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Itemizing The Obamacare Fees

Tyler Durden's picture




 

Obamacare's rollout may be in limbo even though the official deadline has come and gone (despite a much touted 2 million visitors to healthcare.gov on Monday which probably means it should IPO immediately), but the real sticker shock of actual fees awaits. And even as most insurers are opting to keep the full impact of the higher cost hidden, instead adding them to the overhead premiums charged, one company, Blue Cross Blue Shield of Alabama, has itemized the impact of the Unaffordable Care Act by adding a separate line itme for the "Affordable Care Act Fees and Taxes." Here is how these add up according to a breakdown conducted by the Post.

The new taxes on one customer’s bill added up to $23.14 a month, or $277.68 annually, according to Kaiser Health News. It boosted the monthly premium from $322.26 to $345.40 for that individual.

 

The new taxes and fees include a 2 percent levy on every health plan, which is expected to net about $8 billion for the government in 2014 and increase to $14.3 billion in 2018.

 

There’s also a $2 fee per policy that goes into a new medical-research trust fund called the Patient Centered Outcomes Research Institute.

 

Americans also will pay hidden taxes, such as the 2.3 percent medical-device tax that will inflate the cost of items such as pacemakers, stents and prosthetic limbs.

 

Those with high out-of-pocket medical expenses also will get smaller income-tax deductions.

 

Americans are currently allowed to deduct expenses that exceed 7.5 percent of their annual income. The threshold jumps to 10 percent under ObamaCare, costing taxpayers about $15 billion over 10 years.

Then there is the new Medicare tax:

Under ObamaCare, individual tax filers earning more than $200,000 and families earning more than $250,000 will pay an added 0.9 percent Medicare surtax on top of the existing 1.45 percent Medicare payroll tax. They’ll also pay an extra 3.8 percent Medicare tax on unearned income, such as investment dividends, rental income and capital gains.

So will a big story for 2014 be Americans taking out student loans, already over $1 trillion and more than all US credit card debt, to pay for their health insurance? We hope to find out soon as the biggest capital misallocation in US history continues.

 

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Thu, 12/26/2013 - 13:11 | 4276924 VD
VD's picture

so health now is a tax....hahahahaaaaaaa

Thu, 12/26/2013 - 13:13 | 4276936 Crash Overide
Crash Overide's picture

Obamacare is the gift that keeps on giving...

This thing is dead in less than 6 months.

Thu, 12/26/2013 - 13:29 | 4276961 hedgeless_horseman
hedgeless_horseman's picture

 

 

...one company, Blue Cross Blue Shield of Alabama, has itemized the impact
of the Unaffordable Care Act by adding a separate line itme for the
"Affordable Care Act Fees and Taxes."

But the Obamacare website and the health insurance carriers still hide the biggest costs, the deductible and co-insurance!

 

http://www.zerohedge.com/contributed/2013-12-17/questions-about-obamacar...

 

Do you have any other questions that I can help you with?
[12:42:03 pm]: CALLER
Yes. The Blue Advantage Bronze HMO 006 Plan shows a $6,000 per person per year deductible. What is the co-insurance rate?
[12:42:33 pm]: Diana
i cant pull up that information im sorry

 

Deductible:  The amount paid by the member before insurance will begin to reimburse services.  It is reset annually, and based on the level of benefits or amount of premium paid.  For example, with a $5,000 deductible the patient must pay medical providers for the first $5,000 of allowable expenses incurred by the patient each year, after which costs may be split according to a coinsurance arrangement, and/or may be limited to the patient’s out of pocket expenses.

Coinsurance:  A cost-sharing requirement of some insurance plans where the patient assumes a percentage of the costs for covered services after the amount of the deductible has been met.  Coinsurance is described as a ratio, for example 30/70, meaning the patient is responsible for paying 30% and the insurance will pay 70% of the allowable.

Thu, 12/26/2013 - 13:29 | 4276986 pods
pods's picture

That is the biggest thing hedge, people are up in arms right now, before they walk through a doctor's office door.

Wait till they actually have to use a doctor.  

They just put sodium silicate into the engine of 1/6th of the economy.  Granted most of that money spent is not actually helping, but this sucker is going down.

Long cash on the barrel medicine.

pods

 

Thu, 12/26/2013 - 13:47 | 4277011 hedgeless_horseman
hedgeless_horseman's picture

 

 

So you have been paying your monthly Obamacare premium for 9 months, and now that you broke your ankle, you must come up with the $6,000 deductible and $1,845 co-insurance before you can have the surgery to actually fix it. 

Also, the insurance company is going to end up paying less for this surgery than you are!

 

Thu, 12/26/2013 - 13:49 | 4277032 A Lunatic
A Lunatic's picture

That only applies to those not fortunate enough to have the proper D.C. connections allowing them to opt out.......

Thu, 12/26/2013 - 14:09 | 4277035 hedgeless_horseman
hedgeless_horseman's picture

 

 

No, it applies to the majority of Americans that believe they are entitled to a free lunch, but are too fucking stupid to understand a premium, deductible and co-insurance.

Thu, 12/26/2013 - 14:08 | 4277101 Thing1Thing2
Thing1Thing2's picture

.... or even a penalty tax as defined by the US supreme court.

Thu, 12/26/2013 - 15:12 | 4277273 I am more equal...
I am more equal than others's picture

 

 

 

..... Pelosi 'you gotta vote for it to see what's inside the bill.' 

Hopefully a lot of democrats who voted to see the 'inside' will become lobbyist in the republican run congress. 

Oh that would be sweet justice indeed. 

Thu, 12/26/2013 - 15:58 | 4277372 negative rates
negative rates's picture

I love how they mandate healthcare, and then step back financially.

Thu, 12/26/2013 - 17:40 | 4277697 Pure Evil
Pure Evil's picture

I actually saw a libtard with an "I Heart Obamacare" bumber sticker today.

Of course the driver of the vehicle was a white, overweight, middle aged female, uglier than sin, and somewhat on the manish side.

Thu, 12/26/2013 - 18:46 | 4277852 StychoKiller
StychoKiller's picture

May be the only lovin' "she" can find...

Thu, 12/26/2013 - 14:11 | 4277113 El Oregonian
El Oregonian's picture

Hey Hedge, why all the downer news on this holiday season? Barry's Obots believe all he has to do is wave his magic wang and everything will get better!

Thu, 12/26/2013 - 14:17 | 4277126 FL_Conservative
FL_Conservative's picture

I've long been a staunch advocate of a direct pay medical system, similar to what exists for lasik and cosmetic services, to rein in the cost of medical care through a free market approach to service pricing.  In essence, ObamaCare is accomplishing this but with the HUGE negative of making you pay through the nose for an annual medical insurance premium on top of the direct pay cost.  Maybe by the time we put a fork into ObamaCare, people will be more open to a direct pay system, funded through health savings accounts, and supplemented by only a catastrophic insurance plan.  I know....wishful thinking.

Thu, 12/26/2013 - 14:21 | 4277136 Boris Alatovkrap
Boris Alatovkrap's picture

Obamacare by definition is not Catastrophic Plan?

Thu, 12/26/2013 - 14:43 | 4277191 FL_Conservative
FL_Conservative's picture

Almost.  ObamaCare is a "catastrophe".

Thu, 12/26/2013 - 14:52 | 4277230 A Nanny Moose
A Nanny Moose's picture

wrapped up in a "plan"

Thu, 12/26/2013 - 17:54 | 4277731 icanhasbailout
icanhasbailout's picture

wrapped in a 'nig ma

Thu, 12/26/2013 - 14:26 | 4277137 hedgeless_horseman
hedgeless_horseman's picture

 

 

I've long been a staunch advocate of a direct pay medical system...funded through health savings accounts, and supplemented by only a catastrophic insurance plan. 

The insurance companies would hate that.  How could they keep up their quarter-on-quarter growth to justify the appreciation of their stock price?

Also, our government clearly believes that the people cannot be trusted to negotiate a fee for a service without assistance.

Thu, 12/26/2013 - 14:49 | 4277218 Boris Alatovkrap
Boris Alatovkrap's picture

Citizenry is obvious to be too stupid, so must elect academic elite for making decision. Of course, but is require extract wealth of citizenry to pay for brilliant "advisor" and "consultant" to masses. All is so happy happy joy joy in utopian dream.

Thu, 12/26/2013 - 17:10 | 4277608 John_Coltrane
John_Coltrane's picture

Indeed, this is the reason conceirge (direct pay to a private clinic doctor) medical care is growing so rapidly and bringing in the best doctors as well as the smartest, health savvy customers.  Its the clinics advantage to keep you as healthy as possible since you pay a fixed fee (typically $300-500)/month, for unlimited care and immediate access (often including house calls).  Thus, no unncecessary proceedures, drugs etc.  The clinic meanwhile has no insurance reimbursement hassles, can predict both its income and expenses and even the doctors have more free time (since each doc has at most 200-300 families).  People are surprised when they call and the doctor answers the phone since there is almost no overhead for billing etc.  I encourage readers to read the reviews by patientis of these clinics-they are the highest rated care experience you will find.

If you shop around you can find a clinic that will also  provide tests and diagnostics at their cost.  Since these are run by the most competent physicians they also have the best contacts with the best private specialists.  This is the future.  Free markets, price transparency and no "free lunch".  Competition is the lifeblood of an economy.  Insurance, like banking is a parasitic profession.

Thu, 12/26/2013 - 17:25 | 4277654 hedgeless_horseman
hedgeless_horseman's picture

 

 

Its the clinics advantage to keep you as healthy as possible since you pay a fixed fee (typically $300-500)/month, for unlimited care and immediate access (often including house calls).

The "unlimited" aspect of your statement is simply not true. 

Generally, the annual concierge membership fee only covers a single annual visit, whether you attend it or not.  Additional visits and treatments are billed under your regular insurance, or you can pay cash.

Thu, 12/26/2013 - 14:22 | 4277131 Boris Alatovkrap
Boris Alatovkrap's picture

In Russia, is much more simple, break leg and get hack saw from shed. Later, when bleeding is stop, same hack saw is can use to cut table leg for manufacture of prosthetic. Deductible and co-insurance is negligent, but you are want purchase some vodka to keep in hand.

Thu, 12/26/2013 - 14:51 | 4277227 F em all but 6
F em all but 6's picture

Is also simple in Amerika. Hacksaw blades will be reclassified as a medical device and taxed as such.

Thu, 12/26/2013 - 14:58 | 4277235 Boris Alatovkrap
Boris Alatovkrap's picture

This is medical device tax? Maybe is consider tax on torch and rope noose? Soon is only cure for Obamacare.

Thu, 12/26/2013 - 13:52 | 4277040 Atomizer
Atomizer's picture

HH,

We can only ponder over the slanted MuppetCare MSM results when free condoms were used to sign-up before ACA deadline expired.

Angry Samoans

 

/Sarc

 

Thu, 12/26/2013 - 14:03 | 4277077 Colonel Klink
Colonel Klink's picture

You have to pass it first to find out how hard you're going to be bent over!

-Nancy Piglosi

Thu, 12/26/2013 - 14:34 | 4277169 Atomizer
Atomizer's picture

They have penetrated every ethnic culture to racially divide people to join a mandatory taxed based healthcare system. This is known as a Ponzi scheme. Watch the class action business asset freezing go up the ladder. Thanks to NSA, we have contacted your phone call & burnt phone to people like Nancy. The snap shot of her 2003 phone activity. All her network government terrorist cell are already compiled. Collapsing the US Dollar is what you’ll hear Nancy Pelosi talking about in past audio recordings. Future breaking wind news media excusive. winks

Thu, 12/26/2013 - 14:51 | 4277228 Boris Alatovkrap
Boris Alatovkrap's picture

New name for crime of century is not Ponzi Scheme, but is Pelosi Scheme - crime so insidious must be screw first to know how painful is.

Thu, 12/26/2013 - 16:38 | 4277508 Snoopy the Economist
Snoopy the Economist's picture

Boris,

The PELOSI SCHEME - that's beautiful - unlike pelosi 'IT'self.

 

Merry Christmas

Thu, 12/26/2013 - 16:51 | 4277562 Boris Alatovkrap
Boris Alatovkrap's picture

You are Merry Christmas too! Happy New Year, is not so much in AmeriKa new eKonomy, but keep children close in bosom and those you are love.

Thu, 12/26/2013 - 14:09 | 4277094 RobD
RobD's picture

Sure glad I broke my ankle pre-obamacare. Blew may ankle up 10 weeks ago that took two surgery to repair and the bills/insurance statements have mostly come in. My insurance through work is pretty good, $500 deductible 20/80 split and $3000 max out of pocket not counting deductibles and co-pays. Throw in a out of network ambulance ride and that was a $1000 deductible and I'm out over 4K.

Thu, 12/26/2013 - 14:24 | 4277143 Colonel Klink
Colonel Klink's picture

Still less than Obamacrap.

Thu, 12/26/2013 - 14:53 | 4277232 Boris Alatovkrap
Boris Alatovkrap's picture

You are pay $4K AND keep leg? When Obamacare is implosion manifest, you are pay $40K and lose leg.

Thu, 12/26/2013 - 19:40 | 4277948 lostintheflood
lostintheflood's picture

Also, the insurance company is going to end up paying less for this surgery than you are!

 

well...yeah...right...what else would anyone expect, since the insurance companies WROTE the ACA!

Thu, 12/26/2013 - 18:44 | 4277851 StychoKiller
StychoKiller's picture

Bwahahahahaha!  You're "assuming" that there's gonna be Doctors willing to work under those conditions!

Thu, 12/26/2013 - 13:35 | 4276996 NoDebt
NoDebt's picture

You forgot the caps that are supposed to exist but don't currently.  There is no cap on the coinsurance, although there's supposed to be one according to the orginal legislation.  You're paying that 30% from your example to infinity.

Thu, 12/26/2013 - 14:03 | 4277067 MachoMan
MachoMan's picture

Picked up a BXBS gold policy outside the exchange a few weeks ago...  and it came with an out of pocket maximum...  http://healthinsurance.about.com/od/healthinsurancetermso/g/OOP_maximums...

Thu, 12/26/2013 - 14:06 | 4277076 hedgeless_horseman
hedgeless_horseman's picture

 

 

NoDebt is probably thinking of the maximum co-insurance rate for a plan to qualify under the ACA, not the maximum OOP expense.

Out of pocket expense:  The total of covered health care expenses that are paid for by the member or patient, not including any premium.  This is typically the total of the deductible and any coinsurance paid during a year.

Thu, 12/26/2013 - 14:31 | 4277168 MachoMan
MachoMan's picture

To continue with my anecdotal example, the policy we picked up has a co-insurance of 20% across the board...  I think the highest I saw of the obamacare plans were 40%...  once you inquire about the plan, you'll get a summary of benefits...  so, I'm not sure where this discussion is going, unless there's some evidence that the insurance companies' obamacare plans routinely have co-insurance rates larger than that allowed by obamacare...

Thu, 12/26/2013 - 15:51 | 4277341 NoDebt
NoDebt's picture

I'm talking about out of pocket cap (maximum) which is comprised of both decutibles and co-pays (also called co-insurance) plus the elimination of lifetime coverage limits.  It's part of the reason you're seeing such high deductibles and co-pays that would not have been allowed under the law as written.  You push down on one area, the other costs go up.  A giant game of whack-a-mole.

This was done by the president back in August, unilaterally, to try to keep monthy premium payments (the "headline number" most focus on) lower.  Obviously, it didn't prevent premiums from rising, dramatically in some cases, even though the OOP maximums, no longer limited, naturally shot to the moon in the form of both co-pays and deductibles (potentially to infinity depending on how the insurer writes the policy).  In any case, a lose, lose, lose situation.

And this is the mild stuff.  Wait till next year when the insurers find they've been handed a giant bag of adverse selection by the exchanges and really start to sharpen their claws.

Thu, 12/26/2013 - 19:32 | 4277919 MachoMan
MachoMan's picture

Co-insurance is not the same as a co-pay, nor is it typically treated the same for purposes of out of pocket maximums...  how a policy treats co-insurance for purposes of out of pocket maximums is policy specific...

Thu, 12/26/2013 - 13:47 | 4277028 TheRedScourge
TheRedScourge's picture

When it's all said and done, the Obama admin will just claim they didn't build that.

Thu, 12/26/2013 - 19:00 | 4277878 divide_by_zero
divide_by_zero's picture

Coinsurance is the reason AARP supported this POS, they make tons o $ on co insurance.

Thu, 12/26/2013 - 13:25 | 4276970 pods
pods's picture

Well it is a good thing that the economy is moving ahead so briskly with wages rising so rapidly, otherwise people might have trouble affording all of these "cost saving" measures.

pods

Thu, 12/26/2013 - 13:34 | 4276994 knukles
knukles's picture

Well of course, stocks are rallying because of the future expected massive pop in earnings!
Stocks are telling us everything's OK

Right (Prior Nobel Dwarf Winner and Objective Essayist for the Middle of the Road All the News That Fits Water Carrier.) Paul?
Just think of all the broken necks that'll spur economic activity

Thu, 12/26/2013 - 13:35 | 4276981 knukles
knukles's picture

Taxing our way to prosperity.
Redistribution from the worker bees to the Potentates in the New Versailles.

It has always worked so well in the past...

Uh huh....

 

Say, isn't there a new tax on big butts, too?
Or has that been waived for government employees and their families?

Thu, 12/26/2013 - 14:36 | 4277174 Oldwood
Oldwood's picture

That's why they ask for your race on the application. For some races, a big ass is considered genetically superior and therefore not applicable to surcharges. Unfortunately white folks don't fit in that category.

Is it appropriate to now say....fuck me!!?

Thu, 12/26/2013 - 13:28 | 4276983 NoDebt
NoDebt's picture

I'll take the over on that bet, Crash.  Zero is still in the WH for 3 more years and he's NEVER going to allow "his" signature legislation to be rolled back, or even significantly scaled back.  His Majesty will keep throwing out delays to different parts (employer health plans is the likely candidate this year) but that's it.  It's going nowhere, no matter the pain it inflicts financially, or to the millions more who just LOST coverage because of it over those who gained coverage.

Thu, 12/26/2013 - 13:34 | 4276998 El Vaquero
El Vaquero's picture

That is his MO, but I don't think that he can keep it going no matter how much he stamps his feet.  He's going to have to start looking for somebody else to blame and quick. 

Thu, 12/26/2013 - 13:36 | 4277004 NoDebt
NoDebt's picture

I hope you're right.  I really do.

Thu, 12/26/2013 - 13:39 | 4277016 El Vaquero
El Vaquero's picture

I just don't see how the insurance companies can remain solvent with them dropping millions of plans and only signing up sick and old people.

Thu, 12/26/2013 - 14:02 | 4277070 Jena
Jena's picture

It's written into Obamacare.  A bailout.  1342

Thu, 12/26/2013 - 14:06 | 4277080 El Vaquero
El Vaquero's picture

For a big chunk of 1/6 of the economy?  That won't end well.

Thu, 12/26/2013 - 14:19 | 4277132 Jena
Jena's picture

If you put Obamacare and 1342 into a search engine you'll get a lot, including stuff about Marco Rubio's attempt to stop the bailout.  This is one of the best summaries I found without getting too technical:

http://www.frontpagemag.com/2013/arnold-ahlert/a-taxpayer-bailout-for-obamacare/

Thu, 12/26/2013 - 14:33 | 4277172 El Vaquero
El Vaquero's picture

I don't doubt that is what they'll want to do, but the medical sector is big enough that Yellen is going to have to fire up the nuclear powered printing presses to keep up with the deficit spending.  Not to mention that people are getting pissed off over everything being bailed out. 

Thu, 12/26/2013 - 14:43 | 4277199 Oldwood
Oldwood's picture

Risk corridors will work as the bank bailouts did, enriching the friends of "government" while eliminating those less deserving. Firms like United Healthcare, which is run by one of Obama's big buds and is already reaping the benefits through the roll out tragedy, will likely be one of the big winners. All crisis's are created and so done to serve a purpose.

Thu, 12/26/2013 - 14:39 | 4277183 NotApplicable
NotApplicable's picture

It's essentially an open-ended "cost-plus" fedgov contract, so what's not to love?

Thu, 12/26/2013 - 14:02 | 4277072 ElvisDog
ElvisDog's picture

They will remain solvent by imposing massive, across-the-board health insurance premium increases in Nov-Dec 2014.

Thu, 12/26/2013 - 14:07 | 4277085 El Vaquero
El Vaquero's picture

Which would price more people out of the "market." 

Thu, 12/26/2013 - 14:05 | 4277073 MachoMan
MachoMan's picture

Well, we thought the same thing about the airlines, car companies, banks...  but, somehow, they manage to find a way to survive...  and their behavior has nothing to do with the expectation of being bailed out, I'm sure...

Thu, 12/26/2013 - 13:33 | 4277005 knukles
knukles's picture

If you lost your coverage, you can stay uncovered

Thu, 12/26/2013 - 14:38 | 4277180 Oldwood
Oldwood's picture

History is written by the survivors. Those who become the victims of this disaster will have little say in its future evaluation. Another one for the progressive history books.

Thu, 12/26/2013 - 14:42 | 4277187 SDShack
SDShack's picture

Politicians are sociopaths, and as such, only look out for themselves. The real titanic struggle is going to occur within the dumbcrat party in 2014 and 2015. In all likelihood, 0zer0 does nothing, and 0zer0care drains the life out of the economy in 2014. The Senate flips to the repugs as a result. This will allow the repugs to pass legislation either repealing, defunding, or severly restricting or delaying 0zer0care in 2015. 0zer0 will have to veto this. If millions more people lose their EMPLOYER sponsored HC as a result of the risk premiums being oblitered and EMPLOYER costs going through the roof, the outrage against the dumbcrats will make this year look like a picnic. 2016 will be all about protecting the dumbcrat party, and that will include throwing 0zer0 under his own bus. I suspect that in 2016, there will be enough vulnerable dumbrats in the senate that will vote to overide 0zer0 vetos on 0zer0care... all in the name of self-preservation. It will be just like Clinton and welfare reform. He vetoed it 2 or 3 times, before eventually signing it because he knew his veto would be overridden. Eventually the same thing will happen with 0zer0care, unless it is picked apart before 2016 because of all the class action lawsuits that will also eventually overwhelm it. In the end 0zer0care will be known as almost as big a disaster as Prohibition.

Thu, 12/26/2013 - 13:30 | 4276991 Tom_333
Tom_333's picture

Admire your optimism. I think it will be there for the laung haul. Or do you seriously think that the free-shit-brigade are going to give up their newfound gains so easily. They may have just discovered what the ballot can give them (out of your pocket). ACA is probably the one most destructive thing post-WWII to have been passed.

Thu, 12/26/2013 - 13:49 | 4277038 Dr. Engali
Dr. Engali's picture

And the new single payer plan will be rolled out to replace it.

Thu, 12/26/2013 - 14:10 | 4277099 MachoMan
MachoMan's picture

Probably, but the stairway to single payer was paved with a hollowing out of the american middle class, not obamacare...  If people can't pay for medical services and medical service providers have built up fixed costs during boom times with the expectation that the gravy train will last forver and don't have any intention of going bankrupt, then single payer is the only way they'll continue the status quo...  uncle sugar has to pick up the tab.  Price discovery with high deductibles and co-insurance is going to be a rude awakening for patients and providers alike.

Of course, making a deal with the devil....

Thu, 12/26/2013 - 14:17 | 4277125 ElvisDog
ElvisDog's picture

How does single payer help anything? So, the government will run things more efficiently? Nope. There will be more waste, more bureaucracy. The most probably result of single payer is a doctors revolt. It won't be worth the trouble to practice medicine in the U.S.

Thu, 12/26/2013 - 14:28 | 4277150 MachoMan
MachoMan's picture

Sure, doctors revolt and then what?  You think it's any different than factory workers in flint revolting?  Fine, we'll lower the standards for who can provide the care (e.g. nurses; we're already seeing this in many areas of healthcare) and then import the rest.  This battle is no different than any other between capital and labor.

Single payer won't help anything...  and I think it's folly to presume that helping anything is some noble goal of our dear leaders.

Thu, 12/26/2013 - 14:28 | 4277152 Jena
Jena's picture

Sure, because everyone who has any knowledge of the VA system wants to be as far away from it as possible.

If this doesn't get massively reformed or repealed, it's going to be so very ugly.

Like Hedgeless always say, get and stay as healthy as you can.

Thu, 12/26/2013 - 14:50 | 4277211 Oldwood
Oldwood's picture

A little twist to the collectivist view that the good of the many outweighs the good of the one.... we have seen what was a healthcare crisis for the few become a healthcare crisis for the many.

Thu, 12/26/2013 - 15:00 | 4277247 A Nanny Moose
A Nanny Moose's picture

"If people can't pay..."

Demand destruction results.

Thu, 12/26/2013 - 15:29 | 4277288 Kprime
Kprime's picture

Obamacare is a single payer plan.  They pretend to offer healthcare, we pretend to be covered.  The government pays the insurance companies through the risk corridor, 1342, and waaaa laaa, single payer.

By dictator proclamation this will be expanded to cover hospitals, doctors, nurses, and anyone else who aggrees to be an obamacare slave.

Thu, 12/26/2013 - 13:58 | 4277053 doctor10
doctor10's picture

Al Gore ALMOST got a carbon tax-a tax on breathing-Obama got the next best thing

Thu, 12/26/2013 - 14:47 | 4277208 A Nanny Moose
A Nanny Moose's picture

Yup. Tax that which you wish to discourage /wink.

Thu, 12/26/2013 - 13:14 | 4276931 Buckaroo Banzai
Buckaroo Banzai's picture

My solution: reduce my taxable income as close as possible to $0 in 2014.

Fuck you, Obama.

Thu, 12/26/2013 - 13:50 | 4277042 Colonel Klink
Colonel Klink's picture

I've done it 5 years running now.  Can't say I'm not doing my part!

Thu, 12/26/2013 - 13:53 | 4277043 overexposed
overexposed's picture

Already started that process over here in 2012.  The more you know about the tax system, the less you "earn;" the less you "earn," the less DC gets their grubby freaking hands on.

Thu, 12/26/2013 - 14:51 | 4277217 Oldwood
Oldwood's picture

Agreed but I can not take the credit for my greatly reduced income, I had the help of big brother creating a comfortable glide path to my economic demise.

Thu, 12/26/2013 - 15:01 | 4277249 A Nanny Moose
A Nanny Moose's picture

You didn't tax that.

Thu, 12/26/2013 - 15:14 | 4277265 Kprime
Kprime's picture

year 3 following that plan.  Cows in the pasture, hell of a garden, pantry filling with canned produce. 

5 years ago I was driving 80,000 miles a year just managing several stores.  Last 3 years I drove fewer than 2000 miles per year.  Shooting for less than 1K 2014.  like many others here on ZH, we no longer buy xmas gifts, birthday, etc.  Our goal is to reduce the use of FRNs to a point as close to zero as we can get.

Under obamacare our premiums show to be 13K per year. Many times our income.  No medicaid available in texas.  So basically the plan that was supposed to bring affordable coverage to all is useless to us. It never was designed to help the 40m that had no insurance.  It was simply designed to rape those who could afford insurance.  We are no better and no worse off.  Sorry bout the rest of you.

Thu, 12/26/2013 - 16:39 | 4277529 Snoopy the Economist
Snoopy the Economist's picture

"My solution: reduce my taxable income as close as possible to $0 in 2014."

Great idea but how do you do this making over $100k/yr?

Quit job? work under the table? collect welfare? Become a phuking loser?

Thu, 12/26/2013 - 19:05 | 4277887 StychoKiller
StychoKiller's picture

"Invest" in high-yield T-Bills?  (Bwahahaha, I kill myself sometimes!)

Thu, 12/26/2013 - 13:12 | 4276933 One And Only
One And Only's picture

I'm gona need some health care after receiving all of these anal contusions from obamacare.

Thu, 12/26/2013 - 13:15 | 4276934 666
666's picture

Can one pay the new healthcare taxes with an EBT card?

Thu, 12/26/2013 - 13:34 | 4276997 Tom_333
Tom_333's picture

No - but the "others" are gonna pay them for you.That´s the whole point to the system.

Thu, 12/26/2013 - 14:50 | 4277224 Oldwood
Oldwood's picture

"somebody's got to pay for my healthcare!" Somebody has got to pay!

Thu, 12/26/2013 - 13:16 | 4276937 Mercury
Mercury's picture

And we still haven't got to the delivery of actual medical care under the ACA. You know, what "health insurance" is supposed to provide for.

Thu, 12/26/2013 - 13:38 | 4277015 A Lunatic
A Lunatic's picture

If you like your cancer (hell, even if you don't) you can keep your cancer........

Thu, 12/26/2013 - 13:54 | 4277044 Emergency Ward
Emergency Ward's picture

Yeah, it provides you with a plastic card that says "United Healthcare" on it.

Thu, 12/26/2013 - 14:24 | 4277135 MachoMan
MachoMan's picture

It's going to change the way people receive healthcare.  Among other things:

(1) you'll be billed up front because everyone knows you haven't met your deductible;

(2) if you have any balance owed, then you won't be seen;

(3) you'll have to doctor hop to independent doctors because all those in the same network will know the balance you owe;

(4) the doctors you like will probably be out of network; and

(5) the places that are in network will likely have significantly larger case loads, leading to decreased quality of care and longer wait times; 

Thu, 12/26/2013 - 14:58 | 4277237 mofreedom
mofreedom's picture

(5 cont'd)...and SMELL LIKE A WALMART OF FSA DAY.

Thu, 12/26/2013 - 13:14 | 4276940 linniepar
linniepar's picture

Better eat your (gmo) wheaties.

Thu, 12/26/2013 - 13:21 | 4276944 Ignatius
Ignatius's picture

ObummerCare IS A TAX.

The more fucked up the policies are the more tax revenue they collect (perverse incentive) as people will opt out and just pay the penalty (tax).  So we kick the can down the road by generating more tax revenue to pay interest to the banksters who 'lend' to the government.  Brilliant SCAM.

 

Thu, 12/26/2013 - 13:36 | 4277009 ZeroPoint
ZeroPoint's picture

It is THEFT. It cost shifts taking care of the poor, elderly, and chronically ill unto the middle class. The rich will pay the penalty and use their private doctors, just like they always have.

Thu, 12/26/2013 - 15:04 | 4277251 Oldwood
Oldwood's picture

Everything is a fucking tax! How much of the stuff we buy every day is a tax? Property tax, payroll taxes, accountant costs to ensure proper tax payments, licenses and fees and inspections and certifications. What percentage of our economy is NOT due to direct and indirect costs of government? Does anyone know? There are lots of reasons why there is no tax reform but the primary one is that to have that discussion brings the whole thing into view....and they don't want anything, any part of government, from taxes to policy to anything else transparent to the casual observer. Everything is based on the illusion that someone else will pay, and whatever you are paying is still less than everyone else, especially those rich fuckers who actually write these laws. They want us to believe we are taxing the crap out of the rich folks, and those corporations too. You know, the ones that used to hire us and the people we still buy 90% of our useless crap from. Those guys. And as profits are essentially a gift from heaven (and government of course because all good shit comes from them) those corporations would never add their taxes back to the cost of the useless crap they are selling us. Fucking taxes are fucking theft at the point of a gun and anyone who owns a small business feels the barrel against their back every fucking day.

Thu, 12/26/2013 - 13:19 | 4276945 Atomizer
Atomizer's picture

Affordable MuppetCare Act Fees and Taxes, IPO.. Oh shit. In tears laughing so hard. I better press my Personal Emergency Response Services (PERS) clicker..Might just laugh myself to death.

Thu, 12/26/2013 - 13:18 | 4276947 NoWayJose
NoWayJose's picture

Looks like Blue Cross Blue Shield of Alabama is not rolling over easily - maybe the heading should be the Crimson Tide of 'Bama rolls over O'bama....

Thu, 12/26/2013 - 13:16 | 4276948 1000yrdstare
1000yrdstare's picture

If you like your reaming....you can keep getting reamed...

Thu, 12/26/2013 - 13:18 | 4276949 1000yrdstare
1000yrdstare's picture

MY PUCKERED STARFISH HURTS!!!!!!

Thu, 12/26/2013 - 13:23 | 4276956 q99x2
q99x2's picture

Lawyers, Doctors, Police Captains and Military Generals you are now in the Globalists targets. Bend over and submit the United States of America.

Thu, 12/26/2013 - 13:25 | 4276972 A Lunatic
A Lunatic's picture

Of course the real cost will be getting turned down for care because you are too old, too fat, too wealthy, too homophobic, too redneck, too white, too rural, too christian, too American.........

Thu, 12/26/2013 - 14:45 | 4277205 MachoMan
MachoMan's picture

At present, when you sign up for insurance, they don't ask you a single question about any of those issues (nor a single question about your medical history) other than your gender and age...  which are used to determine premiums... however, you can most certainly be denied care for being too poor.

Thu, 12/26/2013 - 15:14 | 4277269 A Lunatic
A Lunatic's picture

At present.....

Thu, 12/26/2013 - 13:26 | 4276973 ConManipulation
ConManipulation's picture

FUCK YOU, AND FUCK EVERYONE AROUND YOU, OBAMA!!

Thu, 12/26/2013 - 13:25 | 4276974 ConManipulation
ConManipulation's picture

Double post.  I guess even the whole internet agrees with my comment

Thu, 12/26/2013 - 13:27 | 4276978 RichardENixon
RichardENixon's picture

Securtized Obamacare Loan Industry no doubt gearing up even as we speak.

Thu, 12/26/2013 - 14:45 | 4277198 NotApplicable
NotApplicable's picture

And all it will cost you is a signature on a donor card (Reverse Mortgage 2.0).

Thu, 12/26/2013 - 13:30 | 4276989 GrinandBearit
GrinandBearit's picture

Who cares... they're never getting me to sign up for this crap.

Thu, 12/26/2013 - 13:33 | 4276993 Sizzurp
Sizzurp's picture

Beatings will continue until moral improves, or maybe just till folks say to hell with it, why keep working.  When pulling the wagon gets harder and harder it becomes easier for those at the margin to just get in the wagon and let someone else pull.

Thu, 12/26/2013 - 13:34 | 4277001 Atomizer
Atomizer's picture

Take this info with a grain of salt. The reading always has tidbits to see pitched half-truths.

GEAB N°80 is available! Currencies, geopolitics, real estate, finance... 2014: the « big American retreat » Decided to wait for a bit. Nothing more entertaining than watching TV experts back track logged assertions.  

Thu, 12/26/2013 - 13:43 | 4277021 Seasmoke
Seasmoke's picture

So a tax. Upon a tax. Upon a tax. 

Thu, 12/26/2013 - 13:49 | 4277031 curbyourrisk
curbyourrisk's picture

Listen...the intent of the failure after failure (and yes it is completely intentional) of Obamacare is to do one thing.  Once it gets really LOUD from the media, the Obaminator will swoop in and save us all from his own failed plan...  One morning we are going to wake up and he will announce due to CONSUMER DEMAND and the inability of the populave to understand Obamacare, the .gov is hereby enrolling everyone into - CINGLE PAYER UNIVERSAL HEALTHCARE.  Problem solved.

This was the mission from day one.  He just needed a crisis out there to get everyone to capitulate.

Crisis created, problem solved.

 

Scumbags!

Thu, 12/26/2013 - 13:56 | 4277049 Colonel Klink
Colonel Klink's picture

That may be the plan but good luck forcing that through CONgress without watching the entire country burst into riots.

Thu, 12/26/2013 - 16:30 | 4277458 LMAOLORI
LMAOLORI's picture

 

"That may be the plan but good luck forcing that through CONgress without watching the entire country burst into riots."

Colonel if only that were true but I doubt it it things will have to be a lot worse before people will give up what little they have left and do that. Besides even if people did decide to rise up enmasse they have enough hollow points to kill us all twice now and don't you doubt for a minute that O-Hitler wouldn't be willing to use them.

There's always so much outrage when he is compared to Hitler but seriously even though he promoted himself as the most transparent administration the truth is quite the opposite and then there is the NSA lies, etc.  Obama is far closer to Hitler then any politician I have seen in my lifetime.  Remember Hitler was also a greenie and according to some sources they have other things in common as well such as....

 

Hitler, Obama, And Exploding The Biggest Lie In History

http://www.forbes.com/sites/billflax/2011/09/01/obama-hitler-and-exploding-the-biggest-lie-in-history/

 

HITLER WAS A SOCIALIST 

http://jonjayray.tripod.com/hitler.html

 

DNA tests reveal 'Hitler was descended from the Jews and Africans he hated'

http://www.dailymail.co.uk/news/article-1305414/Hitler-descended-Jews-Africans-DNA-tests-reveal.html

 

Hitler's Green Killing Machine

 

http://www.aim.org/aim-report/hitlers-green-killing-machine/

 

Fri, 12/27/2013 - 00:14 | 4278482 Colonel Klink
Colonel Klink's picture

If they're anything like the NYPD, I see they're not a very good shot.

I'll take my chances.  Die on your feet or live on your knees.

Thu, 12/26/2013 - 13:58 | 4277058 Atomizer
Atomizer's picture

ding, ding.

Thu, 12/26/2013 - 14:33 | 4277163 Ignatius
Ignatius's picture

The main point is to INCREASE TAX REVENUES (dollar defence via debt service).

I don't think the point ever was to provide affordable healthcare (with the bloated system we have?).

Thu, 12/26/2013 - 14:50 | 4277223 MachoMan
MachoMan's picture

See the post above regarding the bailout of the insurance companies through obamacare for 3 years following its implementation...  remember, the insurance companies wrote obamacare, so I'm not sure they'd care to be put out of business.  The plan, at present, is to bail them out if they misprice risk (charge too little for premiums) and keep the present system in place.

Single payer will come along because it is demanded by the free shit army.  Medical providers will be forced to capitulate because they'll be faced with bankruptcy in the alternative.  Then we'll get a bifurcated system proper, whereby anyone with money can get care worth a shit and the rest are left to duke it out in government clinics.

Thu, 12/26/2013 - 14:03 | 4277066 flyme
flyme's picture

Instead of buying cars & Apple products with their student loans, they'll be buying Obamacare health insurance. Well - that's one way for the Government to get its money back. 

Thu, 12/26/2013 - 14:43 | 4277197 the grateful un...
the grateful unemployed's picture

next year they'll mandate transportation and communication insurance. (to protect you from having no transportation, and no telephone) Henry Thoreau is rolling over in his grave

Thu, 12/26/2013 - 14:04 | 4277083 Flammonde
Flammonde's picture

Evidently what is not clear is that the totalitarian control mechanism will not go away by wishing it to go away.  To get to this point in history the public have shut the eyes tight.  Other nations in other times have sustained remarkably high taxation and the governments did not crumble.  Totalitarianism is not going to be legislated away.  The choice is obey or suffer penalties, and penalties will also not be evenly applied, so some will endure more penalties than others as it is easier to punish them.  And this state of affairs is present moment.  At this point probably all that can be done is massive disobedience and let local groups form to discuss transitioning away from the totalitarian state. 

Thu, 12/26/2013 - 14:07 | 4277087 Dewey Cheatum Howe
Dewey Cheatum Howe's picture

More irony concerning Obamacare. The gift that keeps on giving.

http://www.wnd.com/2013/12/why-couldnt-healthcare-gov-validate-obamas-id...

NEW YORK – The White House appears to have dropped a bombshell when it explained to the press why White House staff in Washington enrolled President Obama in Obamacare instead of Obama himself.

Officials said it was because HealthCare.gov could not verify Obama’s identity.

Here is what Ed Henry, Fox News White House correspondent, reported on air:

“Somebody who’s not waiting in line to enroll is the president of the United States. We learned today from the White House. Initially, they said he signed up for what they called a bronze plan, paying about four hundred dollars a month in premiums. But, then they came back to us and said – ‘Well, wait. He didn’t actually enroll. They said his staff did it and that’s because of his unique circumstance obviously, as commander-in-chief, that his personal information is not in various government databases, so Healthcare.gov could not actually verify his identity, oddly enough. So, he had to do it in person this weekend, so he was signing up for the D.C. exchange, but his staff did it.”

A CBS report in Washington, likewise, explained White House staff had to go to an “in-person” Obamacare site to sign up Obama for coverage.

The Fox News report,  noted by the Gateway Pundit, set off a round of speculation on the Internet.

What information was so sensitive for Obama that it had to be excluded from government databases?

Clearly, the information was not his Social Security Number or his birth records, because the White House has claimed to have made public both.

...

 

Thu, 12/26/2013 - 15:06 | 4277257 Oldwood
Oldwood's picture

So, does a Manchurian Candidate president qualify for Obamacare?

Thu, 12/26/2013 - 15:51 | 4277362 lakecity55
lakecity55's picture

Hahahahaha, apparently not.

The guy has no paperwork at all, obviously.

The US has a 'president' who in reality does not even exist!!!

Thu, 12/26/2013 - 14:12 | 4277112 youngman
youngman's picture

I bet over half the people that did sign up...do NOT pay their premiums.....so the Insurance companies will have to collect....or cancel...and if they cancel..they will be sued for sure....and what about the doctor or hospital where a payment is supposed to be made...but it is not...do they continue service..racking up a bill..or dump them in the street...lawsuits galore I see..the trial lawyer is the new Brain surgeon of this decade...

Thu, 12/26/2013 - 14:42 | 4277188 the grateful un...
the grateful unemployed's picture

the insurer of last resort is the state medicaid program. a lot of people will go directly there when they try to sign up. there are a lot more who will sign up then fail to pay the premiums, and they will go to the state program as well. just guessing that the fat slice for the insurers will be those people who sign up, pay the premium while they are still healthy, then become ill, lose their jobs, their homes, and their ability to pay the premium. the insurerer will then probably be able to hand them off to the state as well. (the program touts its no cancel clause, but that only applies if you make the premiums) like any insurance if you don't keep paying you can't get benefits.  so its probably wise to get a disability policy as well. most people are paying for something they'll never use, and now they are paying a lot more.

Thu, 12/26/2013 - 15:00 | 4277231 El Vaquero
El Vaquero's picture

That's basically what long term disability insurers do.  If a person busts his hump, paying for long term disability insurance along the way, then gets injured, the insurance company will threaten to just cut off benefits unless the person gets on SS disability.  Most people, not understanding contract law, cave into the demands.  Then, once they're on SS, the insurance company comes in and says "What?  They gave you back pay?  Well, we know that you paid taxes on what we paid to you, but it was really just a loan.  You owe us everything except for the costs of getting on SS, and we don't give a shit if some of the money went to taxes, we want that back too."  Then, if you try to go after the insurance company for deceptive practices, they'll remove the case to Federal court and claim it's an ERISA issue, even if it is not.  ERISA is a fucking tangled rats nest of a law that very few attorneys understand, so they have to argue that it is not an ERISA claim while also understanding consumer law.  There is not a single attorney in my state who has the knowledge to do that effectively. 

 

This is a back door subsidy, and I would be surprised if health insurers don't try something similar. 

Thu, 12/26/2013 - 15:11 | 4277262 the grateful un...
the grateful unemployed's picture

ACA is shaping up to be a racket, collect premiums and dump the poor guy onto the government when it comes time to pay

Thu, 12/26/2013 - 15:49 | 4277352 lakecity55
lakecity55's picture

ACA is aTrojan Horse designed to obliterate the economy.

Thu, 12/26/2013 - 14:58 | 4277244 MachoMan
MachoMan's picture

What the fuck are you talking about?  If you don't pay your premiums, then you get dropped...  the insurance agreements control the process and will contain provisions as to how service will be cancelled in the event of a default.  I'm not sure how you could sue an insurance company for dropping coverage after you default, but good luck with that...  especially considering breach of contract typically carries attorneys' fees for the loser...  to add insult to injury (or lack of injury).  Needless to say, insurance companies have no inherent legal duty to provide everyone insurance...

I routinely see you posting these types of things about attorneys, but you haven't got a clue what you're talking about...

Thu, 12/26/2013 - 14:15 | 4277117 sosoome
sosoome's picture

Today, you can walk into most any doctors office paying cash, and your bill will be a third or more less than what they bill an insurance company and co-pay combined.

That should give anyone who advocates ACA an idea of what will happen by forcing the entire market into an insurance based system.

Thu, 12/26/2013 - 14:16 | 4277122 TrustbutVerify
TrustbutVerify's picture

The old song, The Snake, by Al Wilson, sums up the Obama situation completely.  If listened to completely one begins to understand. The last verse is essential. 

http://www.youtube.com/watch?v=iscnqxkuD64

Thu, 12/26/2013 - 14:27 | 4277139 pashley1411
pashley1411's picture

Surprise?  come'on.

The Affordable Care Act (hahahahaha...) was a transfer of money from the middle class/sheeple, to the health care/insurance oligarchs, with a health cut taken out by the welfare-warfare complex.

Under the pretext of helping poor.    (cough, cough, cough...)

Best of all, these are just the previews, coming attractions.  The main event (company-plans-go-bye-bye) is coming right up.  

Thu, 12/26/2013 - 15:09 | 4277263 Oldwood
Oldwood's picture

You can only make something more "affordable" in two ways. One is to buy less of it and the other is to make someone else pay for it.

Thu, 12/26/2013 - 14:39 | 4277185 BullyBearish
BullyBearish's picture

G O V E R N M E N T .......  the dick corporate America uses to rape the Middle Class

Thu, 12/26/2013 - 14:55 | 4277236 the grateful un...
the grateful unemployed's picture

don't really know anything about it, but in the interest of figuring out how to game this thing, as a user, who has no health problems, you might be able to go directly to medicaid. in order to get medicaid you have to pay down your assets, but since you aren't going to really use the program nobody is going to look into your personal information, or process you for medicaid benefits. if you need the occasional trip to the walmart clinic for a sore throat,  pay cash. if you're young and healthy you could get away with this for years. non compliance is also an option, but that will raise all sorts of red flags. the medicaid people are going to be overwhelmed by the volume. you might also be able to shift some assets around. i am sure there are a lot of folks out there who have figured the work around position. i'm surprised there is no discussion about how to dodge this program legally.

Thu, 12/26/2013 - 15:18 | 4277280 americanspirit
americanspirit's picture

Checking the comments here nobody has yet commented on the "Patient Centered Outcomes Research Institute" that will get $2 for every ObamaCare policy issued. Maybe ZHers should check out the Institute's Board of Governors and their "Conflict of Interest" disclaimers. http://www.pcori.org/about-us/governance-and-leadership/leadership/board-of-governors/

Hogs at the trough.

Thu, 12/26/2013 - 15:22 | 4277293 TrustWho
TrustWho's picture

Just think where POTUS' approval ratings would be if The Fed did not have his back.

The fact wall street analyst have never analyzed ObamaCare's impact on disposable income is mind boggling to me. We can thank The Fed agains because real economy just does not matter NOW!

Fuch Bernanke!!!!!!!!!!!.....And soon the QuEene!!!!!

Thu, 12/26/2013 - 15:31 | 4277314 squid427
squid427's picture

"medical-device tax that will inflate the cost of items such as pacemakers, stents and prosthetic limbs."

Not just these items, all items used for any medical purpose, syringes, stitches, even wooden toungue depressers are considered a medical device and will be taxed. Also, any medical devices used for veteranary purposes are taxed at the same rate. They claim this was an "unintended consequence." Which is a term that I've heard more this year than anyother. Which made me think, it may have been unintended(I seriously doubt it) but I don't believe it was unknown. I think they knew this law would have all types of  negative consequences for we the plebles and didn't give a damn and stuck it to us any way. Every person who utters this term like it should absolve them from wrong doing should be stabbed in the tounge with a rusty screwdirver.

Thu, 12/26/2013 - 15:35 | 4277328 squid427
squid427's picture

@americanspirit

excellent point sir, thanks.

Thu, 12/26/2013 - 16:03 | 4277390 Fix It Again Timmy
Fix It Again Timmy's picture

Well, you have to eat one pound of an unknown substance to see if it will poison you....

Thu, 12/26/2013 - 16:39 | 4277517 Godisanhftbot
Godisanhftbot's picture

Wrong, Bitcoin= the biggest capital misallocation in 30 years.

Do NOT follow this link or you will be banned from the site!