Health Care explained in 1 paragraph

All the Law's enforcement provisions (and IRS hiring) doesn't peak until 2018...give them time. Btw, if the IRS enforces penalty payments for non-participation, how is that not enforcement of Obamacare?

 

Well Gee! Let me think about that. Oh, suppose you decide not to pay your taxes one year, do you think the IRS goes and hires some guy to come to your door and force you to pay those taxes? The flaw in your thinking here is that there is going to be some huge increase in the workload the IRS has and specifically you imagine all these people that are going to be fined under the ACA. How could you possibly know how many people are going to be fined and what in the world makes you think the IRS is going to send in the stormtroopers at the first sign on a non-payment? That has to be the craziest speculation I've ever heard.

 

And yet you have no real information, have never read the bill, but have no problem speculating on the worst possible scenario you can think of and then put your conjecture into the most partisan terms possible and ignore everything that contradicts your narrative. How could anyone take that type of nonsense seriously?

 

We have posted fact after fact after fact referenced but you still say there is "no real information" apparently because you do not agree with what the bill really says. Sounds like you ought to join the Tea Party.

 

And here is another "fact";

http://www.news4jax.com/news/florid...cies/-/475880/22578762/-/5lgg99z/-/index.html

 

I have, want a copy?

Subpart B—Eligibility Determinations

SEC. 1411. PROCEDURES FOR DETERMINING ELIGIBILITY FOR

EXCHANGE PARTICIPATION, PREMIUM TAX CREDITS AND

REDUCED COST-SHARING, AND INDIVIDUAL RESPONSIBILITY

EXEMPTIONS.



(a) ESTABLISHMENT OF PROGRAM.—The Secretary shall establish



a program meeting the requirements of this section for determining—

(1) whether an individual who is to be covered in the

individual market by a qualified health plan offered through

an Exchange, or who is claiming a premium tax credit or

reduced cost-sharing, meets the requirements of sections

1312(f)(3), 1402(e), and 1412(d) of this title and section 36B(e)

of the Internal Revenue Code of 1986 that the individual be

a citizen or national of the United States or an alien lawfully

present in the United States;

(2) in the case of an individual claiming a premium tax

credit or reduced cost-sharing under section 36B of such Code

or section 1402—

(A) whether the individual meets the income and coverage

requirements of such sections; and

(B) the amount of the tax credit or reduced costsharing;

(3) whether an individual’s coverage under an employersponsored

health benefits plan is treated as unaffordable under

sections 36B(c)(2)(C) and 5000A(e)(2); and

(4) whether to grant a certification under section

1311(d)(4)(H) attesting that, for purposes of the individual

responsibility requirement under section 5000A of the Internal

Revenue Code of 1986, an individual is entitled to an exemption

from either the individual responsibility requirement or the

penalty imposed by such section.

 

And your point is......? What?

 

I other words, It's up to the IRS to determine eligibility for substances and assess penalties. That my friend is added workload for the IRS. Whether it be friend agents making sure the tax rebates go out or goons kicking in the door. Which ever you believe.

 

If an insurance company doesn't meet the minimum requirements of coverage under the law, they don't have to bother dropping anyone, they will be prevented from participating. How is that a bad thing? It seems that Florida Blue isn't interested in covering the medical costs of their policy holders even at minimum levels but they are willing to insure people at whatever they decide to cover. My feeling is, don't let the screen door hit you in the butt on the way out....because it probably wouldn't be covered under the insurance policy your company is offering.

 

So you like facts eh? Let's talk about Florida Blue.
Jan 9, 2013, 5:27pm EST
Florida Blue hit with $80,000 state fine for code violations



James Crichlow

Pat Geraghty, president and CEO of Florida Blue. The Jacksonville-based health insurer was fined $80,000 by the state for violations of the Florida Insurance Code.

​

Ashley Gurbal Kritzer

The state’s Office of Insurance Regulation has fined Florida Blue $80,000 plus administrative costs.
According to consent order filed Dec. 11, the Jacksonville-based health insurer was fined for the following violations of the Florida Insurance Code and/or the Florida Administrative Code:

• Denying claims without conducting reasonable investigations
• Failure to correctly calculate the premium for small group policies
• Failure to follow filed and approved health benefit plan rate
• Failure to comply with unfair trade practice requirements
• Failure to maintain a complete record of complaints
• Failure to notify the Department of Financial Services within 45 days following date of appointment
• Failure to provide at least 60 days advance written notice to the appointee of its intent to terminate appointment
• Failure to notice the Department of Financial Services within 30 days of appointment termination and provide the reason for the termination

A Florida Blue spokesman said the fine is related to a comprehensive examination the OIR conducted between Jan. 1, 2006, and May 31, 2009.
“Florida Blue has taken appropriate steps to implement corrective actions where necessary for each of the exceptions noted as a result of the examination,” the spokesman wrote in an email.
The company waived a hearing in the matter, according to the document, and had 30 days to pay the fine plus $3,000 in administrative costs after the order was executed, as well as submit an examination report that was ordered to be completed.
Repeat violations in the future may be considered willful violations, according to the document, which would subject the company to more penalties.

Good riddance to Florida Blue is my take.

 

It seems to me I have heard something like "everyone who likes their current health care insurance can keep it". So I guess you concur with that being a lie.

 

So, the bottom line here is that 300,000 insured are being dropped because their insurance company of choice doesn't fall lock step into the arbitrary requirements imposed by BO? Well, I guess BO is 300,000 people closer to achieving his ultimate goal, huh?

 

It seems to me that this is nothing more than an obtuse argument. You can't make a private insurer participate if they decide it isn't in their interest to do so. The point of the statement you seem so fixated on wasn't that they could force insurers to participate, it was that the government wasn't going to make you drop your current coverage and buy another policy. The government can't do anything about those insurers that decide not to participate on their own. Would you want the government to make private insures, especially insurers as disreputable as Florida Blue, in the system anyway? This law weeds out unscrupulous companies like Florida Blue. Good!

 

No, the bottom line is that parasites like Florida Blue don't belong insuring anyone in the first place.

 

I fully realize that they cannot make a company participate. However, they can very easily (and obviously have) make it difficult to impossible for companies to participate. Hence the lack of competition noted in many areas with more than one having no competition. BTW, his restrictions making it difficult for companies to participate are not limited to health care.

 

If Florida Blue were as awful a company as you portray them, the market would weed them out...they don't need BO's interference.

 

Oh yeah, the almighty market will take care of it. Right! Did you even bother to read the list of violations they had to face? An $80K fine is nothing. I'm sure they made that off of denying one cancer patient coverage. You are under the typical Right-wing illusion that all private corporations are ethical, honest, and legal. Given the endless list of Enron's to BP's to the fines Wall Street banks are facing for illegal mortgage practices and all the endless corruption and greed out of the private sector, you still think that insurers like Florida Blue should simply fail on their own no matter the consequences for all those that have paid for insurance and end up screwed while all the CEO's walk away with billions in golden parachutes. What a corporate lackey you are.

 

Wrong again! Competition hasn't existed in the health insurance market until now. I will give little Davy credit for noting that the market will weed insures like Florida Blue out but only because this new law forces them to actually have competition, it forces them to provide coverage at minimum levels, it forces them to spend 80% of their revenue actually covering patients, it forces them to become leaner and not just a money making venture. Do you think there isn't a long list of insurers just licking the chops waiting to pick up 300,000 new policy holders? Then you don't know how competition works. There will be winners and losers in the insurance industry but the biggest winners will be the American public.

 

No illusions, I simply know from experience that an insurance company (or any other business) that isn't responsive to the needs of it's customers or produces an inferior product won't last. I also know that gov't interference, particularly interference that comes from a place of ideology, creates a false economy in terms of winners & losers.