ACA is "so terrible" and is "collapsing" but people are signing up for it in record numbers

Trump will try to take credit for this somehow.

"Obamacare enrollment at 1.48 million, up more than 46 percent over last year's pace"

https://www.cnbc.com/2017/11/15/obamacare-enrollment-at-1-point-48-million-up-more-than-46-percent-over-last-years-pace.html


from Robert Roe:  I am glad to see this article.   Health insurance is critical to our health care system in the US and everyone should be insured.    I am going to bump my previous posts on ACA sign up.   


The latest Senate proposals to eliminate the individual mandate for Obamacare in the tax bill, if passed, would quickly result in healthy people opting out, leaving a much higher proportion of people with greater medical costs, and would destabilize the entire cost-structure of the system, making payments prohibitive for most people.


The perverse thing is that as premiums go up, so do subsidies for those eligible, thereby costing the government more. This is what is happening this year. Insurance companies raised premiums because they could not plan on getting the payments to cover the deductibles they forgo for those eligible but subsidy eligible people are not paying more - the government is. So this makes ACA all the more attractive to them. 

So if healthy people opt out it will be government, through its automatic spending for subsidies (which is not included in the budget "process") that will have to pay much of the cost.

What the Republicans are doing is so nonsensical.


^^^This. And the system perpetuates itself. Insurers can feel free to raise premiums because, hey, the government will pay for it! Less of an outcry among consumers because most people get subsidies, so the price increase does not affect the rank and file.



Jasmo said:

The latest Senate proposals to eliminate the individual mandate for Obamacare in the tax bill, if passed, would quickly result in healthy people opting out, leaving a much higher proportion of people with greater medical costs, and would destabilize the entire cost-structure of the system, making payments prohibitive for most people.

What I'm hearing is that the Senate bill will be wedded to another bill (Alexander-Murray) restoring insurance company subsidies revoked by Trump. 


I don’t think the fact that millions are signing up is a reflection (or not) of the quality and financial viability of the program. I think it’s a yes AND situation. People need insurance and this program gives them access. And it’s a pretty tenuous program with lots of problems. But it’s far better than nothing.


I can't say my sign up will be a ringing endorsement.  I have nowhere else to go.  I've putting off looking at this year's plans for fear of sticker shock.    



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