| Healthcare Bill Part III; Obamacare | |
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| Tweet Topic Started: Mar 3 2014, 02:20 PM (48,690 Views) | |
| kbp | Mar 26 2014, 01:55 PM Post #226 |
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It's a good article, but rather windy in making a point. The short of the situation is Hobby Lobby deals with a regulation that violates rights (IMO), which could see new regulations, while Halbig would shut down all federal subsidies and related taxes in states operating under the federal web site according to law that can't legally be rewritten without Congress. |
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| wingedwheel | Mar 26 2014, 02:14 PM Post #227 |
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Not Pictured Above
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Could, but the pictures of Roberts in compromising positions with goats will insure 0bamacare stands. |
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| Baldo | Mar 26 2014, 02:24 PM Post #228 |
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A hard road ahead for ObamaCare, and America In response to Laszewski: 'Obama-care is Finished' Unless White House Acts Now: I'll say this much for ObamaCare: it's already survived catastrophic failures that should have filled the streets of Washington with pitchforks and torches. It really help that the media undersells everything that goes wrong, and helps Team Obama get away with their standard "one news cycle at a time" spin strategy. The Obamanoids are free to say any insane thing it takes to squeeze out a few days of improved coverage; reporters who know better cheerfully relay their lies with minimal real-time criticism. A week ago, we were told there was no way the ObamaCare deadlines would be moved - why, the Administration didn't even have the statutory authority to do it! That was good enough for the media to let Team Obama run a few days of B.S. advertising about the countdown to March 31, and scare a few more kids into singing up for this ripoff, before the old talking points turned to dust and blew away. But I think Laszewski is on to something here: there's just no way this train wreck can lumber any further if those already agonizing insurance premiums double or triple. And that will cap off a year of bad news in which people start paying the trans-Constitutional individual mandate tax/penalty (look how badly the White House and its lapdogs freaked out when Matt Drudge talked about cutting the first check to pay his "liberty tax"), the employer market starts crumbling beneath the oncoming storm of Obama's Big Lie, horror stories about "doc shock" and bureaucratic ineptitude keep piling up, and the fiscal death spiral begins. Maybe we'll have a few headlines about the insurance industry bailout to add to the pile by Christmas. There is no way to "fix" ObamaCare, however. Laszewski's idea for loosening up on the mandates would help a bit, but it's probably a non-starter with the Administration; King Barack I is not going to admit his mandates were idiotic ideas. He's invested a lot of political energy in protecting them - it would snap back into his face like a giant rubber band. Republicans would have a field day replaying video clips of Obama and his flunkies adamantly standing by the mandates he just abandoned. Even the lower-information voters would begin wondering what the point of the whole ObamaCare exercise was....snipped http://www.breitbart.com/InstaBlog/2014/03/26/A-hard-road-ahead-for-ObamaCare-and-America Expect a financial disaster for the Insurance Companies. I say the real numbers are horrendous! Edited by Baldo, Mar 26 2014, 02:25 PM.
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| Baldo | Mar 26 2014, 02:32 PM Post #229 |
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Boehner 'What the hell is this, a joke?' “What the hell is this, a joke?” Boehner said at his weekly press conference. He was responding to the administration’s announcement on Tuesday evening that people who had begun the process of signing up for insurance through the federal exchanges would have until mid-April to do so, instead of March 31. The Speaker called the move “another deadline made meaningless,” adding it to a litany of unilateral changes that the administration has made to the law. “This is part of a long-term pattern of this administration manipulating the law for its own convenience,” Boehner said. “It’s not hard to understand why the American people question this administration’s commitment to the rule of law.” The Speaker mocked the use of the “honor system” to determine who was eligible for an extension after the administration said it would make no effort to ensure that people had actually begun the process of signing up by March 31. “Why don’t they just say, ‘We’ve moved the date to April 15’? Because that’s in effect what they’ve done,” Boehner said. Administration officials cited “a surge in demand” as a reason for the extension, which they said is aimed at people with “special circumstances and complex cases.” “Open enrollment ends March 31,” Health and Human Services spokeswoman Joanne Peters told The Hill in an email Tuesday evening. “We are experiencing a surge in demand and are making sure that we will be ready to help consumers who may be in line by the deadline to complete enrollment — either online or over the phone.” Republicans have attacked the healthcare law from virtually every angle, criticizing both its underlying regulations and the administration’s repeated decision to delay or not fully enforce them. Boehner has criticized the early problems with the HealthCare.gov website, and on Wednesday, he was pressed on why people shouldn’t have more time to sign up for insurance because of them. “The dates are the dates, and the law is the law,” he said. “The president doesn’t have the authority to change the law whenever he wants, which he continues to do.” Boehner added later in the press conference: “The law says that enrollment stops at the end of March. That’s what the law says. I’ve got to live by the law; you’ve got to live by the law; the American people have got to live by the law. And guess what? The president needs to live by the law as well.”...snipped http://thehill.com/blogs/healthwatch/health-reform-implementation/201791-boehner-what-the-hell-is-this-a-joke The Joke was electing this unqualified & incompetent man as President in 2008 & then reelecting him in 2012. What Obama is good at is Bull-shitting. That's his talent! |
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| kbp | Mar 26 2014, 03:20 PM Post #230 |
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Even the government’s counsel, Assistant Attorney General Stuart F. Delery, later conceded, “Incentives were provided to states to establish their own Exchanges.” My opinion is biased, but I'm totally lost on how they could rule Congress meant something entirely different than they wrote ...9 times. |
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| kbp | Mar 26 2014, 03:40 PM Post #231 |
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That speaks volumes on dictating what lifestyle can be provided in this nation! |
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| kbp | Mar 27 2014, 10:40 AM Post #232 |
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...The new insurance plans would (A) offer lower premiums and higher out-of-pocket costs than the "bronze," "silver" and "gold" options currently offered. ... (B) restoring startup funds for "consumer-driven health insurance cooperatives" and directing state regulators to look at allowing (C) insurance to be sold across state lines. The cost per uninsured that now has coverage should be the topic of GOP campaigns. (A) The ability to regulate what each person must have covered in their policies should be solved by NOT mandating it instead of reducing what is required. The majority have more than they need and the changes proposed would mainly apply only to the poor that can't afford the present out-of-pocket and the young that do not necessarily need coverage. (B) This is a FREE MONEY nightmare waiting to happen. A cross between national coverage and self-insurance that will lead to management failures while providing a socialistic competition for private insurers. (C) Theft of a Republican plan, which I'm not so sure would work well. Policies have rates based on pools within a state in accordance with regulations of that state. This invites the federal government to take over control states presently hold. I like the competition it provides, but such an approach stirs up the question on how to set premiums if the networks costs come from are unknown to the actuaries looking for data to base the premiums on. It seems like the same companies are often in various states, while the premium variances would come from that state's regulations and the prices of the providers. Surely a doctor in New York has a higher overhead cost than another in Kansas City, as the cost of living varies extremely between the two locations. The solutions offered do not even come close to solving WHY the costs for Obamacare are so high. |
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| kbp | Mar 27 2014, 12:16 PM Post #233 |
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This person wrote a column at the link below:
After rambling on she reaches the point where she solves what she sees as a problem:
What a brilliant idea! Just imagine employee needs and wants being considered when a company considers what plans to offer ....wait, would an Obamacare repeal provide that? I suspect she'd be better off letting others decide what is best for her! Edited by kbp, Mar 27 2014, 12:16 PM.
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| Baldo | Mar 27 2014, 12:24 PM Post #234 |
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Here’s How We Can Fix Obamacare if We Act Now and Stop Pretending the Problems Don’t Exist By Robert Laszewski - March 26 To properly price the exchange health insurance business going forward the carriers have to sharply increase the rates. A senior executive for Wellpoint, which sells plans in 14 Obamacare exchanges, is quoted in a Reuters article telling Wall Street analysts there will be big rate increases in 2015, “Looking at the rate increases on a year-over-year basis on our exchanges, and it will vary by carrier, but all of them will probably be double digits.” If the health plans do issue double digit rate increases for 2015, Obamacare is finished. There are a ton of things that need to be fixed in Obamacare. But, I will suggest there is one thing that could save it. The health insurance companies have to submit their new health insurance plans and rates between May 27 and June 27 for the 2015 Obamacare open-enrollment period beginning on November 15th. Any major modifications to the current Obamacare regulations need to be issued in the next month to give the carriers time to adjust and develop new products. If the administration goes into the next open enrollment with the same unattractive plan offerings costing a lot more than they do today, they will not be able to reboot Obamacare. Simply, health insurance plans that cost middle-class individuals and families 10% of their after-tax income and have average Silver Plan deductibles of more than $2,500 a month are not attractive and people won’t buy them any more enthusiastically next fall than they already have. See:Obamacare: The Uninsured Are Not Signing Up Because the Dogs Don’t Like It Doubling the fines for not buying in 2015 will only give the Democrats more political problems––and it doesn’t look to me like they are going to enforce the fines anyway. Health insurance plan executives are now faced with a daunting decision. How do they price the 2015 Obamacare exchange plans? Even if the administration announces they have signed-up about 6 million people by March 31, the number of people enrolling would be well below expectations––only about 25% of those subsidy eligible will have signed up by the deadline. An enrollment that small guarantees the risk pool is sicker and more expensive than it needs to be in order to be sustainable. But dramatically increasing the rates will only assure even fewer healthy people will sign up for 2015 and some of those who signed up for 2014 will back out over the higher rates. This is what a “death spiral” looks like. The health plans will be helped considerably by the “3Rs” Obamacare reinsurance scheme that makes $20 billion available for 2014 – 2016 to cushion the costs of bringing the previously uninsurable into the new health insurance system. But the reinsurance scheme only limits most of the carriers’ annual underwriting losses––it doesn’t eliminate them. By the end of 2016, just one year past the next plan year, the insurance companies need to get their Obamacare health plans on a profitable footing. So, how do the insurance companies set their prices for 2015? Do the carriers go easy on their renewals continuing to price their offerings below profitable levels, relying on the temporary reinsurance scheme to cover most of their losses, fearing that a big rate increase would finish off Obamacare and hoping the administration can reboot Obamacare in 2015 by getting the enrollment to acceptable levels? Or, do they presume Obamacare cannot be rebooted given the currently unattractive plan offerings and it’s hopeless to continue to take losses on something that has little or no chance of ever succeeding? For insurers to have faith Obamacare is worth the continued investment and the risk the administration needs to quickly demonstrate they understand this program is in big trouble and they are willing to make big changes to save it. And, whatever insurance executives think, do Democrats want to go into the November elections offering the same unattractive health plan offerings at even higher prices? Open enrollment doesn’t begin until November 15 but the plans will be out and will be well publicized before Election Day. The administration can go a long way toward fixing this and do it within the scope of the statute and their regulatory authority. Here’s what I would suggest. Give carriers the ability to offer plans outside the Bronze, Silver, Gold, and Platinum structure. Let them offer people plans they will find attractive––premium, deductibles, and benefits. But, require any new plans to: Satisfy the 60% actuarial minimum in the statute––no “junk” plans. Give consumers the detail to compare the standard Silver Plan to any new offerings––full transparency. Give carriers the ability to swap current benefit mandates (that were set by regulation not statute) for lower premiums and deductibles and be completely transparent in what those trade-offs are while still complying with the underlying statutory requirement that the plans must be worth at least 60% of total health care costs. The administration has the power to do this within the scope of the law. Would such a range of choices lead to anti-selection within Obamacare? Yes. But it would be manageable just as broad choices are manageable within the Medicare Part D program and the Medicare Advantage program where consumers are very happy with the choices they are offered and the plans have succeeded in getting an excellent spread of risk. Without the sense Obamacare is salvageable the Obama administration risks having carriers giving up hope that Obamacare will ever work. The administration needs the insurance companies to believe this is fixable for them to remain committed. Ardent Obamacare supporters won’t want to do this. Want to save Obamacare? Want to have at least a chance of avoiding an Election Day debacle in November? I believe the administration has about a month to give health plans the confidence this can be saved. If the carriers do what the Wellpoint executive has told Wall Street analysts they are about to do, Obamacare is finished. The “death spiral” will have begun. But there is a way for the Obama administration to get the new health law back on track. Robert Laszewski has been a fixture in Washington health policy circles for the better part of three decades. He currently serves as the president of Health Policy and Strategy Associates of Alexandria, Virginia. You can read more of his thoughtful analysis of healthcare industry trends at The Health Policy and Marketplace Blog, where this post first appeared. So in other words let the insurance carriers sell what they want to sell? What a novel idea... |
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| Baldo | Mar 27 2014, 12:26 PM Post #235 |
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Here’s How We Can Fix Obamacare if We Act Now and Stop Pretending the Problems Don’t Exist By Robert Laszewski - March 26 To properly price the exchange health insurance business going forward the carriers have to sharply increase the rates. A senior executive for Wellpoint, which sells plans in 14 Obamacare exchanges, is quoted in a Reuters article telling Wall Street analysts there will be big rate increases in 2015, “Looking at the rate increases on a year-over-year basis on our exchanges, and it will vary by carrier, but all of them will probably be double digits.” If the health plans do issue double digit rate increases for 2015, Obamacare is finished. There are a ton of things that need to be fixed in Obamacare. But, I will suggest there is one thing that could save it. The health insurance companies have to submit their new health insurance plans and rates between May 27 and June 27 for the 2015 Obamacare open-enrollment period beginning on November 15th. Any major modifications to the current Obamacare regulations need to be issued in the next month to give the carriers time to adjust and develop new products. If the administration goes into the next open enrollment with the same unattractive plan offerings costing a lot more than they do today, they will not be able to reboot Obamacare. Simply, health insurance plans that cost middle-class individuals and families 10% of their after-tax income and have average Silver Plan deductibles of more than $2,500 a month are not attractive and people won’t buy them any more enthusiastically next fall than they already have. See:Obamacare: The Uninsured Are Not Signing Up Because the Dogs Don’t Like It Doubling the fines for not buying in 2015 will only give the Democrats more political problems––and it doesn’t look to me like they are going to enforce the fines anyway. Health insurance plan executives are now faced with a daunting decision. How do they price the 2015 Obamacare exchange plans? Even if the administration announces they have signed-up about 6 million people by March 31, the number of people enrolling would be well below expectations––only about 25% of those subsidy eligible will have signed up by the deadline. An enrollment that small guarantees the risk pool is sicker and more expensive than it needs to be in order to be sustainable. But dramatically increasing the rates will only assure even fewer healthy people will sign up for 2015 and some of those who signed up for 2014 will back out over the higher rates. This is what a “death spiral” looks like. The health plans will be helped considerably by the “3Rs” Obamacare reinsurance scheme that makes $20 billion available for 2014 – 2016 to cushion the costs of bringing the previously uninsurable into the new health insurance system. But the reinsurance scheme only limits most of the carriers’ annual underwriting losses––it doesn’t eliminate them. By the end of 2016, just one year past the next plan year, the insurance companies need to get their Obamacare health plans on a profitable footing. So, how do the insurance companies set their prices for 2015? Do the carriers go easy on their renewals continuing to price their offerings below profitable levels, relying on the temporary reinsurance scheme to cover most of their losses, fearing that a big rate increase would finish off Obamacare and hoping the administration can reboot Obamacare in 2015 by getting the enrollment to acceptable levels? Or, do they presume Obamacare cannot be rebooted given the currently unattractive plan offerings and it’s hopeless to continue to take losses on something that has little or no chance of ever succeeding? For insurers to have faith Obamacare is worth the continued investment and the risk the administration needs to quickly demonstrate they understand this program is in big trouble and they are willing to make big changes to save it. And, whatever insurance executives think, do Democrats want to go into the November elections offering the same unattractive health plan offerings at even higher prices? Open enrollment doesn’t begin until November 15 but the plans will be out and will be well publicized before Election Day. The administration can go a long way toward fixing this and do it within the scope of the statute and their regulatory authority. Here’s what I would suggest. Give carriers the ability to offer plans outside the Bronze, Silver, Gold, and Platinum structure. Let them offer people plans they will find attractive––premium, deductibles, and benefits. But, require any new plans to: Satisfy the 60% actuarial minimum in the statute––no “junk” plans. Give consumers the detail to compare the standard Silver Plan to any new offerings––full transparency. Give carriers the ability to swap current benefit mandates (that were set by regulation not statute) for lower premiums and deductibles and be completely transparent in what those trade-offs are while still complying with the underlying statutory requirement that the plans must be worth at least 60% of total health care costs. The administration has the power to do this within the scope of the law. Would such a range of choices lead to anti-selection within Obamacare? Yes. But it would be manageable just as broad choices are manageable within the Medicare Part D program and the Medicare Advantage program where consumers are very happy with the choices they are offered and the plans have succeeded in getting an excellent spread of risk. Without the sense Obamacare is salvageable the Obama administration risks having carriers giving up hope that Obamacare will ever work. The administration needs the insurance companies to believe this is fixable for them to remain committed. Ardent Obamacare supporters won’t want to do this. Want to save Obamacare? Want to have at least a chance of avoiding an Election Day debacle in November? I believe the administration has about a month to give health plans the confidence this can be saved. If the carriers do what the Wellpoint executive has told Wall Street analysts they are about to do, Obamacare is finished. The “death spiral” will have begun. But there is a way for the Obama administration to get the new health law back on track. Robert Laszewski has been a fixture in Washington health policy circles for the better part of three decades. He currently serves as the president of Health Policy and Strategy Associates of Alexandria, Virginia. You can read more of his thoughtful analysis of healthcare industry trends at The Health Policy and Marketplace Blog, where this post first appeared. http://thehealthcareblog.com/blog/2014/03/26/heres-how-we-can-fix-obamacare-if-we-act-now-and-stop-pretending-the-problems-dont-exist/ So in other words let the insurance carriers sell what they want to sell? What a novel idea... |
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| kbp | Mar 27 2014, 12:29 PM Post #236 |
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Response: http://s1.zetaboards.com/Liestoppers_meeting/single/?p=874525&t=5402308 |
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| Baldo | Mar 27 2014, 12:42 PM Post #237 |
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The one thing we can be sure about. It will be expensive. Nothing is ever less expensive in DC, especially if Govt & the Insurance Companies agree. |
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| kbp | Mar 27 2014, 01:08 PM Post #238 |
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http://talkingpointsmemo.com/dc/halbig-sebelius-dc-circuit-arguments The Lawsuit That Could Still Destroy Obamacare A few street blocks away from Supreme Court oral arguments Tuesday on the contraceptive mandate, an appeals court heard a separate case that poses a far greater threat to Obamacare and could cripple the law. And while many have considered it a long shot, it showed clear signs of life. The case is about whether the Affordable Care Act permits the federally-run insurance exchange to provide subsidies to consumers. Crafted by Case Western law professor Jonathan Adler and Cato's Michael Cannon, it charges that the plain language of the statute confines the provision of premium tax credits to "an Exchange established by the State" -- and not the federal exchange, which serves residents whose states opted not to build one. The Obama administration won the case in January at the D.C. District Court, where Clinton-appointed Judge Paul L. Friedman labeled the challengers' claim "unpersuasive." He said Congress designed the federal exchange on behalf of states, so it functions as such for the purpose of the law. A ruling against the government, Friedman said, would "violate the basic rule of statutory construction that a court must interpret a statute in light of its history and purpose." But the landscape was vastly different when the case came before a three-judge panel on the D.C. Circuit Court of Appeals comprising one Democratic appointee and two Republican appointees, according to audio of Tuesday's arguments. Carter-appointed Judge Harry T. Edwards was the only member of the panel to side with the government's position, describing the challenge as "preposterous" and repeatedly hammering Michael Carvin, the lawyer for the plaintiffs. George H.W. Bush-appointed Judge A. Raymond Randolph antagonized the law and sounded firmly in the opponents' camp, saying that the "text of the statute seems perfectly clear on its face" that premium tax credits are only for state-run exchanges. "There's an absurdity principle, but I don't think there a stupidity principle," Randolph said. "If the legislation is just stupid, I don't see that it's up to the court to save it." So the decision could come down to George W. Bush-appointed Judge Thomas B. Griffith, who sounded plainly unconvinced that the statute permits the federal exchange to provide subsidies. He said the legislative history arguments were a "wash" and that the government bears a "special burden" in proving their case. "Don't you have a special burden to show from legislative history that that doesn't mean what it appears to mean?" Griffith asked the government's lawyer. "If we know the clear purpose of Congress and yet they don't legislative clearly enough to achieve that purpose, is it our job to fix the problem?" Unlike the birth control challenge, which carries broad legal implications but implicates only a small portion of Obamacare, a loss for the administration in this case, Halbig v. Sebelius, would deal a fatal blow to Affordable Care Act. The federal exchange serves 36 states, and the millions of residents in those states would not be able to afford insurance without subsidies. That would render the individual mandate impracticable and imperil the market regulations that guarantee coverage to consumers regardless of health status. The chief congressional architects of Obamacare -- including Senate Majority Leader Harry Reid (D-NV), erstwhile House Speaker Nancy Pelosi (D-CA), former Senate Finance Chair Max Baucus (D-MT) and others -- signed a brief arguing that the law never intended or suggested that the premium tax credits were confined to state-run exchanges. The brief, submitted by the liberal Constitutional Accountability Center, said there is "no support" for the challengers' position. If the three-judge panel rules against the law, the administration can still appeal for an en banc ruling, in which each of the 11 active judges votes. That could be friendlier to President Barack Obama because Democrats have a 7-4 split on the active bench -- four of the judges were appointed by Obama himself. The challengers haven't won anywhere yet. But similar cases are percolating in other district and appeals courts, and Obamacare supporters are more wary of writing off this challenge after initially dismissing the lawsuit against the individual mandate as a fool's errand. If the opponents start racking up even a few victories in court, the case could find its way back to the Supreme Court, where four justices voted in 2012 to wipe out Obamacare in its entirety and one of them succeeded at making the Medicaid expansion optional. "The only people who thought this case was a long shot are the people who didn't look at the facts," Cannon, an architect of the Halbig challenge, told TPM. |
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| kbp | Mar 27 2014, 01:08 PM Post #239 |
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From last post:
What are they facing?
Now Reid & crew did a copy/paste, revised what they did not want or need from that copy, and then strengthened the ACA subsidy requirement of "an Exchange established by the State" by adding the phrase that it was to be a part of "section 1311 of the Patient Protection and Affordable Care Act." I'm lost as to how anyone can find a "purpose" other than what the text clearly states NINE TIMES. Edited by kbp, Mar 27 2014, 01:10 PM.
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| Baldo | Mar 27 2014, 01:22 PM Post #240 |
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Welcome to the newest heath-care proposal-- The Copper Plan! Six Senators, Fearing Political Cost, Urge Changes to Health Act WASHINGTON — Six senators, five Democratic and one independent, on Thursday rolled out a series of policy proposals they said were intended to fix and improve President Obama’s signature health care law. Three of the Democrats — Senators Mark Begich of Alaska, Mary L. Landrieu of Louisiana and Mark Warner of Virginia — are up for re-election in 2014. Their unveiling of the policy prescriptions comes as vulnerable Democratic candidates in both the House and Senate are under increasing pressure to distance themselves from the Affordable Care Act. The other Democratic senators, Heidi Heitkamp of North Dakota and Joe Manchin III of West Virginia, as well as Senator Angus King, independent of Maine, rounded out the group of centrists who laid out their plans in an op-ed article in Politico Magazine Thursday. The move reflects part of a broader strategy by Democrats, who are grappling with the awkward reality of how to escape the embrace of the health care law — which passed with no Republican votes and has become a political liability — while not going as far as their Republican counterparts who are trying to repeal it....snipped ...The package of roughly a half-dozen policy proposals is intended to increase choice and affordability when consumers are choosing a health care plan, as well as to ease the burden on small businesses. Many of the proposals have already been pushed by individual senators....snipped ...Some of the measures include: adding a “Copper Plan” to the existing marketplace options (Platinum, Gold, Silver, and Bronze), which would cost less but have a higher deductible; directing state insurance regulators to create health plans that could be sold across state lines — a move the senators believe would increase both consumer options and competition; making small-business health care tax credits available longer and making them accessible to more employers, to make it easier for small businesses to cover their employees; and offering an additional, permanent way to enroll in the health care marketplace other than HealthCare.gov, the government website whose rollout has been plagued by problems....snipped http://www.nytimes.com/2014/03/28/us/politics/six-senators-fearing-political-cost-urge-changes-to-health-act.html Seems more like a Hail Mary to save the Democratic senators seats in Nov. I doubt it will pass, but that isn't the point, just a false cover. What's next the Toilet Paper Plan? Edited by Baldo, Mar 27 2014, 01:25 PM.
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