Odds and ends…
— I have been an active participant on SW development projects for some many years. My livelihood is plied within this country’s vast software staff augmentation blob. “I’m a consultant”.
It was obvious to me that the exchanges wouldn’t be ready today, because the resource demands of ACA implementation have to this point made no ripple whatsoever in my industry.
“Started software testing in August”? You gotta be kidding me.
— My family HC premiums are over $567 a paycheck (bimonthly pay), so I am actually keenly interested in alternatives, say those that would be available on an ‘exchange’. I don’t know that I’d be eligible, particularly for the subsidies, but I’m interested.
Bronze, Silver, and Gold plans are ostensibly stepped to cover 70, 80, and 90% of claims. In terms of product offerings, this seems to me almost a laughably useless gesture. I don’t know who takes a 70% coverage when the 30% can bankrupt you. At the other end I’m not sure 90% coverage is enough either.
— Young invincible are not going to enroll, K? This isn’t a real question, like one people have to speculate about what is going to happen. They are not going to enroll. They’ll stay on their parent’s policy until they are 27. Then they’ll enroll in their employer plans, if they have a job.
— As a retrograde crank, I imagine I ended up less biliously against say ‘national healthcare’ than other retrograde cranks. I don’t have an Ayn Rand style objection. Indeed, during the national debate I was swayed by a moral argument. A moral argument I had to look very hard to find, I might add, among BS claims that ACA would save money, etc. But the moral imperative exists nonetheless. Plainly expressed, it is that in a society that produces this much wealth and prosperity, some can be diverted to a national health system serving those of modest means.
— Ezra Klein quotes aside…. ….any honest discussion grants these intuitive points about ACA:
- Healhcare costs increase in total
- The program is not a break even proposition over any time period you choose to examine. The taxes are not enough, it will be subsidized out of general revenue
- Policy holders encounter increased premiums
- The regulatory structure depresses employment
To the extent it was argued otherwise, that was BS. This is yglessias tacit acknowledgment of that .