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Numerical notes on health care reform
I actually did a bunch of the math on Thursday and posted on it. I took someone living at 150% of the FPL, used the Senate bill’s numbers to figure up their premium pay, along with average OOP expenses at the average. I then used the National Standards table to calculate how much it is to live (housing, utilities, food, etc) and it comes out to where that person is just about breaking even each month. Of course that wasn’t adding in anything extra like a car breaking down, or maybe they really have a medical problem and have more in OOP, and while reduced still not eliminated. That means someone at say 150% of the FPL still won’t seek medical treatment since that’s an OOP expense they can’t afford.
The other problem is there are numerous charitable and corporate-ran programs out there to help people without insurance. They will no longer be eligible for these programs, and they some of these programs actually cover 100% of the costs. One thing HCR could have done a lot better is to come up with a system so people are able to find these programs a lot easier. Right now the only way to really know is to have a patient advocate who works with these programs (fyi - my mother has been in this field for 30 years, so I do know a lot about them). Also to create a tax incentive for the non-insured programs to move towards an under-insured requirement. That would really provide help to lower income people.
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Numerical notes on health care reform From the Kaiser Well-being Reform Subsidy Calculator, here's the percentage of insurance premiums on the individual trade in that would be covered by subsidies at and more » |
Behind gold's spectacular fall: A mini-primer
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