Join Early Retirement Today
Reply
 
Thread Tools Search this Thread Display Modes
Old 08-14-2011, 10:01 PM   #41
Moderator
ziggy29's Avatar
 
Join Date: Oct 2005
Location: Texas
Posts: 15,613
Quote:
Originally Posted by bridgezon View Post
I'd also like to add to the discussion that I think that one reason that employers are not hiring new people and are working fewer people harder is because of employer health care. I'm surprised that I never hear this as part of the debate about the economy. It could also make it more profitable to hire younger people, to outsource, to automate, etc.
It is certainly a factor in whether or not they hire someone as a full time, "permanent" (i.e. W-2) employee or as a contractor paid with 1099 wages. Up to a certain point it's more profitable to just work existing employees longer and harder (even if they are hourly) since that's fewer health insurance premiums to pay. Your health insurance benefits don't rise by 25% when you work 50 hours instead of 40 -- even if you weren't abused by salaried exempt laws and actually got paid by the hour.
__________________

__________________
"Hey, for every ten dollars, that's another hour that I have to be in the work place. That's an hour of my life. And my life is a very finite thing. I have only 'x' number of hours left before I'm dead. So how do I want to use these hours of my life? Do I want to use them just spending it on more crap and more stuff, or do I want to start getting a handle on it and using my life more intelligently?" -- Joe Dominguez (1938 - 1997)

RIP to Reemy, my avatar dog (2003 - 9/16/2017)
ziggy29 is offline   Reply With Quote
Join the #1 Early Retirement and Financial Independence Forum Today - It's Totally Free!

Are you planning to be financially independent as early as possible so you can live life on your own terms? Discuss successful investing strategies, asset allocation models, tax strategies and other related topics in our online forum community. Our members range from young folks just starting their journey to financial independence, military retirees and even multimillionaires. No matter where you fit in you'll find that Early-Retirement.org is a great community to join. Best of all it's totally FREE!

You are currently viewing our boards as a guest so you have limited access to our community. Please take the time to register and you will gain a lot of great new features including; the ability to participate in discussions, network with our members, see fewer ads, upload photographs, create a retirement blog, send private messages and so much, much more!

Old 08-15-2011, 12:29 AM   #42
Dryer sheet wannabe
 
Join Date: Jul 2011
Location: Orange
Posts: 13
Quote:
Originally Posted by bridgezon
We're going to lose our Cobra insurance in about 8 months. I've been investigating coverage and was told that there are 5 states that cannot deny someone coverage or charge more on the basis of pre-existing conditions. So how does this work in New Jersey, for example, without a mandate? I realize premiums are higher in these states.
There are 35 states that have established high risk pools for people with pre-existing conditions under the Affordable Care Act. These are meant to be transitional until the ACA exchanges are up and running in 2014. Massachusetts has the lowest incidence of uninsured people followed by Hawaii while poor Texas brings up the rear with 26% of its citizens uninsured. There are 11 states with some form of guaranteed issue; Vermont, Rhode Island, Oregon, Ohio, New York, New Jersey, Michigan, Massachusetts, Maine, Idaho, and Florida. Hawaii requires employers to provide coverage for all employees working more than 20 hours per week (and has the lowest health care costs in the nation!), but doesn't have guaranteed issue. The Kaiser Family Foundation has a summary of health care on a state by state basis at the website statehealthfacts dot org.
__________________

__________________
Stella_Barbone is offline   Reply With Quote
Old 08-15-2011, 06:33 AM   #43
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: Feb 2007
Posts: 5,072
Quote:
Originally Posted by samclem View Post
... It could also be a good model for Medicare--just open the exchanges to the Medicare age group and let oldsters use their government Medicare entitlement as a voucher to buy from whichever provider they'd like. That shouldn't be controversial.
I don't have a problem with a voucher plan if there was total health care reform (across the board for everyone).

But... the people pushing the voucher approach are not interested in doing that. They are just interested in reducing medicare and medicaid.

If... they were really interested in fixing it... they would go "all-in"!

The mistrust, is because they are not willing to consume their prescribed solution themselves!

Quote:
Originally Posted by samclem View Post
I still think it's possible the vast majority of people could be induced to buy health insurance even without an individual mandate. Once the US puts in place a system that goes the extra mile to make individually-purchased health insurance more affordable, then folks without insurance will feel some increased pressure to get aboard.
...
Well, one thing we know for sure... most people that will get it free or really cheap will do it.

If the consequences are not very severe... people will try to game the system.
__________________
chinaco is offline   Reply With Quote
Old 08-15-2011, 08:15 AM   #44
Thinks s/he gets paid by the post
 
Join Date: Nov 2009
Posts: 3,871
Having worked in the actuarial area in the personal auto insurance industry for 23 years, I saw firsthand how the strength of an individual mandate is important to keeping overall rates down and maintain fairness to everyone in the system.

In the 1980s and into the 1990s, technological improvements made it easier for state to strengthen their compulsory insurance laws and give them more teeth to prevent car owners from slipping through the cracks and gaming the system, driving up rates for others who play by the rules. I evaluated the effects of various compulsory insurance law changes and saw how they reduced the rates everyone paid for Uninsured Motorists (UM) coverage, the "subsidy" those with insurance paid, in effect, to provide insurance for those who did not buy insurance of their own (i.e. the "free riders").

Whether it is an individual mandate or a single payer system (I prefer the latter), we need to have everyone paying into the system (to the degree they can reasonably afford to pay), especially the younger, healthier people who would likely skip out if there were no mandate, only to enter the system if they become sick (i.e. "free riders"), driving up costs fore everyone else the same way uninsured motorists drive up costs for everyone else.
__________________
Retired in late 2008 at age 45. Cashed in company stock, bought a lot of shares in a big bond fund and am living nicely off its dividends. IRA, SS, and a pension await me at age 60 and later. No kids, no debts.

"I want my money working for me instead of me working for my money!"
scrabbler1 is offline   Reply With Quote
Old 08-15-2011, 08:30 AM   #45
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: Sep 2005
Location: Northern IL
Posts: 18,288
Quote:
Originally Posted by chinaco View Post
But... the people pushing the voucher approach are not interested in doing that. They are just interested in reducing medicare and medicaid.
That's a rather broad brush, no? I don't even see the connection at all.

Is that a fair characterization of the Swiss system?

-ERD50
__________________
ERD50 is offline   Reply With Quote
Old 08-15-2011, 08:36 AM   #46
Moderator
MichaelB's Avatar
 
Join Date: Jan 2008
Location: Rocky Inlets
Posts: 24,487
Quote:
Originally Posted by bridgezon View Post
We're going to lose our Cobra insurance in about 8 months. I've been investigating coverage and was told that there are 5 states that cannot deny someone coverage or charge more on the basis of pre-existing conditions. So how does this work in New Jersey, for example, without a mandate? I realize premiums are higher in these states.
Hi Bridgezon, welcome to the forum. Please stop by and introduce yourself here

Healthcare insurance is regulated by states, so you need info specific to your state. Stella Barbone suggested the Kaiser Family Foundation website, which is very helpful. You can find it here. You should also consider contacting an insurance agent to look into conversion or continuation options.
__________________
MichaelB is offline   Reply With Quote
Old 08-15-2011, 08:53 AM   #47
Confused about dryer sheets
 
Join Date: Jul 2011
Posts: 6
We don't have any pre-existing conditions now, although I've heard that anything can be a pre-existing condition. Nothing major but we just want to be sure we don't get denied if we develop something. I think this would mean that we shouldn't move to Florida or Pennsylvania for the time being.
__________________
bridgezon is offline   Reply With Quote
Old 08-15-2011, 09:18 AM   #48
Thinks s/he gets paid by the post
 
Join Date: Aug 2006
Posts: 1,361
I'm still not clear on what aspects of the Swiss system is superior to what was just passed in this country.

It's framework seems remarkably similiar.

An individual mandate, requirements that insurance companies accept everyone, detailed requirements for what the insurance policies cover, and massive subsidies to the lower income population.


Quote:
Originally Posted by ERD50 View Post
That's a rather broad brush, no? I don't even see the connection at all.

Is that a fair characterization of the Swiss system?

-ERD50
__________________
Hamlet is offline   Reply With Quote
Old 08-15-2011, 09:23 AM   #49
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: Sep 2005
Location: Northern IL
Posts: 18,288
Quote:
Originally Posted by Hamlet View Post
I'm still not clear on what aspects of the Swiss system is superior to what was just passed in this country.

It's framework seems remarkably similiar.

An individual mandate, requirements that insurance companies accept everyone, detailed requirements for what the insurance policies cover, and massive subsidies to the lower income population.
It's been hashed out many times in past threads. I already am spending too much time posting here, I'm not going to repeat that all again.

The differences are extremely important - breaking the ties to health ins & employment is just one of them.

-ERD50
__________________

__________________
ERD50 is offline   Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
How to Invest my Mom's Money for Her Home Health Care Aide Costs? nico08 FIRE and Money 9 07-15-2011 03:51 PM

 

 
All times are GMT -6. The time now is 03:51 AM.
 
Powered by vBulletin® Version 3.8.8 Beta 1
Copyright ©2000 - 2017, vBulletin Solutions, Inc.