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ACA Running Thread

This is probably the closest we will get to a CBO analysis of the bill's impact on coverage prior to a vote, since they are refusing to wait for the actual CBO. The other independent analyses have shown roughly the same.

https://www.brookings.edu/research/how-will-the-graham-cassidy-proposal-affect-the-number-of-people-with-health-insurance-coverage/

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tiltdeac said:
This is probably the closest we will get to a CBO analysis of the bill's impact on coverage prior to a vote, since they are refusing to wait for the actual CBO. The other independent analyses have shown roughly the same.

https://www.brookings.edu/research/how-will-the-graham-cassidy-proposal-affect-the-number-of-people-with-health-insurance-coverage/

es_20170922_grahamcassidytable1.png
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Loren (one of the authors of this) is my cousin's husband and a good friend. Crazy to see his work posted on the boards, but he does good stuff with Brookings.
 
Seriously, under the current laws we're getting taxed soon because we provide too good of health insurance. That's supposed to pay for Obamacare. That's certifiably nuts.
 
Louis Gossett Jr said:
2&2 fucks a 4, slips up and fucks a 2 and the only possible way to possibly fuck a 10 is to fuck a bloated dead corpse.
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You must spread some Reputation around before giving it to Louis Gossett Jr again.
 
palmab03 said:
Seriously, under the current laws we're getting taxed soon because we provide too good of health insurance. That's supposed to pay for Obamacare. That's certifiably nuts.
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Let's get rid of that as well as the ESI tax exclusion and call it a day.
 
John McCain swinging his dick around and slapping his pal Lindsey in the face.
 
Sandoval doubles down on criticism of Heller-sponsored measure; state analysis highlights up to $2 billion loss

Three months ago Heller held a press conference with Sandoval, the governor of his state, to speak out against the Republican healthcare bill. Now Heller's name is on the current Republican healthcare bill. Getting yelled at by Steve Wynn and Sheldon Adelson must be miserable.

Credit to McCain for coming out against the bill, hopefully others will follow. I'm still nervous about the Murkowski arm-twisting.
 
Lol at intentionally taking down the enrollment website almost every Sunday, presumably just for spite, after cutting the enrollment period in half.
 
tiltdeac said:
The romanticizing of our health care from pre-obamacare is absurdly revisionist. No question it still has it's problems, but people have just forgotten or didn't realize what a disaster our healthcare was beforehand.
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For most folks, there is virtually no difference. The pre ACA individual market was ok to good if you were healthy and were middle class and horrible if you were sick / poor in many states. Now, the opposite is true, though a far smaller # of people are harmed thanks to the ACA subsidies. It amazes me how much some people think the ACA impacted them for the good or the bad when it really didn't change things all that much. The actual number people who have been harmed is quite small. Its one of my conerns of we every get real reform....How americans will react when it really impacts them.
 
tiltdeac said:
Lol at intentionally taking down the enrollment website almost every Sunday, presumably just for spite, after cutting the enrollment period in half.
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Certainly political but the impact iikely will be small, and its time we matured the program from its launch phase. Having an open enrollment period be so long only encouraged more gaming, especially in year 5 of the program, and increases administrative costs. The medicare AEP is essentially the same length as the ACA now and it works pretty well. At some point, we need to shift from spending time and effort trying to get people to enroll who never will enroll.
 
That was fun while it lasted.

This GOP doesn't have one good idea or one good leader. Gerrymandering is so cool!
 
CHDeac said:
Certainly political but the impact iikely will be small, and its time we matured the program from its launch phase. Having an open enrollment period be so long only encouraged more gaming, especially in year 5 of the program, and increases administrative costs. The medicare AEP is essentially the same length as the ACA now and it works pretty well. At some point, we need to shift from spending time and effort trying to get people to enroll who never will enroll.
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That's fine, but certainly doesn't explain why they would take the program offline for 12 hours (nearly) every Sunday.
 
tiltdeac said:
Let's get rid of that as well as the ESI tax exclusion and call it a day.
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Im actually a fan of the cadillac tax though its horribly designed. Over insurance drives medical trend and taxing this is a good thing for the system, especially when so much risk is pooled. Its pretty sound policy IMHO.

The issue is that they tied it to premium NOT to benefit richness so older/sicker groups more likely to get impacted than younger healthier groups. They also index this amount to CPI not medical inflation meaning more and more groups will get hit as medical trend > CPI. We ran simulations to predict when every group would be taxed and it wast that far into the future (something like 2027).

I suspect we will see a delay pass somehow someway, either through reg or law. Its paid by insurers who will simply pas the cost along.

Good idea, poorly executed.
 
tiltdeac said:
That's fine, but certainly doesn't explain why they would take the program offline for 12 hours (nearly) every Sunday.
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Totally agree. I was thinking more of the shortened OEP which has a lot of people worked up.
 
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