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Message
Rand Paul puts forth the best health care plan yet!!
Posted on 1/25/17 at 9:03 pm
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.
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 on 1/25/17 at 9:07 pm to I B Freeman
quote:
Rand Paul
The smartest guy in the room.
I really would like to see him as president one day.
Posted on 1/25/17 at 9:26 pm to I B Freeman
quote:Treat everyone the same.
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
quote:YEEEESSSSSSS!!! Why can't two small businesses unite and get ONE group policy to cover both? The current rules here MAKE NO SENSE.
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.
Posted on 1/25/17 at 9:29 pm to I B Freeman
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 on 1/25/17 at 9:44 pm to Taxing Authority
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 on 1/25/17 at 9:47 pm to I B Freeman
What does it do for the millions that don't want to work or pay for health insurance?
Posted on 1/25/17 at 9:49 pm to Slingin Pickle
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 on 1/25/17 at 9:53 pm to I B Freeman
I like his plan. Not sure if it will work but I like it in theory and trust his opinion in the area.
Posted on 1/25/17 at 9:54 pm to I B Freeman
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 on 1/25/17 at 9:57 pm to I B Freeman
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 on 1/25/17 at 10:01 pm to russellvillehog
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 on 1/25/17 at 10:01 pm to I B Freeman
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?
Eh...at least the burden is off the individual
Am I reading that wrong?
Posted on 1/25/17 at 10:02 pm to I B Freeman
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 on 1/25/17 at 10:04 pm to IceTiger
So then the question is, is it unconstitutional for the federal government to force states to fulfill a 10th Amendment responsibility?
Posted on 1/25/17 at 10:04 pm to russellvillehog
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 on 1/25/17 at 10:06 pm to I B Freeman
Can someone explain like I'm a child how his health care plan would work?
Posted on 1/25/17 at 10:10 pm to Turbeauxdog
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 on 1/25/17 at 10:15 pm to Ingeniero
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.
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 on 1/25/17 at 10:23 pm to I B Freeman
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.
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