10 Ways Insurance Companies Will Get Out of Reforming

By
Wednesday, March 31, 2010 at 2:13 pm

If you thought that the health care reform bill was so expertly thought through as to prevent health insurance companies from engaging in the same end run around regulation practiced by the credit card companies, then Dan Froomkin has some news for you: You’re naive. Far be it from insurance companies to spend the next four years until the implementation of health care reform begins figuring out how to operate under a new regulatory framework; instead, they’ll use their massive profits to figure out as many ways as possible to screw their customers before the rules go into effect, and as many ways as possible to get out of complying with the new rules. Let us count the ways.

1. Raising premiums
There is absolutely, positively no prohibition on companies raising premiums at outrageous rates until 2014 — so they’re not going to stop. And politicians in Washington might scream, but the volume will be far less next year because the President won’t have a reform bill to pass.

2. Kicking people out for pre-existing conditions
The insurance industry may have relented about using pre-existing conditions to determine children’s eligibility, but they’re not about to let adults with pre-existing conditions qualify for insurance coverage one minute sooner than 2014 — and the way they floated the idea that the law didn’t really totally require them to accept children with pre-existing conditions is a hint that they’re desperately looking for a similar loophole in 2014 and beyond.

3. Changing your insurance plan
Remember how President Obama said that if you liked your insurance plan, you wouldn’t have to change? Well, the health reform bill won’t make you, but your insurance company might. They’re busy shutting down and restricting access to managed care plans (HMOs) and pushing current customers into high-deductible plans, where customers have to pay all expenses out of pocket before the insurance company picks up a dime. In other words, customers pay a (relatively) small premium each month and then the first $2,500 of their health care each year before the insurance company begins to cover a percentage of the costs of their medical care.

4. Making life more difficult for doctors
One great way to reduce insurance company payouts is to make it more difficult for doctors to file claims, which insurance companies are already planning on doing.

5. Tightening up internal practices
That’s a euphemism for giving patients and doctors enough of a run-around trying to get bills paid to convince them to give up asking for reimbursements.

6. Marketing only to healthy people
Healthy people are the cheapest to insure, and people tend to gravitate toward marketing materials that look like them. But if they make certain drugs hard (or impossible) to find on pharmaceutical formularies, or put up physical barriers to obtaining the insurance, they can (and likely will) keep more elderly and sick people from even applying for their insurance.

7. Re-label current overhead expenses at health care
When the reform finally takes full effect in 2014, insurance companies will have to spend 80 percent of their premiums on care for their customers. Thus, in order to make more money, they’ll have to increase the money you spend on care, or figure out a way to classify expenses currently deemed “overhead” as “health care for you.” Luckily, they’ve got an army of lawyers and accountants more than willing to assist.

8. Taking full advantage of the unhealthy behavior premium
In the reform, insurers are allowed to makes premiums 50 percent more expensive for consumers who engage in “unhealthy” behaviors, which was intended to allow them to continue charging smokers higher premiums. But there are lots of behaviors deemed “unhealthy.” Have more than one sexual partner? Neglect to get 30 minutes of cardiovascular exercise a day? Love sweets? Drink carbonated, caffeinated sodas? All those behaviors, and many more, are considered risky by the medical profession and could make your insurance far more expensive than you think.

9. Charging old people as much as they can
The law allows insurers to charge people between 55 and 65 (the current age of Medicare eligibility) three times more than people 54 and under. So on their fifty-fifth birthdays, some customers could get new, higher insurance bills that put readjusted mortgage bills to shame — and there won’t be anything remotely illegal about it.

10. Lobbying to make the most of the loopholes that exist and create others

It likely goes without saying that all the money and lobbying time that went into watering down health care reform and trying to keep it from passing aren’t just going to stop flowing to Washington. Rather, as the Department of Health and Human Services spends its time promulgating rules to govern the various reforms in the bill, lobbyists will simply switch their focus from the Hill to HHS. We know what they want — to limit the effect reform will have on their bottom line — and they know how they’ll get it: through the regulatory process.

Follow Megan Carpentier on Twitter


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Paul
Comment posted March 31, 2010 @ 7:20 pm

The tone of this piece was revealed by the use of the adjective “outrageous” in the first sentence. It seems that Ms. Carpentier has her mind made up – and is not interested in looking at both sides of the issue.


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Myview
Comment posted March 31, 2010 @ 6:31 pm

This is why I thought it would be better for President Obama to put us all under Medicare, Medicaid and raise on all of us the Medicare Payroll Tax we already are paying, including Martha Stewart, Oprah Winfrey, Bill Gates, Donald Trump, Hollywood celebrities, Wall Street CEOs, Ted Turner, etc…and allow us to purchase a private insurance plan to go along with our Medicare, if we were interested in extra benefits such as a private room. Instead, President Obama forced us all into having to buy an insurance policy from the very insurance companies we are angry at, making them more money. And top of that I read the IRS will be in charge of enforcing the new Health Care Law. Pelosi and Obama had the same votes now as they did back then and could have used Reconciliation as they did now to put us all in Medicare, Medicaid and not force us to buy from insurance companies. It's going to get worst.


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john f
Comment posted March 31, 2010 @ 7:16 pm

myview, don't you see that one of the huge drivers to raising premiums is how medicare and medicaid continuously undercut hospitals who make up their loss by charging privately insured more? What you are suggesting is bolster the problem, it would be like if you had an open wound that was getting infected, instead of treating you expand the wound in hopes that the part that was once clean would influence the infected part to clean itself.


lisaalexander
Comment posted March 31, 2010 @ 7:17 pm

I”m trying to figure out when anyone thought this bill/law was well thought out.


monkey99
Comment posted March 31, 2010 @ 7:18 pm

I think it's time to push repeal of the anti-trust exemption and REGULATE. It's been obvious that the HII won't play ball, so regulation would push them to either do what they're supposed to do, or get out of the business.

Personally, I'd like to see them all crash and burn.


jP
Comment posted March 31, 2010 @ 7:19 pm

Allowing anyone to buy into Medicare, at cost, would solve all these problems.


rosejeangoddard
Comment posted March 31, 2010 @ 7:21 pm

Money is power, and power wins! Capitalism is great, but capitalists are the terrorists in commerce!


JKDIV
Comment posted March 31, 2010 @ 7:22 pm

Perhaps the author forgets that insurance companies are for profit businesses that have responsibilities to stock holders (i.e. individuals, . He seems to think that it's wrong to charge a fat smoker more than a healthy person. What a fool.


JKDIV
Comment posted March 31, 2010 @ 7:22 pm

Perhaps the author forgets that insurance companies are for profit businesses that have responsibilities to stock holders (i.e. individuals, . He seems to think that it's wrong to charge a fat smoker more than a healthy person. What a fool.


JKDIV
Comment posted March 31, 2010 @ 7:22 pm

Perhaps the author forgets that insurance companies are for profit businesses that have responsibilities to stock holders (i.e. individuals, . He seems to think that it's wrong to charge a fat smoker more than a healthy person. What a fool.


lisa
Comment posted March 31, 2010 @ 7:23 pm

Having grown up on military health care, I'm not a big fan of government health care. (Talk about giving you the run around! And have you ever BEEN to some of those VA hospitals? Yikes.) I've worked hard for my health insurance — and my family needs it. I don't see how this “reform” is really helping anyone. With all the money they put into it they could have just BOUGHT health insurance for the people who couldn't afford it. Free market works better than the government.


lisa
Comment posted March 31, 2010 @ 7:23 pm

Having grown up on military health care, I'm not a big fan of government health care. (Talk about giving you the run around! And have you ever BEEN to some of those VA hospitals? Yikes.) I've worked hard for my health insurance — and my family needs it. I don't see how this “reform” is really helping anyone. With all the money they put into it they could have just BOUGHT health insurance for the people who couldn't afford it. Free market works better than the government.


lisa
Comment posted March 31, 2010 @ 7:23 pm

Having grown up on military health care, I'm not a big fan of government health care. (Talk about giving you the run around! And have you ever BEEN to some of those VA hospitals? Yikes.) I've worked hard for my health insurance — and my family needs it. I don't see how this “reform” is really helping anyone. With all the money they put into it they could have just BOUGHT health insurance for the people who couldn't afford it. Free market works better than the government.


monkey99
Comment posted March 31, 2010 @ 7:24 pm

I thought it was the HII overcharging the system, which in turn contributes to the fraud, waste and abuse, and at the same time, that sob story is told to the “customers” as the reason they are being charged more.

The HII are tapping the till twice. This has been an ongoing problem for years, now. If you have info to the contrary, let me know, as it's (F, W andA) coming from somewhere.


monkey99
Comment posted March 31, 2010 @ 7:24 pm

I thought it was the HII overcharging the system, which in turn contributes to the fraud, waste and abuse, and at the same time, that sob story is told to the “customers” as the reason they are being charged more.

The HII are tapping the till twice. This has been an ongoing problem for years, now. If you have info to the contrary, let me know, as it's (F, W andA) coming from somewhere.


monkey99
Comment posted March 31, 2010 @ 7:24 pm

I thought it was the HII overcharging the system, which in turn contributes to the fraud, waste and abuse, and at the same time, that sob story is told to the “customers” as the reason they are being charged more.

The HII are tapping the till twice. This has been an ongoing problem for years, now. If you have info to the contrary, let me know, as it's (F, W andA) coming from somewhere.


monkey99
Comment posted March 31, 2010 @ 7:24 pm

I thought it was the HII overcharging the system, which in turn contributes to the fraud, waste and abuse, and at the same time, that sob story is told to the “customers” as the reason they are being charged more.

The HII are tapping the till twice. This has been an ongoing problem for years, now. If you have info to the contrary, let me know, as it's (F, W andA) coming from somewhere.


monkey99
Comment posted March 31, 2010 @ 7:24 pm

I thought it was the HII overcharging the system, which in turn contributes to the fraud, waste and abuse, and at the same time, that sob story is told to the “customers” as the reason they are being charged more.

The HII are tapping the till twice. This has been an ongoing problem for years, now. If you have info to the contrary, let me know, as it's (F, W andA) coming from somewhere.


monkey99
Comment posted March 31, 2010 @ 7:24 pm

I thought it was the HII overcharging the system, which in turn contributes to the fraud, waste and abuse, and at the same time, that sob story is told to the “customers” as the reason they are being charged more.

The HII are tapping the till twice. This has been an ongoing problem for years, now. If you have info to the contrary, let me know, as it's (F, W andA) coming from somewhere.


monkey99
Comment posted March 31, 2010 @ 7:24 pm

I thought it was the HII overcharging the system, which in turn contributes to the fraud, waste and abuse, and at the same time, that sob story is told to the “customers” as the reason they are being charged more.

The HII are tapping the till twice. This has been an ongoing problem for years, now. If you have info to the contrary, let me know, as it's (F, W andA) coming from somewhere.


monkey99
Comment posted March 31, 2010 @ 7:24 pm

I thought it was the HII overcharging the system, which in turn contributes to the fraud, waste and abuse, and at the same time, that sob story is told to the “customers” as the reason they are being charged more.

The HII are tapping the till twice. This has been an ongoing problem for years, now. If you have info to the contrary, let me know, as it's (F, W andA) coming from somewhere.


Against This
Comment posted March 31, 2010 @ 7:31 pm

This is a poorly thought out article…..

The bill is Health Insurance Reform, not Health Care Reform, they did NOTHING to decrease the cost of healthcare….at all

Health Insurance was developed to be there for you when something catastrophic happened, not pay for you doctor visit because you have a cold or stubbed your toe. You want health insurance cost to come down than stop letting hospitals charge $20 for aspirin, start educating the consumer on the cost of their doctors and hospital visits.

You need to do your research…


Against This
Comment posted March 31, 2010 @ 7:31 pm

This is a poorly thought out article…..

The bill is Health Insurance Reform, not Health Care Reform, they did NOTHING to decrease the cost of healthcare….at all

Health Insurance was developed to be there for you when something catastrophic happened, not pay for you doctor visit because you have a cold or stubbed your toe. You want health insurance cost to come down than stop letting hospitals charge $20 for aspirin, start educating the consumer on the cost of their doctors and hospital visits.

You need to do your research…


Against This
Comment posted March 31, 2010 @ 7:31 pm

This is a poorly thought out article…..

The bill is Health Insurance Reform, not Health Care Reform, they did NOTHING to decrease the cost of healthcare….at all

Health Insurance was developed to be there for you when something catastrophic happened, not pay for you doctor visit because you have a cold or stubbed your toe. You want health insurance cost to come down than stop letting hospitals charge $20 for aspirin, start educating the consumer on the cost of their doctors and hospital visits.

You need to do your research…


Against This
Comment posted March 31, 2010 @ 7:31 pm

This is a poorly thought out article…..

The bill is Health Insurance Reform, not Health Care Reform, they did NOTHING to decrease the cost of healthcare….at all

Health Insurance was developed to be there for you when something catastrophic happened, not pay for you doctor visit because you have a cold or stubbed your toe. You want health insurance cost to come down than stop letting hospitals charge $20 for aspirin, start educating the consumer on the cost of their doctors and hospital visits.

You need to do your research…


Against This
Comment posted March 31, 2010 @ 7:31 pm

This is a poorly thought out article…..

The bill is Health Insurance Reform, not Health Care Reform, they did NOTHING to decrease the cost of healthcare….at all

Health Insurance was developed to be there for you when something catastrophic happened, not pay for you doctor visit because you have a cold or stubbed your toe. You want health insurance cost to come down than stop letting hospitals charge $20 for aspirin, start educating the consumer on the cost of their doctors and hospital visits.

You need to do your research…


Against This
Comment posted March 31, 2010 @ 7:31 pm

This is a poorly thought out article…..

The bill is Health Insurance Reform, not Health Care Reform, they did NOTHING to decrease the cost of healthcare….at all

Health Insurance was developed to be there for you when something catastrophic happened, not pay for you doctor visit because you have a cold or stubbed your toe. You want health insurance cost to come down than stop letting hospitals charge $20 for aspirin, start educating the consumer on the cost of their doctors and hospital visits.

You need to do your research…


Against This
Comment posted March 31, 2010 @ 7:31 pm

This is a poorly thought out article…..

The bill is Health Insurance Reform, not Health Care Reform, they did NOTHING to decrease the cost of healthcare….at all

Health Insurance was developed to be there for you when something catastrophic happened, not pay for you doctor visit because you have a cold or stubbed your toe. You want health insurance cost to come down than stop letting hospitals charge $20 for aspirin, start educating the consumer on the cost of their doctors and hospital visits.

You need to do your research…


Against This
Comment posted March 31, 2010 @ 7:31 pm

This is a poorly thought out article…..

The bill is Health Insurance Reform, not Health Care Reform, they did NOTHING to decrease the cost of healthcare….at all

Health Insurance was developed to be there for you when something catastrophic happened, not pay for you doctor visit because you have a cold or stubbed your toe. You want health insurance cost to come down than stop letting hospitals charge $20 for aspirin, start educating the consumer on the cost of their doctors and hospital visits.

You need to do your research…


LGR
Comment posted March 31, 2010 @ 7:55 pm

Lisa is right. You want government health care/health insurance, just ask anyone who's been to a VA hospital. By the way, it is GOVERNMENT RUN! it's THE KISS OF DEATH. And, have you wondered why our Imperial Congress did not sign on for this wonderful health insurance reform….or did you not notice they have their own custom health care courtesy of…….you know who……..us! Just think about it all…….THINK!


monkey99
Comment posted March 31, 2010 @ 7:58 pm

It hasn't even been implemented yet, and the complaints.

I have VA med care, and it's great (WA). I wouldn't trade it for anything. Yes, there are bad ones, you have seen them, but they're not all as you espouse.

At the same time, the HII is trying to end-run the new law. Denying coverage for pre-existing conditions wasn't good enough for them, apparently. I see NO upside to allowing them control of our lives. You fear government control, but why support those who don't give two s***s about your life, just as long as they get money from you.

I guess that's the real issue. Which do you hold dearer?


monkey99
Comment posted March 31, 2010 @ 8:07 pm

I'm an Iraq war vet, and I wouldn't give up VA med care for anything. Lisa states her experience with the VA, but not all are as she says. My VA hospital is one of the better ones (WA), and I've had no problems with anything, from pharmaceuticals to consultation to invasive care.

Let the system establish itself before decrying it. I think you'll see it won't be as frightening as you have been scared into believing. I'm willing to wait and see, for my mother's sake. The doughnut hole is addressed, and that goes a long way to easing HER prescription woes.


j NM
Comment posted March 31, 2010 @ 8:46 pm

If They (the insurance companies) want to play the “End Game” the answers really simple. Tax the holly living crap out of their bottom line just like is done with TOBACCO products & Alcohol. Their greedy practices are having a much worse effect on everyone's health than either tobacco, alcohol or even illegal drugs.

Their 200% pure profit “Bottom Line” that goes not to the investors but to their corporate executives is in fact sheer greed. Their Bottom Line is the real reason our health care costs are so high.

Their Bottom Line isn't “Re-Invested” in the Health Industry. If you think it is, then you either too naive or stupid to know what their “Bottom Line” actually is.


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Swami_Binkinanda
Comment posted March 31, 2010 @ 9:03 pm

This sounds like some Firedoglake Jane Hamsher bumout! Why do you want to blow our good feeling? Dave Weigel is going to do some oppo on you on his way over to the Washington Post, the Mordor of journalism.


giantslor
Comment posted March 31, 2010 @ 9:43 pm

A lot of people think Walter Reed Army Medical Center is part of the VA. It isn't. It's run by the Army whereas the VA is run by the Department of Veterans Affairs. The VA is the crown jewel of our medical system.


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Wingnut
Comment posted April 1, 2010 @ 11:14 am

Hi

Author, capitalists, you DO see the pyramid scheme symbol on the back of the USA one dollar bill, right? You DO see the servitude infestation in capitalism, right? And do you see the “pay up or lose your wellbeing” Chicago mob-like felony extortion widespread within capitalism? Do you see the “join or starve” felony extortion done to the 18 year olds… by this ugly competer's church called capitalism? See how forcing competer's religions onto 18 year olds… kills membership in the cooperator's church (Christianity/socialism)?? Do you understand that AmWay (American Way) (New World Order) got “the exclusive” (legal tender) on the TYPE of survival coupons (money) accepted in supply depots (stores) and leverages 18 year olds into the organization via that felony activity as well? (It puts AmWay-coupon slaving requirements called price tags… on all the survival goods). Do you understand how farmyard pyramids work… from your childhood?? Remember?? Upper 1/3 are “heads in the clouds” while the kids on the bottom ALWAYS GET HURT from the weight of the world's knees in their backs? Still with me? Do you see anything illegal, immoral, or just plain sick… in any of this pyramid scheme's activities?

Us American Christian socialists are still patiently awaiting the natural fall of the pyramid-o-servitude, or the busting of the free marketeers felony… by the USA Dept of Justice. Us Christians are VERY CLOSE to issuing a cease and desist order until the servitude and inequality goes away… which means it turns into a commune. Commune is a word we LOVE when used in the word “community”… but its one the caps HATE when used in the term “commune-ism”. Go fig. PROGRAMMED!!

Do a Google IMAGE SEARCH for 'pyramid of capitalist' to see a full color picture made way back in 1911, when capitalism was first discovered to be a con/sham instigated by the Free Masons/Illuminati. Folks sure bought into the thing… hook, line, and sinker just the same. The caps didn't even check if a string was attached! Now THAT'S easy fishing, eh?

Time to level the felony pyramid scheme called capitalism. Abolish economies and ownershipism worldwide, and hurry. Economies just cause rat-racing, and rat-racing causes felony pyramiding. BUST IT, America! Look to the USA military supply/survival system… (and the USA public library system) for socialism and morals done right. Equal, owner-less, money-less, bill-less, timecard-less, and concerned with growth of value-criteria OTHER THAN money-value. Quit doing monetary discrimination immediately, and make it illegal. There are MANY measurement criteria of “value”… not just dollars. Try morals, efficiency, discrimination-levels, repairability, etc etc. Economies are cancerous tumors, and to cheer for their growth… is just insane. Profiting causes inflation, so if caps LIKE inflation, and if they LIKE a terrible time in afterlife when they meet the planet's ORIGINAL OWNER before caps tried to squat it all with ownershipism, then keep it up with the felony pyramiding. I dare you. While us Christians are finally bulldozing that pyramid scheme back to level, lets make servitude and “join or starve” (get a job or die) illegal in the USA, and lets level the architecture seen in USA courtrooms, too. Right now, USA courtrooms are church simulators or “fear chambers”, by special design. Sick.

Isn't that back-of-the-dollar pyramid… a Columbian freemason symbol? And WHERE is the USA gov located? District of Columbia? (Not even part of the USA!) How much more blatant can ya get? The “Fed” runs a pyramid scheme called the free marketeers. If you're using the “federal reserve note” certificates, or using no-other-living-thing-on-the-planet entitles of ownership, you're bought into a servitude/slavery con/sham… called capitalism. Pyramiding 101.

Larry “Wingnut” Wendlandt
MaStars – Mothers Against Stuff That Ain't Right
(anti-capitalism-ists)
Bessemer MI USA
(NOT commenting as a guest, as you can see, admin)


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RE “7. Re-label current overhead expenses at health care”

I'm not sure that is as simple as this article makes it seem.

I think MLR is based on the insurer paying premiums.


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Comment posted April 2, 2010 @ 11:46 pm

I only had to read number 1 before I realized the author has absolutely no idea what she is talking about. I believe every state regulates health insurance companies so they have to to run their rate increases by state regulators before they can increase their premiums. So if they do increase their rates “outrageously” it's because their costs have increased outrageously” under Obamacare. Not a very difficult concept even for a wingnut.

I understand some people think a 3-6% profit margin is obscene but then there are a lot of ignorant people in this country.


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Comment posted April 3, 2010 @ 2:10 am

That is why they need to bring back the Public Option to counter these effects. Beg for it Americans


esch
Comment posted April 3, 2010 @ 4:46 pm

Because once it's established, it'll be vastly harder to get rid of.

Paul Krugman of the NYT recently admitted that much of the purpose of is these changes is to effect 'significant' cost savings through rationing.

I'll take our private system over a public system run (largely) by lazy, delusional Democrats who want to euthanize me to save a few bucks, thank you very much.


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Comment posted April 4, 2010 @ 3:22 am

It's your job and nobody else's to give two s***s about your life. It's not my job and not an insurance company's job. Government takes 1/4 of your money in taxes and fees and it doesn't give two s***s about your life either. Soon government will take 1/3 or more of your money in taxes and fees and still not give two s***s, even while telling you which insurance you can buy and when you should die.

Health insurance is basically a hedge you take based on the risk you perceive that you'll need medical care, and the health plans companies offer balance the probabilities/risks that you'll need that coverage with the premiums you pay for said plans, and that means those companies' profits and losses are based on those risks and probabilities too. An insurance company that insures people who have expensive (or potentially expensive) pre-existing conditions and incur costs that outweigh the premiums those people pay for the insurance will eventually go bankrupt unless that company either (1) finds money elsewhere (i.e. you and me) or raises those people's premiums to pay the difference between premiums and costs from pre-existing conditions or (2) drops those people from their plans. That's a simple way of looking at the business, and it works the same way whether the government is running it or a private company is running it. Life isn't fair. Nobody's going to give two s***s about your life except you. Wake up.

As for your question, the difference between the government giving you insurance and a private company doing it is a private company will do it more efficiently and at a cheaper cost, which will mean I'll get a better insurance product for my money. Also, unlike the government, the private company won't trample my freedoms while it legislates away its competition. Even with a pre-existing condition, I can get better insurance through a private company and, bottom line, better health care, through a private company than through the government. I hold my freedoms and better insurance dearer.

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monkey99
Comment posted April 5, 2010 @ 4:29 pm

Are you rich? If not, you would become a victim of HII, were it not for reform.
It would have happened to you eventually.

You protect the very same industry that has been responsible for killing fellow Americans for the sake of profit. Obscene profit. They won't take away your freedom to die at their hands……For that piece of paper in your wallet.

You go on believing the same lies foisted on the rest of us. Just remember, they CAN'T refuse you treatment now, because of a preexisting condition. If they took it away, what would be YOU counting on? Who's going to give two s***s about your life, then? Where you going to go for help, then?

Go ahead and hold them dearer…..I can guarantee you the feeling isn't reciprocated.


monkey99
Comment posted April 5, 2010 @ 4:37 pm

You've been frightened by the minions supporting the same parasites who want to victimize you. If you want to go on using the same system that would victimize you eventually, go ahead. this new system won't affect you.

Euthanize you? where did you get that crap from? Instead of repeating the lies, look up the bill, and find out what it says. It's law now, might as well know what's in it, before talking smack you know nothing about.


Myview
Comment posted April 5, 2010 @ 5:04 pm

You can read the Health Care Bill at The Library of Congress Thomas, go to see them listed at http://thomas.loc.gov/
H.R. 4872 Reconciliation Act of 2010
H.R. 3590 Senate Health Care Reform

The question you are all failing to discuss with each other is how are we business owners ( your boss ) going to proceed with the Tax changes that this new health care bill will bring up on us businesses. You all fail to understand that things are very different for us owners which is why everyone is holding meetings with the CPAs and Lawyers as we must prepare for the numerous changes. I recommend you each be more concerned how this will impact your jobs realistically and begin to ask your bosses questions such as if the company you work for will face a serious financial impact due to tax law changes from the new Health Care Bill as well as other tax changes that are being considered I read that are not pertaining to the new Health Care Bill. This is a very delicate, serious matter for our businesses.


ellid
Comment posted April 5, 2010 @ 6:13 pm

My company will be thrilled since we've seen raises of 14% and up per year in our premiums.


ellid
Comment posted April 5, 2010 @ 6:16 pm

Somehow I doubt you'd be so doctrinaire about this if you had a pre-existing condition that made you uninsurable, or had been forced out of your job because they feared you getting sick and raising their rates.


ellid
Comment posted April 5, 2010 @ 6:17 pm

I read Krugman regularly in the Times. I don't recall him saying anything about rationing.

As for the infamous “death panels,” those were a Republican lie. Don't you feel stupid for falling for it?


ellid
Comment posted April 5, 2010 @ 6:18 pm

I agree with you about the anti-trust exemption.


Myview
Comment posted April 5, 2010 @ 8:32 pm

ellid, I have to say you are the first business owner to cross my path that shows no concern over how tax law changes will impact our businesses and our employees from this new Health Care Bill, but is thrilled over premium cost issues only. Wow, you sure moved quickly meeting with your CPAs, attorney as these meetings are so long, exhausting, nerve wrecking.

I see that you keep up with Paul Krugman of NYT, have you been able to read his opinion since the Health Care Bill was signed on the impact these tax changes will have on the financials of our companies? Please, let me know where I can read it if you have it.


Myview
Comment posted April 8, 2010 @ 3:51 am

At Library of Congress go to http://thomas.loc.gov/ when it opens you will see on the right side choices-click on H.R.3590 Patient Protection and Affordable Care Act ( which is part of the new Health Care Bill, you will see listed as Reconciliation Act of 2010) start reading or scroll down to Subtitle F: Shared Responsibility for Health Care – Part I: Individual Responsibility Sec. 1501 and Sec. 1502, IRS duties. Then scroll down to almost the end to Sec. 9002 Requires employers to include in the W-2 Form employee info of health insurance policy cost. Also, see H.R. 3962 Title IV.

Then go to http://dpc.senate.gov/healthreformbill/healthbi…

this is The Patient Protection and Affordable Act in the Senate website. Read section subtitle F-Shared responsibility for Health Care Sec. 5000A
subsection sec.1502. and sec. 6055 IRS and Sec 1513 and Sec 9002.

Also, H.R.3200 America's Affordable Health Choices Act of 2009 regarding imposing a tax on an individual without coverage. When you open it click on CSR Summary to read it. You'll see it listed on the right side when you open the Library of Congress Thomas at http://thomas.loc.gov/

All is in there, everyone is just going to have to do a lot of reading and looking at different sections.

Also, IRS is already hiring see http://federaljobs.net/irsagent.htm
IRS agents to enforce the new Health Care Law


Angela
Comment posted April 14, 2010 @ 8:03 pm

Although the author had some good points,only time will tell what will actually happen. I'm sensing some exaggeration.


Myview
Comment posted April 14, 2010 @ 9:47 pm

Here's another area I read http://dpc.senate.gov/healthreformbill/healthbi… of the Health Care Bill ( The Patient Protection and Affordable Care Act )

This section raised to me the question, will employees be able to afford buying their own health insurance policy if the employer does not offer to pay them an insurance policy and will the employee have the money if he chooses to pay the Tax(Fine/Penalty) to the IRS and not buy an insurance policy? And will employers have enough money to pay the Tax (Penalty/Fine) to the IRS if he chooses not to offer employees a health insurance policy? Will employers be able to afford paying for employee's insurance policies?

Also, why do employers have to report the employee's insurance policy cost on their W-2 Form to the IRS? Will the IRS see it as an increase to the employee's gross wages and employee pays a tax on it? Will IRS consider it an Asset to the employee?

As I have stated before as a business owner I am concerned on the impact it will have on the financials of our companies, on employees, jobs due to the new taxes, tax law changes, provisions, regulations and it raises another question to me that is if employers will be able to keep all their employees on payroll, will employers cut hours, cut jobs. Hopefully, I'll be able to get my questions answered from meeting with a tax accountant.


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