If Obamacare Worked as Promised, No One Would Need Subsidies

Grokmaster said:
No...you and yours are the liars, per usual...just like Obama.
Obamacare needs subsidies to make health insurance affordable for individuals and families by lowering the monthly premiums they have to pay. These subsidies act as a government contribution, filling the gap between what a person can afford based on their income and the total cost of the plan. Without subsidies, premiums could skyrocket, making coverage unattainable for millions and increasing the number of uninsured Americans.


IOW, Obamacare did the opposite of what the Sleazocrats promised.
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The Affordable Care Act (ACA) relies heavily on subsidies to function, particularly the premium tax credits and cost-sharing reductions that make coverage affordable for low- and middle-income individuals. Without these subsidies, the ACA’s structure faces significant challenges:
  1. Premium Affordability: Subsidies lower the cost of premiums for about 90% of ACA marketplace enrollees (based on 2023 data). Without them, premiums would spike for many, likely causing healthier, lower-income individuals to drop coverage, shrinking the risk pool.
  2. Adverse Selection: A smaller, sicker risk pool increases insurer costs, driving up premiums further. This could trigger a "death spiral" where only high-risk individuals remain insured, making the market unsustainable.
  3. Market Stability: Subsidies stabilize the individual market by ensuring broad participation. Without them, insurers might exit markets due to financial losses, reducing competition and consumer choice. Between 2016 and 2018, insurer exits were a real issue when subsidies were uncertain.
  4. Mandate Effectiveness: The ACA’s individual mandate (repealed in 2019) aimed to balance the risk pool. Without subsidies, even a reinstated mandate might not compel enough healthy people to enroll, as cost becomes prohibitive.
  5. Medicaid Expansion: Subsidies indirectly support Medicaid expansion by covering those above the poverty line. Without subsidies, states might face pressure to cut Medicaid, further straining the system.
 
T. A. Gardner said:
Some? Most. In Arizona for example, there are 3 counties with just one provider option. You either take their plan or go without. In fact, nationwide, 45% of the 1433 counties in the US have just one Obamacare provider option available.
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55 percent is the most. Obama delivered on lots of promises. It gave coverage that people will likely always have as a result. It was a complete fail in dishonest right wing haters. Not in fact.
 
Grokmaster said:
Just sayin'....it did the OPPOSITE of the Black Messiah's Promise, driving American's health costs through the roof, instead of making it more affordable.
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If Trump’s promises came true, we’d have a ocean to ocean wall paid for by Mexico and two wars that ended on January 21.

People have health insurance that would normally not and then YOU’RE paying for their ER visits.

Fucking moron.
 
Nordberg said:
It was a compromise . Obama had to give the Republicans damaging things to get it passed. It was supposed to be a step toward universal healthcare, but the Reds held the line for Big Med and Pharm. It did provide health care for millions who did not have it. It allowed kids to stay on their parents' healthcare plans until age 26. It stopped health care insurance from refusing insurance for pre-existing conditions. It ended lifetime ceilings on the cost of care. It provides a yearly physical for Medicare aged people. It was cheaper.
The healthcare companies have been chopping at it since it was passed.
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Everyone gets an annual physical at no extra charge no matter their age. 1 per year+1 day. There is also a book full of preventive screenings at no extra charge. Insurance companies would rather pay for a screening than to treat someone for an illness for years.

Congress withheld funding that was passed along with ACA in order to fund many aspects. This nation lost 13 fairly new insurance companies that jumped in as a result of the funding. When Republicans blocked the funding, these insurers went out of business. Further, every Red state politicized the law and refused to set up exchanges. Now those states complain about not having access to quality healthcare, as they have limited options.

Insurance companies successfully sued the U.S govt. for the illegal withholding of funds, and won billions for the risk corridor payments that they were owed.

You are correct. The ACA was meant to be a starting point, with future improvements in a bi partisan way. Republicans have tried unsuccessfully to take healthcare coverage away from Americans ever since.

McCain...facing a death sentence...finally did one good thing in his life and gave the thumbs down during trump's first term. This preserved the ACA temporarily.

If you remember, trump promised 'much better coverage at a fraction of the cost' in 2015. I'm still waiting.
 
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