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Health care reform bill 101: Who must buy insurance?

Discussion in 'BBS Hangout: Debate & Discussion' started by underoverup, Mar 19, 2010.

  1. underoverup

    underoverup Member

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    I thought this was interesting because I still am having trouble understanding how a person who can't afford health care now will be able to pay for it under this new bill.

    http://www.csmonitor.com/USA/Politics/2010/0319/Health-care-reform-bill-101-Who-must-buy-insurance

    Health care reform bill 101: Who must buy insurance?

    In an attempt to de-mystify the health care reform bill now before Congress, the Monitor takes a look at what is in it and how it might affect you. First, we look at the new requirement to buy health insurance.

    Confused about the healthcare reform effort? Don’t worry – you’re not alone. By the time it comes up for a final vote this weekend, health legislation will be twice as long, and half as intelligible, as Tolstoy’s masterwork “War and Peace.” And news coverage of healthcare reform has focused as much, or more, on political wrangling than on substance.

    So we’re going to try to describe what’s in the healthcare reform bill in plain English.

    That’s not easy. For one thing, the bill is full of sentences that begin “For the purposes of subparagraph 6(b)....” For another, healthcare reform would be the most sweeping change in US domestic policy in a generation. It’s big, and it’s complicated.

    But here’s a key thing to remember: There is a simple concept at the center of this rambling, Rube Goldbergian machine. Democratic healthcare reform would expand insurance coverage in America by requiring people to obtain it.

    That’s right. The healthcare reform bill would mandate that most US citizens and legal residents purchase “minimal essential coverage” for themselves and their dependents. They can get this either through their employer, or, if their employer doesn’t offer health insurance, they can buy it through new marketplaces that will sell policies to individuals.

    Those marketplaces would be called “exchanges.” We’ll talk more about them in a later story. (We’ll also cover subsidies for health insurance, when it all would take effect, how it would be paid for, and what it means for businesses.)

    Are there penalties if you don't buy insurance?
    If you ignore this mandate and don’t get health insurance, you’ll have to pay a tax penalty to the federal government, beginning in 2014. This fine starts fairly small, but by the time it is fully phased in, in 2016, it is substantial.

    An insurance-less person would have to pony up whichever is greater: $695 for each uninsured family member, up to a maximum of $2,085; or 2.5 percent of household income.

    There are exceptions. Certain people with religious objections would not have to get health insurance. Nor would American Indians, illegal immigrants, or people in prison.

    Why the requirement?
    Why is Congress doing this? It’s a pretty obvious way to expand coverage, for one thing. Also, it will help bring in a flood of new customers for health insurance firms, including healthy young people who might not need much healthcare.

    For insurance firms, those new customers could balance out the losses they might incur if they can no longer deny coverage to people with preexisting conditions. (Yes, that’s another change the bill makes.)

    And remember, many people will not be buying this coverage purely on their own. Uncle Sam will be helping them. The bookend to the individual mandate is federal subsidies for insurance purchases, which reach deep into the middle class. We’ll talk about those next.
     
  2. uolj

    uolj Member

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    There are new subsidies for people who can't afford insurance now to help them be able to afford it when the bill is passed.

    There are also expected to be modest decreases in premiums (or at least slowing of premium increases) which should help a little. And for people who can afford insurance, they will no longer be denied for pre-existing conditions or other reasons.
     
  3. Air Langhi

    Air Langhi Contributing Member

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    This hcr is just going to end up helping the insurance companies. Why not actually get a real single payer system like every other industrialized country?
     
  4. rimrocker

    rimrocker Member

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    Because we can't get it passed.
     
  5. juicystream

    juicystream Member

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    So if you don't want to get insurance, just claim it violates your religious beliefs.
     
  6. F.D. Khan

    F.D. Khan Member

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    So if someone is dying of a super expensive disease that will cost a company millions of dollars a year they have to give him coverage?

    Me thinks the government will have to get into the insurance business even more down the line if this is the case as less and less companies will be there to offer coverage.
     
  7. MojoMan

    MojoMan Member

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    Nobody will have to buy insurance under this bill. Those who decide to opt out of maintaining health insurance coverage will be required to pay a comparatively small excise tax to the government each year, instead of paying for insurance coverage.

    And since the insurance companies will be required to sell everyone coverage regardless of any pre-existing conditions, millions will have every incentive to opt out now and then re-enroll whenever they start having medical issues that they desire to have the insurance companies pay for. If you are starting to get the sense that this does not sound like a sustainable arrangement for the insurance companies, you are correct. This bill is a series of disasters just waiting to happen. It really needs to be rejected in the House of Representatives and tossed out.
     
  8. FranchiseBlade

    Supporting Member

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    actually the small fine you mention is small only in the first year. It goes up, and after a time it is definitely not a small fine
     
  9. Depressio

    Depressio Member

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    What? No comment about how November "can't come soon enough" this time, Mojo?
     
  10. MojoMan

    MojoMan Member

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    Since you were kind enough to offer that observation in your post quoted above, it would be redundant for me to say it again at this particular time.
     
  11. Rocket River

    Rocket River Member

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    Because then someone besides a select few rich folx would get the money.
    remember
    Government is about moving your money/resources into the control of a select few.

    Rocket River
     
  12. mc mark

    mc mark Member

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    It's not going to be. It will become the law of the land very soon.
     
  13. MojoMan

    MojoMan Member

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    The sage prophet McMark speaks.
     
  14. cml750

    cml750 Member

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    It could be decided in the Supreme Court. The "deem it passed" process by voting on the fix legislation is questionable in regards to the Constitution. I realize that it has been used by both parties many times but never on something this massive. There has never been a Constitutional lawsuit filed any time it has been used before. There will be lawsuits filed if it is passed this way. It is just a matter of if the Federal Court system decides that the Constitution has been violated. It could very easily be appealed to the SC where the decision will be made as to whether it stands. This could be avoided with an up and down vote on the exact Senate bill.
     
  15. rimrocker

    rimrocker Member

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    It has been challenged in court before and been upheld.

    By the way, can you point me to a legal interpretation that changes based on "massiveness?" We don't say it's legal to steal $1,000 but illegal to steal $1B. (In fact, based on recent results, the opposite seems to be true, but I digress.) We don't say it's legal to run a stop sign but illegal to run a stoplight. We don't say you can legally dump 50 gallons of hazardous waste but you better not dump 100 gallons.

    The whole "massive" angle is just an idiotic Republican talking point.
     
  16. mc mark

    mc mark Member

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    deem and pass has already been accepted by the courts as a perfectly legal procedure.

    that freaks like jorge continue to push this meme only shows that desperation has set in and have nothing left.
     
  17. cml750

    cml750 Member

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    I only said lawsuits "would" be filed and it "may" be decided in the SC. I did not put any spin on it.
     
  18. KingCheetah

    KingCheetah Atomic Playboy
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    When you consider that the only thing holding this bill back is a filibuster the D&P seems like a fair play.
     
  19. mc mark

    mc mark Member

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    thank you!

    A great point. Republicans have made no secret that they will do anything ANYTHING to stop this bill. Democrats are only playing the game republicans have handed to them.
     
  20. MojoMan

    MojoMan Member

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    And that is exactly correct on all counts. But McMark is clearly not one to let your actual words get in the way of a point he wants to make about a comment you have made.
     

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