General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsNY Times: Many See I.R.S. Fines as More Affordable Than Insurance
http://www.nytimes.com/2016/01/04/us/many-see-irs-fines-as-more-affordable-than-insurance.html?hp&action=click&pgtype=Homepage&clickSource=story-heading&module=first-column-region&_r=0snip
WASHINGTON Clint Murphy let the deadline for getting health insurance by the new year pass without a second thought.
Mr. Murphy, an engineer in Sulphur Springs, Tex., estimates that under the Affordable Care Act, he will face a fine of $1,800 for going uninsured in 2016. But in his view, paying that penalty is worth it if he can avoid buying an insurance policy that costs $2,900 or more. All he has to do is stay healthy.
I dont see the logic behind that, and Im just not going to do it, said Mr. Murphy, 45, who became uninsured in April after leaving a job with health benefits to pursue contract work. The fine is still going to be cheaper.
snip
Really, who can be surprised with this clusterf**k when it was the brainchild of conservative Republicans.
Travis_0004
(5,417 posts)Dont pay your water bill for 3 months.
They send you a shutoff notice, which can be used to avoud the fine.
Less than 10 dollars in late fees to avoid an 1800 fine
taught_me_patience
(5,477 posts)When this uninsured tool gets hurt, we all pay for it.
Travis_0004
(5,417 posts)Im just telling you what it says.
dixiegrrrrl
(60,010 posts)whatthehey
(3,660 posts)Who else do you think pays for their care? There's a reason a band-aid costs $8 from a hospital and yet their net margins are very low. Hospitals have huge costs passed on to insurers and the insured.
Freeloaders are a chunk of that.
dixiegrrrrl
(60,010 posts)I am not familiar with the ins and outs of the fines.
whatthehey
(3,660 posts)Who pays? The people who did the right thing.
That's why I'm fine with no relief lifetime bankruptcy and garnishment for people who VOLUNTARILY* go without insurance.
*did you read and understand the word in majuscules before getting poutraged?
LiberalElite
(14,691 posts)are more "poutraged" than I am. Health care is still not provided for all. That is a shame in a very rich First World country. It's wrong. Outraged, yes. "Poutraged" no.
whatthehey
(3,660 posts)TM99
(8,352 posts)sites are over there.
You might find that you fit in better there.
So my SO who makes just enough to not qualify for any rate reductions including getting on Medicaid made the choice to accept the penalty. She would have paid a thousand plus a month for a Bronze plan that had such high deductibles that given her income are ludicrous.
Instead she pays the fine and then pays out of pocket for services, vaccinations, etc. at Planned Parenthood and the SWNM center here with student NMD's.
Is she a 'selfish fuckstain'? So she should have no relief lifetime bankruptcy and garnishment?
You know I would love to see you offline come say that shit to her face. You know why? Because she would knock your sorry selfish libertarian ass in to next week.
CTyankee
(63,912 posts)good luck with that, Clint. Be careful driving, buddy...
Yupster
(14,308 posts)Since there are no preconditions, he can sign up for insurance as soon as he finds out he needs it.
BlueCheese
(2,522 posts)Yupster
(14,308 posts)I don't know how long the list of life changing events is, or if it is ever checked.
taught_me_patience
(5,477 posts)He would essentially be paying 900 for insurance. This guy is an idiot of the highest order. Thankfully most are not like him. As the fines ratchet up, most will join the exchange.
Texasgal
(17,045 posts)people that cannot afford the 900.00 for the insurance.
NJCher
(35,669 posts)No, he would be essentially paying 900 for the right to pay another 2-2500 for the deductible, and then, just maybe, if he had any more medical needs that year, use the policy. Oh, and let's not forget that in many cases, even with the subsidy, a person has to pay $160+ each month for the policy. And even after that, there are, in some instances, co-pays!
I figured it out when ACA first came out and thought I must be crazy or that I misunderstood it. Another friend of mine, a lawyer, read his options over carefully and came to the same conclusion that I came to.
But oh no, not at DU. Everyone was raving about how wonderful ACA was. I really could not understand the disconnect.
Fortunately, I lucked into a way to get a reasonable policy through another source. My lawyer friend got a job for NY State that pays his insurance. We're both OK, but no thanks to the ACA.
Cher
antigop
(12,778 posts)tazkcmo
(7,300 posts)Now, try using that insurance.
2naSalit
(86,610 posts)I can't afford the premiums... which if I am to pay the fine, it would be essentially the same as one month of the premium for the cheapest plan available. The premium for the cheapest plan I can get is 15% greater than my monthly living expenses and being unemployed for up to 6 months a year, since there is usually only work in the summer, would mean that I can have health ins. as long as I become homeless and don't eat or anything... including maintain interweb connection to look for work.
For those not impoverished constantly, you have no idea what choices we working poor have, insurance or food, shelter and bare necessities... hell of a choice just to keep the self righteous from getting all in a tizzy about how we have to survive. I had to have medical attention a couple months ago, I paid out of pocket so... who paid for my medical needs? I did, without insurance which would have cost a minimum of 6 times what I paid out of pocket.
dixiegrrrrl
(60,010 posts)Not only were people forced to buy health insurance, they were forced to buy it from a monopoly insurance system.
The insurance companies that drew up the legislation made sure there was little choice in providers, so they could rake in most of the forced premiums.
THEN they raised the premiums to ridiculous levels this year.
Before we were eligible for Medicare, we had no insurance.
But we DID have a medical emergency kitty, which we had funded for several years via monthly deposits, just as we fund our annual house insurance each month.
This was very do-able given our location and income.
However, right after the Health Act passed, our doctor raised the cost of an office visit from 50.00 to 78.00 and a few months later to 100.00.
Because private insurance would pay that amount.
NJCher
(35,669 posts)I know a healthy person who chose to chance it and went without health insurance for around 20 years. This person just qualified for Medicare, having turned 65. Prior to getting Medicare, the most he ever spent for medical bills in one year was around $1000.
Here's what he told me: he figured out what he would have paid in for health insurance for that 20 years, as he regularly priced out policies. It would have cost him $248,400.
So that is $248,400 that went into savings and investments, and because he invested it instead of spending it on health insurance, he will now have quite a bit more than the $248,400 for his retirement. I know he did spend some of it on a long-term care insurance policy, which will at least insure he has care in his old age.
One thing that has to be factored into this situation is that in NJ, the hospitals can't turn you away, as is the case in the rest of the states. NJ is the only state in the union that says they have to give you care. The program in NJ is called "charity care" and I don't know much more than that about it. Public radio did a show on it, and that's how I learned it's the only state in the union with this type of program.
So you can call a person like this a scumbag for not paying into the system and raising everyone's rates, but on the other hand, is he really? He took a chance and used the money for his possible needs in old age. Had he not done that, the state might have to take care of his long-term care needs.
Cher
Cal Carpenter
(4,959 posts)or that particular guy but the fact is there are a large number of people who, despite the abstract calculations of income percentages and theoretical-scenarios.gov still cannot afford the premiums, even with the subsidies.
Characterizing all these people as 'hold-outs' who would rather pay a fine than be forced to buy insurance is fucking insidious, turning it into a victim-blaming partisan pile of steaming shit rather than a real analysis of "is this working? and if not, how can we fix it?". Instead we get to blame individuals rather than the systemic failure of our for-profit, insurance based health industry which costs more per capita than any of our peers' systems with horrifyingly worse results like infant mortality rates.
There are also tons of people who cannot afford to USE the insurance even if the subsidies make the premiums manageable. So while they are counted as a success story (Yay Sign-Ups!) they aren't getting improved health outcomes at the end of the day.
eta: OP, this rant is not directed at you, rather at the angle of the NYT coverage and the common refrain of reactions...
closeupready
(29,503 posts)the idea of health care as a privilege for the deserving, which is what the subtext of this story is, IMO.
Vinca
(50,271 posts)Even before the ACA was passed, I never ever considered going without health insurance. At least a catastrophic policy is better than nothing at all. A true medical emergency can end up costing over $1 million, easy.
csziggy
(34,136 posts)I had a horse snatch my left arm and my shoulder was not functional with lots of pain. I paid (with help from my parents) to get it fixed. Over $25,000 out of pocket and I know that the doctors, the surgical facility and everyone involved gave me a big break since I didn't have insurance. Even so I had to scrape up the money ahead of time, for the MRI, the surgeon, the anesthesiologist, the outpatient surgery center, the nurses, the physical therapists, etc.
Today that repair would probably cost ten times as much.
In 2001 my husband got a job off the farm in order to get health insurance for both of us - we were both considered uninsurable by the companies. His insurance paid for two knee operations, another shoulder operation (on the other shoulder), hysterectomy, and two knee replacements for me, plus a foot operation for him. The total for those operations would be close to $750,000 if not more. No way we could have paid for them so we'd be disabled and suffering. We sacrificed our business so that we could have health insurance since I could not run the farm without my husband's help.
If the guy mentioned in the article linked in the OP gets sick or injured - or at 45 his body starts wearing out - he'd better have the bucks in the bank to pay for his care because I don't want the taxpayers to have to cover his ass.
Vinca
(50,271 posts)for several years prior to Obamacare and the pre-existing condition pool. I finally got long overdue surgery I couldn't previously afford and got my life back. This guy could be in for a rude awakening.
csziggy
(34,136 posts)Unless he plans to die young - and quickly - he is going to need that health insurance long before he is eligible for Medicare. Just getting regular preventative care, checkups and lab tests will cost him the difference between the premiums and the penalty.
One year my doctor was not covered under the health insurance provided by my husband's employer provided insurance. My yearly checkup cost me close to $600 with the last tests. Add to that vaccinations for flu and for shingles and I paid a lot for care that the ACA policies now provide for free.
KG
(28,751 posts)Gidney N Cloyd
(19,835 posts)Bill USA
(6,436 posts)without the help of the society in which they live .. in accordance with their wishes - should they show up at a hospital emergency room needing care - the hospitals will know, according tothe law, that the hospital will not be receiving Disproportionate Hospital Share payments from the Government for bills not paid by those declining to get Obamacare.
They want to go it alone, then they will have to pay cash up-front for medical care - or they will be wheeled out to the parking lot.
geek tragedy
(68,868 posts)What happens if that doesn't work?