Just to Clarify about the Economics of Healthcare Costs as Related to Subsidized Insurance

Seymour Flops

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There seems to be a lot of confusion on this board about it.

Government subsidies for insurnce premiums do not reduce the cost of insurance and do nothing at all about how expensive medical treatment is. The subsidies merely shift who pays for the insurance.

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Here are six reasons Congress should not extend the inflated pandemic insurance subsidies:

Costs almost half a trillion dollars. The Congressional Budget Office recently estimated that permanently extending the COVID-19 subsidies would increase the deficit by $350 billion over ten years, plus another roughly $60 billion in additional interest costs to finance the spending. Total spending, a better measure of the size of government, would increase by more than $488 billion.

Sarah Wagoner at the Economic Policy Innovation Center notes that this extra cost is more than Congress spends on many federal agencies, such as the National Aeronautics and Space Administration (NASA) or the Environmental Protection Agency (EPA).


So, a person who insists he or she needs a subsidy is not demanding lower insurance premiums; he or she is demanding that other people pay for their premiums.

Now mind you: Subsidies can and do affect the amount an insurance company is able to charge for premiums. They cannot charge more than people can afford and still keep its customer base. But it can raise its prices in response to subsidies that will make the new higher prices "affordable."

If an average family of five could barely afford $6,000 per year ($500 per month) for health insurance, then if the insurance company decided to tripple its prices, it would be cutting its own throat, because they would lose most of their customers. Only the wealthiest and the sickest would remain. Unless it did so after a subsidy was enacted.

That is why you did not notice a drop in your premium payments when the COVID temporary subsidies were enacted. The insurance companies simply raised their rates to match the subsidy. Therefore the moneys for the subsidies ended up in the pockets of health insurance providers, who are also major campaign fund providers for the lawmakers who enacted the subsidy.

What if the process is reversed, i.e. subsidies taken away, as the Democrats provided for by making the COVID subsidies temporary? Will the insurance companies keep their premiums trippled up, knowing that their customers will not be able to afford it with only the previously existing "Affordable" Care Act subsidies?

I suppose they might, hoping people will find the money somehow. But if they do, competitors are sure to arise, who will offer policies that the people can afford. How fast depends on how fast any regulatory red tape can be navigated.

Yes, this process will put many people on a financial roller coaster before it settles into market-controlled equilibrium. But that is what you accept once you seek funding for your healthcare through a political process rather than a voluntary exchange process.
 
From the same link above:

Subsidizes insurance companies, not patients. Unlike other tax credits that individuals claim on their tax returns at the end of the year, most premium tax credits are paid in advance, directly to insurance companies, to lower the monthly premium bill. These direct subsidies allow the insurance industry to shift the vast majority of rising premiums onto taxpayers. Paragon Health Institute notes that these subsidies have been largely incorporated into insurance company profits. Since the premium subsidies were created in the Affordable Care Act, along with other industry-favorable spending increases, health insurer stock prices have increased more than 1,000 percent (compared with 251 percent growth for the S&P 500).

I was unaware that this money was just being given to insurance companies. No wonder their stock went up so much. Industry insiders who anticipated that skyrocking stock value must be even richer than before.

Dems and "not Dems," I hope they appreciate you!
 
In constant dollars,

2020 average unsubsidized benchmark premium: $569
2025 average unsubsidized benchmark premium: $497

A 13% drop in real dollars. 🤔
 
In constant dollars,

2020 average unsubsidized benchmark premium: $569
2025 average unsubsidized benchmark premium: $497

A 13% drop in real dollars. 🤔
Then subsidies are definitely not needed!
 
You must be pretty out of touch with the average American.
I actually only out of touch with your point, here.

I'm a teacher, so I'm not one of the dreaded Billionaires.

I don't even know what point your making with that data, nor where you got it so I can verify it was real even if you did make your point clear.

On a teacher's salary, I paid just over four hundred a month for health insurance and my district contributed also, when it was me, my wife and my kids.

So are you figures supposed to be unmanageably high for an average American?

Most Americans work for a living, if you are not aware. We aren't all members of the permanent dependency class, or college students lamenting that we got kicked off our parent's policies when were had almost earned an associates degree after eight years.
 
I actually only out of touch with your point, here.

I'm a teacher, so I'm not one of the dreaded Billionaires.

I don't even know what point your making with that data, nor where you got it so I can verify it was real even if you did make your point clear.

Real premiums have been dropping for years as the enhanced tax credits have drawn healthier buyers into the risk pools. So you're incorrect, the subsidies have lowered average costs. For the same reason, the GOP refusing to extend them has pushed up premiums for next year as insurers anticipate deterioration of the risk pool.
 
Real premiums have been dropping for years as the enhanced tax credits have drawn healthier buyers into the risk pools. So you're incorrect, the subsidies have lowered average costs. For the same reason, the GOP refusing to extend them has pushed up premiums for next year as insurers anticipate deterioration of the risk pool.
I've heard that theory about the healthier buyers, but never seen a single bit of evidence that it happened that way.

But I agree that was the intent: to force healthy people to buy expensive plans they did not need, so that unhealthy people would be able to buy them at the same expensive, but less expensive than otherwise, rates.

You are the first "Democrat" or "not Democrat" on here to admit that what Jonathan Gruber, the architect of Obamacare, said in a hot mic moment was spot on. Obamacare is a scheme to force the healthy to pay for the sick and that this aspect was easily hidden due to the stupidity of the American voter.

Meanwhile, I assume you do not think subsidies are needed, since those were "unsubsidized" rates?
 
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