Discussion: Iowa Leads Stampede Of States Asking For Permission To Rewrite Obamacare

Sounds like a good idea, take the parts that no one likes that failed in the senate and then force it in your state.

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Sure, your premiums might go through the roof and there could be a resulting public health crisis. But the important thing is that we send a clear signal that being poor, old or part of a minority will not be tolerated in this country.

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Now let’s see. Who did rural Iowans overwhelmingly vote for in the general election.?? I feel genuinely sorry for the ones who saw through the bullshit and voted for HRC. But as for the rest: It’s the “dare to be stupid” channel. All stupid all the time.

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Yeah I kind of like that folks will get to see the difference Ocare makes, but hate it for the folks that are going to get screwed.

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I’d like to see each state supply a study that shows how the majority of their citizens health care will effected by their plan. How many people will gain or lose coverage? What is the cost of coverage, rich and poor alike? They should submit the study along with their plan.
As long as we have health care for profit, I’m not sure there is a good plan?
Just my opinion.

Does this mean Joni Ernst will be handling all the routine castrations of those Trump voters permanently damaged by Donnie’s ACA kick in the nuts?

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We should begin submitting FOIA requests to DHHS (specifically, the Center for Medicare and Medicaid Services (CMS) in Baltimore) for copies of applications to CMS like this for waivers of ACA requirements and all correspondence related to the application. Then we will be able to see what documentation was submitted in support of the request for a waiver.

CMS also has a lot of applications from states for various other kinds of waivers posted on its web site, so in due course applications like this probably will be. But I would want to get all the correspondence to and from the states.

But they will be “free” from the terrible burdens of O’Care, worse than slavery, you know.

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My big fear is that trumpets and wing nuts worked themselves into such a frenzy that any right wing politician can do anything and blame the consequences on Obama. I say this from talking to friends and relatives who wave their hands at me when I try to discuss numbers and consequences of the latest series of healthcare fiascos. People I know tell me that it is all the media and Obama (or Hillary or Pelosi) and they know what is really going on.

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Hmmmmmm…just occurred to me that if we let Jodi do a lot of castrations, we wouldn’t need Planned Parenthood or abortions. That would quiet a lot of people down…

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This opens the door to a “Death by a thousand cuts” scenario, where a dozen states get HHS approval to substantially override key provisions of the law, undermining its cohesiveness nationwide and eliminating wells of support throughout red state America. They failed to repeal (so far – Lindsay gets another whack at it next month), so they’ll just keep kneecapping it until it’s useless to their constituents.

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As of right now, these waivers are really hard to get. The law requires that they provide actuarial proof that the changes will not lower the number of covered people or increase their costs. They would have to rewrite the law in Congress for something like this in Iowa to comply with Section 1332 waiver provisions.

It sounds like a great idea for those states. Many companies are popping up to offer ‘consulting’, but the reality is different.

"“Enrollees living in rural Iowa are likely to face even higher premiums” under the waiver, the Harvard team said. “And eliminating these important subsidies will push more costs onto those with lower incomes, forcing these individuals to potentially forego needed services and treatment due to the increased financial burden.”

“This was all going to happen anyway because of Obamacare and we tried to save you from it, but it was just too late. It’s all because of lazy mooching brown people and that evil President Darky. HURRRITAGE!!!”

“YEAH!”

Rinse and repeat.

So if an insurance company that was pulling out is coming back in even though the CSR money is going away, you have a pretty good idea that this is targeted at relatively well-off older people on whom the insuror is going to be able to make out like a bandit, because 20% of a higher premium that is propped up even further by the CSR money is more than 20% of a lower premium. Even assuming that no one has figured out some fancy accounting or how to own a bunch of health care providers.

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