|
Register | Sign In |
|
QuickSearch
Thread ▼ Details |
|
Thread Info
|
|
|
Author | Topic: Health care reform almost at the finish line... correction: it's finished | |||||||||||||||||||||||
Flyer75 Member (Idle past 2454 days) Posts: 242 From: Dayton, OH Joined: |
Taq writes: employers do this in two ways. First, the sheer number of the people in the pool allows them to get a better deal. If individuals are able to join together to make larger pools they would have access to the same deals. Second, the employer pays the majority of the premium. This is money that the employer could be putting directly in your pocket. I would be making another 1000 bucks a month if my employer gave me that money instead of it going towards health insurance. I think this is something that people should keep in mind. If anyone is wondering why middle class take home earnings have flatlined look no further than employers paying more to supply health insurance. For the sake of argument, if you consider the employer contribution as a tax the middle class is probably paying more in taxes than countries with government run universal health coverage. Very good points. I'd love to see what I would get back from the city and what I could find on mine own. Maybe it wouldn't be worth it but on the flip side....I don't trust the city I work for (go figure, union guy not trusting management...huge shock huh?) to actually give me that money...they'd probably pocket it all and give us a nice 1.5% raise. HA! Let me clarify though, I'm not really a union guy in the same sense that electricians or auto workers may be. We are simply a bargaining unit. We can't strike (obviously) so our ability to leverage the city is weaker then at other jobs. Most of our bargaining is decided by an arbitrator who looks at the contracts other cities are getting in the same year and basis his decision on that so there's not much mystery as to what he'll decide as far as raises go. Our last contract and the one coming up have been brutal for us...we've taken it on the chin in a big way. Rahvin, I'll dig for that premium amount and post it for you. Edited by Flyer75, : No reason given.
|
|||||||||||||||||||||||
hooah212002 Member (Idle past 832 days) Posts: 3193 Joined: |
My "Per Family" annual deductible is $600. My coinsurance for "per family" is 10% of up to $14,000 (so if I had a crazy expensive procedure, I'd have to pay up to $1400 of it). My total annual out-of-pocket maximum is $1000 per insured, or a total of $2000 for the whole family per calendar year. I pay $20 to visit a doctor, which includes basic labs, x-rays, etc, as long as they're done in-house, not by an out-of-network 3rd party. Generic prescriptions are $5; brand name are $30 when no generic is available, $50 when a generic is available. The drug copay does not count towards the out-of-pocket maximums. I can pay less by ordering through the mail (double the co-pay, but 3x the supply). And this is 2 adults, no children. So theoretically, those two adults can work and cover other expenses (I know you said your significant other has a condition, hence the hypothetical). Now factor in someone, a single father with a child. He has to cover that expense, PLUS child care, with no one else to make up the income that you would get from a spouse. Let's also think about even a couple with children. Most (not all) families will have one parent stay at home, so it's the same scenario. Sure, that $200 each payday is pre-tax. That's still a good chunk of change. I know right now I can't afford another $400 payment every month. What with 2 car payments, 5 mouths to feed, 2 car insurance payments, rent, etc. The need to reduce this cost is VITAL.
My family's monthly out-of-pocket costs amount to roughly $400 in premiums, about $100 in medication (for my girlfriend alone, I don't take anything atm), and $20-40 for doctor's visits (again her - I'm bad, and don't go to the doctor even though I should). That's about $500-550 for a normal month where nobody has an emergency or anything. How can this be seen as acceptable? Good thing you are well educated and have a good job. "Some people think God is an outsized, light-skinned male with a long white beard, sitting on a throne somewhere up there in the sky, busily tallying the fall of every sparrow. Othersfor example Baruch Spinoza and Albert Einsteinconsidered God to be essentially the sum total of the physical laws which describe the universe. I do not know of any compelling evidence for anthropomorphic patriarchs controlling human destiny from some hidden celestial vantage point, but it would be madness to deny the existence of physical laws."-Carl Sagan "Show me where Christ said "Love thy fellow man, except for the gay ones." Gay people, too, are made in my God's image. I would never worship a homophobic God." -Desmond Tutu
|
|||||||||||||||||||||||
Rahvin Member Posts: 4046 Joined: Member Rating: 8.3 |
And this is 2 adults, no children. So theoretically, those two adults can work and cover other expenses (I know you said your significant other has a condition, hence the hypothetical). Now factor in someone, a single father with a child. He has to cover that expense, PLUS child care, with no one else to make up the income that you would get from a spouse. Let's also think about even a couple with children. Most (not all) families will have one parent stay at home, so it's the same scenario. Sure, that $200 each payday is pre-tax. That's still a good chunk of change. I know right now I can't afford another $400 payment every month. What with 2 car payments, 5 mouths to feed, 2 car insurance payments, rent, etc. The need to reduce this cost is VITAL. I'm not entirely sure that it's true that one parent stays home most of the time any more, Hooah. Oh...and since shes on my insurance as a "domestic partner" and the Feds don;t recognize those for tax purposes...my share of the additional premium to cover her is deducted after taxes. And I have to pay income tax on the employer-paid portion of it as well. It's pretty absurd. She's trying for a job with the State as soon as they start hiring again. Her share of the insurance there will be far less than what we pay, and it'll be pre-tax.
How can this be seen as acceptable? Good thing you are well educated and have a good job. I certainly don't see it as acceptable. I went without insurance for years because I couldn't afford it and still pay rent. Even with this bill I'll still be the first to call the healthcare system in the US a steaming pile of feces. I'm very glad that we're finally going to resolve some of the problems, but again, the system is broken from its basic principles right now. It needs to be completely restructured, and that unfortunately just will not happen.
|
|||||||||||||||||||||||
hooah212002 Member (Idle past 832 days) Posts: 3193 Joined: |
I just checked, again, for shits and giggles, what it would cost me for private insurance.
Here is what I looked for: Low enough deductable (around $500)Some sort of prescription coverage A low enough co-pay (not one that is a percentage) What did I find? For decent coverage, I would be looking at around $250/month. The ONLY decent company is ...wait for it.....WPS which is basically state run insurance.
WPS website writes: WPS Health Insurance has deep roots in Wisconsin grounded in events that occurred in the mid-1940s. It was a time when many people were having difficulty paying for necessary health care. In response, the State Medical Society developed a low-cost insurance product, called the Wisconsin Plan, which permitted Wisconsin residents to budget the costs of health care. In 1946, the Medical Society established Wisconsin Physicians Service (WPS) to market and administer the plan. WPS website writes:
*bolding mine. What's that? Not for profit? How can it be? that's socialism! WPS is one of the largest health benefits providers in the state, and after more than 60 years, remains Wisconsin’s only not-for-profit insurer offering health plans statewide to the public and private sectors. Any "regular" insurance company around the same monthly price was either an HMO which didn't cover prescriptions, had a copay that was 50% after deductable, or had a much higher deductable. "Some people think God is an outsized, light-skinned male with a long white beard, sitting on a throne somewhere up there in the sky, busily tallying the fall of every sparrow. Othersfor example Baruch Spinoza and Albert Einsteinconsidered God to be essentially the sum total of the physical laws which describe the universe. I do not know of any compelling evidence for anthropomorphic patriarchs controlling human destiny from some hidden celestial vantage point, but it would be madness to deny the existence of physical laws."-Carl Sagan "Show me where Christ said "Love thy fellow man, except for the gay ones." Gay people, too, are made in my God's image. I would never worship a homophobic God." -Desmond Tutu
|
|||||||||||||||||||||||
Rahvin Member Posts: 4046 Joined: Member Rating: 8.3 |
Blue Cross California and Kaiser Permanente also advertise themselves as "nonprofit" health providers.
Kaiser Permanente is the largest nonprofit health plan in the United States, based in Oakland, California and founded in 1945. As a non-profit company, Blue Shield of California is fully committed to the members they serve. Their mission is to provide all residents of California affordable health insurance and care. Just from quick Google searches. Something seems...off.
|
|||||||||||||||||||||||
Flyer75 Member (Idle past 2454 days) Posts: 242 From: Dayton, OH Joined: |
Rahvin,
I've found this about my insurance. And I'm willing to concede and swallow some pride that you may know more about this then I do right now. I'm not sure if these are the numbers you are looking for or if there is another premium number I'm just not finding but according to my current statement the Annual Out of pocket maximum amounts are listed as this: In Network Providers: $4,000Out of Network Providers: $8,000 I just tried setting up an online account access with Anthem but something messed up and I have to make a phone call so who knows, I may not be able to find out for sure until Monday. I'll keep digging.
|
|||||||||||||||||||||||
Rahvin Member Posts: 4046 Joined: Member Rating: 8.3 |
I've found this about my insurance. And I'm willing to concede and swallow some pride that you may know more about this then I do right now. I'm not sure if these are the numbers you are looking for or if there is another premium number I'm just not finding but according to my current statement the Annual Out of pocket maximum amounts are listed as this: In Network Providers: $4,000Out of Network Providers: $8,000 I just tried setting up an online account access with Anthem but something messed up and I have to make a phone call so who knows, I may not be able to find out for sure until Monday. I'll keep digging. Out of Pocket Maximums are the maximum amount you'll be required to pay in co-insurance in a given year. Your insurance will require you to pay a percentage of the cost, but you can pay at most $4,000 in a year of total co-insurance among all of teh procedures that you receive. So lets say you're in a horrible accident of some sort - let's say a fire, so we're talking lots of hospital attention and plenty of skin grafts and so on. Unpleasant topic, but these things happen. You'll be required to pay a percentage of the costs of the hospital stay and surgeries, but once you hit $4,000 in a single fiscal year, you don't pay anything else - 100% of the remainder of what's covered is paid for by your insurance. You might have to pay 20% of Skin Grafts 1-3, but by #4, you're free and clear financially until the next fiscal year, when it starts over. Unfortunately, this isn't the premium, so it's irrelevant for determining whether you'll be affected by the "Cadillac" tax. I went through my own internal HR websites to find the info, but I know that many companies aren't as forthcoming about how much they pay vs. how much you pay.
|
|||||||||||||||||||||||
hooah212002 Member (Idle past 832 days) Posts: 3193 Joined: |
Has anyone read up on this? Alan Grayson has put up a public option called Medicare you can Buy into.
From his Huffington Post article:And to the right-wing loons who call it socialism, we say, "if you want to be a slave to the insurance companies, that's fine. If you want 30% of your premiums to go to 'administrative costs' and billion-dollar bonuses for insurance CEOs who figure out new and creative ways to deny you the care you need to stay healthy and alive, that's fine. But don't you try to dictate to me that I can't have a public option!" he's doing this without corporate sponsors. All donations are coming from us, the people. From his DailyKos article:Here is something else that we've done together. We've put together a campaign that is not funded by favor-seeking lobbyists and big shots. It's funded by you and people like you. Last quarter, we raised $500,000 dollars in one day, an average of $50 at a time. We topped every other House campaign. "Some people think God is an outsized, light-skinned male with a long white beard, sitting on a throne somewhere up there in the sky, busily tallying the fall of every sparrow. Othersfor example Baruch Spinoza and Albert Einsteinconsidered God to be essentially the sum total of the physical laws which describe the universe. I do not know of any compelling evidence for anthropomorphic patriarchs controlling human destiny from some hidden celestial vantage point, but it would be madness to deny the existence of physical laws."-Carl Sagan "Show me where Christ said "Love thy fellow man, except for the gay ones." Gay people, too, are made in my God's image. I would never worship a homophobic God." -Desmond Tutu
|
|||||||||||||||||||||||
hooah212002 Member (Idle past 832 days) Posts: 3193 Joined: |
I just found this calculator to figure out what insurance will cost under each of the 4 proposals.
http://healthreform.kff.org/SubsidyCalculator.aspx Whether or not it is accurate remains to be seen. "Some people think God is an outsized, light-skinned male with a long white beard, sitting on a throne somewhere up there in the sky, busily tallying the fall of every sparrow. Othersfor example Baruch Spinoza and Albert Einsteinconsidered God to be essentially the sum total of the physical laws which describe the universe. I do not know of any compelling evidence for anthropomorphic patriarchs controlling human destiny from some hidden celestial vantage point, but it would be madness to deny the existence of physical laws."-Carl Sagan "Show me where Christ said "Love thy fellow man, except for the gay ones." Gay people, too, are made in my God's image. I would never worship a homophobic God." -Desmond Tutu
|
|||||||||||||||||||||||
onifre Member (Idle past 2982 days) Posts: 4854 From: Dark Side of the Moon Joined: |
Huff Post writes: And to the right-wing loons who call it socialism, we say, "if you want to be a slave to the insurance companies, that's fine. If you want 30% of your premiums to go to 'administrative costs' and billion-dollar bonuses for insurance CEOs who figure out new and creative ways to deny you the care you need to stay healthy and alive, that's fine. But don't you try to dictate to me that I can't have a public option!"
hooah writes: he's doing this without corporate sponsors. All donations are coming from us, the people. The pulic option was something that was supposed to be on the Bill. Now everyone is condeming the idea. But there is a reason why. Read the article about the NY Times reporter. Howard Dean in an op-ed piece for the Washington Post 3 month's ago:
quote: From the Huff Post: NY Times Reporter Confirms Obama Made Deal to Kill Public Option quote: Furthermore...
quote: And finally...
quote: What more evidence do we need to see the system, on both sides, is only out to make corporatist deals? The people are of no concern to our elected officials. - Oni
|
|||||||||||||||||||||||
hooah212002 Member (Idle past 832 days) Posts: 3193 Joined: |
I'm sorry, Oni, but what does this have to do with the proposal Alan Grayson has up?
The pulic option was something that was supposed to be on the Bill. Right, I know. Grayson is trying to re-introduce a public option.
Now everyone is condeming the idea. But there is a reason why. Is that what you really think? Haven't you been watching any news? The right has been fear-mongering since any talk of health care was mentioned. "Socialism/Naziism/Communism/Marxism. You think Beck doesn't have an audience? My co-worker sounds EXACTLY like him and he doesn't even realize it. He told me earlier tonight "I hate progressives". He had no valid reason other than "they're progressives". Hmm, where would he get that from? (yes, he is a Beck fan). Secondly, all that is is a couple people saying "well I heard this guy said he overheard this guy say something about a secret backroom handshake". Case in point:
Kirkpatrick also acknowledged that White House Deputy Chief of Staff Jim Messina had confirmed the existence of the deal. Like I've been saying, what is this bill actually really going to do? Not: what do people want to scare you into thinking it's going to do? The talking points and scare tactics are what got us into this mess, yes? And just to clarify, both articles I quoted were written by Grayson himself. "Some people think God is an outsized, light-skinned male with a long white beard, sitting on a throne somewhere up there in the sky, busily tallying the fall of every sparrow. Othersfor example Baruch Spinoza and Albert Einsteinconsidered God to be essentially the sum total of the physical laws which describe the universe. I do not know of any compelling evidence for anthropomorphic patriarchs controlling human destiny from some hidden celestial vantage point, but it would be madness to deny the existence of physical laws."-Carl Sagan "Show me where Christ said "Love thy fellow man, except for the gay ones." Gay people, too, are made in my God's image. I would never worship a homophobic God." -Desmond Tutu
|
|||||||||||||||||||||||
Hyroglyphx Inactive Member |
I'm sorry, Oni, but what does this have to do with the proposal Alan Grayson has up? As a side note, Grayson is a pitbull and also hilarious. Edited by Hyroglyphx, : No reason given. "Political correctness is tyranny with manners." -- Charlton Heston
|
|||||||||||||||||||||||
Apothecus Member (Idle past 2441 days) Posts: 275 From: CA USA Joined: |
I don't know about everyone else, but I've about had it with this legislation. Tomorrow can't come soon enough, and pass or fail, at least this round will be finished (this begs the question of what will be offered as a replacement if it fails, but that's putting the cart before the horse...) I just thought I'd bring this to light, in case anyone missed it. What a clear example this is of what's wrong with politics these days.
Democrats are charging that the GOP made up a fake messaging memo that purports to be from Democrats as a way to undermine the party's message at the last minute. The memo was circulated to reporters -- including this one -- by a spokesman to House Minority Leader John Boehner. Politico reported on the memo and posted a story which the Drudge Report featured prominently.
Politico has since pulled the memo, leaving Drudge to link instead to a page that reads "UPDATE: Democrats challenge authenticity of 'doc fix' memo." ...which led to NY's Anthony Wiener ripping NJ's Scott Garrett a new asshole on the floor of the House. If you've never watched Wiener go at it, so to speak, you can find some pretty funny stuff doing a quick search on YouTube. The dude's a bulldog, if a little skinny... The silly part about all this is that the so-called "doc fix" isn't actually part of the health care plan at all. It's something Dems apparently have on their docket to tackle later this year whether the plan passes or not. Leave it to conservatives to bungle an attempt at a fallacious red-herring which took Dems precisely .7 seconds to debunk. Oh, and in other news we just may be getting rid of Brother Limbaugh if this bill passes. If that's not reason enough to phone your representative right now, I don't know what is. The really funny part about Limbaugh's "threat" is that in Costa Rica (where he'll allegedly live ... afterward ), health care is firmly nationalized. Have a good one. "My own suspicion is that the Universe is not only queerer than we suppose, but queerer than we can suppose. J.B.S Haldane 1892-1964 |
|||||||||||||||||||||||
hooah212002 Member (Idle past 832 days) Posts: 3193 Joined: |
So who watched C-SPAN last night? Incredibly hilarious, the antics just to stall. I must say, it is the first time I have ever actually watched C-SPAN at length.
These are historic times, ladies and gents. Whether this is perfect, or just a bandage over an infectious wound: it's something, a step in the right direction. No matter how you look at it, more people will be able to get insurance. Less people will have to wait until it's too late and go to the emergency room for the flu. No longer will greedy fuck insurance companies get to tell you that your diabetes that you were born with is a pre-exisiting condition and you can't get coverage. No longer will that same insurance company get to raise your rates for no reason. No longer will insurance companies get to drop your coverage for costing them too much money. Never again can insurance companies systematically purge their system of HIV patients, dropping their coverage. "Some people think God is an outsized, light-skinned male with a long white beard, sitting on a throne somewhere up there in the sky, busily tallying the fall of every sparrow. Othersfor example Baruch Spinoza and Albert Einsteinconsidered God to be essentially the sum total of the physical laws which describe the universe. I do not know of any compelling evidence for anthropomorphic patriarchs controlling human destiny from some hidden celestial vantage point, but it would be madness to deny the existence of physical laws."-Carl Sagan "Show me where Christ said "Love thy fellow man, except for the gay ones." Gay people, too, are made in my God's image. I would never worship a homophobic God." -Desmond Tutu
|
|||||||||||||||||||||||
Taz Member (Idle past 3322 days) Posts: 5069 From: Zerus Joined: |
hooah212002 writes:
I watch C-SPAN on a regular basis. Never thought I would admit this. So who watched C-SPAN last night? But yes, it's a historic moment, comrad.
|
|
|
Do Nothing Button
Copyright 2001-2023 by EvC Forum, All Rights Reserved
Version 4.2
Innovative software from Qwixotic © 2024