One of the changes the Paul Ryan proposes in his replacement of the ACA is to change the assistance model from direct subsidies to the cost of insurance to refundable tax credits (a receivable) the insured in essence
factors to the insurer. What has Ryan outlined in his proposal? Here's what Ryan has said:
- Under the Patients’ Choice Ace, if an individual selects a high‐deductible health insurance plan that is cheaper than the value of the credit, they can keep the difference in their Health Savings Account.
- Under the Patients’ Choice Act, all Americans would receive a tax credit – over $5,700 for families – which can only be used to pay for health insurance or medical expenses. Individuals and families will be able to use any overages to pay for preventive care, which can be rolled over at the end of the year.
- Individuals are able to use their tax credit to purchase insurance that is offered outside [their state's] exchange, so long as the plan is licensed in the state.
- Individuals could choose to select a plan and write the check themselves, or, the tax credit can be “automatically” designated [factored] to a high deductible private plan if the covered individual does not opt out. The tax credits cannot be used to purchase anything other than health insurance, or pay for medical and preventative services. Individuals and the market would quickly catch on.
- The tax credit they will receive will cover the premiums for employer-provided health benefits they currently receive, as well as the marginal tax liability on the cost of health insurance provided by the employers which will be counted as wages.
- Every American will have a tax credit to purchase a health insurance policy which meets their needs. Families will have a tax credit worth over $5,700, and individuals will have a tax credit worth about $2,300.
Thread/discussion questions:
Assuming Paul Ryan's health insurance tax credit ideas be what Congress implements:
- Of the following choices, on whom do you prefer to the incidence of the tax credit land? Why?
- Health Insurance Providers
- Health Insurance Buyers
- Do you think the tax credit should be revenue neutral? Why or why not?
- Yes
- No -- Discuss what you want instead of revenue neutrality.
- What will be your opinion of the GOP's replacement for O-care if what you prefer is not how it turns out once O-care's replacement is implemented?
Just a few questions and thoughts that come to mind when contemplating about this plan...
Giving 310,000,000 (as in 310 million) Americans $2300 in a tax credit, would cost over $700 BILLION dollars a year....that's our entire Defense Budget!
(Now of course all 310 million wouldn't get the $2300, we've got seniors on Medicare, and poor people on Medicaid, poor children on CHIP so maybe it could be cut in half, but that is still over $350 BILLION a year)
so basically I am wondering how they can afford this and what does O=care cost us now?
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I also wonder, how this plan is anything other than one big government interference with the so called free market?
-It just seems to actually make the situation worse, it is our government being involved with a PAYMENT for every single insurance plan or medical expense that just goes in to the insurance provider's pocket, making it easier for the providers and/or care providers like hospitals and doctors, to just keep raising prices...
HOW is this truly better than the government with subsidies only affecting 20 million people in the market place vs. all the people "in the market place"?
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Also, how does this plan truly help the people on the exchange in states with very very very high Insurance costs, the $12.3 k a year policies....? $2300 a year, will still make them have to pay $10k a year per person in healthcare insurance premium costs, let alone deductibles etc added, when they only gross $28k/ net...probably $23k... a year?
This plan seems to be BUYING VOTES, it's not means tested that I noticed? So someone making $200 an HOUR and near all of their health care insurance costs paid for by their employer... would be getting the $2300 a year credit, with the guy who earns $15 an hour also getting only the $2300 to help him pay a portion of his total costs....
just does not help the poorest truly be able to afford health care, while the richest gets to pocket $2300 a year in their HSA's.... am I right on this? IS this simply a gift to those who already can afford health care, for votes or some sort of favoritism payoff?
OR another payoff to insurance companies?
so many more questions come to mind....but this is getting too long already!
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