makes money and spends money is both, and that describes nearly all of the working age people. Working age people accepting unemployment checks don't want to do that. Working people taking food assistance so they don't have to choose between who to feed, themselves or their children, don't want to take food assistance. It baffles me that any American thinks that pride isn't a common part of our culture.
29
@27 "You think your employer is paying anything out of the goodness of their heart? LOL come on man, try to understand."

No, of course not. It's all negotiated. The point is, it's a voluntary relationship; me and my employer. If anything is being "taken" from me, it's only because I consent.

There is no consent when the title to some of my hard earned money is somehow transferred (by force) to another individual.
30
This article is a true insult to anyone with reasonable intelligence. The real truth is that Obamacare is totally haywire and no one has any idea of how its outcome will be.

31
@29: Nice opinions, Mrs. DePointe. What Sargon Bighorn actually SAID was that your employer pays for employees' insurance BECAUSE they are forced to by regulatory action. What are you, one of those "voluntarist" knuckleheads who think that the world will work so much more smoothly if we say "please" and "thank you" and never force anyone to do stuff they don't want to even in the interest of justice or of the greater good?
32
@29,
Jesus H. Fucking Christ...

This isn't a dictatorship. The majority voted for this. It happened with our consent. We consent to allow representatives to vote yes or no on things. You didn't want the ACA, but the majority did. I didn't want the Iraq war, but the majority did. It is not fucking forced on us. We vote for it.

Representatives are elected. If the ones you wanted didn't get in, then go out and support them next time, or run for office yourself.
33
"It is not fucking forced on us. We vote for it."

So if it's not forced on us, then if I resist by all means , nothing will happen to me? Please . . .

The whole scheme fails without the threat of force.

"was that your employer pays for employees' insurance BECAUSE they are forced to by regulatory action. "

Not before ACA they weren't. I had a policy procured through negotiation that (because of ACA) I wasn't allowed to keep, the president's promises notwithstanding. There's that Force word again. You've used it properly. Good for you. "forced to by regulatory action."
34
Fuck off, @14, and not kindly.
ACA means a friend of mine WHO WAS WILLING TO PAY FOR HEALTH INSURANCE can now have health insurance. As a breast cancer survivor - she was diagnosed at Stage IV with both inflammatory and the more common form of BC - she was turned down by every fucking insurance company out there. She could not work full time while she was going through her treatment - go figure! - and was eventually let go by her employer. When she started working again, she started her own business so she could work the hours she needed to maintain her health (she's a maker, you fucking asswipe) but she could not get health insurance; they all denied her coverage because of her "pre-existing condition" - surviving cancer. She did eventually find one catastrophic insurance policy that was pretty worthless and still outrageously priced, but she paid for that anyway, just in case, and because she felt it was the responsible thing to do. Now, with ACA, she is able to get regular health insurance. No one could deny her coverage just because she was a breast cancer survivor. She is HAPPY to pay her health insurance premium each month, because to her it represents proof of life and health. And, while her business is too small for her to have to provide her employees with coverage, she does what she can to help them, including paying a set fee each month to one of those medical services company that guarantees her employees access to a doctor, inexpensive labs & X-rays, etc.
So once again @14, fuck off. ACA allows my friend to live. My friend can now live without the fear of going bankrupt should her cancer ever return, she can live like a normal person paying for health insurance, and she can live out her dream of her owning own business without forcing her to return to the corporate world just so she could get health coverage.
35
@34: who said anything about not regulating denials for pre-existing conditions? This is about being forced to pay someone else's expenses. A direct transfer of wealth from me to them. You're out of context.
36
And you're a fucking prick. You'd deny someone life if you had to pay for it.
37
@35: not sure what you're talking about with this "direct transfer of wealth" business. Everyone is required by law to participate because there must be a large enough base to cover the cost of claims. The ACA plans are risk-adjusted, i.e. there's a common pool of money available to cover the additional risk that some insurance plans would incur if they end up with a disproportionate number of chronically ill persons. It's similar in many respects to how Medicare Advantage works. Both the ACA and Medicare are programs designed to insure people who othwise would not be profitable to ensure, causing them to use the healthcare system in nonoptimal ways (e.g. visiting the ER.)

If you refuse to participate (or in your case are ineligible to participate because you're already covered by an employer-sponsored ASO group) then the exchanges aren't costing you anything, except to the extent that tax dollars are used to set up the exchanges.

By your logic, the US military and everyone in it is the biggest "taker" in the country - although, since you benefit from being defended by the military, it's a weak argument. So it is with the ACA. You benefit even if you don't directly participate.
38
@35 Dean.fuller: Please understand how insurance works: everyone is a taker. No one is an island such that they can afford to pay for the full cost of healthcare on their own. Any kind of catastrophic procedure can quickly run into the six figures, and any kind of chronic condition can run into the millions over the lifetime of the patient. It's doubtful that you have the deep pockets necessary to pay for your medical care without the assistance of others, which is why we have insurance. Unfortunately, much of the cost of indigent care has been borne as a hidden cost that you have had to pay for through increased healthcare premiums and taxes. That expense can't be wished away, but has resulted, in part, in runaway healthcare costs. What is being done under ACA is increasing the pool of candidates to pay for medical costs, who, instead of running to the emergency room without insurance, will at least be making a contribution in a transparent fashion.

Part of the problem with the private healthcare insurance is the death spiral that has been taking place, as private insurers have been focusing their resources on the healthy by finding ways to exclude high cost catastrophic patients, and eventually abandoning them to the state. There are multiple problems, and certainly, people who are poor will be taking advantage of the new healthcare insurance to address their problems, as they should, because acute conditions that blossom into chronic conditions cost a lot of money. Yes, you, personally, will pay more, as you should, so that you can help insure the integrity of the system, because eventually, the rest of us will be paying for your care when you're least able to afford it. Nonetheless, the ACA contains a lot of reforms to address the other side of the equation, cost containment, and if you glance through the provisions hopefully you'll find something to like.

It would have been simpler to send out a Medicare card (full medical, dental, vision) to everyone and use private insurance as a stopgap measure for whatever Medicare didn't cover, but the insurance industry is thoroughly embedded in the US body politic, and their bribes paid off.

If nothing else, think of the kids.
39
@33,
"It is not fucking forced on us. We vote for it."

So if it's not forced on us, then if I resist by all means , nothing will happen to me? Please . . .

The whole scheme fails without the threat of force.
You live in a world where many things are forced upon you because your peers voted for them. If you resist, your peers, through an elected body, will force them upon you.

Yes, you live in an imperfect world. Maybe a terrible, tyrannical world where you're forced to do things you don't want to do. Sorry to break it to you. Yes, that's the world you live in.

If you want it to be different, if you want to change it, if you want everyone to have the ability to reject whatever they want to reject, then vote those people in office... or run for office yourself on that platform... or move to a country where that isn't the way of things. But you currently live in a country where you're forced to do what you don't want to do. If you want to change it, the nice thing is, this country allows you to change it. So change it.
40

Here are some numbers that put the decision of purchasing health insurance in context for young uninsureds. See more: http://www.healthcaretownhall.com/?p=732…
41
Mitten, dear, I worked part-time at a large Capitol Hill nightclub (ok, it was The Cuff) for ten years. All I did was check coats, but I was paid minimum wage and seldom left a shift without at least $200 in tips - and that was just for one night's work a week.

I had a "real" job, and had health insurance through that, but if I hadn't, The Cuff offered a very generous plan for not very much money. Perhaps I'm naive, but however did you bartend all those years without the ability to pay a $250 health care premium, if you had the opportunity?
42
All this 'Wah! I'm forced to do something I don't like by a law I didn't support!" stuff is childish whining. I don't like kickbacks to oil companies. I don't like the huge military budget. I'm leery of faith-based initiatives. I can't figure out how huge corporations can have a negative tax bill, but I'm pretty sure I wouldn't like whatever reason there may be.

We live in a society, not an anarchy. We take care of each other, to an extent, not just because it's the right thing to do. We do it because it's the smart thing to do. It's self-preservation.

Besides, we already paid for the uninsured, through unpaid bills and debts that got passed on to paying customers. The method is different, that's all.
43
I checked the "Affordable" Care Act govt insurance marketplace. The absolute cheapest plan I can get for myself (no dependents) is $250/mo with a $6,000 annual deductible 60/40 co-insurance. That means after I pony up enough cash to buy a used car, then they start paying 60% of my medical bills, minus the copays ranging from $250-$500 dollars. So lets add this up. I broke my thumb several years ago and it came to a total of $15,000 in medical bills. With this insurance I would pay the first $6000. After that, the insurance would pay 60% of the balance minus the $500 copay for the hospital stay ($4900) leaving me with a balance owing of $4100. That's a cost to me of $10,100. For the "privilege" of paying 2/3 of my own medical bill I will pay $3000 a year in premiums, bringing my cost for the broken thumb up to $13,100 or 87.3% of the original bill for the broken thumb. Affordable Care Act? By who's definition?

If I have no catastrophic injuries, the insurance is useless and designed to be that way. I am diabetic (non-insulin) and would need to spend about $400 per month on meds and testing supplies without insurance. That's $3600 per year, or just over half the deductible that would need to be met before a single aspirin is covered. There is no way for me to afford $400 for medicine and $250 for insurance each month. It would be cheaper for me to live without the insurance and just pay for the meds myself. So now I get to choose between meds to control my diabetes and insurance in case I have a huge health crisis of some kind. Like the one I will most certainly have if I don't get my meds. What we NEED is insurance reform that makes health insurance part of our ongoing health care not a gambling program set up to favor the house.
44
We signed up March 11, still have gotten nowhere signed up. At least the site says we are signed up. We have the printed info proving it. After two months and repeated calls between Kaiser Permanente and the healthcare.gov site the left hand does not know what the right hand is doing. Kaiser says they have no info from healthcare.gov. Now we are told that they have one month to find the solution to this. This one month marker is coming this week. I have no faith that they will have the issue worked out then...talk about a real mess. I now worry about even signing up. If they cannot figure it out in this amount of time do I even want them involved in my healthcare needs?
45
So now, a year later, with all the talk of people going bankrupt and not being able to afford life-saving care, why are we still having bake sales and benefit parties for people who are faced with sudden medical expenses? Wasn't Obamacare supposed to fix all of that? What happened?
46
@45 Are you seriously retarded? I know you're a troll and I shouldn't engage, but for fuck's sake, the affordable care act was gutted by the GOP so that people like you could do precisely what you're doing now, which is point your grubby little finger at Obama for failing to pass a law that fully works. Single payer was the plan, the GOP killed it so we got the patchwork marketplaces, partially rigged by the insurance companies in order for them to raise rates easily.

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