Affordable Care Act Deep Dive

We recently posted a chart limning the basic decision tree for how ACA might affect you.

Immediately we received some negative, though nebulous, feedback. So we thought we would take the opportunity to detail what has already happened with the recent SCOTUS decision, and what will occur down the road.

Provisions of the ACA already in effect:

January 1st, 2013

  • Individuals earning over $200,000 a year see a 0.9% tax increase: Page 64, sec. 2704, Page 76, sec. 1255  2
  • If you can afford insurance but opt not to carry any, you will be charged a fee: here  3
  • Medicaid can now be used by everyone up to 133% of the poverty line. 4
  • Businesses employing 25 or less receive some tax credits over two years: Page 33, sec. 2711
  • Limits placed on how high annual deductible insurers can charge: Page 820, sec. 9005  5
  • Health insurance exchanges and rebates established for lower & middle class in effort to provide affordable medical coverage: Page 100, sec. 1312�6

January 1st, 2015

  • Physicians’ earnings to be determined by the quality of their care, not how many people they treat. 7

January 1st,2017

  • Any state can submit their own plan (offering its citizens the same level of care -at the same price- as the PPACA) to the Secretary of Health and Human Resources for permission to institute same instead of the PPACA:

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Show 7 footnotes

  1. Whoa! Surely this can’t be right? Overcharging and denying services is The American Way!
  2. Whoa! Surely this can’t be right? Not paying taxes, especially when one can afford to,   is The American Way!
  3. You there…in the audience…yes, you, you have a question? … Okay, folks, repeating what our dour friend said, “Hey! I’m a curmudgeonly Russian with a chronic case of cynicism – will I have to buy insurance I can’t afford?” Certainly not, sir! This is not the USSR! Heh he heh, just kidding. But really, there are checks and balances in place to keep you from getting Stalin’d. I keed, I keed; here, check out this Page 198, sec. 2001  
  4. This bothers the GOP mightily, and who can blame them? The poverty rates for 2012 are here. So were this in play now, an individual could be making the annual princely sum of $14,856 and still be covered by Medicare! A family of four living high on the annual spring hog ($30,657) would also be covered. It’s just unconscionable!
  5. Whoa! Surely this can’t be right? Mistreating and denying employees basic services is The American Way!
  6. Believe this covers everyone working for the Feds as well.
  7. Now there’s an agumentative topic. See this post  for a great to and fro on the subject.

4 Replies to “Affordable Care Act Deep Dive”

  1. I can’t believe my feedback was referred to as “nebulous”. Considering that I leave at least 75% of the entire feedback on your site, I should be treated better. A lot better.
    But on the subject – I followed your chart and determined that if I had to buy an insurance, it would cost me anywhere from $7,000-12,500 a year. Then I checked my finances to confirm that I don’t have that much money sitting around. Right now I pay $30/month = $360/yr. And I have a preexisting condition. So I commented that I’am getting screwed, because the law gives companies an out, a choice to pay a penalty and bail. My company considered it when the bill was discussed, and don’t think for a second that they won’t do it given a chance. BTW, during the contract negotiations, which were going on while the bill was voted on, our medical got a major overhaul to the worst and this was one of the given reasons (although the union would believe anything). Lastly, why are certain groups of people and unions are excepted from the bill?
    What surprises me, is that the people most happy about this bill are the ones who will get to pay the most for a questionable common good. Didn’t they see the chart. And I don’t know anyone who can easily part with 10K+. And the people who think that it’s a first step, those are delusional.
    Should’ve been across the board tax and single payer system.
    I would pay $5 to see people’s happy faces when they are writing their first check to the insurance exchange.

    1. Yes, yes, you do comment (lately) more than others; should Aquarians Love To Fuck ever return, however, your contributions will undoubtedly take a percentage hit; when ALTF gets on a roll…

      As for your hypothetical, it’s just that; hence my ‘nebulous’ comment. You’re not at present getting screwed at all.

      When, and if, you actually do pay $7-12K per annum, we’ll commiserate… Plus? No pre-existing conditions will be considered, AT ALL, come January 1st, 2014. So while you may have to join a pool of people paying highe rates initially (should your employer actually behave badly), it won’t last – after that date you would be charged no more than anyone else, dependent on the plan you choose.

      However I agree with you in that there should’ve been an across the board tax/single payer system, preferably exactly as Federal employees receive. Who knows, maybe I’ll be singing the blues come 2017. But something tells me the act won’t surrvive in its current form…

  2. If you can afford insurance but opt not to carry any, you will be charged a fee

    I think you meant “levied a tax” instead of “charged a fee” (per recent SCOTUS decisions).

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