Not a good sign at all.http://www.washingtonpost.com/blogs/wonkblog/wp/2013/10/31/i...This early imbalance — in some places, nine out of 10 enrollees are in Medicaid — has taken some experts by surprise. The Affordable Care Act, which expanded Medicaid to cover millions of the poorest Americans who couldn’t otherwise afford coverage, envisions a more even split with an expanded, robust private market.“When we first saw the numbers, everyone’s eyes kind of bugged out,” said Matt Salo, who runs the National Association of Medicaid Directors. “Of the people walking through the door, 90 percent are on Medicaid. We’re thinking, what planet is this happening on?”-----------------What a debacle.Assuming they get the site working well in the next few weeks, they are going to have to spend a lot of money to advertise and enroll young middle and upper income healthies.ACA cannot be a success without them.
What a debacleYou mean poor people shouldn't have medical coverage? Spin away
What a debacle.Assuming they get the site working well in the next few weeks, they are going to have to spend a lot of money to advertise and enroll young middle and upper income healthies.ACA cannot be a success without them. _______________Actually people don't have to go to their exchange to purchase a policy within an exchange, if they can figure out which companies are offering an option. In fact when they go to the company directly, they don't have to give away their personal info before getting some kind of competent quote.One wonders, if the exchanges, aren't purposely collecting info, before they allow people to proceed, to discourage the dilemma above, hoping they get some young takers. Only, inquiring minds aren't registering, they are figuring out how to go around the mess. Most of them are going to find, they don't qualify for subsidized plan anyway.
What a debacleYou mean poor people shouldn't have medical coverage? I think it's clear that Hawkwin was referring to the fact that the ACA requires fairly solid numbers of individuals choosing to purchase private health insurance in order for the exchange pools to be actuarially sound. Medicaid expansion was always the largest single pool of folks who would get coverage under the ACA - and people who were already eligible for Medicaid before the ACA were one of the largest pools of the uninsured. But since the government picks up virtually the entire cost of providing health care to Medicaid enrollees, their participation doesn't help support the other working parts of the act, that require healthy non-Medicaid uninsured people to start signing up an paying for insurance. BTW, that number is probably a bit unduly alarming, because it's going to be skewed a lot by Oregon. Worse than healthcare.gov, Oregon's exchange website is completely broken - they haven't been able to enroll a single person through it - but they went out and got about 62K people enrolled for Medicaid outside the exchange process.Albaby
ACA cannot be a success without them. __________Not sure it can be a sucess even with them. All those people you speak of are going to lose disposable income from the higher rates. The economy needs young people and middle class people to spend for their to be sucess. We are a consumer driven economy. Take money away from the consumer and we're screwed.
Even with them ACA is expected to run a deficit, without them it's a crisis coming.
People respond to incentives. It's just that simple. The choice here is go on Medicaid or pay exorbitant premiums for Obamacare policies. Medicaid is free. If you can come up with a sob story as to why you shouldn't have to pay for health care, you'll do it.
Hi Dope,“The choice here is go on Medicaid or pay exorbitant premiums for Obamacare policies. Medicaid is free.”Having gone through the application process with my father-in-law for my mother-in-law when she was entering a nursing home I can tell you it is not “free” unless you want to consider yourself destitute. So if you wish to apply for Medicaid, consider your assets and income are virtually non-existent because otherwise you will not qualify.Second, the “exorbitant premiums” for the Affordable Care Act are only exorbitant when compared with the junk being sold to individuals which provides piece of mind until the insured tries to use it and finds out it is not comprehensive and worthless. More on this in a new thread. Bob
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