How "Affordable" Care Is Working Out For People
A Facebook post of a "friend's" friend:
"I actually made it through this morning at 8:00 A.M. I have a preexisting condition (Type 1 Diabetes) and my income base was 45K-55K annually I chose tier 2 "Silver Plan" and my monthly premiums came out to $597.00 with $13,988 yearly deductible!!! There is NO POSSIBLE way that I can afford this so I "opt-out" and chose to continue along with no insurance. I received an email tonight at 5:00 P.M. informing me that my fine would be $4,037 and could be attached to my yearly income tax return. Then you make it to the "REPERCUSSIONS PORTION" for "non-payment" of yearly fine. First, your drivers license will be suspended until paid, and if you go 24 consecutive months with "Non-Payment" and you happen to be a home owner, you will have a federal tax lien placed on your home. You can agree to give your bank information so that they can easy "Automatically withdraw" your "penalties" weekly, bi-weekly or monthly! This by no means is "Free" or even "Affordable."
Update -- smells like BS:
Either Sheehan's claim that he received this notice is a lie, or the feds have been dishonest with the American people all along, and the revolt against Obamacare is about to take "don't tread on me" to a whole new level.
Update II -- Avik Roy writes at Forbes
Based on a Manhattan Institute analysis of the HHS numbers, Obamacare will increase underlying insurance rates for younger men by an average of 97 to 99 percent, and for younger women by an average of 55 to 62 percent. Worst off is North Carolina, which will see individual-market rates triple for women, and quadruple for men....27-year-olds will face rate increases as high as 279 percent.
...Worst off was Nebraska, where the difference between the cheapest plan under the old system and under Obamacare was 279 percent for men, and 227 percent for women: more than triple the old rate. Faring best was Colorado, where rates will decline for both 27-year-old men and women by 36 percent. The only other state to see a rate decline in this analysis was New Hampshire: 8 percent for both men and women.
...For months, we've heard about how Obamacare's trillions in health care subsidies were going to save America from rate shock. It's not true. If you shop for coverage on your own, you're likely to see your rates go up, even after accounting for the impact of pre-existing conditions, even after accounting for the impact of subsidies.
The Obama administration knows this, which is why its 15-page report makes no mention of premiums for insurance available on today's market. Silence, they say, speaks louder than words. HHS' silence on the difference between Obamacare's insurance premiums and those available today tell you everything you need to know. Rates are going higher. And if you're healthy, or you're young, the Obama administration expects you to do your duty and pay up.








This practically sounds like some sort of identity theft scam.
Fayd at October 2, 2013 12:44 PM
The thing I am curious about, is what basis the IRS is using to calculate the fines, and also your eligibility for subsidies. If it is taxable income which is the income you have left after you deduct your exemptions, and exclusions, it will be a much different calculation than using your total income (almost unheard of)
We spent a whole two weeks in tax law learning the definition of income, for tax purposes, and nowhere on the IRS web site can I find a clear explanation of which line on your return will be used to calculate both any subsidy and/ or your fine for opting out.
I suspect they have deliberately obscured this info to make people shopping for insurance go through one of their "navigators". They also may be trying to make the fine seem much more punitive than it actually is.
I think the chaos and lack of transparency is going to backfire on them.
Isab at October 2, 2013 12:59 PM
Smells fishy to me. I haven't heard anything about pre existing conditions, driver's licenses suspensions and home liens.
I may be wrong...
Eric at October 2, 2013 1:32 PM
Hi Amy,
Thanks for posting this. I am sincerely interested in hearing what people have to say about the Affordable Care Act. It is no skin off of my nose, at least not until they start going after Medicare. I am healthy (knock on wood) and pay very little.
I am concerned for my children and grandchildren and I hope people will honest in their stories about how they are doing.
The persons story at the top really freaked me out, as I have many friends and family who have the same situation and make approx. the same amount of money. I hope people speak up.
Ingrid at October 2, 2013 2:08 PM
While I am no fan of the Unaffordable Care Mandate, I'm fairly suspicious of this man's Obamacare enrollment story. This story seems to have gone viral, shared and re-shared, blogged by many, with little portions changed for further dramatization. Even crazy loonbag, Alex Jones, has glommed onto the tale and posted it to his blog, which further diminishes its credibility.
I'm unable to find any other verified or unverified account of a "repercussions" email threatening liens or bank drafts. The deductible amount mentioned in the story is particularly suspicious, as they are always in round numbers.
For now, I call B.S. on this one.
Still, Obamacare is a disaster on so many levels. It would be nice if those who oppose it would stick to spreading BONAFIDE truths about Obamacare, because it's bad enough, rather than internet lore and hoaxes.
Concerned Citizen at October 2, 2013 3:19 PM
As much as this is painful, so is knowing that a majority of the politicians who voted this in without reading it are still in office pointing fingers at someone, anyone else!
NikkiG at October 2, 2013 3:35 PM
One tiny nit to pick: Not sure why this person is emphasizing the preexisting condition angle. Premiums are based on age and location. Part of Obamacare is that premiums do not fluctuate based on preexisting conditions. So this person's premiums are likely high because of their age. Based on my playing around with the numbers in my state, this person is likely over 55.
That said ... this scenario (if it's true) does point out something I've been railing on for a long time: Those who make even a hair over $45K per year AND are over, say, 50 years old, are so screwed. Not eligible for subsidies, and socked with super high premiums.
sofar at October 2, 2013 3:45 PM
http://embed.newsinc.com/Single/iframe.html?WID=2&VID=25219959&freewheel=91074&sitesection=breitbartprivate&height=405&width=540
BASH: But if you can help one child with cancer, why wouldn't you do it?
REID: Why would we want to do that? I have 1100 people at Nellis Air Force Base sitting home. They have problems of their own.
Stinky the Clown at October 2, 2013 4:33 PM
That post was a complete fabrication. First of all, the penalty for
2014 is the higher of $95 or 1 percent of your income. That means
the fine in this scenario would be at most $550 (for a $55K income).
With normal deductions, it would be even lower.
Secondly, even if the government weren't closed, a same-day
response is way faster than the usual bureaucracy.
Third, the driver's license is state-issued and controlled. The
feds can't touch it.
I don't see how anyone could think for a moment that this junk
has any credibility.
Ron at October 2, 2013 4:36 PM
Not really off topic; but, I don't care if the story is true or not. I don't care if Obamacare turns out to be "affordable" or not.
What I do care about is the government forcing an individual to buy a product or service whether that individual decides if he needs it or not.
That is the issue to me and it leads to ask what next? What is the next thing that government nannies decide that we need to buy? And where will it stop?
Charles at October 2, 2013 5:52 PM
Amy Alkon
https://www.advicegoddess.com/archives/2013/10/how-affordable.html#comment-3953994">comment from CharlesAgree, Charles.
Also, I have been paying every month -- myself, no employer -- to an HMO. For about 26 years. I did that to get in while I was at my healthiest and to cover anything catastrophic that went wrong. I could have gotten off cheaply if I'd just paid out of pocket for doctor visits but having coverage for big things was the responsible thing to do.
Now, I resent like crazy that all the people who didn't do the responsible thing can get in, and never mind the stuff they now have wrong with them at, oh, 49 or 50, and that I have to pay for that.
Amy Alkon
at October 2, 2013 6:16 PM
Charles, about the government forcing an individual to buy a product
or service whether that individual decides if he needs it or not...
Yes, it can easily go too far, but it's not as if this were the
first instance.
Most states require you to buy liability insurance if you have a
car. In some states, you must buy (and wear!) a motorcycle helmet.
Some states require you to pay for a car inspection on a regular
basis. Meanwhile, building codes and occupancy permits can require
you to buy things you otherwise wouldn't.
Ron at October 2, 2013 9:48 PM
@Ron:
First off, thank you for copying a stale argument from some other website.
Second the operative word in your post is states. So if I think my state's laws suck I can move to another.
In addition, many states have been extorted by the federal government to place and enforce laws like these. For example the reason that all the states have a .08 DUI law is because the federal government has said if you don't change your laws you won't get millions in funding for your state's highways. The seat belt laws are the same way. Even the 55 MPH speed limit was based off that until enough states rebelled.
As far as forcing you to buy something that never occurred prior to now at a federal level. And even the state forcing you to buy something was limited to associated activity. If you live in a major city such as New York City, Los Angeles, Chicago or any other did you have to buy auto insurance? What if you never owned a car, didn't have a driver license and used public transportation did you have to buy auto insurance?
As for occupancy codes and such -- I live so far out in the country that I could literally pull up a class B motor home hook it up to a septic system and well and live there with practically no interference.
So your arguments fall totally flat on me.
Jim P. at October 2, 2013 10:17 PM
"What I do care about is the government forcing an individual to buy a product or service whether that individual decides if he needs it or not."
What I wonder is: Why does anyone think they must always pay for a service they do not get?
The solution is HERE.
"As for occupancy codes and such -- I live so far out in the country that I could literally pull up a class B motor home hook it up to a septic system and well and live there with practically no interference."
And that would be a step UP from many structures found to be perfectly acceptable out of the view of a grasping busybody.
Radwaste at October 3, 2013 2:53 AM
The preexisting thing does not apply until Jan 1 so I am not surprised if he got screwed. Same with most of the benefits. For the penalty, yes it is much lower than stated per person but if he had his family on the plan it adds up fast.
It still smells fishy but it is somewhat possible... until the Forbes stuff, I don't thank any of it is possible.
I still hate the system. People keep comparing it to Canada, UK and Japan but the plans are not even remotely close. Those countries charge it like we charge medicare, on your income tax. They also have no charge or low charge payments for showing up not this 80-90% crap with deductibles.
NakkiNyan at October 3, 2013 3:17 AM
Jim P: With exactly the same sincerity as your thanks, thank you
for raising the hostility level via a gratuitous accusation. If you
accuse someone of plagiarism, it behooves you to include a cite to
the original source material plagiarized. This is especially true
of material you challenge as copied "from some other website".
If you have noticed my posts in other threads, you'll note that I
have always attributed and cited any quotes.
Ron at October 3, 2013 4:52 AM
The preexisting thing does not apply until Jan 1 so I am not surprised if he got screwed.
No, he's implying he bought the plan on the exchange. The plans purchased starting Oct 1 on the health insurance exchanges (federal or state-run, depending on where you live) kick in January 1. So the preexisting things DOES apply to any plans people are now purchasing on the exchanges.
If he were buying an individual plan outside the exchange, then yes, he'd pay more based on his condition. But his mention of "tier 2 silver" and the website malfunctions suggest he IS shopping on the exchange. So the preexisting thing does apply.
The status is obviously fake anyway.
sofar at October 3, 2013 8:14 AM
Most states require you to buy liability insurance if you have a car.
Yes, and? your point would be...what? liability insurance is there to make good when you fuck up and hit someone/someone's property. You don't actually have to purchase it, but then you also can't get a license plate for your vehicle[*].
This is more akin to the federal government telling you that you must buy a GM or Chrysler vehicle.
Now tell me why they couldn't do that. They could say that you could opt-out by paying a "tax", and they have the power to tax, and also Interstate Commerce.
[*] there are an awful lot of uninsured motorists, and you'll notice that you probably have an add on to your auto policy called an uninsured motorist coverage. Maybe we can get the Feds to make sure everyone with a car has insurance if they're not too busy feeling up Amy at the airport.
I R A Darth Aggie at October 3, 2013 8:33 AM
Yup. States issue you a license to drive and therefore, can make that license contingent upon having liability insurance for the protection of others...(although I am pretty sure that not all states do).
On the other hand, the Federal gov't doesn't give you the license to live, so I'm not sure how it justifies mandating that your health be insured.
Completely unconstitutional, Supreme Court's ruling be damned.
the other Beth at October 3, 2013 1:18 PM
the Federal gov't doesn't give you the license to live
Not yet, anyway.
Sosij at October 3, 2013 7:20 PM
You have the unique quality of the first post(s) that I have copied on Amy's blog that looks looks like it was copied because of the line breaks:
Jim P: With exactly the same sincerity as your thanks, thank you<line break>
for raising the hostility level via a gratuitous accusation. If you<line break>
accuse someone of plagiarism, it behooves you to include a cite to<line break>
the original source material plagiarized. This is especially true<line break>
of material you challenge as copied "from some other website"
When I copy and paste it looks something like that was copied off another website. So my sincerest apologies for the disparagement.
So getting back to the the argument that you posted. You are not required to have auto insurance for having a driver's license, only when operating a motor vehicle. So an NYC (or other large metro area) resident can get a driver's license, and not insurance, then rent a car (and the insurance) as needed.
And it still is a state issue. Then there are the no-fault states. Take a guess which has the highest insurance rates.
You also didn't address the federal extortion I mentioned.
So while I may have hurt your feelings, you didn't address the rest of the arguments with facts.
Jim P. at October 3, 2013 8:00 PM
Sosij: "the Federal gov't doesn't give you the license to live . . . Not yet, anyway."
Ahh, perhaps, that is one of the passed, but, yet unread portions of Obamacare - Death panels anyone?
Charles at October 3, 2013 8:04 PM
"Then there are the no-fault states. Take a guess which has the highest insurance rates."
Ha. When I lived in Florida, they had a worst-of-all-possible-worlds system: it was sort of no fault, but not really. The deal was that you had to purchase "personal protection insurance" (I think that was what it was called) that, at least in theory, covered your own expenses in an accident. However, it didn't prohibit lawsuits. If you financed a car, you still had to buy liability, and even if you didn't finance, it was not smart to go without liability. And you also had to buy uninsured-motorist coverage, since if someone with PPI-only hit you, their insurance only covered them. The only people who got by on the personal protection insurance were people who were lawsuit-proof: no assets and driving a junker.
The result was that, for a person with conventional insurance, the PPI was an absolutely useless additional expense. Only the lawsuit-proof could buy a PPI-only policy. The knock-on effect of that was that most of the PPI-only policies were sold by fly-by-night companies that would sell a bunch of policies, collect premiums for two years or so, and then when claims started to pile up they'd shift all of their assets to another company and then go bankrupt.
In South Florida, car insurance was outrageous; for most drivers, their insurance premiums were higher than their car payments. When I moved from there to New Jersey, I was stunned at how much lower my insurance premiums were. New Jersey. Think about that.
Cousin Dave at October 4, 2013 7:12 AM
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