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Rand Paul puts forth the best health care plan yet!!

Posted on 1/25/17 at 9:03 pm
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 1/25/17 at 9:03 pm
If we are not going to change the pricing model as I hoped then we should adopt the Paul plan---the best plan from republicans I have seen.

LINK

Here is why I think it is cool:

1) It makes health insurance premiums tax deductible for individuals BUT it does not remove the tax deduction for the employer cost of health care which Rudy floated yesterday and I liked. It will accomplish a lot of the same benefit of producing more shoppers and there will be plenty of incentives for employees to want their own insurance instead of their employers BECAUSE it also includes a $5000 tax credit for employees to fund health savings accounts----THIS IS GREAT. You could buy $20 or even $25000 deductible policies one day if you can pile up a big savings account.

2) it protects people with existing aliments

3) it allows people to pool together to buy insurance---even though group insurance is mostly higher per person than individual I assume one of the disadvantages of groups will disappear with private pools. That disadvantage that drives up group cost is that groups have unknown risk as employers can hire very bad risk and the group has to take it. These pools can not exclude members that are a part of their group--say members of their church if the church forms a pool--but they will not be employers so they can limit the membership of their pool to those on a particular day or a particular point of time. This removes a lot of risk for insurance.

4) Allows states to change medicaid without federal oversight. (The very first thing Louisiana ought to do is the end of emergency room visits often used instead of office visits for minor illnesses.)

5) restricts state regulation of interstate insurers making more companies available to consumers.
Posted by FenrirTheBeard
NOLA
Member since Jun 2012
6426 posts
Posted on 1/25/17 at 9:07 pm to
quote:

Rand Paul


The smartest guy in the room.

I really would like to see him as president one day.
Posted by Taxing Authority
Houston
Member since Feb 2010
57090 posts
Posted on 1/25/17 at 9:26 pm to
quote:

1) It makes health insurance premiums tax deductible for individuals BUT it does not remove the tax deduction for the employer cost of health care
Treat everyone the same.

quote:

3) it allows people to pool together to buy insurance---even though group insurance is mostly higher per person than individual I assume one of the disadvantages of groups will disappear with private pools.
YEEEESSSSSSS!!! Why can't two small businesses unite and get ONE group policy to cover both? The current rules here MAKE NO SENSE.
Posted by ForeLSU
The Corner of Sanity and Madness
Member since Sep 2003
41525 posts
Posted on 1/25/17 at 9:29 pm to
quote:

Rand Paul puts forth the best health care plan yet!!


HIs mistake is not figuring out how to let Trump take credit for it. Therefore it's probably "too complicated".
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 1/25/17 at 9:44 pm to
quote:

YEEEESSSSSSS!!! Why can't two small businesses unite and get ONE group policy to cover both? The current rules here MAKE NO SENSE.



It will allow that but as I demonstrated in the other thread groups often times are more expensive than individual policies on an individual policy basis. Insurers cannot be sure of the risk they are assuming with employers--an employer could hire a guy waiting on organ transplant the day after the group is formed.

The way I understand this is that pools of people (not just employers) can buy together so the insurers know all the people in the group and the group can not just expand after the policy is written. That removes a lot of uncertainty for an insurer.
This post was edited on 1/26/17 at 5:18 am
Posted by Slingin Pickle
Fancy side of the North Shore
Member since Jun 2008
3013 posts
Posted on 1/25/17 at 9:47 pm to
What does it do for the millions that don't want to work or pay for health insurance?
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 1/25/17 at 9:49 pm to
quote:

What does it do for the millions that don't want to work or pay for health insurance?


gives the states say over medicaid

They will not get the $5000 tax CREDIT. That would be basically another $5000 a poor guy would get in addition to the earned income tax credit.
Posted by oklahogjr
Gold Membership
Member since Jan 2010
36748 posts
Posted on 1/25/17 at 9:53 pm to
I like his plan. Not sure if it will work but I like it in theory and trust his opinion in the area.
Posted by russellvillehog
Member since Apr 2016
9711 posts
Posted on 1/25/17 at 9:54 pm to
I'm not really sure how it will effect me. I get my insurance through my employer and they pay it for me. Honestly I feel for Americans having to shoulder the burden but I am a lucky person to not have to pay anything.
Posted by Turbeauxdog
Member since Aug 2004
23141 posts
Posted on 1/25/17 at 9:57 pm to
quote:

It will allow that but as I demonstrated in the other thread groups often times are more expensive than individual policies on an individual policy basis. Insurers cannot be sure of the risk they are assuming with employers--an employer could hire a guy waiting on organ transplant the day after the group is formed.

The way I understand this is that pools of people (not just employers) can buy together so the insurers know all the people in the group and the group can just expand after the policy is written. That removes a lot of uncertainty for an insurer.


Could a group of smaller companies get together and self insure and just use the insurance company to collect premiums and administer payments?

Most large employers self insure don't they?
Posted by ForeLSU
The Corner of Sanity and Madness
Member since Sep 2003
41525 posts
Posted on 1/25/17 at 10:01 pm to
quote:

I'm not really sure how it will effect me. I get my insurance through my employer and they pay it for me. Honestly I feel for Americans having to shoulder the burden but I am a lucky person to not have to pay anything.

It's basically untaxed compensation, so technically you're paying for it via a lower wage.
Posted by IceTiger
Really hot place
Member since Oct 2007
26584 posts
Posted on 1/25/17 at 10:01 pm to
So 9/10s of it makes the states care for their poor...

Eh...at least the burden is off the individual

Am I reading that wrong?
Posted by WeeWee
Member since Aug 2012
40090 posts
Posted on 1/25/17 at 10:02 pm to
I liked Tom Price's plan from years ago and I like the Cassidy-Collins plan introduced yesterday, but I like Rand's plan more than a Bama fan likes banging his sister/cousin.
Posted by IceTiger
Really hot place
Member since Oct 2007
26584 posts
Posted on 1/25/17 at 10:04 pm to
So then the question is, is it unconstitutional for the federal government to force states to fulfill a 10th Amendment responsibility?

Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 1/25/17 at 10:04 pm to
quote:

I'm not really sure how it will effect me. I get my insurance through my employer and they pay it for me. Honestly I feel for Americans having to shoulder the burden but I am a lucky person to not have to pay anything.



Let me challenge your thinking a little.

Wouldn't you rather have the money the employer is paying for your health insurance instead of the insurance?? In my other thread I gave an example of how individuals can often buy insurance cheaper than groups. If that is the case with your employer you can buy insurance cheaper than he can and you can own your policy and take it with you to any employer.

Under Rand's plan you would get a $5000 tax credit to put in a HSA AND you could deduct the cost of the insurance on your taxes. So if your employer is paying $15000 a year for your insurance and decides to instead give it to you wouldn't you be happy??
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
18258 posts
Posted on 1/25/17 at 10:06 pm to
Can someone explain like I'm a child how his health care plan would work?
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 1/25/17 at 10:10 pm to
quote:


Could a group of smaller companies get together and self insure and just use the insurance company to collect premiums and administer payments?

Most large employers self insure don't they?


Yes I have some experience with that. Over the long run that is break even thing I believe. One year you won't have a loss and the next you have two heart attacks and a organ transplant.

Consider this United Health Care a pure health insurer had only $5.8 million profits on $157 million in revenue. You can see there the margins on "self insurance" is not that great.

A pool on the other hand could have a very healthy group and self insure and make save some bucks.
This post was edited on 1/25/17 at 10:17 pm
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 1/25/17 at 10:15 pm to
You could buy insurance on your own and what you pay for that insurance will be tax deductible for federal income tax AND SS tax and in Louisiana it would also be exempt from state taxes as we get the federal deductions too (JBE wants to change this--he wants you to pay more taxes).

You would also get a $5000 tax credit if you put $5000 in a health savings account to pay deductibles. SO if you remain healthy your savings will grow large and you can buy less insurance as your savings grow.

If this passes the very first thing you should do is to ask your employer to cancel your health insurance and give you the money as a raise instead.
Posted by russellvillehog
Member since Apr 2016
9711 posts
Posted on 1/25/17 at 10:23 pm to
I mean I'm glad you put it like that. I'm not sure what they pay. I'll have to look into it to find out what I would lose/gain.
Posted by Rebelgator
Pripyat Bridge
Member since Mar 2010
39543 posts
Posted on 1/25/17 at 10:23 pm to
quote:

Rand Paul



Nah
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