Who will lose out when ACA health insurance subsidies expire?

"Some 22 million Americans are set to lose health insurance subsidies by the end of the year. Who are they, and what will happen if the subsidies are allowed to expire?

These subsidies, known as enhanced premium tax credits, lower costs for people who buy their health insurance through Affordable Care Act (ACA) marketplaces (sometimes called Obamacare). They are at the heart of a weeks-long standoff that has shuttered the federal government since Oct. 1. About 80 percent of the people who benefit from them live in states that Donald Trump won in the 2024 presidential election. Many have no idea that their health insurance costs are on track to go up.

Who benefits from the tax credit?

Almost everyone who got their health insurance through an ACA marketplace in 2025 received the enhanced premium tax credit, so describing the people who have ACA plans is a good way to get a sense of the people who get the credit."


Trump/Republican voters lose, as usual.

The stupidity of voting for Trump and Republicans.

The stupidity of voting against one’s own interests.
Why should a temporary extra credit due to the Covid-19 plandemic continue?
 
Too late for that now. 44m people are on the ACA. The ACA seems to be working with the $35b subsidy.

Do Republicans want to win in 2026 and 2028, or lose?

Better to fund the $35b subsidy with DOGS savings and claw-backs of democrat slush funds, make a few tweaks, like Rand Paul suggests, by letting people buy anywhere, such as Costco or Walmart, maybe deduct premiums from welfare, or other tweaks, and rename it TRUMPCARE, then win in 2026 and 2028.
See that doesn't fly with me, no one is subsidizing my health insurance. Let them go back to paying full price under the original aca, then point out why their insurance is so much. It is still a give away to those who refuse to work.
 
One of my brothers is self employed and uses the ACA marketplace for his family. He is currently paying about $23K a year for family insurance. He is really looking forward to it going up.
I am looking forward to a little less money out of my pocket and into the pockets of the insurance companies in order to pay for your brother's boss-free lifestyle.

I love the entrepreneurial spirit.

Expecting government to pay your way so you don't have to have a job is the exact opposite of the entrepreneurial spirit.
 
See that doesn't fly with me, no one is subsidizing my health insurance. Let them go back to paying full price under the original aca, then point out why their insurance is so much. It is still a give away to those who refuse to work.

So you pay the full premium for your health insurance? (Maybe self-employed and don't use the ACA marketplace?).

Or

Do you have employer provided health insurance and the employer is subsidizing it (normally about 80% of the total premium).

WW
 
So you pay the full premium for your health insurance? (Maybe self-employed and don't use the ACA marketplace?).

Or

Do you have employer provided health insurance and the employer is subsidizing it (normally about 80% of the total premium).

WW
That is called a benefit of working!
 
So you pay the full premium for your health insurance? (Maybe self-employed and don't use the ACA marketplace?).

Or

Do you have employer provided health insurance and the employer is subsidizing it (normally about 80% of the total premium).

WW
Subsidized health insurance from an employer is part of the compensation package. Workers EARN that subsidy.
 
I'm not seeing the financial link between "unrecoverable hospital costs for illegals" and my insurance company or Medicaid?
Or are you saying that hospitals would just raise prices for care for everyone to cover those costs?
That's what happens. I had an ER visit for a kidney stone. They couldn't run my insurance card at the time, so when I got the bill, it was somewhere around $9,000 for the total visit, but since they couldn't link up with my insurance company, they dropped it to $2,000. When I got them to resubmit the claim, my deductible had been met so I didn't owe anything, but my insurance company was charged the full amount.

Seriously, check a hospital bill. There is no hard and fast charge for anything. If you have insurance, the bill is sky high because they know you won't be paying it yourself. If you don't have insurance, the bill is still too high, but it's a lot lower because they know they won't be able to collect a whole lot from you.
 
See that doesn't fly with me, no one is subsidizing my health insurance. Let them go back to paying full price under the original aca, then point out why their insurance is so much. It is still a give away to those who refuse to work.
I don't see it that way. 20m people are now paying for health insurance, we need to keep them paying instead of putting them in the uninsured category. They are working, mostly small businesses or self-employed.
 
That's what happens. I had an ER visit for a kidney stone. They couldn't run my insurance card at the time, so when I got the bill, it was somewhere around $9,000 for the total visit, but since they couldn't link up with my insurance company, they dropped it to $2,000. When I got them to resubmit the claim, my deductible had been met so I didn't owe anything, but my insurance company was charged the full amount.

Seriously, check a hospital bill. There is no hard and fast charge for anything. If you have insurance, the bill is sky high because they know you won't be paying it yourself. If you don't have insurance, the bill is still too high, but it's a lot lower because they know they won't be able to collect a whole lot from you.
Yup. Providers have different prices for “insured patients” and “non-insured patients” - often just called the cash price. When I was forced onto Obamacare, with the ridiculous deductible, I often just told them I was uninsured. The price was then affordable.

A solution should be that - instead of Obamacare - the government gives out $1000 a year to each person to cover routine matters, like a doctor’s check for a sore throat or a urine test for an infection - and insurance companies are not allowed to cover these. Watch the prices plummet.

There was a reason my LASIK eye surgery only cost $3,000
It wasn’t covered under insurance. If it had been, it would have been a $15,000 procedure.
 
I don't see it that way. 20m people are now paying for health insurance, we need to keep them paying instead of putting them in the uninsured category. They are working, mostly small businesses or self-employed.
OR….we can limit what insurance covers. The prices of insurance plans will drop. Let people pay for small, routine matters themselves.

I once had a little raised spot cauterized - took the doctor 3 seconds to look at it, 30 seconds to explain it to me, and 5 seconds to burn it off. (It was a little nothing but it bugged me.) It was considered medical, so it was covered by insurance.

I saw what the doctor charged the insurance: $600

That type of thing should be $100, paid in cash.
 
Yup. Providers have different prices for “insured patients” and “non-insured patients” - often just called the cash price. When I was forced onto Obamacare, with the ridiculous deductible, I often just told them I was uninsured. The price was then affordable.

A solution should be that - instead of Obamacare - the government gives out $1000 a year to each person to cover routine matters, like a doctor’s check for a sore throat or a urine test for an infection - and insurance companies are not allowed to cover these. Watch the prices plummet.

There was a reason my LASIK eye surgery only cost $3,000
It wasn’t covered under insurance. If it had been, it would have been a $15,000 procedure.
My father was a family doctor and had to employ a fulltime employee just to deal with insurance companies and my wife now is a liaison between doctor's offices and, you guessed it, insurance companies. I've often said that doctors would gladly take a cash deal to provide annual checkups (including blood work) for a very reasonable fee, allowing for catastrophic coverage at a much lower cost.
 
15th post

"Who will lose out when ACA health insurance subsidies expire?"


People who don't join the military.
 
The stupidity of voting for Trump and Republicans.

The stupidity of voting against one’s own interests.
So voting for Biden filling up the country with unvetted illegal aliens, many of them violent criminals, is voting FOR one’s own interests ? :omg:

So voting for Biden messing up the country with 100-200% inflation in housing rents, food, & gas prices is voting FOR one’s own interests ? o_O
 
I'm not seeing the financial link between "unrecoverable hospital costs for illegals" and my insurance company or Medicaid?
Or are you saying that hospitals would just raise prices for care for everyone to cover those costs?
EMSA funding in New Mexico comes from two main sources:
state funding through the New Mexico Health Care Authority (HCA) for emergency medical services for non-citizens, and a combination of state and federal funding through the state's Emergency Medical Services Fund Act to support local emergency services.

In states like Oklahoma they also attach fees to your utility bills to help fund these programs.

As Medicaid is concerned. They only reimburse a very small dollar amount of ER charges. The remainder is left for the hospitals to eat.
 
Despite restrictions on eligibility for most federal benefits, undocumented immigrants can receive certain services that are funded by U.S. taxpayers. These services typically fall into a few specific categories:

  • Emergency medical care: Federal law requires that emergency services be provided to all people, regardless of immigration status. Medicaid programs offer limited reimbursement to health care providers for treating certain emergency conditions in people who do not have a qualifying immigration status. Some states also offer expanded emergency medical services.
  • States also receive federal grants that fund NGO’s that use that money to fund medical care for illegal imigrants.
 

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