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Yo_Mama_Been_Loggin

(107,957 posts)
Sun Jun 22, 2014, 09:28 PM Jun 2014

Republicans Finally Admit Why They Really Hate Obamacare

Conservatives spent years predicting Obamacare would collapse in all manner of gloomy scenarios. But those predictions all occurred in the run-up to the law coming on-line, on the basis of sketchy, preliminary data or pure conjecture. But in the months since the law has come into effect, a steady stream of far more solid data has come in, and the doomsaying predictions are being hunted to extinction. The right’s ideological objections to Obamacare remain, but I can’t think of a single practical analytic claim they made that still looks correct.

Just within the last week, numerous predictions of Obamacare skeptics have suffered ignominious deaths. Consider a few:

1. Obamacare is mostly just signing up customers who already had insurance. The basis for this claim was a preliminary survey conducted by McKinsey last year, well before the first enrollment period for Obamacare was complete. It generated massive coverage in the right-wing media. Since then, newer data has shown much higher figures. A Kaiser Family Foundation survey finds that 57 percent of enrollees lacked insurance previously.

2. Obamacare isn’t even significantly reducing the ranks of the uninsured. This claim built on the previous one — it combined the prediction few people would sign up for new coverage with the prediction that those who did were mostly insured. “CBO has projected that 14 million previously uninsured Americans would gain coverage under the law. With about ten weeks left in this year’s enrollment period, we’re looking at a coverage expansion of less than a million,” suggested Republican health-care adviser Avik Roy.

Measuring the population lacking insurance is historically complex and imprecise, but we now have a bevy of measures showing that Obamacare has already made a huge dent in the uninsured population. Gallup has showed the uninsured rate dropping by about a quarter. A report finds the uninsured rate in Minnesota has fallen by 40 percent. A study of numerous cities by the Robert Woods Johnson foundation projections projects declines of about 60 percent by 2016 in municipalities whose states expanded Medicaid, and half that in states where Republicans have maintained the party’s boycott of Obamacare.

-snip-

It is true that Obamacare is far more helpful to people lower down the income scale. The poorest people get Medicaid, which is free. Those higher up the income ladder get tax credits, which phase out at $45,000 a year for an individual, and $94,000 a year for a family of four. (I wouldn’t call people earning under those levels “poor.”) Of course, people who get employer-sponsored insurance also get their coverage paid for with “other peoples’ money.” The difference is that employer-sponsored insurance uses a tax deduction, which gives the largest benefits to those who earn the most money, as opposed to Obamacare’s sliding scale tax credit, which gives the most to those who earn the least.

-more-

http://nymag.com/daily/intelligencer/2014/06/republicans-finally-admit-why-they-hate-the-aca.html

35 replies = new reply since forum marked as read
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Republicans Finally Admit Why They Really Hate Obamacare (Original Post) Yo_Mama_Been_Loggin Jun 2014 OP
Medicaid is not "free". enlightenment Jun 2014 #1
Well I do have to disagree a bit on this point... sheshe2 Jun 2014 #2
Apparently, I get one. Fawke Em Jun 2014 #11
We Pay A Percentage Here ProfessorGAC Jun 2014 #20
People pay, if only in a lower pay rate. riqster Jun 2014 #21
They don't provide it for you out of the goodness of their corporate hearts. Ikonoklast Jun 2014 #28
This ^^^ hueymahl Jun 2014 #33
many employees pay for premiums noiretextatique Jun 2014 #35
At least the employer-paid part of the premium is paid with pre-tax dollars. Beartracks Jun 2014 #24
Yes! I FINALLY get to go to the doctor this Wednesday after four years of coughing DesertDiamond Jun 2014 #25
"The poorest people get Medicaid, which is free." Thanks to the Republican Justices, plus merrily Jun 2014 #3
you aren't taxed on your insurance benefit dsc Jun 2014 #5
True, but that was as true for the low earners as it was for the high earners. merrily Jun 2014 #6
it does as the marginal tax rate is higher for higher income earners dsc Jun 2014 #8
The benefits were exactly the same for all. Otherwise, merrily Jun 2014 #12
Medicare also has a monthly premiun of $104.50 a month. The average Social Security Thinkingabout Jun 2014 #4
Or, they could have had single payer proven first (and last). merrily Jun 2014 #7
Guess it is something the GOP can still whine about. Thinkingabout Jun 2014 #10
They whine about everything, and, when they get bored with that, they make up stuff merrily Jun 2014 #13
It never stops Thinkingabout Jun 2014 #14
Why would it? merrily Jun 2014 #15
they do offer Rage, BlancheSplanchnik Jun 2014 #29
Thank you. I knew I'd forgotten some. merrily Jun 2014 #30
Plus, deductibles and co-pays. merrily Jun 2014 #9
You STILL didn't list the main reason they hate it Rstrstx Jun 2014 #16
Of course shenmue Jun 2014 #17
I'm pretty sure their biggest objection is fiducial... Wounded Bear Jun 2014 #18
Bingo!!! Yo_Mama_Been_Loggin Jun 2014 #22
That is what "concierge" practices are for hueymahl Jun 2014 #34
So what did they admit? Why do they hate Obamacare? Scuba Jun 2014 #19
Philosophical issues, from the article: IronLionZion Jun 2014 #23
That happens--and should--if you are human and choose to live in a society. merrily Jun 2014 #31
jobs...jobs...jobs... Chakaconcarne Jun 2014 #26
My bubba brother says he hates Obama riverbendviewgal Jun 2014 #27
Does he get that he is paying for poor people to go to the merrily Jun 2014 #32

enlightenment

(8,830 posts)
1. Medicaid is not "free".
Sun Jun 22, 2014, 09:35 PM
Jun 2014

States can charge premiums - sliding scale - and most charge co-pays for drugs, at least, and some for other services. I'm not criticizing it, just clarifying.

http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Cost-Sharing/Cost-Sharing.html

sheshe2

(83,753 posts)
2. Well I do have to disagree a bit on this point...
Sun Jun 22, 2014, 09:44 PM
Jun 2014
Of course, people who get employer-sponsored insurance also get their coverage paid for with “other peoples’ money.” The difference is that employer-sponsored insurance uses a tax deduction,


Employer-sponsored insurance is paid in part by these companies, trust me it is not paid in full. The employee also pays. It is not a free ride, no one gets one.

However Obamacare is working for all, the pre existing condition is a life saver to us all.

ProfessorGAC

(65,013 posts)
20. We Pay A Percentage Here
Mon Jun 23, 2014, 07:53 AM
Jun 2014

The part paid for the company is easily the lion's share, but we have payroll deduction for our piece.

Good for you though. Nice to have to pay no contribution to the premiums!

riqster

(13,986 posts)
21. People pay, if only in a lower pay rate.
Mon Jun 23, 2014, 11:02 AM
Jun 2014

I have had jobs with and without bennies. The jobs without benefits usually pay more, because you are expected to get your own insurance and such.

My current pay rate is lower than at my last job, but the health coverage is much better. Adding up the dollars and cents of salary and benefits, the net compensation is almost exactly the same.

Ikonoklast

(23,973 posts)
28. They don't provide it for you out of the goodness of their corporate hearts.
Mon Jun 23, 2014, 05:15 PM
Jun 2014

All benefits are part of your compensation package, it isn't "given" to anyone, the employee earned it.

hueymahl

(2,495 posts)
33. This ^^^
Wed Jun 25, 2014, 12:08 AM
Jun 2014

Another way to think about it, healthcare is part of your compensation package, you are just not getting taxed on it. Trust me, your employer views it that way.

noiretextatique

(27,275 posts)
35. many employees pay for premiums
Wed Jun 25, 2014, 10:08 AM
Jun 2014

At least a portion. And of course the company can deduct the premiums as an expense.

Beartracks

(12,809 posts)
24. At least the employer-paid part of the premium is paid with pre-tax dollars.
Mon Jun 23, 2014, 01:13 PM
Jun 2014

Or, if it's not, you can deduct it.

==================

DesertDiamond

(1,616 posts)
25. Yes! I FINALLY get to go to the doctor this Wednesday after four years of coughing
Mon Jun 23, 2014, 01:22 PM
Jun 2014

and I don't have to pretend the cough just started. To have to say that would probably block proper diagnosis because I wouldn't have been able to reveal the history of the cough to help the doctor see what might have happened. Thanks, Obamacare!

merrily

(45,251 posts)
3. "The poorest people get Medicaid, which is free." Thanks to the Republican Justices, plus
Sun Jun 22, 2014, 09:47 PM
Jun 2014

Kagan and Breyer, that provision got weakened in the same decision that upheld the individual mandate. Hence, Governors can refuse it without causing their states to lose other Medicaid funds, which was the intended "carrot and stick" combo.

I am not sure what you mean by "employer-sponsored insurance uses a tax deduction."

For all my adult life, apart from school years, I've been lucky enough to have employer-provided health insurance, at no cost to me. Sometimes, it's been a public employer and sometimes a private employer.

The private employers got a tax deduction for my fringe benefits as well as for my health insurance because those things are costs of operating their respective businesses, along with things like buying desks. But, I don't think that is what you mean. Please add a sentence or two. It doesn't have to be a lot of detail.

dsc

(52,161 posts)
5. you aren't taxed on your insurance benefit
Sun Jun 22, 2014, 09:54 PM
Jun 2014

like you are other income that is what they are saying.

merrily

(45,251 posts)
6. True, but that was as true for the low earners as it was for the high earners.
Sun Jun 22, 2014, 10:19 PM
Jun 2014

The supply room clerk and the highest paid executive in the company both got that same tax benefit. It didn't benefit the better paid more than the lower paid.

Are you sure that is what the OP is saying?

dsc

(52,161 posts)
8. it does as the marginal tax rate is higher for higher income earners
Sun Jun 22, 2014, 10:22 PM
Jun 2014

and the benefits tend to be more lavish as well.

merrily

(45,251 posts)
12. The benefits were exactly the same for all. Otherwise,
Sun Jun 22, 2014, 10:40 PM
Jun 2014

the company would suffer adverse tax consequences. I am not sure how much real difference the marginal tax rate made. The premiums were not that high that the marginal tax rate would have made such a significant difference to the highest earners. Those people could easily have paid it out of pocket without noticing, especially if they had increased their own salaries with the money the company used to pay for insurance for all of us. Yet, they opted to cover everyone.

The significant difference was on the lower end of the pay scale, people who would have had to go without any health insurance at all, if the employer had not provide it. I find it hard to knock employer provided insurance on the ground of marginal tax rate. It seems like a makeweight point to me. Better, in my opinion, to focus on things like coverage at no extra cost for those with pre-existing conditions.

Thinkingabout

(30,058 posts)
4. Medicare also has a monthly premiun of $104.50 a month. The average Social Security
Sun Jun 22, 2014, 09:49 PM
Jun 2014

Monthly is $1200, the Medicare comes out of their check. Healthcare is important, I long for the day there is a single payer but apparently the GOP has to have this proven first.

merrily

(45,251 posts)
13. They whine about everything, and, when they get bored with that, they make up stuff
Sun Jun 22, 2014, 10:43 PM
Jun 2014

to whine about. And, if Democrats do nothing at all, Republicans will whine that nothing is happening.

So, Democrats who modify their behavior based on what Republicans MIGHT say about it seem to me to be either very silly or dishonest. We KNOW they'll say something negative about everything.

merrily

(45,251 posts)
15. Why would it?
Sun Jun 22, 2014, 10:56 PM
Jun 2014

It's worked for them for a long time and they don't seem to have much else to offer. Well, besides the crazy. Whining and crazy.

merrily

(45,251 posts)
30. Thank you. I knew I'd forgotten some.
Tue Jun 24, 2014, 03:45 AM
Jun 2014

What Republicans offer America might be a thread to start, but I am not an OP type in general.

Then again, given Iraq, Afghanistan and others, it could get depressing fast, too.

merrily

(45,251 posts)
9. Plus, deductibles and co-pays.
Sun Jun 22, 2014, 10:23 PM
Jun 2014

I think Obama has closed the "doughnut hole," of Part D, though.

Before Obamacare, the cause of most personal bankruptcies was medical expenses. And, in a majority of families that filed those bankruptcies, both spouses had health insurance.

Rstrstx

(1,399 posts)
16. You STILL didn't list the main reason they hate it
Mon Jun 23, 2014, 01:21 AM
Jun 2014

It just chaps their ass to no end thinking they might have to sit in the same waiting room at the doctor's office with people of, well, the lower classes, that's what really gets them. How dare the maid thinks she's entitled to OUR medical service!! And it's all because of THAT ONE, as McCain would say.

Wounded Bear

(58,649 posts)
18. I'm pretty sure their biggest objection is fiducial...
Mon Jun 23, 2014, 07:06 AM
Jun 2014

It does, after all, limit profits. In their minds, the biggest "right" of all is the right to make maximum profits with minimal concern for affects to others. We're the others, and if we get screwed, well, that's all right as long as some wealthy someone is making a profit.

When one worships Mammon, silly things like the golden rule and social justice don't count.

IronLionZion

(45,435 posts)
23. Philosophical issues, from the article:
Mon Jun 23, 2014, 12:49 PM
Jun 2014

"But at least conservatives are now representing their true bedrock position on Obamacare. It is largely a transfer program benefitting people who either don’t have enough money, or pose too high a health risk, to bear the cost of their own medical care. Conservatives don’t like transfer programs because they require helping the less fortunate with other peoples’ money."

Many liberals oppose it for similar philosophical reasons, transferring money to insurance companies.

I'm just glad people are getting health care.

merrily

(45,251 posts)
31. That happens--and should--if you are human and choose to live in a society.
Tue Jun 24, 2014, 03:51 AM
Jun 2014

I have no words for the hypocrisy of claiming to have some kind of corner on God, yet preferring to see your fellow Americans without health care.

I don't believe in violence, but contemplating things like that can enrage me.

riverbendviewgal

(4,252 posts)
27. My bubba brother says he hates Obama
Mon Jun 23, 2014, 05:07 PM
Jun 2014

because he is black...and he hates Obamacare and thinks going to the emergency room is good health care.

and he lives in the US North East

merrily

(45,251 posts)
32. Does he get that he is paying for poor people to go to the
Tue Jun 24, 2014, 04:09 AM
Jun 2014

emergency room?

I once saw a TV program once about the cost to society of poor people. According to the program, it would be considerably cheaper to provide a homeless person a room than to allow them to go homeless.

One of the major reasons it was cheaper was that the health (including sanity) of homeless people deteriorates and they begin frequenting emergency rooms, which tends to be the most expensive kind of health care.

Hospitals pass those costs on to other patients, including Medicaid and Medicare patients and patients with private health insurance.

Not to mention that homeless adults, even those who are healthy and sane, have a harder time finding work. And don't get me started on homeless kids and their futures. Yeah, one or two will make headlines for graduating Harvard with honors after living under a bridge, but, for that one or two, hundreds of thousands won't.

The health and stability of a man featured in the program improved so greatly after they gave him a tiny room and he went from incoherent to smiling.

But, despite all the above, society just won't do it. We'd rather spend more for more human suffering and more damaged human beings, who will damage society as a whole. That's how much helping our fellow Americans sticks in our craw in this "exceptional" and "Christian nation." And, of course, we never count the total cost of war, only the cost of helping fellow humans in need--not a few of whom are veterans.

As far as your brother's racism, I don't know what to say, except I'm very sorry for your trouble. If anyone in my family is racist, they don't share those thoughts and feelings with me, for which I am grateful.

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