Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search
 

FarCenter

(19,429 posts)
Mon Oct 28, 2013, 06:43 PM Oct 2013

Obama admin. knew millions could not keep their health insurance

President Obama repeatedly assured Americans that after the Affordable Care Act became law, people who liked their health insurance would be able to keep it. But millions of Americans are getting or are about to get cancellation letters for their health insurance under Obamacare, say experts, and the Obama administration has known that for at least three years.

Four sources deeply involved in the Affordable Care Act tell NBC NEWS that 50 to 75 percent of the 14 million consumers who buy their insurance individually can expect to receive a “cancellation” letter or the equivalent over the next year because their existing policies don’t meet the standards mandated by the new health care law. One expert predicts that number could reach as high as 80 percent. And all say that many of those forced to buy pricier new policies will experience “sticker shock.”

None of this should come as a shock to the Obama administration. The law states that policies in effect as of March 23, 2010 will be “grandfathered,” meaning consumers can keep those policies even though they don’t meet requirements of the new health care law. But the Department of Health and Human Services then wrote regulations that narrowed that provision, by saying that if any part of a policy was significantly changed since that date -- the deductible, co-pay, or benefits, for example -- the policy would not be grandfathered.

Buried in Obamacare regulations from July 2010 is an estimate that because of normal turnover in the individual insurance market, “40 to 67 percent” of customers will not be able to keep their policy. And because many policies will have been changed since the key date, “the percentage of individual market policies losing grandfather status in a given year exceeds the 40 to 67 percent range.”

That means the administration knew that more than 40 to 67 percent of those in the individual market would not be able to keep their plans, even if they liked them.


http://investigations.nbcnews.com/_news/2013/10/28/21213547-obama-admin-knew-millions-could-not-keep-their-health-insurance?lite
65 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Obama admin. knew millions could not keep their health insurance (Original Post) FarCenter Oct 2013 OP
Those policies are substandard. They leave people uninsured for things that they may need or JDPriestly Oct 2013 #1
I don't think that over half of individual insurance policies were substandard. FarCenter Oct 2013 #4
Anyone who tested them would have learned they were substandard. hunter Oct 2013 #32
I wouldn't be surprised at all gollygee Oct 2013 #47
A lot of people who are being cancelled Abq_Sarah Oct 2013 #8
that's a good one elehhhhna Oct 2013 #39
And if they were responsible but mistaken, big mistake. JDPriestly Oct 2013 #55
You are not able to do that on minimum wages Stargazer99 Oct 2013 #9
Subsidies. nt geek tragedy Oct 2013 #23
If you are making minimum wage, you are eligible for Medicaid. SolutionisSolidarity Oct 2013 #26
You are assuming 40 hrs a week per year that paid employment is available to me Stargazer99 Oct 2013 #63
Look into the subsidies. You may be eligible. That is the point of the ACA. JDPriestly Oct 2013 #64
that's not exactly true... Puha Ekapi Oct 2013 #62
Can't she just go on regular Medicare? JDPriestly Oct 2013 #65
Ugh. Jfico89 Oct 2013 #2
The repugs are already running with this misleading story, carried by the MSM. NYC_SKP Oct 2013 #7
The people who will be seeing those ads will not be visiting DU for their news. Nuclear Unicorn Oct 2013 #12
The rebuttal is that those policies were junk geek tragedy Oct 2013 #24
Maybe that's what they wanted (and yes, they're entitled) and the extra cost will hurt them. Nuclear Unicorn Oct 2013 #29
No, the point is that junk insurance that rips geek tragedy Oct 2013 #34
You have zero basis for calling their insurance junk. You're assuming it was junk and Nuclear Unicorn Oct 2013 #36
Their policies are being discontinued geek tragedy Oct 2013 #37
Okay, but that doesn't mean their policies were junk, which you explicitly stated they were. Nuclear Unicorn Oct 2013 #45
That Money Missing... onpatrol98 Oct 2013 #49
maybe they want and are entitled to buy and eat poisoned chinese chicken, too elehhhhna Oct 2013 #42
And on what basis is the policies they prefer analogous to poison chicken? Nuclear Unicorn Oct 2013 #44
garbage is garbage elehhhhna Oct 2013 #48
"don't answer. not interested." Nuclear Unicorn Oct 2013 #53
Your concern is noted. nt FLyellowdog Oct 2013 #10
He was right, they can keep their policies, policies that had no guarantees built in. NYC_SKP Oct 2013 #3
"If you like your plan you can keep it" SpartanDem Oct 2013 #21
People will know what they are paying for healthcare in a year's time. SolutionisSolidarity Oct 2013 #27
Bingo cprompt Oct 2013 #58
"How is the average person is going to interpet that statement?" Nuclear Unicorn Oct 2013 #60
The insurance company could always have cancelled the plan treestar Oct 2013 #61
yes it is the blame of the companies and not the president JanT Oct 2013 #56
That's not true about the dropping Yo_Mama Oct 2013 #59
I have a difficult time feeling empathy for those who's insurance price is going higher Stargazer99 Oct 2013 #5
I'm having a hard time understanding your lack of sympathy. Nuclear Unicorn Oct 2013 #11
It's called the Affordable Care Act, for God's sake. If it's goal is to A. Insure everyone... Gravitycollapse Oct 2013 #15
The plans being cancelled do not even come close to meeting the minimum standards. Warren Stupidity Oct 2013 #18
"People paying for those policies were being robbed." Nuclear Unicorn Oct 2013 #33
They might not, but generally that is what is going on. Warren Stupidity Oct 2013 #35
The soundbites should have included some disclaimers seveneyes Oct 2013 #6
I hate when I have to think... stillcool Oct 2013 #13
Of course they couldn't, there is no more shitty junk insurance. JaneyVee Oct 2013 #14
It was, let's be honest, a supremely STUPID claim. How would HE know employers' plans?? WinkyDink Oct 2013 #16
Insurance companies forced to have some sane minimum standards and they can't take it. Lex Oct 2013 #17
They will have to get actual insurance instead. geek tragedy Oct 2013 #19
Remember when the meme was ProSense Oct 2013 #20
What gets missed in most of these stories zipplewrath Oct 2013 #28
The large print giveth, the small print taketh away Fumesucker Oct 2013 #22
and? SoCalDem Oct 2013 #25
Obama killed Kenny. The bastard! LadyHawkAZ Oct 2013 #30
!!! NYC_SKP Oct 2013 #31
... SidDithers Oct 2013 #38
Should read: Insurance Companies Scammed Millions Out Of $Billions Before ACA. DevonRex Oct 2013 #40
It is a good point. What were we asking the insurance companies to do? BlueStreak Oct 2013 #50
The insurance companies didn't want the policies to be grandfathered. They wanted to CANCEL BlueStreak Oct 2013 #41
Ok then fine. Flatpicker Oct 2013 #43
*************LOFL "...Four sources deeply involved ..."************* uponit7771 Oct 2013 #46
'even if they liked them' for no good reason. elleng Oct 2013 #51
I once had insurance I liked dflprincess Oct 2013 #52
You mean the insurance companies found a way to scam more money out of people. bravenak Oct 2013 #54
Trolls have been calling into liberal talk radio shows with this dribble for the last few weeks. Liberal_Stalwart71 Oct 2013 #57

JDPriestly

(57,936 posts)
1. Those policies are substandard. They leave people uninsured for things that they may need or
Mon Oct 28, 2013, 06:48 PM
Oct 2013

they take money and don't pay much back.

People who can't afford a decent policy become burdens to the government. If they really can't afford a decent policy, they should try to see if they qualify for a subsidy.

I bought my own healthcare for years. It's just something you do because you are a responsible person. You should also have renter's or homeowner's insurance and most definitely insurance on your car if you want one.

 

FarCenter

(19,429 posts)
4. I don't think that over half of individual insurance policies were substandard.
Mon Oct 28, 2013, 06:52 PM
Oct 2013

Judging by what is happening in Medicare Advantage, a common change appears to be to INCREASE the deductible. This causes the cancelation of the old policy and the new similar policy is poorer and higher priced.

hunter

(38,322 posts)
32. Anyone who tested them would have learned they were substandard.
Mon Oct 28, 2013, 08:29 PM
Oct 2013

With these individual plans anyone who suffered a very serious illness or accident would eventually be thrown off the ship for a multitude of reasons. Maybe they were too sick to read the fine print and jump through hoops, maybe they were too sick to work and pay the premiums, maybe the COBRA was too expensive, maybe the COBRA expired. After that, sorry, no longer a customer. Good bye, sucker... hope you can swim.

My wife and I ran out a COBRA to the bitter end. After that we were uninsurable, not able to buy individual insurance at any price. My wife was not yet fully recovered and qualified for our state's high risk insurance pool. I went without and our kids were on a separate inexpensive policy. (Between five years old and adolescence healthy kids are easily insured.)

We've got health insurance through my wife's work now. Our credit rating has been destroyed, but it's good to know the ACA will help others avoid the hell we went through.

What kind of society is it where very sick people are expected to fight with a soulless corporations?

A single payer plan would be best, a nation taking care of it's own people for the simple reason they are human beings, but the ACA is better than what we had, and probably the best that could be pushed through in a nation that is governed by bought-and-paid-for brain-dead Reagan worshiping zombies.







gollygee

(22,336 posts)
47. I wouldn't be surprised at all
Mon Oct 28, 2013, 09:03 PM
Oct 2013

Before the ACA, most people could only afford catastrophic insurance, if that. I had that kind of insurance at one point, and was thrilled to finally have insurance until I learned how useless it was. And then I figured out that I still couldn't afford to go to the doctor.

Abq_Sarah

(2,883 posts)
8. A lot of people who are being cancelled
Mon Oct 28, 2013, 06:54 PM
Oct 2013

Also were responsible people. They bought policies that covered what they needed, not what some functionary thought they should have.

JDPriestly

(57,936 posts)
55. And if they were responsible but mistaken, big mistake.
Mon Oct 28, 2013, 10:19 PM
Oct 2013

They ended up in bankruptcy court and the government covered the hospital's losses.

I wish that Kaiser offered health care everywhere. They are less expensive than some other plans, comprehensive, focus on preventive care, are pretty much doctor owned and managed. I love my Kaiser healthcare.

True, my deductibles have gone up for 2014. But then my healthcare costs go up every year. Plus this year I get a very cheap opportunity to join a health club through my Kaiser plan.

No. I don't work for Kaiser.

Stargazer99

(2,597 posts)
9. You are not able to do that on minimum wages
Mon Oct 28, 2013, 06:55 PM
Oct 2013

You see you can't sleep in the street, not pay your utilities, groceries, etc
Some of you just refuse to be honest with yourselves.

26. If you are making minimum wage, you are eligible for Medicaid.
Mon Oct 28, 2013, 08:15 PM
Oct 2013

$7.25/hr * 40 hours * 52 weeks = $15080. The cut off for Medicaid is 133% of the federal poverty level, or $15,280 for an single person household. You would be provided for despite your inability to pay, which is why some of us are fighting so hard for this law. And should your income go up, health insurance would be highly subsidized until you reach a middle class level of income, ensuring medical care isn't priced out of your reach. At least that's the plan, and I hope to God it works because the system we had sucked.

Stargazer99

(2,597 posts)
63. You are assuming 40 hrs a week per year that paid employment is available to me
Tue Oct 29, 2013, 04:13 PM
Oct 2013

what makes you think that is the only possibility? Sounds like you've never been in this spot before. Rents run $1000 or more in our area,and there are utilities. The theory sounds nice but reality bites your assumption in the tail feathers. If you want to put your beliefs into the general public I suggest you visit the lower-classes and what they pay and earn and then come back and tell me if works

Puha Ekapi

(594 posts)
62. that's not exactly true...
Tue Oct 29, 2013, 08:08 AM
Oct 2013

My 82 y/o mother has a decent plan as part of her retirement package. She has had some serious medical issues over the last year, culminating in a trans catheter aortic valve replacement late this past summer. She's on a fixed income, and her premium for her current policy costs her $138.00/month. It includes a good prescription plan, which she desperately needs. Without the scrip plan, her monthly meds would cost her several hundred dollars/month, with her current plan, her out of pocket is somewhere around $80/month.

On October 2, she received a letter from her provider informing her that the carrier will be dropping her current plan on Jan 1. I have been scrambling to find coverage at the same cost....so far the best I can find increases her premium from the $138/month to around $400/month, with substantial increases in copay and out of pocket costs. She literally cannot afford higher costs. Her policy was supposed to be "grandfathered", but there are loopholes in that a mile wide. She is a couple grand over the income level that allows a subsidy, so there is no help there. I do not want her to lose her current doctors, but that may not be possible.

As for her current plan being "substandard", that's just bullshit. She's had excellent coverage and care. The new ACA regulations call her plan "substandard" because in part it doesn't provide prenatal or pediatric care. WTF? She's EIGHTY TWO YEARS OLD!

It's a massive clusterfuck of epic proportions.

 

NYC_SKP

(68,644 posts)
7. The repugs are already running with this misleading story, carried by the MSM.
Mon Oct 28, 2013, 06:53 PM
Oct 2013

The very article cited in the OP is evidence of this.

I prefer not to give them any help. It just proves that the policies were worthless from the outset.

Nuclear Unicorn

(19,497 posts)
12. The people who will be seeing those ads will not be visiting DU for their news.
Mon Oct 28, 2013, 07:27 PM
Oct 2013

So the idea of a DU spiking the story has no value where it counts. In fact, attempting to obscure evidence is generally considered an admission the evidence is damaging. A proper rebuttal is required. Rhetorically screaming, "Shut-up!" draws even more attention to the thing you're attempting to hide.

So far the only thing approaching a rebuttal that I've seen here is, "You stupid stupid-heads bought a stupid policy." To wit the next batch of ads will say, "Obama said I could keep my stupid policy and I don't feel like voting for people who call me stupid."

 

geek tragedy

(68,868 posts)
24. The rebuttal is that those policies were junk
Mon Oct 28, 2013, 08:04 PM
Oct 2013

that provided very little, in most cases zero, actual coverage and benefits.

Nuclear Unicorn

(19,497 posts)
29. Maybe that's what they wanted (and yes, they're entitled) and the extra cost will hurt them.
Mon Oct 28, 2013, 08:26 PM
Oct 2013

Remember, for every dollar of their household budget they add to more expensive policy premiums and deductibles is a dollar they aren't spending on the economy. They are going to miss that money and so are the people they spent it on.

Sniffing that their policy was junk in haughty overtones isn't going to ease their resentment in the least; actually it will probably just aggravate them more. It will be even worse if they start seeing they are paying for coverage that is of no use to them. Elections aren't won by being dismissive of people's legitimate concerns.

 

geek tragedy

(68,868 posts)
34. No, the point is that junk insurance that rips
Mon Oct 28, 2013, 08:31 PM
Oct 2013

off unsuspecting policyholders. The point is that they won't be disappointed in their new and upgraded policies.

Nuclear Unicorn

(19,497 posts)
36. You have zero basis for calling their insurance junk. You're assuming it was junk and
Mon Oct 28, 2013, 08:37 PM
Oct 2013

you're assuming they don't know any better.

 

geek tragedy

(68,868 posts)
37. Their policies are being discontinued
Mon Oct 28, 2013, 08:39 PM
Oct 2013

because they fail to meet the ACA's minimum standards for coverage.

Nuclear Unicorn

(19,497 posts)
45. Okay, but that doesn't mean their policies were junk, which you explicitly stated they were.
Mon Oct 28, 2013, 08:57 PM
Oct 2013

Many people may have been perfectly satisfied with their policies and may actually have used them to their satisfaction. "That money missing from your paycheck is because we know better than you. You should be thanking us," is a crappy campaign slogan.

And keep in mind this is just the individual insurance market. The effects to the employer-based market are yet to be seen but the President already delayed that portion of the law under the admission it would be harmful. Now the only question is, how harmful?

onpatrol98

(1,989 posts)
49. That Money Missing...
Mon Oct 28, 2013, 09:41 PM
Oct 2013

Quote: "That money missing from your paycheck is because we know better than you. You should be thanking us," is a crappy campaign slogan.

-------------------------


-------------------------
Let's hope it doesn't come to that.

 

elehhhhna

(32,076 posts)
42. maybe they want and are entitled to buy and eat poisoned chinese chicken, too
Mon Oct 28, 2013, 08:46 PM
Oct 2013

I prefer a country with at least minimal consumer protection laws.

Just saying.

Nuclear Unicorn

(19,497 posts)
44. And on what basis is the policies they prefer analogous to poison chicken?
Mon Oct 28, 2013, 08:51 PM
Oct 2013

And when has anyone deliberately sought out the personal consumption of chicken manufactured to be poisonous?

 

elehhhhna

(32,076 posts)
48. garbage is garbage
Mon Oct 28, 2013, 09:15 PM
Oct 2013

when did anyone seek out a sham shady insurance policy?

don't answer. not interested.

Nuclear Unicorn

(19,497 posts)
53. "don't answer. not interested."
Mon Oct 28, 2013, 09:55 PM
Oct 2013

epistemological closure

You don't know it was sham insurance, you're just calling that to be dismissive of the real concerns of real people; and if we don't treat them as if they matter they will make their voices heard elsewhere.

 

NYC_SKP

(68,644 posts)
3. He was right, they can keep their policies, policies that had no guarantees built in.
Mon Oct 28, 2013, 06:51 PM
Oct 2013

Policies that could drop you for no reason at all, policies that could change the terms, rates, copays, at will.

There is no way that Obama or anyone else could make a guaranty that people could keep their insurance AND at the same price, terms, etc.

The blame for these cancellations lay with the companies, not with the president.

SpartanDem

(4,533 posts)
21. "If you like your plan you can keep it"
Mon Oct 28, 2013, 07:55 PM
Oct 2013

How is the average person is going to interpet that statement?

As it's been pointed many times many of the changes these people are seeing will be improvements. But at the end of day the President said those words and they'll be used against him and the party. You just know there's an add coming in 2014. The question is come next November will the people initially upset about their plan being changed realize what they have is better?

cprompt

(192 posts)
58. Bingo
Mon Oct 28, 2013, 11:24 PM
Oct 2013

Make no mistake this is ad bait like crazy this can be easily hung over obamas head. Telling an estimated 17 million Americans they can keep their policy and going the opposite direction is not good for us.

treestar

(82,383 posts)
61. The insurance company could always have cancelled the plan
Tue Oct 29, 2013, 07:37 AM
Oct 2013

People take things for granted that they shouldn't.

JanT

(229 posts)
56. yes it is the blame of the companies and not the president
Mon Oct 28, 2013, 11:07 PM
Oct 2013

but unfortunately what happens is the individual who wants to blame the president will do so and tell all of their friends as my "acquaintance" did. try to tell these morons that their original policy was crap to begin with and under ACA they have a better policy that will protect them better. But they are morons who hate Obama anyway. So it's a good excuse to blame Obama. She wanted to blame Obama so she did and no conversation with me is going to change her mind. I walked away. But unfortunately there will be many others who have their policy canceled. The ACA says they cannot refuse to cover you because of pre-existing conditions. Unfortunately it does not state that your ins company must continue to cover you. So the high risk people will be dropped not because they did not pay their premiums, but because the ins company can dump you and use ACA as an excuse. It's an excuse for private ins companies to continue to scam the people (as they have always done). The republicans were the ones who blocked single payer plan and shoved us all right back in bed with the private ins company. But as my republican "acquaintance" continues to do - it's easier to blame Obama for anything -including burnt toast - than it is to understand why it's happening. Only direct true comparisons can tell whether any one policy is better than another. but if you are talking to a republican-it doesn't matter. They will blame Obama no matter what.

Yo_Mama

(8,303 posts)
59. That's not true about the dropping
Mon Oct 28, 2013, 11:25 PM
Oct 2013

It has been against the law for many years. Insurance companies could not simply drop people under federal law.

Stargazer99

(2,597 posts)
5. I have a difficult time feeling empathy for those who's insurance price is going higher
Mon Oct 28, 2013, 06:53 PM
Oct 2013

How would you like to be priced out of health insurance and have one of your family die because no one earns over mimimum wage? I think that would be a hell'va lot worse. Or does anyone else matter but you?
the Republicans have 8 years to correct this problem and had no intention to help low-income people
As Mr. Gringrich said two days ago there is only a small portion of the people that don't have access to health care and it seemed just fine to him. I would advise Mr. Gringrich to get out of his ivory tower where the well to do are located and come down to the common man and get an education, but I assume he doesn't want to do that as reality might be too much for him to comprehend.

Nuclear Unicorn

(19,497 posts)
11. I'm having a hard time understanding your lack of sympathy.
Mon Oct 28, 2013, 07:18 PM
Oct 2013

You almost sound vindictive as if these people were to blame for others not having insurance.

Gravitycollapse

(8,155 posts)
15. It's called the Affordable Care Act, for God's sake. If it's goal is to A. Insure everyone...
Mon Oct 28, 2013, 07:30 PM
Oct 2013

And B. Make health insurance affordable, having your premiums go up causes at least one part of the plan to fail.

 

Warren Stupidity

(48,181 posts)
18. The plans being cancelled do not even come close to meeting the minimum standards.
Mon Oct 28, 2013, 07:46 PM
Oct 2013

People paying for those policies were being robbed. Their insurance covered little and did not protect them from financial disaster. Many of those "millions" will qualify for vastly superior plans at very low cost due to subsidies.

Nuclear Unicorn

(19,497 posts)
33. "People paying for those policies were being robbed."
Mon Oct 28, 2013, 08:29 PM
Oct 2013

They may not share your sentiments. They may resent coverage they won't use at substantially higher prices. And they may resent people telling them they have to pay a lot more money because some other person somewhere said they aren't smart enough to make their own decisions.

 

Warren Stupidity

(48,181 posts)
35. They might not, but generally that is what is going on.
Mon Oct 28, 2013, 08:35 PM
Oct 2013

For example, this morning's heritage foundation sponsored case of the woman with the 10x increase. Her policy paid 50 bucks. 50 bucks for a doctors visit or a heart attack. That policy was simply fraudulent and under the ACA, not legal. Good. The fact that this woman didn't understand she was being robbed, or that she did not have to settle for the 500/month replacement, doesn't change anything.

 

seveneyes

(4,631 posts)
6. The soundbites should have included some disclaimers
Mon Oct 28, 2013, 06:53 PM
Oct 2013

So much for a perfect chess game. Sometimes close enough isn't.

stillcool

(32,626 posts)
13. I hate when I have to think...
Mon Oct 28, 2013, 07:28 PM
Oct 2013

for myself and question questionable reporting. If it isn't black or white, don't bother me. Obama bad-insurance company good. Thanks.

Lex

(34,108 posts)
17. Insurance companies forced to have some sane minimum standards and they can't take it.
Mon Oct 28, 2013, 07:33 PM
Oct 2013

So they cancel their junk policies. Sad indeed.

 

geek tragedy

(68,868 posts)
19. They will have to get actual insurance instead.
Mon Oct 28, 2013, 07:48 PM
Oct 2013

Amazing how the Ted Cruz- style ACA haters post the same articles.

ProSense

(116,464 posts)
20. Remember when the meme was
Mon Oct 28, 2013, 07:53 PM
Oct 2013

people are going to be paying more for shitty policies? Now, people are pissed because some have to give up shitty plans for better policies.

NBC NEWS: Obama Admin. Knew Millions Could Not Keep Their Health Insurance

President Obama repeatedly assured Americans that after the Affordable Care Act became law, people who liked their health insurance would be able to keep it. But millions of Americans are getting or are about to get cancellation letters for their health insurance under Obamacare, say experts, and the Obama administration has known that for at least three years.

This needs an investigative report? What do they think "most" means? There are 300 million people in this country. The President consistently said most Americans will be able to keep their plan. He specifically addressed the misinformation pushed by Republicans to scare those who have employer-based and other forms of health care.

Ed Henry asked the question during today's press briefing.

Q On your point, beyond the website -- the President, when he was trying to get the law passed, repeatedly said, if you currently have health insurance you’ll be able to keep your plan. This morning, David Axelrod was pressed on that point and said the majority, the vast majority will get to keep their plans. He no longer works at the White House. From that podium, will you admit that when the President said, if you have a plan, you’ll get to keep it, that that was not true?

MR. CARNEY: Well, let’s just be clear. What the President said and what everybody said all along is that there are going to be changes brought about by the Affordable Care Act that create minimum standards of coverage -- minimum services that every insurance plan has to provide so that an individual shopping for insurance, when he or she purchases that insurance, knows that maternity care is covered, that preventative services are covered, that mental health services are covered, that the insurance policy you buy doesn’t have an annual limit or a lifetime limit, that there are out-of-pocket expenses capped at a maximum level both annually and for a lifetime.

So it’s true that there are existing health care plans on the individual market that don't meet those minimum standards and therefore do not qualify for the Affordable Care Act. There are some that can be grandfathered if people want to keep insurance that's substandard. But what is also true is that Americans who have insurance on the existing individual market will now have numerous options available to them, and 6 out of 10 will pay less than $100 per month in premiums for better insurance. It’s not even an apples-and-apples comparison.

This is qualitatively better insurance coverage than what was available in many cases to Americans around the country -- in an area of the insurance market, by the way, that so lightly regulated that you often didn’t know what you were getting. So you could sign an insurance policy, get that plan, pay a lot of upfront money, premiums, out-of-pocket expenses, and then find out that because of the fine print, it doesn’t cover the actual condition that you have. That will no longer be the case.

So I get what the effort here is, but the fact is, is that --

Q Well, the President said one thing and you're admitting that that's not going to be the case, that not everyone is going to keep their plan; they will, admittedly, wind up probably with better insurance in the long run, so they may be healthier. That should be said. But the President sold it as if you have a plan, you’ll get to keep it. And that's not true.

MR. CARNEY: Ed, I appreciate what you're trying to do. Eighty-plus percent of the American people already get insurance through their employer, through Medicare, through Medicaid. They don't have to worry about or do or change anything. Those remaining individuals who do not have insurance at all now will have it available to them through -- or don't have insurance at all or get it through the individual market will now have insurance available to them through expanded Medicaid services in those states that have accepted the expanded Medicaid program, as well as through the health care marketplaces.

And it’s correct -- I mean, I take your point -- it’s correct that substandard plans that don't provide minimum services that have a lot of fine print that leaves consumers in the lurch, often because of annual caps or lifetime caps or carve-outs for some preexisting conditions, those are no longer allowed -- because the Affordable Care Act is built on the premise that health care is not a privilege, it’s a right, and there should be minimum standards for the plans available to Americans across the country.

http://www.dailykos.com/story/2013/10/28/1251352/-Briefing-by-White-House-Press-Secretary-Jay-Carney-health-care-law-and-NSA-spying

Obama Admin: Half Of Young Americans Could Buy Insurance For $50 Or Less
http://www.democraticunderground.com/10023939187


zipplewrath

(16,646 posts)
28. What gets missed in most of these stories
Mon Oct 28, 2013, 08:23 PM
Oct 2013
Eighty-plus percent of the American people already get insurance through their employer, through Medicare, through Medicaid. They don't have to worry about or do or change anything. Those remaining individuals who do not have insurance at all now will have it available to them through -- or don't have insurance at all or get it through the individual market will now have insurance available to them through expanded Medicaid services in those states that have accepted the expanded Medicaid program, as well as through the health care marketplaces.


Look, I can be as critical of the ACA as anyone, but these articles are a bit misleading because they don't really explain the size of the population being referenced. The population of "people with insurance that they can't keep" is actually very small, especially if you limit it to "people who won't keep their current insurance and won't be really happy with what they ultimately get". I've yet to see anyone put a number against that but I'd hazard a guess that it's going to be in the low single digit percentages. Potentially as small as 1%.

SoCalDem

(103,856 posts)
25. and?
Mon Oct 28, 2013, 08:12 PM
Oct 2013

From the get-go, the phrase was "If you LIKE your insurance, you can keep it"..

I wish they had never used anything near that language, because MOST people HATE the insurance they have, and have NEVER been truly able to "choose", because they have always been limited to whatever plan their boss thinks they deserve.

For instance, if you belong to a union., your continued ( still relatively good) insurance comes with a very high hidden cost.. WAGES. Every bargaining period ends with LESS than what was asked for in wages, in exchange for enhanced pension (which may or may not be there when you need it) and/or not losing something you already have in insurance coverage, and whatever is left over may be a penny here and there on wages.

Other companies may "offer" coverage, but most of the time it;s a carrot dangled in front of low wage workers who either are never given enough hours to qualify or who truly cannot afford it, even if, on paper, they "should be able to".

ACA put regulations in place that many employers' flimsy coverage would NEVER meet.

DevonRex

(22,541 posts)
40. Should read: Insurance Companies Scammed Millions Out Of $Billions Before ACA.
Mon Oct 28, 2013, 08:44 PM
Oct 2013

Now ACA Has Revealed The Scam As Millions Of Policies Canceled Due To Lack Of Coverage

When President Obama said if people liked their insurance plan they could keep it, he didn't count on the millions of people in America who apparently had been paying for practically nothing....

 

BlueStreak

(8,377 posts)
50. It is a good point. What were we asking the insurance companies to do?
Mon Oct 28, 2013, 09:42 PM
Oct 2013

To upgrade an existing policy to ACA standards, that basically means:

1) You can't arbitrarily cancel anymore
2) You can't impose lifetime caps
3) You have to cover routine preventive care

And these things justify a price increase of $500/month? That could only be true if the company really was a predator and had every intention to deny coverage and cancel policies as people got sick.

Please note that the pre-existing conditions thing is not an issue in these cases because we are talking about people who ALREADY had policies.

 

BlueStreak

(8,377 posts)
41. The insurance companies didn't want the policies to be grandfathered. They wanted to CANCEL
Mon Oct 28, 2013, 08:44 PM
Oct 2013

so they could gouge the customers by forcing them to a whole new pricing tier.

For those under the income 400% level, it should work out OK because the ACA policies should be much better coverage and the subsidy should soften any price increase.

But there are some big exceptions:

1) Lots of people are above the 400% level, but certainly aren't wealthy -- not wealthy enough to absorb a $5000/year increase without it really hurting. These people are getting hammered

2) Some of the ACA policies are real pieces of shit. In my case, Anthem is trying to keep people on the pre-ACA policies an extra year. That preserves a fairly robust provider network. They are asking about a 10% price increase for the same old policy that doesn't meet any of the new ACA standards, which is a heck of a deal for them. They offer 16 policies on the exchange, and every one of them has a really horrible provider network -- no more than about 10% of the docs in the area are in it. I have see 4 docs in the past 3 years, and NONE of them are in this network. And with the ACA policies, out of network is not covered at all. So those policies completely suck. Please check your provider network carefully before making any decisions.

Flatpicker

(894 posts)
43. Ok then fine.
Mon Oct 28, 2013, 08:48 PM
Oct 2013

You are right the ACA is a complete disaster.

Scrap it and go to single payer.

Can't go back now. All we can do is go forward.

dflprincess

(28,082 posts)
52. I once had insurance I liked
Mon Oct 28, 2013, 09:45 PM
Oct 2013

then my employer changed our plan to one of those high deductible scams. Now I have a different employer and am lucky enough to have good insurance that will not be changing, at least for next year.

As most of us get insurance through our employers, nobody has really had ever had a guarantee that they could keep insurance they liked.


 

bravenak

(34,648 posts)
54. You mean the insurance companies found a way to scam more money out of people.
Mon Oct 28, 2013, 10:05 PM
Oct 2013

They change the policies on purpose so that they wouldn't be able to be grandfathered in.
Saying that he " knew" implies that he has some psychic power.
Getting stale.
I'm not sorry that people can't keep sucky ass plans that would bankrupt them anyway.
I'm not.
The insurance companies see the writing on the wall. They will be phased out starting soon.
And they will have to continue giving rebates when they overcharge. And we will sue them into irrelevance, if they don't comply.
By reading what you have been writing for the last few days I'd think you wanted the Paul Ryan plan. Or non plan as it was.

Latest Discussions»General Discussion»Obama admin. knew million...