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Guaranteed issue is coming and that is reform. Single payer is not coming so if that is how one has defined reform then there is no reform. "Universal coverage" and "mandate" are wobbly terms. There will be so many carrots and sticks to get people on board that one will be able to argue that there is universal coverage and a mandate. However, if one's goal is to be right about there not being hard requirements that everyone join then there will be room for that too because technically it will be true.
The government will create a system of creditable plans that must include certain elements in order to be eligible for tax credits or subsidy. One of those elements will be guaranteed issue. You will be "free" to go to another plan but will not get the subsidy/or credit, although in theory you still have choice. So, in theory there will be room to argue that even guaranteed issue is not mandated except that you will be punished for not going with a GI plan. The republicans will swallow hard and go for this because it gives them the victory of keeping it in the private sector. The dems will be able to declare some victories as well and leave room to talk about future phases.
Correct and well worded.The government will create a system of creditable plans that must include certain elements in order to be eligible for tax credits or subsidy. One of those elements will be guaranteed issue. You will be "free" to go to another plan but will not get the subsidy/or credit, although in theory you still have choice. So, in theory there will be room to argue that even guaranteed issue is not mandated except that you will be punished for not going with a GI plan. The republicans will swallow hard and go for this because it gives them the victory of keeping it in the private sector. The dems will be able to declare some victories as well and leave room to talk about future phases.
I am actually thinking there will be SOME non GI products, but who in their right mind would buy them?
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Me not think so.
What they can and probably will do is to force private companies to give a bit more on their preventative coverge. This b.s. 150 - 300 per year is lacking. More prevention would save money big picture. Then you've got United weaseling their way out of the mammogram state mandate with their fact "certificate" of insurance vrs. an insurance "policy."
They should get whacked for that maneuver.
Perhaps they should and will sudsidize people who can't clear underwriting. As we all know these hippa options are real expensive. That's another thing, what an F up this whole 65% cobra subsidy for the first 9 of the 18 mo. cobra term.
Yeah, that's smart money ... why didn't they let the people who could medically qualify for indie go out and get it and just use that 65% cobra subsidy jinga for the gimps!
Talk about an F'ed up use of tax money.
Somebody explain that one to me?