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Ten Things to Expect from Obamacare in 2014
Submitted by Elizabeth Lee via Casey Research,
Ten Things to Expect from Obamacare in 2014
By Elizabeth Lee Vliet, M.D.
Obamacare's health exchanges opened on October 1. Hopefully you weren't one of the unlucky guinea pigs who attempted to sign up with a system so crummy that even the Washington Post is calling it a disaster.
Given that the impact of Obamacare will only grow from here on out, Casey Research asked acclaimed Obamacare expert Dr. Lee Vliet what we should expect as the calendar turns to 2014.
Importantly, Dr. Vliet is independent in every sense of the word. Not only is she an independent physician, she's also a registered political Independent, and has no ties to pharmaceutical, insurance, political, or any other interests. Like any good doctor, she is professionally concerned with one thing and one thing only: her patients. You'll find her criticisms of Obamacare quite harsh, but only because she's disturbed about the impact it will have on her patients.
Ten Things to Expect from Obamacare in 2014
By Elizabeth Lee Vliet, M.D.
It's been clear to anyone paying attention that the October "rollout" of Obamacare has been a turbulent, confusing disaster. Sloppy IT systems and technological failures combined to cripple Obamacare's sign-up systems. Security flaws put Americans at risk for identity theft.
In an almost comical understatement, President Obama summarized these massive failures as "a few glitches." I think that Luke Chung, IT expert and president of database solutions firm FMS, explained the situation much more accurately:
"What should clearly be an enterprise quality, highly scalable software application felt like it wouldn't pass a basic code review. It appears the people who built the site don't know what they're doing, never used it and didn't test it."
Chung went on to call it a "technological disaster."
Think about what this ineptitude means in the bigger debate about Obamacare. The administration spent 3½ years and $698 million of taxpayers' money to develop this software. They've known since earlier this year that the system wasn't ready to support the rollout of the exchanges. Yet they proceeded anyway, apparently unconcerned about their faulty software costing Americans millions of hours of frustration and lost productivity.
These same bureaucrats continue to assume more and more control of our medical care. What does their incompetence say about how they will handle making life-or-death medical care decisions?
Like a parasite taking over its host, Obamacare will commandeer almost 20% of our economy, crowding out private options. With 2014 fast approaching, what should we expect in its next phase?
Here's my list Top Ten list for 2014:
1. The expansion of Medicaid, with increased cost burden for taxpayers.
Medicaid is a combined state-federal program initially designed to help the neediest among us. But it has burgeoned to cover medical costs for about one in every five people. Today, Medicaid pays for two of every five babies born in the United States, and three of every five people in long-term care facilities in the US.
Obamacare will add another 20 million new Medicaid dependents. According to the Kasier Family Foundation, that Medicaid expansion will add an average of 13% to state budgets in costs for 2014 alone.
Even though Medicaid was designed to help the poor, studies have consistently shown that Medicaid recipients receive worse medical care than people without any health insurance at all! Medicaid patients have longer waits to see a doctor, fewer specialists to choose from, and poorer medical outcomes overall. A particularly morbid piece of evidence is that on average, Medicaid patients die sooner after surgery than people who have no medical insurance.
Essentially, Obamacare is forcing 20 million more Americans into second-class medical care with Medicaid.
2. "Sticker shock" as the reality of higher health insurance premiums hits home.
The majority of Americans, especially those who are young and healthy and therefore have paid low premiums in the past, are seeing their health insurance premiums rise between 50% and 150%. Further, employers are cutting full-time workers back to part-time by reducing employees' hours per week from 40 to 29 or less, to avoid having to provide those employees with expensive, Obamacare-compliant coverage.
The "Affordable Care Act" has become anything but affordable for most people.
3. Large and small employers are cutting health insurance benefits.
Obamacare expands the requirements for what all health insurance policies must cover. So it's no mystery why premiums have risen: Americans now must pay for a host of features, whether they want to or not. For example, in my office, the women employees are all menopausal. Yet Obamacare requires our small-business health insurance policy to cover pregnancy and maternity care! That means our policy costs more.
These higher premiums force employers to pass on the costs to employees (in the form of higher co-pays and deductibles) and/or customers (in the form of higher product costs). 2014 will bring even higher premiums for most individuals and businesses.
To deal with this onslaught of rising costs, businesses have a series of bad options: fire or lay off workers, cut health insurance benefits for everyone in the company, or reduce full-time employees to part-time so they don't qualify for health insurance benefits, as I mentioned above.
Unfortunately, some businesses will be forced into the worst option of all: going out of business.
4. The employer-based health insurance policies that remain will have higher out-of-pocket costs for employees.
Because businesses must pay more to purchase Obamacare-compliant plans, they will require employees to pay higher co-pays and deductibles before coverage begins.
5. Fewer types of health insurance policies can be offered under Obamacare.
Many small-business plans and existing physician networks are being terminated due to the expanded coverage requirements under Obamacare. We just received notice that our own small-business plan is being terminated.
Candidate and then President Obama promised, "You can keep your insurance plan." Nope.
6. Many people cannot keep their doctors.
Candidate Obama promised, "If you like your doctor, you can keep your doctor." But many patients who like their doctors are being forced to find new ones due to changes in physician networks, as well as doctors leaving insurance plans to start fee-for-service or "concierge" practices.
Sadly, when a patient is pushed out of a long-standing relationship with a physician who understands their medical history, medical outcomes often deteriorate. This is especially true for special-needs patients, who often fall between the cracks when doctors are pressured to see 40 or 50 patients a day in five-minute visits.
7. Further destruction of Medicare.
In 2014, Medicare patients will discover several unwanted changes:
- higher premiums for their supplemental policies
- fewer types of Medicare supplement policies available
- more cutbacks in Medicare-covered services
- longer delays to see doctors, because many doctors are closing their doors to Medicare patients due to the cuts in reimbursements
- fewer cancer care specialists taking Medicare patients
- higher costs for hospital-based cancer treatments, as private offices with lower costs are closed due to reimbursement cutbacks
- fewer hospital-based surgeries being approved because as of October 2012, Obamacare rules incentivize hospitals (i.e., paid more by Medicare) to do fewer surgeries and procedures.
- Medicare patients who sign the Advance Beneficiary Notice (ABN) agreeing to pay for services Medicare does not cover will find that they now have higher out-of-pocket costs to pay for these non-covered services.
- Patients over 80 are already finding reduced approvals for certain procedures and medicines. Expect to see more of this age-based rationing as the Medicare cuts increase over the next decade.
8. Loss of ownership of your medical records.
Your doctors, hospitals, and other health professionals are being pressured to adopt electronic medical record systems and send patient information to the federal government's medical database by 2015. If they don't comply, they'll be penalized with reduced payments for services.
This means the government will own your personal, private information, and you have no say in the matter. I consider this a complete loss of your privacy, as well as a violation of the Constitution's 5th Amendment "Takings" clause.
9. More waivers and exemptions for the political elites and Democrat cronies.
The Obama Administration and its political appointee, HHS Secretary Sibelius, have granted over 1,000 waivers and special exemptions to various Democrat donors, political allies, unions, and others. Obama's politically connected friends are the only Americans who won't suffer under Obamacare's onerous regulations, ballooning costs, and 20 new taxes.
10. On January 1, 2014, the Individual Mandate to purchase Obamacare-compliant health insurance goes into effect.
"Mandate" may sound benign, but it carries the force of law. Those who do not comply face another Obamacare tax (as the Supreme Court defined it), though called a "penalty" by Democrats when they forced the healthcare law through Congress on a partisan vote.
At the end of the day, Obamacare shifts a bigger burden onto taxpayers and increases the number of people on the dole. In other words, it pushes the US in the exact opposite direction it needs to go to solve its massive debt problems.
The most serious problems of Obamacare, however, will be felt at the individual level. You're going to wait longer to see a doctor, you're going to pay more for fewer treatment options, and healthcare quality will deteriorate as doctors and hospitals go out of business.
Obamacare seeks to replace the adaptability and efficiency of our free markets with heavy-handed government control and micromanaging by bureaucrats who don't have a clue about what really helps patients. We need the opposite: patient-centered, free-market reforms.
Such programs have been successfully implemented in states like Indiana and businesses like Whole Foods and Safeway. They used health savings accounts and other incentives to empower consumers to make their own medical spending decisions.
It's possible to reform and improve the broken payment system while keeping our excellent medical care and innovative atmosphere that relieves suffering and improves quality of life. Unfortunately, Obamacare is pushing our country in the wrong direction.
Dr. Vliet writes as an independent practicing physician with medical practices in Tucson and Dallas focused on issues of endocrine aging in men and women from puberty to late life. Dr. Vliet is a registered political Independent, and is also medically independent of all health insurance contracts since 1986. Her allegiance is to and for patients. Dr. Vliet is the 2007 Voice of Women Honoree by the Arizona Foundation for Women for her pioneering work on the overlooked hormone connections in women's health, and she is the author of six consumer books on health topics. She has appeared on nationally syndicated radio and TV shows discussing the healthcare law as well as a variety of health topics for women and men.
Dr. Vliet was one of the speakers at the just-concluded 2013 Casey Research Summit. (Click here to pre-order the complete Summit Audio Collection and save $100 off the normal price. This discount offer ends tomorrow.)
Dr. Vliet's medical websites are www.herplace.com and www.InternationalHealthStrategiesLtd.com. Follow Dr. Vliet on twitter @healthandcents
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'...those damned republicans...were locked out of any input on the bill...'
Given that one of the Republican demands during the shutdown was defunding birth control pills, that was a small mercy, and a good idea.
Maths:
Subsidized birth control pills + one annual lady-parts exam =
+/- $500 per year.
Live birth to low income woman =
Subsidized pre-natal care and hospital stay, free diapers and formula, post-natal maternal exam, child's doctor visits, WIC and/or SNAP, and likely Section 8 housing qualification, subsidized child care and eventually, Headstart program and free school lunches.
+/- several thousands per anum for years.
Religious zealots and slut-shamers are among the Republican special interest groups, and are extremely costly. Policy designed to increase live births among low income women is enormously stupid.
I'm a conservative and I'm for birth control and yes, abortions for the low income women. Sure costs a lot less! Who can deny that? And with the crop, I see growing out of the low income areas, you aren't going to get many apples, out of the onion field, that's for sure! You'll hear the mantra "Every Human Life is Valuable" and it's not true.
Better yet, cut the incentives and you'll have people holding back on their own.
'Better yet, cut the incentives and you'll have people holding back on their own.'
Agreed, and most especially in the cases of teen pregnancies.
The state of Florida, in its infinite wisdom, kow-towed to religious zealots several years ago and passed a law designed to protect young women from 'forced' abortions.
The law declares a pregnant minor emancipated until her child is delivered, then the teen reverts to minor status.
A pregnant 13- or 14-year old -- who can't legally enter into a contract or drive a car -- has sole discretion over her parents in this family matter, and by the way, her parents are legally responsible for feeding and housing her and her infant afterwards. Grandparents have no legal standing in custody, decisions on medical care, schooling, etc.
Brilliant.
I've not met grandparents who didn't love the surprise baby, but have met quite a few who either lost income or savings by providing free child care and general upkeep. Most of the teen moms managed to complete a high school GED at best.
Geruda, you were much more amusing (and intelligent) as a dumbfuck Indian.
LOL
This is a Democrat POS. You can bet your ass the Republicans are gonna beat your blue ass like a drum with this issue.
No they won't. Economic stress drives voters leftward. Since the GOP is a purely ideological party today that is against social benefits and abortion as a matter of principle, the clusterfuck called ObamaCare will drive voters to support Single payer in a landslide. If Hillary runs in 2016, her platform is already written for her, and she wins almost 50 states. She only has to promise to replac e ObamaCare with Medicare For All.
You conveniently forget that the Democrats had the WH and both houses of Congress. They did not need any input from the Republicans to get the bill passed. In fact, not one Republican in the House or the Senate voted for it.
If the Democrats were so virtuous and concerned about the costs to the American people, they would have put cost restrictions in the bill on their own. How you can even conceive of blaming this disaster on the Republicans is beyond my comprehension. The fact is that this law was designed and drafted by the health insurance, pharma, hospital and medical equipment industries behind closed doors under the auspices of Pelosi and Reid. There is no difference between the two parties. They both cow tow to their special interest groups. The only thing they have in common is that all laws they pass benefit their special interest groups and screw the American taxpayers.
I think I preferred your stupid faux Indian dialect. Now the unvarnished Geruda is on display. Your self-immolating opinion above contains this jewel:
"refusing to co-operate in designing a system whose purpose is to provide the most bang for the buck in terms of efficient resource allocation"
So you are one of those smega-licking statists who continue to cling to the delusional model of governments are best at designing systems and efficiently allocating resources. The proof offered by history confirms the opposite. Thus, all you have is hope and belief. Perilously close to a religion, wouldn't you say?
I will never go on that goddamned site and enroll. I will lie in every conceivable way to the fed. I will do whatever it takes to get a waiver.
Long Mennonites.
i like that plan.
giant sucking sound part duex. this will suck out the last wealth and generational wealth left in the nation. just as part 1 sucked out the jobs and its infrastructure
11. The beginnings of the insolvency of the healthcare delivery industry.
Re: healthcare delivery industry
Awwww, the poor baby doctors and hospital will have to live of ONLY screwing Medicare and the OldFarts getting hip-replacements.
I guess the doctors and hospitals will have to hire the insurance lobbyiest who wrote ObamaCare and get more taxpayer loot for themselves.
Big-Health will be the best scam sence Big-MIC. You can participate in the scam or bitch about it.
Under the current law 40-50% of hospital systems will be bankrupt by 2020. Thats not an acceptable situation no matter how much you want to bitch at strawmen.
Re: hospital systems will be bankrupt by 2020.
In a scam based society, there's only SO MUCH LOOT to scam from the dumbasses.
The government, the hospitals, the doctors, the insurance companies are trying to maximize their loot so they can all buy Benez to attact females with large teeth.
Deal with the structure of society and you'll know what going to happen to the hospitals in 2020.
There's LOTS of scam potential there, and the sociopaths are ready to create the bullshit needed to get more loot.
the law was designed to cause massive failure and disruption so that statist politicians can point to the wreckage and say "see, the free market doesn't work, we need to control it even more". And so the statists pass more laws and take more control until we reach a SINGLE PAYER SYSTEM....which was the very goal from the beginning.
The reality though is that it's the govt meddling and intervention that cause the failure, nothing else. It's such a great racket to be a statist politician. you always agitate for laws to gain a little bit of control of this or that because it will be "better for the people", but when the govt intervention makes it worse, the statists claim they need even more power to wring injustice from the marketplace, and they fuck it up even worse. Gotta love that approach....when your solution fails, claim it failed because it didn't go far enough and you argue to double down on the failed solution. that's wisdom folks.
Re: that's wisdom folks
Those of us in the top 20% who have been living off of Big-Ag, Big-MIC, Big-Road, Big-Water, Big-Airport, Big-Energy, Big-Ed, Big-House, Big-Fin, Big-OldFart, Big-OldFartHealthcare, Big-AntiDrug, & Big-PoliceState love that wisdom.
Show of hands of those who want their Big-Gov crony-socialist scam cut?
Oh, you're in the top 20%. Got it.
The bigger issue is next year and following years when the rates rise. People wont be too happy about that.
Re: People wont be too happy about that.
In case you haven't notice health insurance rates have been going of for a few decades now.
I've got a $300 / month with a $5k/pp deductable through my TBTF "Financial INSTITUTIONNNNNN". That's not exactly cheap. Those with DNA bling are paying allot more.
yes, you are right, but my point is that people that believe in the aca, believe it is what it called, affordable.
when rates go up, they are not going to understand how/why the govt raised their rates.
Re: they are not going to understand how/why the govt raised their rates
The purpose of politics is to create a forum where the smart-n-savvy people hire politicans to create believable bullshit to manipulate the dumbasses for fun and profit.
The bullshit for ObamaCare WILL be created and the dumbasses will bitch,but - if the bullshit is of high enough quality - the dumbasses will pay up and the smart-n-savvy people who hired the politicians will be laughing all the way to bank (hopefully, my bank).
You can bet your ass that when the oeople see how unaffordable the ACA is, the politicians will blane the rising costs on those greedy insurance companies and the only way to get costs under control is to abolish the insurance companies and replace it with a government run insurance company. Welcome FannyMed.
I'm not saying Obamacare is a good healthcare delivery system, far from it. It was never designed to control costs or really do anthing other than force people to buy private insurance and try to prevent the uninsured from costing the rest of us so damn much. But sometimes asking a doctor for advice on the healthcare system is like asking Al Capone for advice on the legal system.
Where were these folks 3 or 4 years ago? If they really cared about cost, access to care, or being able to "keep your doctor" why didn't they scream for single-payer? They seem to prefer the old system, which was also horrible! What these healthcare insiders (insurance companies, hospitals, physicians, and drug companies) fear the most is any system that would put a stop to the price gouging gravy train that modern US healthcare is. I'm sure they would prefer a system that is totally unregulated and private. If I was employed by a business sector that everyone needed and is basically a monopoly or cartel, I would also want everyone, especially the government to keep their noses out of it too.
As far as I'm concerned, if you don't like Obamacare, if you don't like the system before Obamacare, you better get on board with single payer. Or else you should be ignored.
Only free-enterprise lovin patriotic old-farts living on welfare are allowed to have single payer.
(Git yer hands off my Medicare, that's not socialism I'm ENTITLED to that government program)
..
Snarkstrike, you are so full of shit. I don't know of one person who's premiums have gone down. Not one.
I believe Bruce Krasting indicated his premiums are going down. He's in the 1% too. Maybe Snarkstrike is a 1%er.
Isn't Fascism GREAT?
/sarc
Those who submit to this shitty legislative quagmire will eventually submit to anything, even the gas chambers I suspect, should it come to that......
Aren't "death panels" the equivalent of gas chambers?
the whole stupidity of obamacare is that it's trying to "fix" problems with healtcare insurance and delivery. well, those problesm were in large part created by the government. during the depression, wage controls were enacted by the govt, companies wanted to find a way to compete for labor so they offered healthcare coverage as a perk, then the govt allowed tax deductibility for companies to offer healthcare coverage. a MAJOR reason why HC insurance and delivery is so screwed up is 50+ years of consumer non-involvement, the end users being removed from the process of picking your own HC coverage. Now that the HC insurance and delivery markets are screwed up, rather than remove the laws that distorted them, the Govt doubles down on stupidity and makes it WORSE.
Statists never admit they are wrong and reverse course. When their central govt control policies make things worse (as they most always do), the statits say "of course it didn't work, we weren't given enough control" and they agitate for even greater control. And things get even worse...wash, rinse, repeat...until it all collapses into oblivion and the peeople FINALLY see that it was govt intervention and control that was in fact the PROBLEM. Unfortunately for us, that usually takes 40-50 years.
Happens all the time, thru history, in all societies.
Re: Statists never admit they are wrong and reverse course.
And those living off the fruits of Statist never demand their crony-socialism is cut.
Show of hands of how many leachers are living off of: Big-Ag, Big-MIC, Big-Road, Big-Water, Big-Airport, Big-Energy, Big-Ed, Big-House, Big-Fin, Big-OldFart, Big-OldFartHealthcare, Big-AntiDrug, & Big-PoliceState?
exactly, without Big-Govt handing out favors to protect a select few there are rarely any big-you name it's to be concerned with. One of govt's most important functions is to enforce laws that treat all equally so there are no protected classes or entities.
Re: One of govt's most important functions is to enforce laws that treat all equally so there are no protected classes or entities
Maybe in Libertarian fantasyland where only virtuous people live. I think you guys are next door to the Socialist who think everybody is nice.
In real reality, government - like ALL powerful large organizations - is run by the biggest asshole sociopaths of society. It always has and ALWAYS will.
So, now, what do you think the most important function of sociopaths is? It's NOT: "to enforce laws that treat all equally so there are no protected classes or entities".
It's to screw the dumbasses.
She's just assuming that hospitals are going to accept Obamacare insurances at the terrible reimbursement rates. Nope. And that's why you can't keep your doctor under this. Hospitals are going to push you to the safety net hospitals that take Medicaid and increasingly Medicare patients as well. You won't get an appointment at certain hospitals. You'll have 7-8 month wait times at the safety nets for specialists.
And you're going to have specialists force you to pay your deductible upfront and then rebate the difference back to you without interest and on their dinning schedule. The doctor will be with you once your $5000 check clears.
They'll eventually force hospitals to take the Obamacare insurances. Then the hospitals and doctors will go private. They'll charge you a $2-3k annual retainer (which won't be that bad) and meet with a couple of times and have appointments over FaceTime or Skype.
Welcome to your new life as a slave to the government of the United States of America. If you act quickly you can still escape. Get out while you can and make sure you renounce your citizenship before they put an end to that freedom too.
They own you now. We are all debt slaves working for the man and his personal agenda. How do you sheep like the oppression? Go Tea Party !! Reminds me when everyone in England was lead to believe Winston Churchill was a radical stooge and Neville Chamberlin was the chosen one. How did that work out? How much preventlable damage was done before people started thinking rationally?
The whole thing stinks so far for me. My insurer told me a few weeks ago they were dropping me since I was eligible for Obamacare [even though they have hiked my premiums 5 times with the excuse, "to pay for Obamacare". I tried to log on and the darn thing doesn't work. I called one of the local insurance agents and he said to avoid the system until late November. he also laughed and said, "eat lots of fruits and don't get sick."
WTF!
It's a real mess and I hope they straighten it out. How can this happen when they were obviously not ready to launch it?
Who holds the contract for this system? Lots of pork there. They should be fired/replaced ASAP for negligence imo.
"The trouble with Socialism is, sooner or later you run out of other people's money."
Margaret Thatcher.
"When you subsidize poverty and failure, you get more of both." - James Dale Davidson,
"A Liberal is a person who will give away everything he doesn't own."
The more corrupt the state, the more it legislates – Tacitus
You seek escape from pain. We seek the achievement of happiness.
You exist for the sake of avoiding punishment. We exist for the sake of earning rewards.
Threats will not make us function, fear is not our incentive. It is not death we wish to
Avoid but life that we wish to live. Ayn Rand
The Constitution is not an instrument for government to restrain the people;
it is an instrument for the people to restrain the government–
lest it come to dominate our lives and our interests. — Patrick Henry
“It is difficult to get a man to understand something,
when his salary depends upon his not understanding it!” - Upton Sinclair
“When you see that in order to produce, you need to obtain permission from men who produce nothing;
when you see that money is flowing to those who deal not in goods, but in favors; when you see that men get rich more easily by graft than by work, and your laws no longer protect you against them, but protect them against you...you may know that your society is doomed.” ~ Ayn Rand, Atlas Shrugged
“It is not an endlessly expanding list of rights ???the “right” to an education; the “right” to health care; the “right” to food and housing. That is not freedom. That is dependency. Those are not rights. Those are the rations of slavery – hay and a barn for human cattle.” ~ Alexis de Tocqueville
"The only thing necessary for evil to triumph is for good men to do nothing."
-- Edmund Burke
“We must beware of trying to build a society in which nobody counts for anything except a politician or an official, a society where enterprise gains no reward and thrift no privileges” Winston Churchill
Number two is dead on, albeit too conservative. Boots on the ground evidence: Small business with 20 employees, premiums went from $185/mo to $485 -- 162%!! The author has dramatically underestimated what this will cost the next generation. A gift of epic proproptions to the free shit army.
If you are between 20-40 years old you got the Obuttfucking of a lifetime. Enjoy what you fucking retards voted for! Change you can cram up your asses.
Insurance won HUGE with Obuttfuck care.
Related, mark this post because smoking among the same buttfucked demographic is increasing hand over fist.
Re: free shit army
The OldFart "free shit army" has been getting free motor-scooter and hip replacements for how long now?
Who said free shit and Fascism Inc. isn't generational?
Take a look around, the rest of the world beyond Europe can't stop laughing.
I watch two different scooter-person collisions at the TX state fair. One guy got a nice ankle injury but spilled his iced tea on the scooter driver. The other person got his toes run over. A fucking menace.
Are all the illegals required to sign up?
Yes. And they will sign up, every single one of them.
Just as soon as they all give back their SS cards and voluntarily crawl back to Mexico.
Whats to sign up for when everyone is illegal?
Are all the illegals required to sign up?
By illegals I'm assuming you mean undocumented resident aliens. The answer is Yes, but only if they file a form 1040. The IRS is the enforcer of this law because the Supremes, while deciding it is constitutional as a tax, but not as a fine, so the Supremes somehow magically changed the word penalty in the ACA to the word tax.
The ACA regulations in their enirety are unconstitutional because the sections of the ACA that define the IRS as the enforcer are unconstitutional.
By what legal authority can the IRS assess the $95, $395, and $695 non-insured penalties for CY 2014, 2015, and 2016, respectively?
There are already a number of people who think that the entire IRC is unconstitutional. Obamacare is going to greatly expand their number.
The IRS is the only government agency that has the authority to seize assets without a court order. Or "court" as is commonly understood, that is.
Sure, you can appeal IRS seizures through the special tax court system, but that's like saying Gitmo detainees have habeas corpus rights.
FASCISM is here and it's already in full force. When the zombie proles understand how stupiid they've been, the Ponzi scheme called the US government will be threateneed and we'll get to see those new DHS urban warfare vehicles and hear the sound of all those .40 rounds being fired as citizens are murdered by their own country.
ACA is an unconstitutional tax because it is not apportioned. I believe it will be struck down on this basis eventually.
The Supreme Court said that the penalty was not a direct tax, although they didn't say what kind of tax it was.
More likely, it could be struck down because the tax provisions in the ACA violates the Origination Clause which says that all tax legislation must originate in the House. What happened was that the Senate took a totally unrelated bill that passed the House, struck the entire language and replaced it with the UCA (Unaffordable Care Act), passed it and sent it back to the House.
The Supreme Court said that the penalty was not a direct tax, although they didn't say what kind of tax it was. More likely, it could be struck down because the tax provisions in the ACA violates the Origination Clause which says that all tax legislation must originate in the House. What happened was that the Senate took a totally unrelated bill that passed the House, struck the entire language and replaced it with the UCA (Unaffordable Care Act), passed it and sent it back to the House.
You're assuming that we have rule of law here. Big mistake. I know it's hard to accept the fact that it's hopeless, but that's the only truth that really matters.
How many times have the Supremes ever admiited they made a mistake and reversed themselves?
It's clear to me that all of our elected (and appointed) officials (and military) who swear that oath to uphold our constitution against all enemies, both foreign and domestic ... don't give rat's ass about doing so.
What hapens to a society based on lying and stealing to maximize self-interest, with no fear of prosecution because our entire "illegal system" is staffed by others doing the same? Lying and stealing is what is what it's all about.
What is the fate of chickens guarded by foxes that wish to eat them?
I expect that when the USD collapses, private ownership of gold and silver will be made illegal.
There is no safe haven to flee to. Maybe a "spy" like Snowden would be allowed to bring his gold and silver into Mother Russia, but they sure as hell wouldn't let him bring any guns and ammos with him.
If there was a safe place to go, and they'd let people bring PMs and weapons with them, someone here would have mentioned it by now, at least after they made it safely there.
I'm at peace with my mortality and have no need to spend the last few years of my life fighting a hopeless battle. Just enjoy what we can for as long as we can and then just check out of here.
The FSA never gets sticker shock, since they never see the sticker till its too late.
About the only possible good is that this just might bring on the reset that is so badly needed.
Anyone else reporting this besides Alex Jones' Info Wars?
Only in America is National Health Insurance portrayed as some evil. While I was disappointed with how Obamacare was implemented, I am actually positively surprised that ACA will allow most poor Americans access to doctors' office at little or no cost. I do agree that this coverage is not a Cadillac, but the author of this Casey report(not surprised as Casey Research is nothing more than ATTACK pit bull vs American lower classes) is a lier.
Most Americans who do not have any medical coverage, NEVER treat any symptoms such as high blood pressure, high blood sugar levels, cholesterol, vision etc until they find themselves in an ER running bills into thousands.
Obamacare will not have any impact on most people who are covered by their employer coverage, those who are well compensated self-employed might benefit or not, but these people always paid sky-premiums anyway. So net net, Obamacare is a plus.
Your opinion is laced with hopium. Remember, the first step in recovery is admitting you have a problem. As an Obama drone, you most decidedly have a problem.
Good one.
When sukka government replaces competition the people always win.
Re: Only in America is National Health Insurance portrayed as some evil.
It's only evil amongst the white trash who think "those people" are getting most of the 2T bucks the government dispenses each year.
Most of the white trash have been living off of Big-Gov / Big-Corp welfare pumped through Big-Ag, Big-MIC, Big-Road, Big-Water, Big-Airport, Big-House, Big-AntiDrug, & Big-PoliceState their entire lives.
Then the white-trash go on Medicare and bitch about "those people" getting welfare while they get unlimited hip-replacements and free motorscooters.
Duplicity and stupity define the true-believers of the Red and Blue Team.
$6000 - $12000 deductables are the equivalent of having no fucking insurance at all when you have to pay that much out of pocket first before your insurance will pick up the tab. That is hardly 'affordable' no matter what the fucking premium might be. Take into account most doctors are going to demand payment up front if your deductable limit hasn't been reached yet to not get stiffed on being paid and you've essentially forced even more people to the emergency rooms competing for care with nonexistent 'affordable care' medical insurance than before when you had less people with nonexistant 'affordable care' and no pretense of medical insurance.
Re: and no pretense of medical insurance.
Those who have been PRUDENT and have SAVED money, don't need anything except catastophic coverage beyond 5k+ deductable.
REAL Libertarians should support high deductables. Those who are NOT Prudent and haven't SAVED will die.
Everyone will fucking die sooner or later. Are you kidding me. Prudence and saving doesn't change that outcome and doesn't necessarily change the time frame either. You miss the point this is fleecing more money out people's pockets under a false pretense that when you actually go to use it you are going to find out the story you were sold is not the reality. For catastrophic care yes absolutely high deductables should apply but the Obamacare plans are not no frills catastrophic care plans. Nice try but go and rework your arguments so they don't have any holes in them.
And don't try the deductable argument as a reason to knock Libertarians. That is absolutely false since one of key ideas and principles we believe in is things should be voluntary. The issue is not insurance in general or deductables but the non-voluntary coercive nature of Obamacare that has Libertarians firmly against it more than any other argument put forth against it. Bait and switch and hiding up front costs in deductables is just smoke and mirrors and misdirection.
Re: You miss the point this is fleecing more money out people's pockets under a false pretense
The purpose of government is to allow the smart-n-savvy people to screw the dumbasses. What do you think Big-Ag, Big-MIC, Big-Road, Big-Water, Big-Airport, Big-Energy, Big-Ed, Big-House, Big-Fin, Big-OldFart, Big-OldFartHealthcare, Big-AntiDrug, & Big-PoliceState is for?
Those of us who have been living off the Big-Gov / Big-Corp welfare scam for the last 60+ YEARS, are doing very well. The dumbasses just bitch and moan about freedum.
Look, survival of the fittest is running scams on dumbasses. That's what life is about. The dumbasses get screwed. Deal with it.
I would hardly call those people smart-n-savy. They are the what I call proof of electricity taking the path of least resistance. They will do what is easy before doing what is right because right almost never is the easy path with plenty of resistance. Dumbasses most certainly get screwed so do people who are groomed to be willing victims through the re-education system and social education system aka popular culture also get screwed. I guess you don't understand that what these people do is no different than how child molesters work their magic, hiding in a position of authority mentally preparing their victims for the raping that is coming next and not only that the victims then become protective of their abuser after the fact aka the willing victim part. Eventually the victim becomes the abuser and the cycle repeats. I guess you lack any empathy for your fellow human being there as long as you get yours. You sound like a textbook sociopath.
Re: You sound like a textbook sociopath.
I have pleanty of company. What percentage of the population are happily living off of Big-Ag, Big-MIC, Big-Road, Big-Water, Big-Airport, Big-Energy, Big-Ed, Big-House, Big-Fin, Big-OldFart, Big-OldFartHealthcare, Big-AntiDrug, & Big-PoliceState?
The biggest weakness of Libertarianism and Socialism is the true-believers of each can't comprehend how evil humans are.
There's 7 billion sociopaths on the planet, but not all of them are very good at it - but just because people don't appear to be sociopaths doesn't mean they won't be if the oppotunity presents itself.
That is were you are wrong. Most behaviors are learned not natural. Morality is no different aka good and evil. I can most certainly comprehend that since I can for most part see the forest for the trees. Being dehumanized into an animal working on basic natural behaviors is neither good nor evil. It is just plain old devolution nothing more. The learned behavior types that know better driving the others in that direction are the evil ones. I can't force people to do the right things or learn it for them but I sure as hell can point it out and show the way to do the right things by personal example, explanation, teaching etc. Ultimately it is up to individuals in what they want to learn and how they want to behave. One of the key things in being human is recoginizing natural behavior in ourselves and resisting the urge to act on them. It is that ability to think that allows over time to replace them with new learned behaviors aka evolve.
I'm always baffled by Americans who think that they should get the latest and greatest in HC yet not have health premiums associated for personal behaviors or lifestyle choices only have meagre out-of-pocket costs in the process.
Every other industrialized country in the world has a nationally-financed system in various formats with many differnet flavors on delivery and insurance processing/purchasing. We could have more of a free market system that would more closely resemble India or other developing countries but the harsh and brutal reality is this - you get sick with an expensive disease there like cancer and your going to die unless you in a segment of the population that has health insurance through some means since there is no gov't based insurance.
R: I'm always baffled by Americans who think that they should get the latest and greatest in HC
America is a nation of dumbass freeloaders. Nobody want free-enterprise for themselves.
That's why the white-trash OldFarts ride around on their socialist Medicare motorscooters and bitch about "those people" on welfare.
you can't get something for nothing unless someone, somewhere, sometime is getting nothing for something.
because they're unemployed, and drunk/high/lazy and otherwise sucking on the government tit, or too cheap to buy the insurance (they'd rahter have a boat, or a fancy condo, or whatever) They want someone else to pay for it
Total bullshit. It's already affecting my employer coverage. My employer's rates are increasing because they have to add coverage that no one needs, so much so that the employer is now saying "why should I pay out of pocket? Let them go to the exchanges." My current employer-subsidized insurance will disappear, at three-times the cost and with an untouchable deductable. The IRS fine is a better option.
Come back with more of your "opinions" after you use your Obummercare to cure your case of cranial-rectal-insertion.
Ours went up 12.3% for the period beginning November 1, 2013.
Grandpa does obamacare really mean I can receive medical care at much more fair price? Does this mean you can stop saving up for me to get a cast on my broken leg?
Well my son, Obamacare is a set of legislation that compels individuals to have medical coverage offered through what may be termed exchanges set up by the individual states in accordance with the prescribed federal legislation. There is a story I am reminded of from my youth when I was just a few years older then you are today.
Before I met your grandmother and we were married I was living in a place called Alberta which is in Canada far up north. In Alberta at that time motor vehicle insurance was offered by the public which may be government and this form of insurance was expensive but within reason for most individuals. The government decided that it would be in the best interest of individuals to stop offering insurance under a public policy and privatize this form of insurance. The government created legislation which mandated that several insurance exchange’s be formed to assist individuals in choosing the best motor vehicle insurance for their needs. The government termed this private insurance. Within the first 2 years of private insurance in Alberta the cost of insurance went from 1100 per year to 6500 per year with half the liability and a larger deductible. Your grandmother had a deductible of 4500 it was cheaper to buy a brand new vehicle then to fix what was broken. That is why your grandmother and I can only afford 1 vehicle and not 2. the insurance per year cost more then it does to buy the motor vehicle.
The difference between Obamacare and motor vehicle insurance is Obamacare care was never public insurance, only the legislation mandating the insurance exchanges is public. Healthcare under Obamacare is offered by private insurance companies on public exchanges mandated by federal legislation.
Son this means your grand-kids might by the time they are 35, have saved up enough in order for you to get a cast today on your broken leg.
Re: Grandpa
Who bought your motorscooter and that hip replacement surgery, Grandpa?
I'm ENTITLE to that goddamn motorscooter you goddamn commy hippy. Why don't you get a goddamn job and a haircut.
And, git your socialist hands off my Medicare!
If you don't take your eugenics vaccination the bankers are going to put you into the prison labor camps. ObamaCare was developed by the Nazis during the 1940s.
Find anything that sticks.
Throw it at a wall.
I'm not sure if you guys have read DR. Eziekiel Emmanual (brother of Rahm Emmanuel) the complete lives system. Basically if you are between the ages of 15-40 you get health care because you will live long enough to work and cotribute into the system, if you are not in the sweet spot you will recieve end of life treatment.
Give me tubes or give me... more tubes.
It is very much making healthcare affordable... for those who get to have it for free now!
I swear, the moment I get my house paid off (the last of my debt) and self-sufficient, I will go full on government leech, since there is no benefit or motivation to produce anything if you know it will just be taken from you and given to the leeches.
Re: for those who get to have it for free now!
That's what I'm going to do too. I only work now to get the Big-Corp health insurance. When I can get the same coverage via ObamaCare, I'll quit. I'll wait a few years to make sure the duplicitous Red Team facsists don't kill it first, but then I'm going to retire and live off of my Big-OldFart scam.
Git yer hands off my motorscooter. I'm ENTITLED to that.
Did your grandpappy touch you where you pee?
I hope for your sake you are cutting and pasting the same drivel over and over.
When policemen break the law, then there isn't any law - just a fight for survival.
http://dish.andrewsullivan.com/2013/10/17/the-utter-disaster-of-healthcare-gov-ctd/
10 Things to Expect from ObamaCare:
1) I will be fucked.
2) You will be fucked.
3) We all will be fucked.
4) You all will be fucked.
5) The nation will be fucked.
6) Future generations will be fucked.
7) Access to healthcare will be fucked.
8) I will be fucked.
9) You will be fucked.
10) We all will be fucked.
Re: I will be fucked.
The smart-n-savvy people living off of Big-Ag, Big-MIC, Big-Road, Big-Water, Big-Airport, Big-Energy, Big-Ed, Big-House, Big-Fin, Big-OldFart, Big-OldFartHealthcare, Big-AntiDrug, & Big-PoliceState for the last 60+ years are not fucked.
Only the dumbasses are fucked, but that's what survival of the fittest means.
ACA will be the catalyst for some very very unpleasant events.
Prepare accordingly.
Oh, and welcome to 1930's Germany. Heil.
A La Ron Hubbard.....I am going to start a new religion that prohibits any form of health insurance among its members. You may join by going to my site and making a "suggested donation" of $5.00. You shall then be exempt from the fines of ObummerCare since our constitution does guarantee religious freedom.
.....I am open for a name for this new religion, so long as it ends with "ology"....a few of the wits here should give that some thought...
Yea sure. You sound like the Bamster. All promises, words and fluff totally disconnected from reality and without factual basis.
Read and understand and you will be amazed at how terrible the ACA is for America.
Almost like that was the plan.
sschu
Wealth and ingenuity are leaving this country. Leeches and parasites are invited to come in and multiply.
In a few years, Ted Cruz wanting to defund this bitch, will be regarded as a prophet. But by then it will have been too late, the knife will have been driven in too deep.
Nothing 'collapses of its own weight' with biggov.com.
It only grows and worsens lives.
The only thing that will eventually collapse of its own weight is America itself. Those subs and carriers need on-going maintenance and will rust faster than our ability to reapy our debts.
Enter China.
Hey, but thanks Obama.
Make no mistake societal collapse is occurring and this is what it looks like.
She runs a fucking hormone clinical for menapausal women. Give me a fucking break. http://www.herplace.com/about/vliet-bio.htm
You would prefer she ran it for professional baseball players?
I can't believe that America is really dead.
America is not dead yet. It is on life support by the Fed. However, once that life support is administered by Obamacare, America will die shortly there after.
Here is how I attempted to expalin Obamacare to my 20 yr old son. Now this is a kid who started his own lawn care business last year to supplement a package loading job at UPS. Also, he attends college and is carrying 17 credits.
At lunch today, I asked him how much $$ he had in his wallet.
He looked and he had $103.
I asked for $20.
He looked at me rather strangely and handed me $20.
I thanked him and told him he just made his 20% Obamacare donation and now don't get sick!
The light bulb went off in his head.
I gave back the $20 and bought lunch.
Obama! Hope / Change.
TYRANNYCARE!
Well, here is what we can expect:
Mainstream media turns on Obamacare, liberals suddenly screaming mad about rate shock, Healthcare.gov disasterEpic fail: 99% of Obamacare applications can't be processed, 'nightmare scenario' coming in January http://www.naturalnews.com/042376_Obamacare_epic_fail_Healthcaregov.html
http://www.naturalnews.com/042527_mainstream_media_Obamacare_rate_shock.html
The only thing I know is that before the ACA I could have afforded health insurance that would have protected me from medical bankruptcy. Now, it's only bullshit insurance that costs too much and will not protect me from medical bankrupty.
Add in the intrusive Big Brother aspects of this moronic piece of legislation the Doctor/Patient relationship has been rendered to something akin to that between an arrested subject and a cop.
I'm going to follow the example of my great aunt, a former nurse, who died of cancer while refusing the treatments as she had seen in her career the damage it did to her patients. I will accept my ultimate mortality with the same blissful grace that she had shown rather than allow the scare care system to wreck me financially. I will not purchase this BS mandated so called insurance, and I will use whatever legal loopholes available to me in the tax code to recoup the penalties associated with my refusal to comply.
I have learned to embrace my impending death. Nothing can stop death anyway so I will live as healthy as I can and just enjoy life. Having said that, this thing is going to FUBAR in ways that we cannot possibly imagine.
Thanks FSA! I hope you get to taste fully the bitter fruit that your ignorance, greed, and stupidity have brought down upon us. As for anyone who supports this crap, you really should donate both of your brain cells for research on the terminally ignorant and just check out of here.