Politics and Money

[lesgetrich]

Your 50,000 people will die is BS!

Only in your republican dreams. What do you think happens when people can't afford to go to a doctor or pay for their prescriptions. I guess they just have to pray and god will heal, right?

Again from Wikipedia...

Health outcomes

Insurance coverage helps save lives, by encouraging early detection and prevention of dangerous medical conditions. According to a 2014 study, the ACA likely prevented an estimated 50,000 preventable patient deaths from 2010 to 2013.[232] City University public health professors David Himmelstein and Steffie Woolhandler wrote in January 2017 that a rollback of the ACA's Medicaid expansion alone would cause an estimated 43,956 deaths annually.[233]

43,956 deaths annually! That's a pretty specific number. What studies do you have that prove otherwise? That's a hell of a lot more americans than die in terrorist attacks, yet how many billions are you willing to invest in that?

And Obamacare will have less than 10M subscribers by the end of the year leaving millions without insurance.

I can't believe you're making this argument when GOPcare is about to make insurance too costly for 23 million people who are currently insured. SMHLMAO

Here are the facts...

The CBO reported in March 2017 that the healthcare exchanges were expected to be stable; i.e., they were not in a "death spiral."[458]

As for...

By slowly transferring Medicaid responsibilities to the states, they will be responsible for investigating and eliminating fraud.
When the feds (all of us) pay for it, states don't care who they sign up, but if they have to pay, they will review applications more carefully.

States will hardly be able to afford their new GOPcare Medicaid payments. How do you expect them to fund fraud enforcement???

You have a fundamental misunderstanding of how insurance works. Your assets have nothing to do with it. If you made $100,000 in 2016 but lost your job or retired (under age 65 - medicare age) on January 1, 2017, you qualify for an Obamacare subsidy if you have no income in 2017. IT'S AN INSURANCE PROGRAM!!! One of the defining principles of insurance is to keep you whole when you suffer a loss. Someone who made $100,000 last year shouldn't suffer a loss of income to a high insurance premium now that they lost their job and insurance coverage.

Under Obamacare, if we take this example, the subsidy is determined by how much you expect to make for the coming year. It is paid directly to the insurance company to reduce your monthly premium. The income is verified and reconciled when that person files their 2017 tax return just like exemptions are reconciled. How many exemptions did you declare for your 2017 income to cover your mortgage payments? If you declare too many, you owe the IRS at the end of the year. If not enough, you owe the IRS more money. The same thing happens on your Obamacare subsidy when you underestimate or overestimate your 2017 income.

I've been selling ACA policies since the program started in 2012. Income for the upcoming year is always an estimate. Many people work on commissions so it's impossible to determine exactly what their income will be. Other people lose, gain or change employment during the year. Last year's income is verified against tax records but only to check for anomalies (e.g. someone with $1 million income in 2017 declares zero income in 2017). Fraud is caught after the fact when your tax return is checked against your previous year's estimated income. Fraud and abuse enforcement is largely the responsibility of the IRS.