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Lawsuits could force feds to pay Obamacare insurers (Politico)

Piecake

Member
A pending court decision could force the Trump administration to pump billions of dollars into Obamacare insurers, even as the president threatens to let the health care law “implode.”

Health insurers have filed nearly two dozen lawsuits claiming the government owes them payments from a program meant to blunt their losses in the Obamacare marketplaces. That raises the prospect that the Trump administration will have to bankroll a program the GOP has pilloried as an insurer bailout.

Insurers are owed more than $8 billion in payments, and the tab is likely to grow. Insurers say spending restrictions Republicans forced on the “risk corridors” program during the Obama administration, aside from being illegal, are partly to blame for severe turbulence in some Obamacare marketplaces.

“[The Obama administration] repeatedly assured us it was there and it would be a clear obligation of the government,” said Tom Policelli, CEO of Minuteman Health, which is among the insurers suing the government over the shortfall. “Even the federal government is subject to the rules.”

The fiscal hit to the feds could be huge if the insurers win. And it would be one more embarrassing setback for Republicans, who likely saw their best shot at dismantling Obamacare slip away in the Senate’s failed repeal vote early Friday morning. President Donald Trump, meanwhile, has threatened to pull billions in funding from a separate Obamacare subsidy program he's labeled a "bailout" for insurers.

http://www.politico.com/story/2017/07/30/lawsuits-obamacare-insurers-241112
 

hitme

Member
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kirblar

Member
One of the important reasons they got the insurers on board first w/ the ACA negotiations - it insured that when the Dems no longer had control of any of the processes that the industry would not be trying to tear it down alongside the GOP.
 
Not sure how anyone, liberal or conservative, could be happy about this - literally your tax money going to go pay private insurance companies to fuel their profits.
 

Shauni

Member
One of the important reasons they got the insurers on board first w/ the ACA negotiations - it insured that when the Dems no longer had control of any of the processes that the industry would not be trying to tear it down alongside the GOP.

Yeah, it was a bit of a double-edged sword to do that, but this seems to be the good edge.
 

Somnid

Member
If feel this is sort of vindicating Republicans. Yes is was their fault, but the fact they have to pay out is something they will rile their base up with.
 

Shauni

Member
Not sure how anyone, liberal or conservative, could be happy about this - literally your tax money going to go pay private insurance companies to fuel their profits.

Because this will also help to keep our not-so-great-but-still-than-nothing universal healthcare from imploding as the President has threatened to do on multiple occasions. It's pretty simple, even if it's not ideal and never has been. Of course, I figure you probably already know this, but just want to spout some bullshit.
 
One of the important reasons they got the insurers on board first w/ the ACA negotiations - it insured that when the Dems no longer had control of any of the processes that the industry would not be trying to tear it down alongside the GOP.

Or to put it another way, given how much Republicans love to talk up the free market, the previous admin's plan was to do their best to have the market agree with keeping the ACA in place.
 

Drakeon

Member
Not sure how anyone, liberal or conservative, could be happy about this - literally your tax money going to go pay private insurance companies to fuel their profits.

It's this or let the insurance markets implode. So, I'd prefer we prop up the markets so people can continue to have healthcare, personally.
 

Shauni

Member
If feel this is sort of vindicating Republicans. Yes is was their fault, but the fact they have to pay out is something they will rile their base up with.

You know what else is going to rile their base more, as we've seen? Losing their healthcare. I think just about everyone knows that the way Obamacare is structured is not ideal, this isn't news, but until Republicans can come up with an alternative that doesn't fuck over millions of people, they are stuck. They can shout out to their base, 'see, see,' but when their alternative is, 'you are going to lose any healthcare you have to begin with,' it doesn't matter. It's the ultimate quagmire.
 

Effect

Member
I've been wondering about this. If the insurance companies could sue if trump tried to not pay.

Seriousloy the cost of this wouldn't be an issue if they would just cut the damn military budget. Isn't that if they just cut it by 1 to 3 % these cost wouldn't be a problem at all?
 

Somnid

Member
What doesn't rile up the GOP base?

As Trump is seeing it's hard to maintain momentum on lies because it's purely defensive. The base is seeing the benefit and so they aren't buying the GOP narrative that it needs to be taken away. But anything remotely factual they can use offensively they will cling to.
 
They'll win too because it's written law and I actually hope they win because it further anchors the law from defunding. The insurance companies have billions of dollars to go up against this current government that can barely function.
 

Shauni

Member
As Trump is seeing it's hard to maintain momentum on lies because it's purely defensive. The base is seeing the benefit and so they aren't buying the GOP narrative that it needs to be taken away. But anything remotely factual they can use offensively they will cling to.

I have no idea what you mean. I think most people are aware the federal government pays into the ACA. Even if they aren't, I don't know why that fact would matter all that much. As the Trumpcare Saga has shown, people don't want to lose their health insurance. Like I said, it's a catch-22. Even if the GOP can say, 'look, we're right about how much we pay into the ACA, how awful,' it doesn't matter when their alternative is, 'Well, we're going to take away your health insurance.' The massive outcry and backlash to basically every version of the GOP's healthcare bill has been testament to this.
 
So millions can suffer? We don't need to let them implode to get to singlepayer, if thats what your hoping for.

Yes, to get to single payer, or a true free market. Either will do, but with the real cost of premiums and deductibles hidden from those not looking, and insurance lobbies pulling strings, we are fucked for the foreseeable future.
 
Not sure how anyone, liberal or conservative, could be happy about this - literally your tax money going to go pay private insurance companies to fuel their profits.

Well, the American way is that the state has to step back and let private companies run the health care system. These companies are not going to operate at a loss. I sense some hope from the so-called conservatives that the premiums will rise so that the poor can no longer afford them. My head office is in Texas, so I know many companies would have no problems passing some of those higher costs down to their employees, one way or another. Would that be such a great outcome? Whatever tax money is funneled to insurers is negligible anyway.
 

Shauni

Member
Yes, to get to single payer, or a true free market. Either will do, but with the real cost of premiums and deductibles hidden from those not looking, and insurance lobbies pulling strings, we are fucked for the foreseeable future.

There's no guarantee we will get to single payer just because this happens, though, and there's no guarantee that we won't eventually get it down the road anyway. You're basically saying we should roll the dice on millions of people's lives and suffering. And if it were all just deep red GOP voters, I guess we can all say just fuck'em, but the effects will reach more than that, even if those people will be the ones hurt the most.
 

Wag

Member
Yes, to get to single payer, or a true free market. Either will do, but with the real cost of premiums and deductibles hidden from those not looking, and insurance lobbies pulling strings, we are fucked for the foreseeable future.

And what happens to all those uninsured in the meantime? And who's going to give you that single payer insurance? The Reps?
 
There's no guarantee we will get to single payer just because this happens, though, and there's no guarantee that we won't eventually get it down the road anyway. You're basically saying we should roll the dice on millions of people's lives and suffering. And if it were all just deep red GOP voters, I guess we can all say just fuck'em, but the effects will reach more than that, even if those people will be the ones hurt the most.

What we're doing now isn't working, so why not. Is there a whole lot of difference between no insurance, and paying a ton of money for an insurance you don't use because the deductible is too high? It's already broken, period.
 
What we're doing now isn't working, so why not. Is there a whole lot of difference between no insurance, and paying a ton of money for an insurance you don't use because the deductible is too high? It's already broken, period.

It's working better than just saying fuck it and blowing it all up

If the DNC wasn't full of chicken shit centrists we'd be working towards a first world healthcare solution.


Right on cue to somehow blame the Democrats
 

theWB27

Member
If the DNC wasn't full of chicken shit centrists we'd be working towards a first world healthcare solution.

If the populace wasn't full of holy thou voters looking for a savior they wouldn't be letting the RNC control everything from the bottom up while yelling at the chicken shits for not getting what they demand done. Not saying that's the DNC's aim right now...but I can't help but laugh when y'all keep blaming them for not getting anything done as if the right isn't showing people you can keep your party in power while still getting the bullshit you want passed.
 
It's working better than just saying fuck it and blowing it all up




Right on cue to somehow blame the Democrats

What are your premiums and deductibles for a family of four?

I've had to resort to DIY healthcare while paying something like $1300/month (combination of payroll deduction and employer contribution) for the privilege. It's really not working unless you are in a union, or a government employee. Or maybe work for an outstanding company.
 
What are your premiums and deductibles for a family of four?

I've had to resort to DIY healthcare while paying something like $1300/month (combination of payroll deduction and employer contribution) for the privilege. It's really not working unless you are in a union, or a government employee. Or maybe work for an outstanding company.

Never said it was perfect just that it is better than blowing it all up... especially while the GOP controls everything.
 
This is not a victory - health care is out of control your going to force the federal government to basically subsidize outrageous healthcare cost???

My friend had an 8,000 bill from pretty much nothing we were aghast at this.

Why don't congress members have Obama care????
 
This is not a victory - health care is out of control your going to force the federal government to basically subsidize outrageous healthcare cost???

My friend had an 8,000 bill from pretty much nothing we were aghast at this.

Why don't congress members have Obama care????

Actually, the members of congress do have Obamacare. They purchase their insurance through the DC Insurance exchange. 72% of the premium is subsidized by the federal government though.
 

Piecake

Member
This is not a victory - health care is out of control your going to force the federal government to basically subsidize outrageous healthcare cost???

My friend had an 8,000 bill from pretty much nothing we were aghast at this.

Why don't congress members have Obama care????

They do

What type of insurance do our elected representatives in Washington, D.C., have? Is it true that they're insured on the ACA exchanges now and that any repeal and replacement will affect them too?

Under the Affordable Care Act, members of the U.S. House of Representatives, the Senate and their office staffs who want employer coverage generally have to buy it on the health insurance exchange. Before the ACA passed in 2010, they were eligible to be covered under the Federal Employees Health Benefits Program. (People working for congressional committees who are not on a member's office staff may still be covered under FEHBP.)

http://www.npr.org/sections/health-...smans-health-insurance-if-obamacare-goes-down
 
The ACA isn't the problem. The problem is the lack of a public option, the failure of Republican state governments to accept the medicaid expansion, and the penalty for not having insurance is too small( however, it can't be increased because of point number 2 resulting in low income households being penalized for being poor ).

If Republican's actually cared about a better healthcare plan, they'd do the following.

1) Legalize marijuana federally.
2) Create a national sales sin tax on Alcohol, Cigarettes, Marijuana, and other tobacco products.
3) Use the revenue to pump money into the exchanges and medicaid expansion.

If they want further revenue:

1) Legalize prostitution.
2) Require strippers to be recognized as employees of the strip clubs. As such, they fall under minimum wage rules.
3) Make prostitution subject to the national sales sin tax which again pumps money into healthcare.
 

Ithil

Member
If feel this is sort of vindicating Republicans. Yes is was their fault, but the fact they have to pay out is something they will rile their base up with.

Their base is riled up by waking up in the afternoon and remembering liberals and black people exist.
 

HoodWinked

Member
law firms take about half of the revenue from these lawsuits and the government also has to pay for their defense of said lawsuits. so basically tax money going right into the pockets of lawyers this is just asinine.
 

ISOM

Member
If the DNC wasn't full of chicken shit centrists we'd be working towards a first world healthcare solution.

So you're going to absolve all the people that voted in Republicans knowing full well they don't support a public option or single payer health care? This is not a DNC issue.
 

kirblar

Member
The ACA isn't the problem. The problem is the lack of a public option, the failure of Republican state governments to accept the medicaid expansion, and the penalty for not having insurance is too small( however, it can't be increased because of point number 2 resulting in low income households being penalized for being poor ).

If Republican's actually cared about a better healthcare plan, they'd do the following.

1) Legalize marijuana federally.
2) Create a national sales sin tax on Alcohol, Cigarettes, Marijuana, and other tobacco products.
3) Use the revenue to pump money into the exchanges and medicaid expansion.

If they want further revenue:

1) Legalize prostitution.
2) Require strippers to be recognized as employees of the strip clubs. As such, they fall under minimum wage rules.
3) Make prostitution subject to the national sales sin tax which again pumps money into healthcare.
One of the reasons #2 is so pernicious is that people are generally undervaluing the importance of catastrophic health care coverage (especially poor and/or young people) and those poor/young groups are the most likely to refuse that coverage due to viewing it as "too expensive". This occurs in part because the paid coverage is displacing "free" healthcare (via charity, their parents, etc.) that they prefer to rely on, since they only look at the immediate and don't comprehend what the safety net does for them.
 
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