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In the discussion thread: When does ACA become a "failure"? [View all]

Response to sendero (Reply #2)

Thu Mar 13, 2014, 10:49 AM

6. Most sensible appraisal I have seen here

Two opposing sides, one calls it an unmitigated disaster, they other calls it a unparalleled success. It has to be somewhere in the middle. I can say from my experience from doing HBE applications, I'm a medicaid caseworker, that it is somewhere in between. Like you said, I think some assumptions were made that are not bearing true and other miscalculations. One in particular that both co-workers and clients agree with is there was is a conflation that wanting health care equates to having the ability to pay for it, even when payment assistance is available. I have had some clients who were over the limit for expanded medicaid yet were approved for a tax credit who declined to enroll in a plan because they couldn't even afford a bronze plan after subsidies were applied. I also do SNAP, and many of the families in my caseload do not have an extra dime to spare. In the plus side, medicaid expansion in my state has made it possible for many people to get coverage who previously were not eligible.

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Proud Liberal Dem Mar 2014 OP
frazzled Mar 2014 #1
Proud Liberal Dem Mar 2014 #5
frazzled Mar 2014 #7
Proud Liberal Dem Mar 2014 #14
joeglow3 Mar 2014 #10
functioning_cog Mar 2014 #27
sendero Mar 2014 #2
LineLineReply Most sensible appraisal I have seen here
Puzzledtraveller Mar 2014 #6
Proud Liberal Dem Mar 2014 #15
riversedge Mar 2014 #3
Proud Liberal Dem Mar 2014 #4
unblock Mar 2014 #31
rgbecker Mar 2014 #8
functioning_cog Mar 2014 #24
Romulox Mar 2014 #9
functioning_cog Mar 2014 #23
Romulox Mar 2014 #30
functioning_cog Mar 2014 #32
Romulox Mar 2014 #33
functioning_cog Mar 2014 #35
Fumesucker Mar 2014 #11
PasadenaTrudy Mar 2014 #12
functioning_cog Mar 2014 #21
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Jesus Malverde Mar 2014 #13
functioning_cog Mar 2014 #20
1000words Mar 2014 #16
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1000words Mar 2014 #22
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Arkana Mar 2014 #17
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HereSince1628 Mar 2014 #25
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pnwmom Mar 2014 #36
HereSince1628 Mar 2014 #38
pnwmom Mar 2014 #39
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snooper2 Mar 2014 #37
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