Obama Slaps States That Don't Comply With Obamacare

So, conservative states refuse to run their own exchanges, passing the burden on to the fed gov't, and then they bitch that they'll be charged more. Well then I guess they should run their own exchanges. What's the problem? I thought they didn't need the fed gov't anyway.
 
What about the growing population of people who (in Bill O'Reilly's words) "want stuff"?

You don't think that's true?

No, I don't. I think what a growing number of demographics in the country want is a renewed relationship between them and their government. A relationship that can function in this century and (with any luck as we go forward) the next few after that.

A 'renewed relationship'?? Sounds like 'free stuff' to me...

Smart people want as little 'relationship' as possible with the Federal government.
 
So, conservative states refuse to run their own exchanges, passing the burden on to the fed gov't, and then they bitch that they'll be charged more. Well then I guess they should run their own exchanges. What's the problem? I thought they didn't need the fed gov't anyway.

The federal government, and more specifically, the democraps, created the problem requiring the exchanges, not to mention the added expense to the states forcing them to create an exchange. The states shouldn't have to be creating anything, but are being forced into it communist style, by the little shit bag commie we have in the black house now.

Obamacare will ultimately ruin America along with obama and his wild, uncontrolled tax and spend agenda, and it will happen in this term of obama. America is on the brink of disaster. I hope the obama voters are happy.
 
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So, conservative states refuse to run their own exchanges, passing the burden on to the fed gov't, and then they bitch that they'll be charged more. Well then I guess they should run their own exchanges. What's the problem? I thought they didn't need the fed gov't anyway.

You definition of "need" is when the government holds a gun to your head and says "buy this or else."
 
Here's my opt out plan
Quite work that pays by check
Work only for cash.
Fuck this government. I urge others if they can to do the same thing.
 
Here's my opt out plan
Quite work that pays by check
Work only for cash.
Fuck this government. I urge others if they can to do the same thing.

Many are already doing that. All over the country there are individuals engaging in little acts of rebellion on a daily basis.
 
Obama Slaps States That Don't Comply With Obamacare​


By: Sandy Fitzgerald and Martin Gould
01 Dec 2012


Residents of states that refuse to set up health insurance exchanges under Obamacare are set to be hit with higher premiums under new rules announced by the Health and Human Services Department.

Insurance companies will be charged 3.5 percent of any premiums they sell through the federal exchanges, the department announced Friday. And insurers are likely to pass that surcharge on to clients, leaading to higher premiums.

The only states to be affected are those that refuse to set up their own exchanges because of opposition to the Patient Protection and Affordable Care Act. They are almost certain to be those under Republican control. In those states, HHS will set up the exchanges. …


(Excerpt)

Read more:
Obama Slaps States That Refuse to Comply With Obamacare

What would happen if these states just ignore Obamacare altogether? You know, just like Obama ignores illegal immigration laws and passes Executive Orders that are in opposition to them?

Would he send in the troops like Lincoln?
 
Obama Slaps States That Don't Comply With Obamacare​


By: Sandy Fitzgerald and Martin Gould
01 Dec 2012


Residents of states that refuse to set up health insurance exchanges under Obamacare are set to be hit with higher premiums under new rules announced by the Health and Human Services Department.

Insurance companies will be charged 3.5 percent of any premiums they sell through the federal exchanges, the department announced Friday. And insurers are likely to pass that surcharge on to clients, leaading to higher premiums.

The only states to be affected are those that refuse to set up their own exchanges because of opposition to the Patient Protection and Affordable Care Act. They are almost certain to be those under Republican control. In those states, HHS will set up the exchanges. …


(Excerpt)

Read more:
Obama Slaps States That Refuse to Comply With Obamacare

What would happen if these states just ignore Obamacare altogether? You know, just like Obama ignores illegal immigration laws and passes Executive Orders that are in opposition to them?

Would he send in the troops like Lincoln?

I hope he does all the troops will do is refuse and march on the white house.
 
So....GOP led states (Like SC, that bitch gov we have here).....are going to pass power TO THE FEDS (despite their talking points of states power) and as a result we'll all get charged more by the private sector heroes who run insurance companies.

Great job GOP. And on again, you wonder why you lost.
Your insurance would be affordable if ObamaCare wasn't illegally pushed through Congress and made Law by a fucking traitor to the American way of life on the Supreme Court. Now, you're feeling the effects of the back side of ObamaCare where it says "whenever the HHS Secretary deems...". That's just one of many spur-of-the-moment regulations ObamaNation has in store for all of us. Our lives are about to become a living Hell and I hope Obama voters feel it doubly.
 
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What are the perks that the exchanges provide that will be unavailable on the free market

More transparency on health plan performance on quality indicators and enrollee satisfaction, access to national/out-of-state insurance plans, a variety of consumer assistance functions, public reporting on a number of things (including factors underlying premium increases), eligibility determinations for financial assistance and a calculator to determine what your actual costs are going to be, etc.

If you want a more complete picture of what an exchange is for and what it can do, read through this: Update: Health Insurance Exchanges – Health Reform GPS: Navigating the Implementation Process

One of the great challenges in buying health insurance has been a highly fragmented market. Individuals and group purchasers lack a reliable means for seeing their choices in one place and in a manner that allows them to compare what the plans cover, which providers are in various plans’ practice networks, how cost-sharing might differ, and how numerous competing plans might compare on key measures of quality performance. Nor has there been an active, consumer-oriented system for assuring that insurance plans that are offered in the individual and small group markets provide comparable coverage, cover the benefits that are considered essential to any health insurance plan, have accessible provider networks, and are accountable for specific measures of health care quality. State insurance departments play a different role in most states, overseeing health insurers’ solvency and marketing and business practices. But typically insurance departments do not, as part of their work, organize the health insurance market to make it accountable and user-friendly to individual and group consumers.

Health insurance exchanges are designed to help individuals and small employer groups be better positioned to purchase high quality health insurance by creating “organized markets”[1] that simplify the job of selecting and enrolling in coverage and securing performance information about available products. Health insurance exchanges have been a key element of numerous health reform proposals; indeed, the concept of an exchange lies at the core of systems that turn on the competitive selection of health insurance products in the individual and group markets.[2] Massachusetts’ Commonwealth Health Insurance Connector Authority, established as part of the state’s 2006 health reform legislation, is probably the best known example of a health insurance exchange.[3] The Medicare Part D prescription drug benefit also utilizes an exchange concept as the means by which beneficiaries select their prescription drug plans. At the same time, there are several issues that can derail the development and functionality of exchanges, including adverse selection, a low number of participants, over-complexity, transparency and disclosure, and competition, among other things.[4]

A health insurance exchange might carry out numerous functions: helping individual and group purchasers calculate and compare (e.g., individuals versus families; older versus younger individuals; small versus larger employer groups); providing information about the plans and negotiating prices; helping purchasers gain access to available subsidies; and assuring that premium payments to plans are adjusted to reflect the level of health risk among enrollees (a practice known as risk adjustment) in order to assure payment fairness depending on the specifics of their products. For example, health plans may differ on the level of pharmacy benefits covered or may offer provider networks that are broader or narrower. Health plans’ provider networks may also perform differently on key measures of health care quality. Depending on these variations, plans may attract sicker versus healthier populations.[5]

why are federal subsidies required if these exchanges are intended to be self-sustaining?

Self-sustaining in this context means each exchange's operational costs are not paid for out of federal appropriations. That means keeping the lights on, manning the phones, running the website, etc.

The federal subsidies are for the actual purchase of health insurance by low-to-middle income people buying coverage through the exchange.
 
Insurance Exchanges Are a Republican, free market Idea

Health insurance exchanges, is an idea formulated by conservatives and supported by Republican governors and legislators across the country for years. An exchange is as pro-market a mechanism as they come: free up buyers and sellers, standardize the products, add pricing transparency, and watch what happens. Market Economics 101.

Famous proponents include: Mitt Romney, Paul Ryan, the state of Utah, and the Heritage Foundation.
It's the 2700 page ACA minus 2699 pages.
 
Cash is the next thing to go.

ever heard of the barter system?

I'm sure they will outlaw that as well at some point.
They might try, but by that point, there will be wide spread rioting, looting, home invasions, killing, you name it, and about that time Revolutionary War II will start. That's the only thing that will EVER get us back on track to America as the founding fathers intended, and our constitution dictates.

See my sig...
 
What are the perks that the exchanges provide that will be unavailable on the free market

More transparency on health plan performance on quality indicators and enrollee satisfaction, access to national/out-of-state insurance plans, a variety of consumer assistance functions, public reporting on a number of things (including factors underlying premium increases), eligibility determinations for financial assistance and a calculator to determine what your actual costs are going to be, etc.

If you want a more complete picture of what an exchange is for and what it can do, read through this: Update: Health Insurance Exchanges – Health Reform GPS: Navigating the Implementation Process

One of the great challenges in buying health insurance has been a highly fragmented market. Individuals and group purchasers lack a reliable means for seeing their choices in one place and in a manner that allows them to compare what the plans cover, which providers are in various plans’ practice networks, how cost-sharing might differ, and how numerous competing plans might compare on key measures of quality performance. Nor has there been an active, consumer-oriented system for assuring that insurance plans that are offered in the individual and small group markets provide comparable coverage, cover the benefits that are considered essential to any health insurance plan, have accessible provider networks, and are accountable for specific measures of health care quality. State insurance departments play a different role in most states, overseeing health insurers’ solvency and marketing and business practices. But typically insurance departments do not, as part of their work, organize the health insurance market to make it accountable and user-friendly to individual and group consumers.

Health insurance exchanges are designed to help individuals and small employer groups be better positioned to purchase high quality health insurance by creating “organized markets”[1] that simplify the job of selecting and enrolling in coverage and securing performance information about available products. Health insurance exchanges have been a key element of numerous health reform proposals; indeed, the concept of an exchange lies at the core of systems that turn on the competitive selection of health insurance products in the individual and group markets.[2] Massachusetts’ Commonwealth Health Insurance Connector Authority, established as part of the state’s 2006 health reform legislation, is probably the best known example of a health insurance exchange.[3] The Medicare Part D prescription drug benefit also utilizes an exchange concept as the means by which beneficiaries select their prescription drug plans. At the same time, there are several issues that can derail the development and functionality of exchanges, including adverse selection, a low number of participants, over-complexity, transparency and disclosure, and competition, among other things.[4]

A health insurance exchange might carry out numerous functions: helping individual and group purchasers calculate and compare (e.g., individuals versus families; older versus younger individuals; small versus larger employer groups); providing information about the plans and negotiating prices; helping purchasers gain access to available subsidies; and assuring that premium payments to plans are adjusted to reflect the level of health risk among enrollees (a practice known as risk adjustment) in order to assure payment fairness depending on the specifics of their products. For example, health plans may differ on the level of pharmacy benefits covered or may offer provider networks that are broader or narrower. Health plans’ provider networks may also perform differently on key measures of health care quality. Depending on these variations, plans may attract sicker versus healthier populations.[5]

why are federal subsidies required if these exchanges are intended to be self-sustaining?

Self-sustaining in this context means each exchange's operational costs are not paid for out of federal appropriations. That means keeping the lights on, manning the phones, running the website, etc.

The federal subsidies are for the actual purchase of health insurance by low-to-middle income people buying coverage through the exchange.

Yes, they will be paid by someone else, which means the costs are passed on to states. So the lights will remain on in Washington and on federal installations but the rest of the country will be struggling to keep their heads above water.

Most of the states are already cash-strapped and as a result they will have to raise taxes or raise insurance premiums to pay for it. The money has to come from somewhere. It's a trickle down approach, and unnecessary expense that Obama is passing off to us. When we get clobbered with it we can't blame his lying ass because the costs won't come directly from him.
 

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