william the wie
Gold Member
- Nov 18, 2009
- 16,667
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I have a thread in the clean debate zone whose thesis is that the ACA has become a tarbaby. That I agree with, at this point blaming a meteor strike on the ACA would probably gain some measurable level of traction among voters. But not all economic bad news even about healthcare is necessarily connected to ACA. Reforming, replacing or repealing ACA will not address problems that have little or nothing to do with the ACA. So here are some of the problems that can be properly attributed to ACA:
Gaining the bad effects of a European labor market by ACA running up labor expenses at the margin:
Slow hiring and fast firing is becoming more profitable.
Fewer people will buy insurance because of reduced wages.
Adverse selection:
The current sticker shock problem will get worse on or about May 15 the normative date for applying for premium increases from state insurance commissioners. (States can and probably do vary on such dating but that is the date I got from Antares an insurance broker who posts on this board.)
Incentives for only the sickest and poorest to use exchange insurance:
Only exchange policies can offer medicaid subsidies.
The exchange approved formularies do not necessarily offer reimbursement for the maintenance drugs required by those with pre-existing conditions.
Federal Medicaid subsidies are a lien against the estate of the insured. State medicaid payments can be and sometimes are treated as a non-recourse loan.
Many areas of the country have one or no exchange insurance options making non-exchange carriers highly attractive.
1) Did I miss any legit problems with ACA?
The old insurance system is gone and it will not magically reappear.
When the China driven real estate bubble pops it will have effects in the US. This is not being caused by the ACA.
The collapse of emerging market currencies is not being caused by the ACA.
The EU's growing problems such as its utility companies increasingly being rated as speculative are not related to the ACA.
2) are there other economic problems unrelated to the ACA whose effects will be attributed to the ACA as 2 of the above 3 already have?
Gaining the bad effects of a European labor market by ACA running up labor expenses at the margin:
Slow hiring and fast firing is becoming more profitable.
Fewer people will buy insurance because of reduced wages.
Adverse selection:
The current sticker shock problem will get worse on or about May 15 the normative date for applying for premium increases from state insurance commissioners. (States can and probably do vary on such dating but that is the date I got from Antares an insurance broker who posts on this board.)
Incentives for only the sickest and poorest to use exchange insurance:
Only exchange policies can offer medicaid subsidies.
The exchange approved formularies do not necessarily offer reimbursement for the maintenance drugs required by those with pre-existing conditions.
Federal Medicaid subsidies are a lien against the estate of the insured. State medicaid payments can be and sometimes are treated as a non-recourse loan.
Many areas of the country have one or no exchange insurance options making non-exchange carriers highly attractive.
1) Did I miss any legit problems with ACA?
The old insurance system is gone and it will not magically reappear.
When the China driven real estate bubble pops it will have effects in the US. This is not being caused by the ACA.
The collapse of emerging market currencies is not being caused by the ACA.
The EU's growing problems such as its utility companies increasingly being rated as speculative are not related to the ACA.
2) are there other economic problems unrelated to the ACA whose effects will be attributed to the ACA as 2 of the above 3 already have?