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Healthcare Bill Part III; Obamacare
Topic Started: Mar 3 2014, 02:20 PM (48,610 Views)
Mason
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That didn't take long. Government is selecting your plan.


http://www.washingtontimes.com/news/2014/dec/19/rep-mark-meadows-obamacares-christmas-surprise/



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kbp

H/T Mason...
Quote:
 
http://cnsnews.com/news/article/penny-starr/burwell-recruits-liberal-faith-leaders-promote-obamacare

Burwell Recruits Liberal ‘Faith Leaders’ to Promote Obamacare

[...]

Burwell noted in her remarks to the press that three quarters of the people shopping and buying on the federal marketplace right now are those who were already enrolled. She said that people who do not re-enroll in a different plan on their own will be automatically re- enrolled in their existing plan.
...three quarters of the people shopping...were already enrolled

The numbers mystery continues!

They started out saying "about half," then "just over half," and now "three quarters."

I had used their "half" in guessing numbers. Going with "three quarters" means the 2.5 million number they threw out (if accurate) means the federal exchanges only signed up about 600,000 new enrollees and they admitted that most had not paid yet.

If we can trust any of the numbers they have given us (none revealing the head count for drop outs and no-pay's), they have 7.5 million (6.9+o.6). So to get to the original 13M they need 5.5M, or going with Burwell's lower bar for success of 9M to 9.9M (updated to) 9.1M, they'll need 1.6 million.

Generously allowing 100% will pay, that's 600,000 per 30 days. If they hold a steady pace, that would give them 1.2 million more over the next 60 days (12/15/14 to 2/15/15), for a total of 8.7 million.

What are the odds they'll find 1.6 million more by the final deadline of Feb. 15 (to be revised!)? I'll bet the farm they'll extend the date and NOT report how many of the existing enrollees dropped out after January 1.
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Mason
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MARCH 4TH SUPREME COURT ARGUMENTS TO BE HEARD ON STATE EXCHANGES / SUBSIDIES




Edited by Mason, Dec 22 2014, 01:41 PM.
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Mason
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SEND M$NEY!

http://www.macombdaily.com/government-and-politics/20141222/macomb-county-hit-with-15-million-in-obamacare-fees



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kbp

:think:

Quote:
 
http://www.politico.com/story/2014/12/single-payer-vermont-113711.html

Why single payer died in Vermont

[gibberish on various reasons, none on the taxpayer costs!]

...“It is time to put the interests of patients first, ahead of political expedience,” said Andrew Coates, president of Physicians for a National Health Care Program. Single-payer is “the only reform that will cover everyone, save lives and save money. Mr. Shumlin, of all our nation’s governors, knows this well.”

Vermont’s public failure is especially frustrating to single-payer advocates because, they note, the Shumlin framework, which had gotten approval of the state legislature minus that key financing element, wasn’t really a true single-payer plan. Notably, large businesses that operate in multiple states would have been exempt. And it was unclear whether or how enrollees in federal plans like Medicare and TRICARE could be integrated into the state’s plan.

Those exemptions cut into the funding base while adding administrative complexity, eliminating one of the potential cost-saving elements of single-payer: simplicity.

[...]

Their argument is that central planning and control saves money through "simplicity." The only simple thing I can think of would be not having to deal with paperwork... but government run programs would not fall into that category.

Maybe the pro-single-payer crowd could start the debate by identifying a government run program that saves us money through "simplicity."
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Edited by kbp, Dec 23 2014, 10:32 AM.
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kbp

Mason
Dec 22 2014, 07:24 PM
The "macombdaily" site went blank. Fortunately I found the article pasted elsewhere!

Quote:
 
http://www.teapartypatriots.org/all-issues/news/news-briefing-for-tuesday-december-23-2014/

“County officials are starting to feel the pain of Obamacare. The Board of Commissioners has learned the various fees levied on large employers by the Affordable Care Act will cost the county nearly $1.5 million for 2014. In a memo to the commissioners, county Risk and Insurance Manager John Anderson said the fees are based on the county’s nearly 3,000 full-time employees who receive health care benefits. The largest cost, by far, is a 2.5 percent fee tacked onto health insurance premiums to help pay for the ACA’s online insurance exchanges and overall implementation costs. The first year price tag: more than $680,000. A second charge, the so-called transitional re-insurance fee, is designed to stabilize premiums in the individual insurance policy market as people with pre-existing conditions attain coverage. The cost to the county is $63 per employee. About $98,000 is due the federal government by Jan. 15. This is a 3-year fee that drops in price annually. A third fee assessed on large employers will go toward a new federal trust fund that will finance research into the relative effectiveness of various medical treatments. Medicare may consider this government research institute’s findings in determining what sorts of therapies it will cover. The cost to employers is $2 per worker receiving insurance benefits. For the county, these fees will equate to about $6,000. Anderson said Macomb’s total cost should fall by about $360,000 next year. The research fee and the re-insurance charge will be phased out by 2019. The 2.5 percent fee on premiums is permanent…. Commissioner Don Brown, a Washington Township Republican, suggested the county consider gradually reducing some employees below the ACA definition of a full-time employee – meaning less than 30 hours per week. Some companies are moving in that direction. According to the county Human Resources Department, labor contracts negotiated with unionized workers now allow the county to fill nearly any vacant, full-time position with two part-time employees. “It’s going to be the natural inclination to avoid paying these taxes. And those (employment) changes can’t be good for the economy,” Brown said. GOP Commissioner Jim Carabelli of Shelby Township said the fees will also hit the private sector with some force. Large employers provide health coverage to 59 percent of private sector workers. Estimates of the cost of Obamacare for large employers over the next decade range from $151 billion to $186 billion. “The cost of doing business just went up,” Carabelli said, shaking his head. Experts say some private firms might continue providing coverage to most of their workforce but nudge their sickest, costliest employees onto the Obamacare exchanges by making the company insurance plan unattractive to them. Under this scenario, a company could shrink its network of doctors, raise co-payments or deductibles, or even offer a chronically ill employee a raise to opt out of the employer plan. Commissioner Fred Miller, a Mount Clemens Democrat, reminded his colleagues the ACA so far has provided coverage to 482,000 previously uninsured Michigan residents –- some 36,000 in Macomb County –- which allows them to gain access to doctors and hospitals.”

The 2.5 percent fee on premiums is permanent….

LMAO! They're explaining how the mandate to purchase insurance is a mandate to pay more taxes!

They missed over half of the added costs involved in Obamacare. The premiums increased to cover regulated coverage. The employer tax increased to cover Obamacare. The out-of-pocket costs increased as a result of Obamacare.

Commissioner Fred Miller brags about all the newly insured, but the taxpayers of the State will see an increase to cover 10% of the Medicaid patients added in addition to the 90% they must help pay for in their federal taxes.

The plan to slide the Obamacare costs through by slicing the taxes up into multiple smaller taxes still adds up to the same total tax increase for the accounting department.

ADD: that's multiple taxes paid by others in the minds of the stupid voters
Edited by kbp, Dec 23 2014, 10:57 AM.
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kbp

Quote:
 
http://kaiserhealthnews.org/news/seniors-wait-for-a-medicare-appeal-is-cut-in-half/

Seniors’ Wait For A Medicare Appeal Is Cut In Half

The federal office responsible for appeals for Medicare coverage has cut in half the waiting time for beneficiaries who are requesting a hearing before a judge.

The progress follows an announcement last January that officials were going to work through a crushing backlog by moving beneficiaries to the front of the line and suspending hearings on cases from hospitals, doctors and other providers for at least two years.

[...]

Still, about 900,000 appeals are awaiting decisions, with most filed by hospitals, nursing homes, medical device suppliers and other health care providers, said Jason Green, OMHA’s program and policy director. The wait times for health providers’ cases have doubled since last year, and are nearly four times longer than the processing time for beneficiary appeals.

Hospitals file more appeals than any other provider. The single largest reason is the increasing number of Medicare payment denials for patients who have been admitted to the hospital but whom auditors later say should have been kept instead for observation care, a status that reduces payments.

[...]

Looks like 900,000 + 1 reasons to not be a provider for Medicare/Medicaid. The "1" added representing suspended appeals. That's saving money with simplicity at work!
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kbp

Mason
Dec 22 2014, 01:40 PM


MARCH 4TH SUPREME COURT ARGUMENTS TO BE HEARD ON STATE EXCHANGES / SUBSIDIES




Quote:
 
http://blogs.wsj.com/washwire/2014/12/22/supreme-court-to-hear-arguments-in-big-health-care-case-on-march-4/

Supreme Court to Hear Arguments in Big Health Care Case on March 4

The Supreme Court said it will hear oral arguments on March 4 in a lawsuit over whether the Obama administration is improperly providing tax credits to consumers who purchase health insurance through the federal exchanges.

The case will determine the fate of the tax credits to millions of consumers who have obtained insurance coverage through HealthCare.gov, the federal marketplace. The Supreme Court decided Nov. 7 to hear the lawsuit from Virginia, King v. Burwell, that challenges a key part of the Affordable Care Act. In all, an estimated 4.7 million people receive billions of dollars in subsidies to buy health coverage on the federal exchange.

Challengers claim the language in the health law only permits people who buy insurance from state-run exchanges to obtain the tax credits. Supporters of the law say it was always intended to provide the subsidies to people who bought coverage on the federal exchanges, too. HealthCare.gov, the federal exchange, now serves 37 states.

On March 4, the Supreme Court will only hear arguments related to the King case. Normally the court schedules two cases on arguments days, each an hour long.

At least a dozen states are fully running their own exchanges. A number of other states are in a gray area because they have turned over at least some responsibilities to the federal government. Officials in some of those states have already indicated they are willing to take further steps to guarantee their residents access to the tax credits if necessary.

The tax credits are considered central to the law’s success. Under the ACA, most Americans must have health insurance or pay a penalty. The exchanges let individuals who don’t have insurance from their employer, Medicaid or Medicare to purchase insurance policies, with tax credits for lower-income consumers.

Critics say the language of the ACA means that subsidies can’t go to consumers who obtain coverage through a federal exchange. Two U.S. appeals courts in July issued conflicting rulings on health-law subsidies, raising questions about the fate of tax credits provided to millions of Americans.
...A number of other states are in a gray area because they have turned over at least some responsibilities to the federal government.

That is NOT a "gray area." States can NOT use the federal government to run their exchange. That is not even disputed, well, not yet anyway!

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kbp

Quote:
 
http://dailycaller.com/2014/12/23/obamacare-enrollment-jumps-by-millions-thanks-to-admins-auto-sign-ups/print/

Obamacare Enrollment Jumps By Millions — Thanks To Admin’s Auto Sign-Ups
Posted By Sarah Hurtubise

HealthCare.gov sign-ups jumped during the last week to sign-up for Jan. 1 coverage as the administration’s automatic sign-up policy kicked in, according to the Obama administration.

Over 3.9 million people selected plans on HealthCare.gov between Dec. 13 and Dec. 19, the last several days that customers could sign up for Obamacare coverage to take effect on the first of the year, the Department of Health and Human Services said Tuesday. That more than doubled the number of total sign-ups on the federal exchange, bringing the grand total to just under 6.4 million.

The boost is unsurprising: for the first time, the numbers include autoenrollment. In a press conference Tuesday, HHS secretary Sylvia Burwell said about two-thirds of the returning customers’ sign-ups were autoenrolled. Somewhere around the “mid-to-high 30′s” went back to HealthCare.gov to select a plan — around 1.5 million customers actively returning compared out of 5.4 million who signed up on the federal exchange last year.

That’s mostly returning customers who first signed up for Obamacare last year — and for the first time, that includes autoenrollment. The administration’s policy is to automatically sign last year’s customers up for their insurance plan again if they fail to do so themselves, vastly upping the enrollment total.

That policy may boost numbers, but it has its flaws. Because existing plans are increasing their premiums at a faster rate compared to new entries to Obamacare exchanges that are offering lower prices to attract customers, customers that the administration shunts into the same policy for another year are in for bigger price hikes than expected.

That has led the administration to consider a new policy which would allow HHS to pick customers’ plans for them. That may take effect in future years, but the administration is currently expecting customers to see their new premiums in January and either change or cancel their coverage before the open enrollment period ends Feb. 15.

But right now, enrollment is fairly high — much higher than last year. But consulting firm Avalere Health projects that the administration won’t meet the Congressional Budget Office’s 13 million-strong target for year-two Obamacare enrollment.

Avalere projects that state and federal exchanges will reach 10.5 million paying customers this year, which would beat a lowered estimate from HHS. The administration backed off its own projections for total sign-ups in November, likely attempting to lower expectations for Obamacare this time around.
They bumped the 2.5M to 6.4 million with auto-enrollment included.

If only 1.5M of the 5.4M previous customers changed plans, that means 3.9M will likely be facing new premium INCREASES the FREE MONEY might not cover.

The enrollment increase is 1M. Adding in the same percentage of increase to State exchanges will put it at about 8.3M. They'll need o.8M new customers before Feb 15 to meet the 13M update 9.9M new update 9.1M for success (depending on how many paid last year and how many pay this year).
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Edited by kbp, Dec 23 2014, 01:15 PM.
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kbp

http://www.washingtontimes.com/news/2014/dec/21/robert-knight-two-more-chances-overturn-obamacare/print/

Two more chances to overturn Obamacare
By Robert Knight - - Sunday, December 21, 2014

For his next directive, will President Obama merge Cuba's socialist health care system with Obamacare?

Why not? He has a penchant for shocking us almost daily. But since this is the season of hope, how about a little good news about Obamacare?

There is a real possibility that the Supreme Court might actually make up for its earlier error and find key elements of it unconstitutional next June.

Of the many challenges to the misnamed Affordable Care Act, two stand out as potent threats to the law's continued legality.

The first is King v. Burwell, which the Court has agreed to hear in its upcoming spring session. The case is a challenge to the creation of Obamacare subsidies in the federal exchanges created in the 36 states that declined to create their own exchanges.

The law does not provide for such subsidies, says Virginia resident David King, 63, who contends that he should be immune from Obamacare's penalty tax on his decision not to buy insurance.

When the IRS expanded subsidies to states like Virginia that had only a federal exchange, it put Mr. King in the position of being vulnerable to the fine again. The IRS and the District Court basically said that this is what Congress would have wanted, even though the law doesn't specify it.

"[L]egislative purpose must be effected by the words Congress uses, not the words it might have meant or should have chosen to use," a brief filed by the American Civil Rights Union states. "Courts are not empowered under Article III to divine Congress's overarching objective and then reverse-engineer a version of the law that best achieves it."

One might argue that this is exactly what the Supreme Court did in June 2012 when Chief Justice John Roberts somehow found a way to uphold Obamacare as a "tax."

It might be more difficult this time around to construct a similar conclusion, given Congress's clear meaning in the pertinent section of the ACA.

As for the second serious case, remember the "death panel," for which Sarah Palin continues to be assailed by her detractors?

It's real.

The Independent Payment Advisory Board (IPAB), consisting of 15 unelected bureaucrats appointed by the president, is empowered to set Medicare payment limits. But the ACA's wording is so loose that the board could effectively control all costs associated with healthcare, according to a Cato Institute study by Diane Cohen and Michael F. Cannon, "Payment Advisory Board, PPACA's Anti-Constitutional and Authoritarian Super-Legislature," released in June 2012.

What's more, it could do so with impunity, the authors say, because there is no oversight provision: "When the unelected government officials on this board submit a legislative proposal to Congress, it automatically becomes law: PPACA requires the Secretary of Health and Human Services to implement it."

Citing these dangers, Arizona orthopedic surgeon Eric N. Novack and Arizona businessman Nick Coons filed a lawsuit that made its way to the Ninth Circuit Court of Appeals, in Coons and Novack, et al v. Lew and Burwell, et al. When the Ninth declined to overturn a district court's dismissal of the case, the two plaintiffs appealed to the Supreme Court, which has yet to rule on whether it will hear the case.


It should.

It's not likely that America's founders, who constructed an explicit system of separate, enumerated authority, intended that any government entity ever acquire the kind of raw power that Obamacare gives to the IPAB.

"IPAB truly is independent, but in the worst sense of the word. It wields power independent of Congress, independent of the president, independent of the judiciary, and independent of the will of the people," Cohen and Cannon write.

In fact, the law is written to assure that a future Congress could never alter the board's powers, an unprecedented limitation on Congress's legislative power.

"PPACA forbids Congress from repealing IPAB outside of a seven-month window in the year 2017, and even then requires a three-fifths majority in both chambers," Cohen and Cannon write. "A heretofore unreported feature of PPACA dictates that if Congress misses that repeal window, PPACA prohibits Congress from ever altering an IPAB 'proposal.' By restricting lawmaking powers of future Congresses, PPACA thus attempts to amend the Constitution by statute."

In a brief that urges the Supreme Court to hear the case, the American Civil Rights Union states that, "Under the ACA, the IPAB's 'proposals' are not proposals at all.... IPAB involves the most extreme Delegation of Powers violation, and the most comprehensive assault on the fundamental Constitutional Separation of Powers Doctrine, in the history of American law."

What may sound to some like hyperbole is actually a hard, realistic assessment. IPAB is really that dangerous.

As the hammer blows of Obamacare keep falling and Congress dithers, more and more people will be praying that the Court finally does the right thing in at least one of these cases.


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Baldo
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Out here in California there is a wide spread advertizing program to get people to enroll.

One commercial run by Anthem Blue Cross has a Q & A with a perky young woman as a reporter questioning the man on the street. She asks a number of true/false questions over a number of topic including what is the enrollment time etc

One of the last questions is "does a person have to have Health Insurance?" He answers no and she goes "naaa" in a slightly make wrong attitude. Then she says Govt mandates everybody has to have Health Insurance.

It then goes on to the phone number & web site to have you sign up.

It got me to thinking about what I consider is the worst part of Obama-care. It mandates you to buy Health Insurance. We are all into debating the particulars of this law, but the worst is our loss of freedom. Of course I have Health Insurance, but that is my choice.

Marxists don't like the individual having choices.

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kbp

Baldo
Dec 23 2014, 05:57 PM
snip

It got me to thinking about what I consider is the worst part of Obama-care. It mandates you to buy Health Insurance. We are all into debating the particulars of this law, but the worst is our loss of freedom. Of course I have Health Insurance, but that is my choice.

Marxists don't like the individual having choices.

No, it mandates that you pay a TAX if you decide to not purchase health insurance, ask Roberts!
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Baldo
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Net Cost of ObamaCare
"It's All Your Money"


put in your income and weep

http://www.foxnews.com/tax-calculator/2014/06/30/net-cost-obamacare

This uses CBO data, so expect it to be lower than reality
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kbp

Baldo
Dec 23 2014, 06:20 PM
Net Cost of ObamaCare
"It's All Your Money"


put in your income and weep

http://www.foxnews.com/tax-calculator/2014/06/30/net-cost-obamacare

This uses CBO data, so expect it to be lower than reality
...reality :laughin:

You got that right!

This tool ONLY calculates the direct increase to your tax burden, nowhere near the cost from the Obamacare law.

The numbers are from an outdated CBO report.

Fox did not include $456 billion in penalties and excise tax on Cadillac plans in their "net cost."
Those are direct tax burdens this tool cannot calculate.

The numbers they use only show 75% of the costs CBO reported, which have gone up since their latest report AND were not accurate in the first place.

When CBO does a cost/benefit summary report, they include the tax burden, government expense, AND private costs resulting from the law.... For instance, if they calculate the cost of an EPA law, it reports the benefits of some costs and the costs of individuals or companies to comply with the law.

The CBO Panel on health issues (that Gruber was on) decided for the CBO that their estimate would NOT include the private cost burdens citizens would encounter to comply with the law. IOW the cost increases from the HHS regulations that increased ALL premiums about 30% are NOT included in the CBO numbers of the Fox calculator linked here. As your premiums and out-of-pocket increased, those costs YOU and your employers pay to keep the coverage was NOT included in the CBO costs...PERIOD.

Also excluded in the CBO report is billions of taxpayers dollars of funding to be appropriated for administrative costs, such as that the IRS will spend enforcing the law. Another first for CBO cost estimates, as far as I know.

Posted Image

That image shows that 46% of the "tax burden" is shouldered by those making >$250,000 per year. But that tax burden is based on ONLY the $1.383 trillion cost over the next 10 years starting a year ago. That amount is not even half the total cost of the Obamacare law.

The cost to the nation from the law is about twice the $1.8 trillion the CBO reported. That does not mean the tax burden the Fox tool shows is only half of what you'll pay, as the progressive tax structure many new taxes create for this calculator are the majority of the cost for the wealthier. The cost hidden by the CBO reporting methods, those which can't be included in the Fox calculator, hits the previously insured middle class and lower income the hardest, along with the increased costs States must absorb as a result of the law and its new regulations.
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Edited by kbp, Dec 24 2014, 08:35 AM.
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Baldo
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i am shocked, just shocked!

CA small biz hit with health care hikes

It wasn’t supposed to be like this.

Proposition 45 on the Nov. 4 ballot would have given the California insurance commissioner the power to limit health-insurance rate increases. It lost.

Opponents, including officials at Covered California, assured voters adequate price controls would be negotiated by the officials running the exchange — without Prop. 45. Covered CA is the state’s health insurance exchange set up under the federal Affordable Care Act, or Obamacare.

But for the state’s small businesses and their employees, those words have begun to ring hollow. As the new year rings in, some 64,000 Californians will see rate increases averaging more than 10 percent — in some cases, nearly 20 percent, according to the state Department of Insurance.

As the Los Angeles Times reported, that nets out to $23.5 million in “excessive” premiums for small business employers and employees.
Broken promises

Party politics only added to the controversy. California’s two Democratic U.S. senators, Barbara Boxer and Dianne Feinstein, threw their support behind Prop. 45. But other Democrats opposed it, instead backing Obamacare and the Obama administration figures brought on to ensure Covered CA succeeded in enrolling big numbers (unlike many other state exchanges).

Republicans, meanwhile, saw Prop. 45 as yet another effort to expand government regulation over not just Covered CA, but private insurance concerns.

State Sen. Ted Gaines, R-Roseville, seeking to unseat incumbent Insurance Commissioner Dave Jones, lambasted him for standing with Boxer and Feinstein. But although voters dumped Prop. 45, they also stuck with Jones.

Adamant that its increases are properly calibrated, “Aetna said its rate increase was justified based on the expected medical costs for employers,” the Times reported. Jones’ office had tried, but failed, to limit Aetna’s rate increases to just 2.6 percent on the 64,000-strong small business group.
A domino effect

For Jones, Aetna’s calculations led to excessive rate hikes because the company misjudged the effect of Obamacare and Covered CA on its risk pools. Although other factors came into play, Jones’ office determined Aetna had wrongly assumed “that customers enrolled in new plans complying with the federal health care overhaul are less healthy than those in older policies,” according to the Sacramento Bee.

What’s more, Jones implied, Aetna bumped up its increases once it looked likely Prop. 45 would go down to defeat...snipped

http://calwatchdog.com/2014/12/24/ca-small-biz-hit-with-health-care-hikes/?utm_source=dlvr.it&utm_medium=twitter


Chains Biden was right about this when he said to Obama under his breathe, "It's a big F*cking Deal!'

And we are the ones getting the shaft
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