an easy fix for obamacare, one we can all agree with!

Aetna said Thursday that it will exit Iowa’s individual public ACA exchange in 2018, due to financial risk and uncertainty about the ACA’s future, Forbes reported.

The news is a double whammy for Iowans who get healthcare coverage under the Affordable Care Act, coming just days after Wellmark Blue Cross Blue Shield announced it will not sell plans in Iowa next year.
That leaves 94 counties, including Des Moines, with one insurer, Medica. Five other Iowa counties down to two payers — Medica and Gunderson Health Plan, according to the Washington Examiner.

Insurers have blamed their difficulties on too few young and healthy patients signing up for ACA plans. To curb their losses, they have resorted to higher premiums and fewer options.

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obviously the individual mandate isn't severe enough. if that's not self evident then the fact that we allow the IRS to collect that penalty only if you have a refund due should be.

to fix this we don't even need congress, it would only require tom price to raise the penalty and steve mnuchin to set lose the IRS to collect the penalty using their complete complement of collection methods.
namely asset forfeiture and wage garnishment. that will get those millennial scoff laws attention!



"Drinkin hot chocolate! gettin my wages garnished!"

politically this is a no brainier the millennial's voted for obama they wanted this, they're not trump's constituency who cares if they get punished, let them learn a valuable lesson.

after all they do this in EUROPE!

In a recently published article in Vox, Princeton’s Uwe Reinhardt was asked why the healthcare systems in Switzerland, Germany and the Netherlands – all of which have laws in place mandating health insurance coverage and like the United States primarily rely on private insurers to expand coverage – are working well, while our marketplaces under the Affordable Care Act are currently struggling. His response:

When they run these exchanges, they accompany them with a very harsh mandate. If you don’t obey the mandate, the Swiss find out, and they go after you and garnish your wages. If you’re not insured, they’ll look at your wages and recoup the premiums you owe. They’re very tough. And, we’ve never been that tough.

For example, if after notice from the government, a Swiss citizen fails to sign up for insurance, Swiss cantons – the equivalent of states in the U.S. – can impose a penalty ranging from 30 percent to 50 percent above the cost of insurance premiums. If after three months the uninsured still doesn’t pick a plan, the authorities choose one for them, and allow insurers to sue for unpaid premiums.

The Germans impose hefty fines, that after a multi-step process of late fees, can climb to as much as $12,000. In the Netherlands, after a series of fines go unpaid, a bailiff may come to collect. Then the government may pick a health plan on a citizen’s behalf and deduct the cost of the premium from their pay with the help of their employer. If after six months a citizen still fails to pay, their insurance premiums spike.

freedom baby, yeah!