Folks earring 133% or less of the federal poverty level don't have to go on Medicaid. They are eligible for the subsidy and any plans offered through their state health insurance exchange program. In general, if someone can afford it, they will probably prefer the more flexible alternatives to Medicare coverage. Subsidies at this low income level will be such that they shouldn't have to pay more than 2% of their earnings for the second lowest priced Silver plan on their exchange.[/QUOTE
Yes, but if you look at those charts presented earlier in the thread, the terminology being used for the 133% of poverty level and below, is "Medicaid".
I find it interesting that they chose to use the name "Medicaid" if the term has a different definition than what we have traditionally known as Medicaid. If they wanted the subsidy to be something different, they would have given it a different name. I don't think young people (under 65) who don't want to work, are going to be able to pull this off.
Two scenarios. One not uncommon in today's world, the other a little far fetched. Neither involves what we think of as ER, but the principle is the same.
1. An adult child living with their parents. Parent likes having them around, and doesn't care if they work or not. Child turns 26, goes off the provision allowing the carriage on parent's policy. Child then notifies the government they don't plan to work, and they want their "Medicaid" subsidy.
2. Person turns 18, decides they're going "into the wild" and live off the land all their life. They want their "Medicaid" too.
Both of these situations aren't much different than a bare bones ER lifestyle. The common factor being they involve able bodied, non-seniors, wanting free government health care.
Right now, Medicaid is not easy to get. You need to be disabled or have dependent children. If you're able bodied, you need to have a full-time job, or be looking for one. The common denominator being that despite your best efforts, you are incapable of earning enough income to provide healthcare for yourself or dependents.
If this 133% of poverty level provision is the free-for-all some think it is, no wonder there is such resistance to it's implementation by fiscal conservatives.