T**********e 发帖数: 29576 | 1 那个私人保险的market place就是个joke,价钱对年轻健康人太高,最后收集一大堆老
弱病残,无法持久。另一方面Obamacare让挣15000刀以下的穷人都能上medicaid,最后
从FICA税里出,全体纳税人掏钱,顺利实现财富redistribution,中产工作的p民又被
扒了一次皮。
Obamacare的加入人数。
In first month, the vast majority of Obamacare sign-ups are in Medicaid
The first month of the new health law’s rollout reveals an unexpected
pattern in several states: a crush of people applying for an expansion of
Medicaid and a trickle of sign-ups for private insurance.
This early imbalance — in some places, nine out of 10 enrollees are in
Medicaid — has taken some experts by surprise. The Affordable Care Act,
which expanded Medicaid to cover millions of the poorest Americans who
couldn’t otherwise afford coverage, envisions a more even split with an
expanded, robust private market.
“When we first saw the numbers, everyone’s eyes kind of bugged out,” said
Matt Salo, who runs the National Association of Medicaid Directors. “Of
the people walking through the door, 90 percent are on Medicaid. We’re
thinking, what planet is this happening on?”
-----
The Affordable Care Act initially required all states to expand Medicaid to
cover everyone earning less than 138 percent of the federal poverty line (
about $15,000 for an individual or $32,500 for a family of four). The
Supreme Court found that policy unconstitutional in its June 2012 ruling on
the health law, giving states the discretion on whether to expand.
Of the 26 states that have opted for the Medicaid expansion, 22 are led by
Democratic governors and four by Republicans.
http://www.washingtonpost.com/blogs/wonkblog/wp/2013/10/31/in-f |
b********n 发帖数: 38600 | 2
【在 T**********e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 那个私人保险的market place就是个joke,价钱对年轻健康人太高,最后收集一大堆老 : 弱病残,无法持久。另一方面Obamacare让挣15000刀以下的穷人都能上medicaid,最后 : 从FICA税里出,全体纳税人掏钱,顺利实现财富redistribution,中产工作的p民又被 : 扒了一次皮。 : Obamacare的加入人数。 : In first month, the vast majority of Obamacare sign-ups are in Medicaid : The first month of the new health law’s rollout reveals an unexpected : pattern in several states: a crush of people applying for an expansion of : Medicaid and a trickle of sign-ups for private insurance. : This early imbalance — in some places, nine out of 10 enrollees are in
|
l*********g 发帖数: 1729 | 3 有这样的好事中国人不来是白痴。鼓励所有人把国内的老人都弄来用免费的医疗。中国
人不用也被黑人用了。
【在 T**********e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 那个私人保险的market place就是个joke,价钱对年轻健康人太高,最后收集一大堆老 : 弱病残,无法持久。另一方面Obamacare让挣15000刀以下的穷人都能上medicaid,最后 : 从FICA税里出,全体纳税人掏钱,顺利实现财富redistribution,中产工作的p民又被 : 扒了一次皮。 : Obamacare的加入人数。 : In first month, the vast majority of Obamacare sign-ups are in Medicaid : The first month of the new health law’s rollout reveals an unexpected : pattern in several states: a crush of people applying for an expansion of : Medicaid and a trickle of sign-ups for private insurance. : This early imbalance — in some places, nine out of 10 enrollees are in
|
M*****n 发帖数: 16729 | 4 这个obamacare就是一个最大的陷阱
得益的是保险公司和雇主。 |
s*****e 发帖数: 16824 | 5 医生也受益,又可以多charge钱了。雇主要看了,如果他们把雇员推给market,那是省
钱了,如果还继续帮着交保险,那就亏大了。
【在 M*****n 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 这个obamacare就是一个最大的陷阱 : 得益的是保险公司和雇主。
|
w*********r 发帖数: 42116 | 6 雇主可以保持原来付的钱,多出的部分让雇员自己负担。
【在 s*****e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 医生也受益,又可以多charge钱了。雇主要看了,如果他们把雇员推给market,那是省 : 钱了,如果还继续帮着交保险,那就亏大了。
|
T**********e 发帖数: 29576 | 7 那个私人保险的market place就是个joke,价钱对年轻健康人太高,最后收集一大堆老
弱病残,无法持久。另一方面Obamacare让挣15000刀以下的穷人都能上medicaid,最后
从FICA税里出,全体纳税人掏钱,顺利实现财富redistribution,中产工作的p民又被
扒了一次皮。
Obamacare的加入人数。
In first month, the vast majority of Obamacare sign-ups are in Medicaid
The first month of the new health law’s rollout reveals an unexpected
pattern in several states: a crush of people applying for an expansion of
Medicaid and a trickle of sign-ups for private insurance.
This early imbalance — in some places, nine out of 10 enrollees are in
Medicaid — has taken some experts by surprise. The Affordable Care Act,
which expanded Medicaid to cover millions of the poorest Americans who
couldn’t otherwise afford coverage, envisions a more even split with an
expanded, robust private market.
“When we first saw the numbers, everyone’s eyes kind of bugged out,” said
Matt Salo, who runs the National Association of Medicaid Directors. “Of
the people walking through the door, 90 percent are on Medicaid. We’re
thinking, what planet is this happening on?”
-----
The Affordable Care Act initially required all states to expand Medicaid to
cover everyone earning less than 138 percent of the federal poverty line (
about $15,000 for an individual or $32,500 for a family of four). The
Supreme Court found that policy unconstitutional in its June 2012 ruling on
the health law, giving states the discretion on whether to expand.
Of the 26 states that have opted for the Medicaid expansion, 22 are led by
Democratic governors and four by Republicans.
http://www.washingtonpost.com/blogs/wonkblog/wp/2013/10/31/in-f |
b********n 发帖数: 38600 | 8
【在 T**********e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 那个私人保险的market place就是个joke,价钱对年轻健康人太高,最后收集一大堆老 : 弱病残,无法持久。另一方面Obamacare让挣15000刀以下的穷人都能上medicaid,最后 : 从FICA税里出,全体纳税人掏钱,顺利实现财富redistribution,中产工作的p民又被 : 扒了一次皮。 : Obamacare的加入人数。 : In first month, the vast majority of Obamacare sign-ups are in Medicaid : The first month of the new health law’s rollout reveals an unexpected : pattern in several states: a crush of people applying for an expansion of : Medicaid and a trickle of sign-ups for private insurance. : This early imbalance — in some places, nine out of 10 enrollees are in
|
l*********g 发帖数: 1729 | 9 有这样的好事中国人不来是白痴。鼓励所有人把国内的老人都弄来用免费的医疗。中国
人不用也被黑人用了。
【在 T**********e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 那个私人保险的market place就是个joke,价钱对年轻健康人太高,最后收集一大堆老 : 弱病残,无法持久。另一方面Obamacare让挣15000刀以下的穷人都能上medicaid,最后 : 从FICA税里出,全体纳税人掏钱,顺利实现财富redistribution,中产工作的p民又被 : 扒了一次皮。 : Obamacare的加入人数。 : In first month, the vast majority of Obamacare sign-ups are in Medicaid : The first month of the new health law’s rollout reveals an unexpected : pattern in several states: a crush of people applying for an expansion of : Medicaid and a trickle of sign-ups for private insurance. : This early imbalance — in some places, nine out of 10 enrollees are in
|
M*****n 发帖数: 16729 | 10 这个obamacare就是一个最大的陷阱
得益的是保险公司和雇主。 |
|
|
s*****e 发帖数: 16824 | 11 医生也受益,又可以多charge钱了。雇主要看了,如果他们把雇员推给market,那是省
钱了,如果还继续帮着交保险,那就亏大了。
【在 M*****n 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 这个obamacare就是一个最大的陷阱 : 得益的是保险公司和雇主。
|
w*********r 发帖数: 42116 | 12 雇主可以保持原来付的钱,多出的部分让雇员自己负担。
【在 s*****e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 医生也受益,又可以多charge钱了。雇主要看了,如果他们把雇员推给market,那是省 : 钱了,如果还继续帮着交保险,那就亏大了。
|
x****u 发帖数: 12955 | 13
穷人本来就可以用Medicaid。你这么说只能证明你还是不知道Obamacare
到底怎么工作的。
【在 T**********e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 那个私人保险的market place就是个joke,价钱对年轻健康人太高,最后收集一大堆老 : 弱病残,无法持久。另一方面Obamacare让挣15000刀以下的穷人都能上medicaid,最后 : 从FICA税里出,全体纳税人掏钱,顺利实现财富redistribution,中产工作的p民又被 : 扒了一次皮。 : Obamacare的加入人数。 : In first month, the vast majority of Obamacare sign-ups are in Medicaid : The first month of the new health law’s rollout reveals an unexpected : pattern in several states: a crush of people applying for an expansion of : Medicaid and a trickle of sign-ups for private insurance. : This early imbalance — in some places, nine out of 10 enrollees are in
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w*********r 发帖数: 42116 | 14 这一大堆申请MEDICAID的是什么人,既然符合MEDECAID,搞OBAMACARE干嘛。花钱编没
有的软件?
【在 x****u 的大作中提到】![](/moin_static193/solenoid/img/up.png) : : 穷人本来就可以用Medicaid。你这么说只能证明你还是不知道Obamacare : 到底怎么工作的。
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c******a 发帖数: 4400 | 15 呵呵,这就是socialist。真让你体验一下为什么美国人这么恨共产主义啊。
不过,天天呼唤毛氏共产主义的还不感恩戴德,山呼万岁?
什么?北美毛轮竟然骂奥巴马,这,这,这真真是如何解释为好? |
b*****d 发帖数: 61690 | 16 他不是要搞individual mandate嘛。不买保险的都要交罚金。 |
b*****d 发帖数: 61690 | 17 要都推到market place,巴马care就赢了。pool就大了。
【在 s*****e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 医生也受益,又可以多charge钱了。雇主要看了,如果他们把雇员推给market,那是省 : 钱了,如果还继续帮着交保险,那就亏大了。
|
l*******g 发帖数: 27064 | 18 雇主得什么益?
好多公司都在嚷嚷不堪重负,要降低员工福利么
最得利的肯定是米犹啊
【在 M*****n 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 这个obamacare就是一个最大的陷阱 : 得益的是保险公司和雇主。
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j****n 发帖数: 7636 | 19 这个我也搞不懂。 是不是OBAMACARE比MEDICAID更好?
【在 w*********r 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 这一大堆申请MEDICAID的是什么人,既然符合MEDECAID,搞OBAMACARE干嘛。花钱编没 : 有的软件?
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b*****d 发帖数: 61690 | 20 很多不符合medicaid人,现在在obamacare下可以被medicaid cover了。
【在 j****n 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 这个我也搞不懂。 是不是OBAMACARE比MEDICAID更好?
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j****n 发帖数: 7636 | 21 穷人不是都符合medicaid吗?
【在 b*****d 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 很多不符合medicaid人,现在在obamacare下可以被medicaid cover了。
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b*****d 发帖数: 61690 | |
m*****5 发帖数: 23482 | 23
各个州的情况不一样,MEDICAID EXPANSION是OBAMACARE的一个部分,结果还出现了
TEXAS不愿意从联邦拿钱搞EXPANSION的闹剧
【在 j****n 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 穷人不是都符合medicaid吗?
|
T*R 发帖数: 36302 | 24
现在medicaid主要是州里出,很多州都负担不起,因为州没有印钞权。变成联邦责任后
,其实是债务更明确了。如果联邦负担不起,可以印钞来解决。
【在 w*********r 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 这一大堆申请MEDICAID的是什么人,既然符合MEDECAID,搞OBAMACARE干嘛。花钱编没 : 有的软件?
|
T*R 发帖数: 36302 | 25 我们现在都把没钱没保险的病人介绍到新成立的countycare program,这算是
obamacare的一部分,主要是针对不qualify medicaid的穷人。countycare提供免费医
疗药品 |
T*R 发帖数: 36302 | 26 我是保留地支持obamacare的,我是毛轮。我认为富人应该交更多的税。应该简化税率
,把资本和其他非工资收入按工资收入收税,sst不设上限。
【在 c******a 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 呵呵,这就是socialist。真让你体验一下为什么美国人这么恨共产主义啊。 : 不过,天天呼唤毛氏共产主义的还不感恩戴德,山呼万岁? : 什么?北美毛轮竟然骂奥巴马,这,这,这真真是如何解释为好?
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o*****g 发帖数: 3936 | 27 听说原先medicaid审查很严格,规定存款不能超3000,不能有两辆车,还要到家里来调
查等。现在obacare这些都不用了,只看收入,简化了很多。
【在 j****n 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 穷人不是都符合medicaid吗?
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T**********e 发帖数: 29576 | 28
是这个道理,如果把雇主提供的保险都摧毁,所有人都变成self insured,到market
place里去接受政府调节,obamacare就统一江湖。
到时候15000刀下的不干活穷人上medicaid,65岁以上medicare,剩下干活拿工资的主
力交税补贴前面两种人,还受market place主宰。以前雇主资助安排保险还要照
顾员工的情绪和利益,market place把人吃定以后搞成什么样都得受着。
【在 b*****d 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 要都推到market place,巴马care就赢了。pool就大了。
|
T**********e 发帖数: 29576 | 29
因为medicaid expansion被高法裁决违宪,把决定权交给各州.
州本来负责一半的费用,给低收入者发一种低价保险。现在medicaid扩大后增加的费用
,联邦政府承受大头,但州还是要承担10%。
The Patient Protection and Affordable Care Act, passed in 2010, will expand
Medicaid eligibility starting in 2014. Under the law as written, states that
wished to continue to participate in the Medicaid program would be required
to allow people with income up to 133% of the poverty line to qualify for
coverage, including adults without dependent children. The federal
government would pay 100% of the cost of Medicaid eligibility expansion in
2014, 2015 and 2016; 95% in 2017, 94% in 2018, 93% in 2019, and 90% in 2020
and all subsequent years.
【在 m*****5 的大作中提到】![](/moin_static193/solenoid/img/up.png) : : 各个州的情况不一样,MEDICAID EXPANSION是OBAMACARE的一个部分,结果还出现了 : TEXAS不愿意从联邦拿钱搞EXPANSION的闹剧
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w*********r 发帖数: 42116 | 30 富人交税没问题,但是税收用在哪里也要说清楚。
补贴低收入人的医疗费用,但是不去解决收入相对医疗费用偏低的矛盾,就有问题了。
用国家的税收去保证私有企业的利润,放在哪里都会被反对的。
【在 T*R 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 我是保留地支持obamacare的,我是毛轮。我认为富人应该交更多的税。应该简化税率 : ,把资本和其他非工资收入按工资收入收税,sst不设上限。
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T**********e 发帖数: 29576 | 31
政府和政客不是不想搞富人,而是富人有很多避税的手段很多与投资有关政府不敢搞,
并且富人全球选择更大,税一上去很多富人和资本就跑了,政府一分钱拿不到。只有中
产拿工资的是sitting duck,怎么虐都跑不了。
【在 T*R 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 我是保留地支持obamacare的,我是毛轮。我认为富人应该交更多的税。应该简化税率 : ,把资本和其他非工资收入按工资收入收税,sst不设上限。
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x****u 发帖数: 12955 | 32
其实本质上是让不够穷但是又没有保险的人用medicaid。其他条款都是为了解决
funding设立的。
【在 w*********r 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 这一大堆申请MEDICAID的是什么人,既然符合MEDECAID,搞OBAMACARE干嘛。花钱编没 : 有的软件?
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T**********e 发帖数: 29576 | 33
这个扩充medicaid对08政府没任何技术难度,多少政府都买单,联邦印钱就行了。难的
是market place,保金高了就被骂娘。
【在 x****u 的大作中提到】![](/moin_static193/solenoid/img/up.png) : : 其实本质上是让不够穷但是又没有保险的人用medicaid。其他条款都是为了解决 : funding设立的。
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T**********e 发帖数: 29576 | 34 现在为止年轻人很少加入obamacare,上的大多老弱病残,如果这个趋势不扭转,没多
少人能负担得起market place的保险了。
收音机里已经有人宣传罚款没什么可怕,如果不退联邦税的话,政府无法强制收钱。
Obamacare: Not Enough Young, Healthy Enrollees to Offset Costs
Younger, healthier Americans needed to make Obamacare financially viable are
not signing up in sufficient numbers. Most enrollees have been people over
50, many with preexisting medical conditions.
The skew toward the older crowd raises concerns that there will not be
enough payments from young people to offset the cost of providing coverage
for the older ailing population, the Wall Street Journal reported.
The early numbers, while statistically too small to draw conclusions, raise
concerns about the practicality of the insurance marketplaces.
"We need a broad range of people to make this work, and we're not seeing
that right now," Heather Thiltgen of Medical Mutual, one of Ohio largest
insurers told the Journal. "We're seeing the population skewing older."
The target enrollee is someone around 40 years if age.
If the drift continues, a more expensive cohort of customers, older and less
healthy, would drive up costs for everyone. The federal government had
committed to reimburse insurers if they underestimated costs.
This may still not be enough to keep the system afloat should the overall
customer pool be appreciably older than forecast.
Widespread problems with the healthcare.gov system serving the 36 states
that are not operating their own marketplaces have dissuaded younger,
healthier applicants from enrolling. Those who cannot chance being without
coverage have persevered.
The young-to-old ratio is not much different in those states that are
running their own marketplaces and where the process is smoother, according
to the Journal.
In Connecticut, where Access Health CT is the Health Insurance Marketplace,
the largest insurer, WellPoint Inc., reported that most of its enrollees
were between 55 and 64, according to the Journal.
Under the law, people who want their coverage to start on January 1 must
enroll by mid-December. Those who seek coverage sometime later in 2014 must
enroll by March 31. |
k*******g 发帖数: 7321 | 35 图太配了!
【在 b********n 的大作中提到】![](/moin_static193/solenoid/img/up.png)
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w****j 发帖数: 6262 | 36 照这个逻辑,法国,瑞典这种国家都没有富人了,税这么高富人早都跑光了。
说到底政客自己大多就是富人,干嘛和自己过不去?
【在 T**********e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 现在为止年轻人很少加入obamacare,上的大多老弱病残,如果这个趋势不扭转,没多 : 少人能负担得起market place的保险了。 : 收音机里已经有人宣传罚款没什么可怕,如果不退联邦税的话,政府无法强制收钱。 : Obamacare: Not Enough Young, Healthy Enrollees to Offset Costs : Younger, healthier Americans needed to make Obamacare financially viable are : not signing up in sufficient numbers. Most enrollees have been people over : 50, many with preexisting medical conditions. : The skew toward the older crowd raises concerns that there will not be : enough payments from young people to offset the cost of providing coverage : for the older ailing population, the Wall Street Journal reported.
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T**********e 发帖数: 29576 | 37
法国富人是跑,那个大鼻子演员都入籍俄国了。其他不少欧洲人移居瑞士。
【在 w****j 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 照这个逻辑,法国,瑞典这种国家都没有富人了,税这么高富人早都跑光了。 : 说到底政客自己大多就是富人,干嘛和自己过不去?
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T**********e 发帖数: 29576 | 38 market place得保险看来很不靠谱,几个州一个月才加入了几个人,obamacare搞了半
天就是给穷人上medicaid扩大联邦补贴。
Only 5 enrollments completed in D.C. Obamacare exchange
Only five people have fully completed the enrollment process in the D.C.
insurance exchange, according to information compiled by lawmakers from four
of the insurance companies participating in the exchange.
http://www.politico.com/story/2013/11/obamacare-enrollments-was |