Amend.

Let them opt out.

That’s interesting. The simplest solution would be to use existing PCIP program HHS is running in 20 states. I imagine Obamacare statute would have to be amended to allow this. Of course while Congress is at it, they could just use Medicare or Tricare in lieu of insurance exchanges, but that would make too much sense.
https://www.pcip.gov/

In the meantime, if people have to go to the hospital for care they are stuck with thousands of dollars in bills. I’ll tell ya, if the banks don’t take your home and assets, the hospitals and Big Med will!

This is another example of why single payer/medicare for all should have been done to start with!

True, but republicans and the cons want you and your elder years to be wrapped up in Wall Street. You can lose your ability to have even the smallest amount of security, just like in the 401K plans they pushed on us.

Actually, the map says it all. The reddest states have either failed to create a program or have one sitting in the dust bin.

With Perry out trying to convince younger Americans that Social Insurance is a ponzi scheme and Obama with his Super Duper Congress Comittees it is as if they can already see the pot of gold.

I’m uninsured and retired with an income of approximately $20K net per year, with a “preexisting condition”. An investigation of the ACA at the government’s web site produced the following information: payments of $626/month, deductible of $1,000 to $3000(depending on plan) plus co-pays and caps on amounts of coverage. That equates to approximately $10K per year for insurance plus co-pays, which leaves me with approximately $10K per year for all other expenses. It should be renamed the Unaffordable Care Act. This is what you get when the health insurance industry and its flunkies in government enact laws “for your benefit”.

It was never intended to help citizens. Just like everything else these days, it is intended to create more profit for corporatists.

It’s called junk insurance and you have the flunkie-in-chief to thank for this. By hey, remember that the ACA is “historic” and a great achievement.

Ha! Yeah, we have a great many, “historic” items the past 13 years!

But whocouldaknowed?

Obamacare is just meant to provide large income streams to the insurance companies, but not do much for you if you actually need to use insurance.

Right! And to insure that we the people stay with their plans, they mandated it into law that we HAVE TO participate.

Ha. I’m one of the people that will be in the insurance dragnet.

Maybe you qualify for either Medicare or Medicaid.

Just want to remind people,

A family of 3 in BC, Canada pays $121/MONTH, or $1452/YEAR

My friend in British Columbia, CANADA!, pays 60/month.
If you make nothing, you file a form and based on your pay, you get the help you need.

http://www.health.gov.bc.ca/msp/infoben/premium.html
“Effective January 1, 2011, monthly rates are $60.50 for one person, $109.00 for a family of two and $121.00 for a family of three or more.”

http://www.health.gov.bc.ca/msp/infoben/premium.html#monthly
1st Line = Adjusted Net Income
2nd Line = Subsidy Level
3rd Line = One Person
4th Line = Family of Two
5th Line = Family of Three or More

$0 – $22,000
100% premium assistance
$0.00
$0.00
$0.00

$22,001 – $24,000
80% premium assistance
$12.10
$21.80
$24.20

$24,001 – $26,000
60% premium assistance
$24.20
$43.60
$48.40

$26001 – $28,000
40% premium assistance
$36.30
$65.40
$72.60

$28,001 – $30,000
20% premium assistance
$48.40
$87.20
$96.80

Over $30,000
Full Rate
$60.50
$109.00
$121.00

——————-
So if you make over 30k/year, then you pay the regular.
The regular for
1 person is 60.50
2 people is 109
3 or more is 121.

SO A FING FAMILY OF 3 OR MORE PAYS 121 PER MONTH. OR $1452 PER YEAR!!!

I don’t qualify for any of those programs, as I found out last year after a Stage IV nasopharyngeal cancer diagnosis. I’m well aware of who wrote the bill and its true purpose. I just recounted my findings to illustrate the point of my last sentence in my comment @6.

Recently a judge ruled that the mandate was unconstitutional. I haven’t bothered to do any further research because I’ll either refuse to pay and wind up in debtor’s prison or become an expat in a democratic country before they can incarcerate me.

You mean no other than B O Plenty!

The writing is on the wall, as they say. If you’ve got the ability to relocate, think seriously about getting to a blue state. The states that repugs control will become little third world nations in the future, where you can work along side some illigal aliens for a sub-minimum wage. The federal government is non-functional and will continue to be so, until it’s taken over by repugs. Obama has wrecked the Democratic Party for good, there is little to no hope of retaking the Fed gov. Best bet, get out of Dodge ! Go live where at least fifty percent of the people are intelligent, which means a blue state, and you will have a better chance. Local and state laws can be a very powerful counterforce to what the Koch Bros have in store for the red states. At some point in the future, imagine a blue state that makes a wholesale committment to paying no federal taxes, creates their own state-sponsored pension plan, their own banking regulations, their own single payer health insurance, and of course their own border guards to keep out all the refugees from red states.

Recently a judge ruled that the mandate was unconstitutional.

And the whole thing is going to wind up in the USSC. That’s likely the reason that so few states have gone to the trouble to set up the exchanges. If the SC rules the mandate unconstitutional, then the whole thing pretty much falls apart. So really why should states spend the time and money to set up the exchanges prior to the ruling by the SC?

Now if the mandate is ruled unconstitutional and the whole thing does not fall apart, then holeybuybull has a halfway decent plan. Forego paying for insurance and just buy it when you need it. They won’t be able to refuse to cover you as that’s part of healthcare reform as well.

At some point in the future, imagine a blue state that makes a wholesale committment to paying no federal taxes, creates their own state-sponsored pension plan, their own banking regulations, their own single payer health insurance, and of course their own border guards to keep out all the refugees from red states.

You sound like Rick Perry

As you say the writing is on the wall, moving to a blue state won’t save you.

It will be interesting to see what happens to the ACA when it makes its way to the Supreme Court. The four Right Wing hacks dislike Obama, but then they are also corporatists that aren’t likely to rule on anything that will hinder the health insurance companies.
I still think that the ACA was a purposeful and ineffectual step to eventually get to single payer. The abuses and the price gouging among the Blue Crosses of the world still continue, and the cost of overall healthcare continue to rise. There will be a tipping point. Whethe it’s 5, 10, 15 years, who knows.

California here I come?

The insurance and HMO industries are going to eat these exchanges alive. It will be a festival of privatization and scandals as far as the eye can see.

Affordable and California do not belong in the same sentence.

Holeybuybull,

What web site are you using to determine the costs? If you’re single, you would be around 200% of the federal poverty line (FPL), and you should get a tax credit. In a Treasury department document below, a family of four with a similar income to FPL ratio pays the following. Your expected payment should be a percentage similar to theirs (their was 7%).

http://www.treasury.gov/press-center/Documents/36BFactSheet.PDF

Example 1: Family of Four with Income of $50,000, Purchases Benchmark Plan
The premium tax credit is generally set based on the benchmark plan. The family’s expected contribution is a percentage of the family’s household income.
• Income as a Percentage of FPL 224%
• Expected Family Contribution: $3,570
• Premium for Benchmark Plan: $9,000
• Premium Tax Credit: $5,430 ($9,000 – $3,570)
• Premium for Plan Family Chooses: $9,000
• Actual Family Contribution: $3,570

Yes that’s what some states are clearly waiting for, a USSC decision. Why go to the trouble of doing anything prior to that?

The article focuses on states that will develop their own or not develop their own health insurance exchanges. Development of state built exchanges will be frought with political arguing and pressures from insurers and insurance agents. The federal exchange will have some of that, but much less. And the HHS requirements for exchanges are very specific and robust. States will fight against those requirements also. they will ask for and probably get waivers – HHS has been pretty generous with waivers so far.

What makes more sense? Build 50 exchanges from scratch that are nearly all the same OR build one exchange (by HHS)and copy it 50 times??

Regarding HHS not having any money to build and run the exchanges. Well that isn’t exactly true. If the states don’t build their own exchanges, there will money left to build the 1 HHS exchange and the needed copies. There will probably a lot of money left over.

Secondly, the ACA does not pay states to run exchanges so no difference there. BUT the ACA does authorize the exchanges to charge transaction fees per purchase to pay for the cost of runnning the exchanges – this is no different for state run or HHS exchanges.

FDL — you need to do more research on these editorials about health care. This is the 2nd in a week that is just plan wrong. If you are a true blue liberal activist, your outrage has got to be based on truth.

If one pays no income tax, what the fuck good is a damned tax credit? Unless you are filthy rich or have a “Cadillac” health plan you’re going to get the regular old factory medicine that’s practiced in this country. That’s not much better than being bled with leeches. What good is a medical system that treats symptoms rather than the cause of the disease? That’s the focus of the western medical system and it’s designed to keep treating you rather than giving you a cure. It’s big business. The corporations poison us and make new patients for the medical industry, which is why we’ll never see a cure for cancer. There’s no profit in it.