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Old 08-21-2015, 12:00 PM   #81
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Originally Posted by mpeirce View Post

The system would then benefit from market feedback on what bundles of coverage people actually value and are willing or not willing to pay for. That seems better than some "smart person" in Washington telling us all what is best for us.
Except most healthcare insurers will make up "packages" of desired coverage based on utilization and on focus groups.

Market feedback becomes a moot exercise. People don't know what they need. Today you feel well, and only see a doctor once a year, sometimes you just go to the pharmacy for a flu shot. This afternoon, you get hit in the parking lot as you roll your grocery cart to your car. Now you need hospitalization, physical therapy, and drug therapy.

If healthcare was really a commodity, then people would pick packages of coverage. But healthcare is not a commodity when we hold others accountable (work site injury, automobile accident, tobacco companies) for our health.

For the most part, the two politicians' plans are election rhetoric. That's health care coverage by committee and anything designed by committee is guaranteed not to work for everyone.

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Old 08-21-2015, 12:20 PM   #82
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You can bet if the government is giving a tax credit they will certainly have a say in what is policy acceptable or not.

The Walker proposal seems to just pick credit amounts out of thin air. Unlike the ACA which is based on the second lowest cost silver plan. The problem is, you know how these things go, first everyone gets it, then they start means testing, then they don't adjust for inflation. Eventually it becomes like the $255 Social Security burial benefit which hasn't been changed in decades.

These proposers are philosophically opposed to this, so they will do something that sounds good up front, then gradually weaken it to uselessness.

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Old 08-21-2015, 12:22 PM   #83
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Originally Posted by kiki View Post
Editing to add: I know this not on topic. I just wanted to share what my employer is doing to avoid the Cadillac tax due to ACA, which I thought might be interesting to others. No responses necessary.

I'm not sure this is true. My employer is going from an HRA to an HSA next year - which I'm happy about - in order to avoid the "Cadillac" tax.

I would assume this would be true for most employers. I'm skeptical many will pay the additional tax, since human nature indicates we are all well conditioned to minimize our taxes. Companies aren't exempt from that condition.

My GF is nervous about this. Nothing is coming out from company but I imagine a $150 yearly deductible is close to the "Cadillac Plan". It is union negotiated and current contract expires in 2017, so I imagine that is where it will get negotiated. No way a company of thousands will pay an additional 40% tax on top.

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Old 08-21-2015, 01:58 PM   #84
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Originally Posted by Lisa99 View Post
If Obamacare went away my husband and I would have to go back to work effectively ending our early retirement.

He's had controlled high blood pressure for more than 10 years and when I looked into private plans before ACA was implemented the cost of insurance was undoable for us.
Ditto for me also. Both DH and I were considered uninsurable in the old days.
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Old 08-21-2015, 03:28 PM   #85
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Originally Posted by Live And Learn View Post
Ditto for me also. Both DH and I were considered uninsurable in the old days.

I'll be starting a new j*b if insurance goes back to underwriting. :thumbdown:
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Old 08-21-2015, 04:34 PM   #86
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I just find going back to medical underwriting unimaginable.
Well, I thought I was retired. But it seems that now I'm working as a travel agent instead!
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Old 08-21-2015, 04:53 PM   #87
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Originally Posted by audreyh1 View Post
I just find going back to medical underwriting unimaginable.
+1000. Medical underwriting almost derailed my ER 12+ years ago after I found out I could not buy any health insurance because I had a history of high BP (controlled with medication) and my wife had carpal tunnel. Finally in desperation I had to go to all kinds of contortions and create a business just so I could get a group health plan (FOR TWO PEOPLE!) so I could buy very high deductible health insurance for an astronomical price. What a nightmare!

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