Re: Early Retirement and Healthcare in the US? Medicaid? Obamacare? Other?
Posted: Tue Jul 14, 2015 9:44 pm
Xan wrote: I look at the subsidized price as the real price, and look at the sticker price as an the inflated tax on "the rich".
Precisely.Pointedstick wrote: Obamacare is not "a welfare program designed for those that need a helping hand temporarily." That would be COBRA or Medicaid. Obamacare was intended and billed as a broad-based overhaul of the entire health care system, and the subsidies for people whose taxable income is several times the poverty level are a built-in component intended to offset the increase in premiums that was an expected result of the law's passage.
The median household income in the US is $51k. But a family of four with a household income of $94k still qualifies for Obamacare subsidies. That's clearly not "a welfare program designed for those that need a helping hand temporarily." There's obviously a lot more to it than that.
Before the ACA went into effect, I priced a private policy at about half the rack rate of the one I'm using now. Some like to think that the cost change is exclusively because of over-coverage or preexisting conditions, but that's merely a red herring to distract you from the fact that the rates are now for the first time based on income. The entire system changed. They turned a flat rate product into a wealth redistribution scheme, and the only way to lower the price for some was to raise it for others. The only issue was how to sell it.
If the ACA kept advertised premiums at true market rates (or perhaps lowered them to increase access) and charged more for the "wealthy" it would have been considered an income tax and nobody would think twice about early retirees. Voters sure would have complained about the new tax line item, though. Instead, the powers that be raised the sticker price to the maximum level and offered rebates to bring the average down to the same market rate. There's no difference in the end result, however, and IMHO people get too hung up on the marketing. The government just hid the new income tax even more effectively than they probably expected, as the biggest opponents now decry not paying what one does not owe as choosing welfare!