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Kber

(5,043 posts)
Mon Nov 26, 2012, 01:56 PM Nov 2012

SCOTUS opens door to a new Obamacare challenge

http://www.washingtonpost.com/blogs/wonkblog/wp/2012/11/26/scotus-opens-doors-to-a-new-obamacare-challenge/

It’s hard to know at this point what would happen if these two provisions of the health care law were overturned. Health policy experts don’t tend to consider the employer mandate as crucial to the health law’s success as the individual mandate. The vast majority of employers already provide insurance coverage, with no mandate at all.

If the mandate were to fall and employers were not to provide coverage, workers could potentially head to an insurance exchange and purchase coverage there, some with subsidies. Research suggests this coverage would end up costing employees more, but the option would still be there.

My thoughts: What if the Employer mandate falls, but the individual mandate remains in place? Might this actually open a path away from employer based health insurance and towards a system that is independent of employers and employment status? Might this even eventually force us to create an affordable health insurance plan that all could buy. You know, like Medicare?



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SoCalDem

(103,856 posts)
1. The ONLY way we EVER get to single-payer/universal healthcare is for employers to be OUT of it
Mon Nov 26, 2012, 02:07 PM
Nov 2012

completely.

As long as SOME (lucky?) people have employer-assisted health insurance, there can never be a truly single payer/universal plan.

The upper-middles will jealously guard their own , and will never truly back a fairer more comprehensive system until they also lose theirs.

The odd thing is that if people got the money their employers say they pay on their behalf (as pay raises), and everyone was in the same HUGE insurance pool, the cost WOULD go down..

As long as we have a raggedy patchwork, nothing gets better

Look at what we have now:

VA
Medicare
Medicaid
Charity
COBRA(have insurance in exchange for your unemployment check & borrowed money)
Diamond-studded coverage for some
NOTHING for some
Pay-premiums-get-little-or-nothing-plans for many (most?)
Get Sick and Die Plans

 

Lionessa

(3,894 posts)
2. If the mandate is the only thing overturned, which I've been told
Mon Nov 26, 2012, 02:12 PM
Nov 2012

though I do question it, then it supposedly leads the way directly to single-payer options through taxes.

I think since we still have Obama in the WH and a Dem Senate, that is potentially pretty likely that a relatively positive thing can come from an overturned mandate, rather than if Repubs held the same making it more likely Obamacare as a whole would be scrapped.

 

glacierbay

(2,477 posts)
3. But you would still have to get it passed a Repug. controlled House
Mon Nov 26, 2012, 02:16 PM
Nov 2012

and I really don't see that happening, do you?

Kber

(5,043 posts)
4. That's a good point
Mon Nov 26, 2012, 02:30 PM
Nov 2012

I might see overturning the Employer mandate as a path to single payer and I'm all for decoupling employment from health care. However, I think there will be significant pain along the way.

Not sure how I feel about this in general, except for a strong desire to see employers out of the health insurance / health care business completely.

 

glacierbay

(2,477 posts)
5. I fully agree with you
Mon Nov 26, 2012, 02:34 PM
Nov 2012

get the employers out of the health care business and hopefully take back the House in 2014 and then pass single payer.
Sounds good to me.

 

Lionessa

(3,894 posts)
7. More so now than if Rmoney had won or Repubs had mantained
Mon Nov 26, 2012, 03:05 PM
Nov 2012

all their seats or gained more. The opposite occurred so I am ... oh dare I say it..... hopeful

bluestate10

(10,942 posts)
6. This case covers a narrow aspect of the ACA.
Mon Nov 26, 2012, 02:43 PM
Nov 2012

The case by Liberty University challenges the contraceptive coverage portion of the law. The US catholic church has a similar challenge. If you remember the ruling last summer, the court threw out some challenges to parts of the ACA because the plaintiffs could not show that they had been harmed because the particular part of the law had not been applied. This case is somewhat unique in that it seems to weigh a demand by an employer that it not offer contraceptive coverage against the right of an employee to have that type of coverage in an insurance plan. The case could end up encompassing several amendments of the Constitution. Liberty and the catholic bishops may have to show that their failure to provide contraceptives coverage as part of a broader health care plan does not place undue financial and time stress on employees.

 

Lionessa

(3,894 posts)
8. Actually reading the article at Reuters,
Mon Nov 26, 2012, 03:07 PM
Nov 2012

(I haven't read this WP article yet, assuming it's similar)

the mandate is what is on the table, not the contraceptive aspect. I understand your inclination to look at it that way, as I did when I saw the headline at Reuters, but upon full reading, the issue they are contesting and have tried to contest in the past is the mandate.

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