Single Payer Health Systems

progree

(11,463 posts)

26. There is no specific limit on profits, but spending on admin + profits must not exceed 20%

Sun Dec 6, 2015, 01:24 AM

Dec 2015

There is no "fixed profit" either, that 20% of all non-medical-benefit costs is a maximum, not a guarantee. Some are incurring losses on their ACA business. What their profit margin is depends on how competitive their market is, whether they estimated their costs and claims experience correctly when they set their premiums, etc.

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Just checked my new ACA rates [View all] RayLib Dec 2015 OP

That is why we need a single payer system. darkangel218 Dec 2015 #1

Medicare for all, including dental, optical, hearing aids and mental health services. Scuba Dec 2015 #61

The limit on profits violates WTO rules so it is likely just temporary Baobab Feb 2016 #159

Embedded Greed In The For Profit Health Insurance System Will Drive All To Single Payer cantbeserious Dec 2015 #2

I thought profits were limited under the ACA Travis_0004 Dec 2015 #20

Fixed Profit On Top Of Escalating Cost = Increased Pain To Citizens cantbeserious Dec 2015 #21

Not an innocent DEATH SPIRAL - something much much worse- a crime against humanity disguised as one Baobab Feb 2016 #160

There is no specific limit on profits, but spending on admin + profits must not exceed 20% progree Dec 2015 #26

Are you in a state that expanded Medicaid? VanillaRhapsody Dec 2015 #3

OP said s/he doesn't qualify for a subsidy. mucifer Dec 2015 #5

Well then.. VanillaRhapsody Dec 2015 #9

For the ACA subsidies, it doesn't matter whether one is in a Medicaid expansion state or not progree Dec 2015 #8

If you are in a state that didnt no.... VanillaRhapsody Dec 2015 #13

The Medicaid expansion thing affects only Medicaid. It has nothing to do with progree Dec 2015 #14

Good thing ... Cigar11 Dec 2015 #4

Comparing RayLib Dec 2015 #6

But NOW there are max out of pocket....no more going bankrupt....there is a lrice for that... VanillaRhapsody Dec 2015 #10

Yeah, RayLib Dec 2015 #11

No you are not...... VanillaRhapsody Dec 2015 #12

Keep it you can RayLib Dec 2015 #17

No it wasn't VanillaRhapsody Dec 2015 #18

Did you have a cap on what you paid out of pocket on your pre-ACA plan? progree Dec 2015 #22

In 2012 RayLib Dec 2015 #28

And now.. progree Dec 2015 #35

That is EXACTLY what I was talking about! VanillaRhapsody Dec 2015 #42

so there are 5 in your household and you don’t qualify for subsidies VMA131Marine Dec 2015 #15

Doable??? RayLib Dec 2015 #16

On $113,000 +? VanillaRhapsody Dec 2015 #19

31%. increase!! RayLib Dec 2015 #23

So come on then VanillaRhapsody Dec 2015 #24

Not a bit RayLib Dec 2015 #25

Good luck with your high stakes gamble... VanillaRhapsody Dec 2015 #32

This message was self-deleted by its author darkangel218 Dec 2015 #60

Yeah.....you said you are not going to pay for it.... VanillaRhapsody Dec 2015 #89

you make $8000+ a month and can't find an extra $400? uppityperson Dec 2015 #27

Not with RayLib Dec 2015 #29

This message was self-deleted by its author uppityperson Dec 2015 #30

31% increase! RayLib Dec 2015 #31

My insurance went you that much before ACA. Now not so much. Isn't it wonderful your kids uppityperson Dec 2015 #36

Please ignore the negative comments. darkangel218 Dec 2015 #39

What is that supposed to mean? darkangel218 Dec 2015 #37

You can afford 3 kids in college and your complaining? VanillaRhapsody Dec 2015 #33

Whow... darkangel218 Dec 2015 #38

Jury results pintobean Dec 2015 #40

I am floored by this comment JonLeibowitz Dec 2015 #45

Awful, isn't it? A man is being reamed for LibDemAlways Dec 2015 #54

I was the one who alerted to that heartless comment. darkangel218 Dec 2015 #57

The poster who made that comment has no LibDemAlways Dec 2015 #85

Divide and Conquer - Works every time Nictuku Dec 2015 #76

We should be, but we're not. Years ago LibDemAlways Dec 2015 #78

Who pays your healthcare premiums? Depaysement Dec 2015 #62

I do.... VanillaRhapsody Dec 2015 #65

I did Depaysement Dec 2015 #73

So.... VanillaRhapsody Dec 2015 #83

RayLib, I feel your pain. No one should be telling you LibDemAlways Dec 2015 #34

Bullshit... VanillaRhapsody Dec 2015 #41

What if he can't afford the premiums??? darkangel218 Dec 2015 #44

What would a poor person do? VanillaRhapsody Dec 2015 #46

That is WHY we need to stop defending the ACA and fight for single payer!!!! darkangel218 Dec 2015 #48

Bullshit VanillaRhapsody Dec 2015 #66

Yes, defend it from Republicans trying to gut it. JonLeibowitz Dec 2015 #71

The same thing that would have happened before the ACA, no coverage. While I understand and agree still_one Dec 2015 #128

I can't speak for the OP. However, if he says he can't afford the premiums for LibDemAlways Dec 2015 #51

How so? VanillaRhapsody Dec 2015 #67

I had insurance RayLib Dec 2015 #114

Try living without.... VanillaRhapsody Dec 2015 #145

And don't forget, he and his wife are expected to save a couple million $$ for Nay Dec 2015 #74

Absolutely. As the parent of one LibDemAlways Dec 2015 #81

Thats not because of the ACA.... VanillaRhapsody Dec 2015 #84

The Affordable Care Act was a gift to the LibDemAlways Dec 2015 #90

Said the upper middle class guy that can afford 3 kids in college.... VanillaRhapsody Dec 2015 #91

Most people VanillaRhapsody Dec 2015 #121

The ACA or the finagling being done by BCBS against the spirit of the ACA? blm Dec 2015 #79

The ACA in principle is very different from the ACA in practice. LibDemAlways Dec 2015 #80

That is a problem with California....not the ACA VanillaRhapsody Dec 2015 #86

you can thank repukes for college costing so much Skittles Dec 2015 #47

What about the "leave it up to the States" to decide expanding Medicaid darkangel218 Dec 2015 #49

The ACA did NOT leave it up to the states to expand Medicaid. That was a fucked up 5-4 progree Dec 2015 #52

Why didn't the President veto it? darkangel218 Dec 2015 #53

President can't veto Supreme Court decisions progree Dec 2015 #55

Then lets fight for it and not compromise to private ins companies!!! darkangel218 Dec 2015 #56

Yes....those the other people VanillaRhapsody Dec 2015 #87

Then take it up with VanillaRhapsody Dec 2015 #68

Do you understand that this isn't a Sanders vs. Hillary discussion? This is real people hurting JonLeibowitz Dec 2015 #72

You just wrinkled my brain krawhitham Dec 2015 #146

Good catch... VanillaRhapsody Dec 2015 #153

You have three kids in college but can't afford to insure them????? Sounds fishy. marble falls Dec 2015 #63

He is no doubt facing thousands upon thousands LibDemAlways Dec 2015 #82

And? VanillaRhapsody Dec 2015 #88

How can he afford NOT to insure college aged students? If I was making $100K.... marble falls Dec 2015 #108

Haha RayLib Dec 2015 #116

Some of the posters here (and I put the most LibDemAlways Dec 2015 #119

The real world indeed VanillaRhapsody Dec 2015 #122

+1 darkangel218 Dec 2015 #140

And yet I have three "kids" educated and employed. Must have been a miracle. marble falls Dec 2015 #141

it is not unusual for college to cost 25K and up per year per child, including books, board and room still_one Dec 2015 #133

But it doesnt have to cost that much VanillaRhapsody Dec 2015 #143

That could easily run 300K plus for 4 years. That is why some who still_one Dec 2015 #102

Subsidies for a family of 4 is $97k a year VanillaRhapsody Dec 2015 #123

Do you have any idea how much it costs to send a kid to college, plus a mortgage, homeowners still_one Dec 2015 #126

What if you had 12 kids? VanillaRhapsody Dec 2015 #129

I don't have a problem, I have the means, but a lot of what is referred to as the middle class do still_one Dec 2015 #130

Upper Middle Class.... VanillaRhapsody Dec 2015 #144

No offense but you really have no idea what you are talking about. It also depends where you live still_one Dec 2015 #147

if you can afford 3 kids in college.... VanillaRhapsody Dec 2015 #150

We just disagree on this, and that's ok. That is what a discussion board is all about still_one Dec 2015 #151

How? VanillaRhapsody Dec 2015 #152

ok, I am not going to debate this with you. Take care still_one Dec 2015 #154

The dude that wrote this OP VanillaRhapsody Dec 2015 #156

I am not defending the OP. What I am saying there are people who are on the borderline, just over still_one Dec 2015 #157

Look....a family of 4 are subsidized up to $97k! VanillaRhapsody Dec 2015 #158

So there's a lot more to this story that you are leaving out VMA131Marine Dec 2015 #75

Point is RayLib Dec 2015 #112

I do not believe you... VanillaRhapsody Dec 2015 #124

Medicare for 2 with a drug plan and supplemental F it can run still_one Dec 2015 #101

That's over $20,000 per year! RayLib Dec 2015 #7

Medical costs, including premiums, are tax deductible -- the amount above 10% of your AGI that is. progree Dec 2015 #43

What would you pay for private insurance for the 5 of you? Squinch Dec 2015 #77

It's actually about RayLib Dec 2015 #113

It is very expensive, but you are no worse off Squinch Dec 2015 #149

We need a single payer system asap, or we are fucked. darkangel218 Dec 2015 #50

You think single payer is free? VanillaRhapsody Dec 2015 #125

What a silly question.. darkangel218 Dec 2015 #131

Did you ask a question? VanillaRhapsody Dec 2015 #134

No thanks. darkangel218 Dec 2015 #136

Bernie is no magician VanillaRhapsody Dec 2015 #138

Whatever. Nt darkangel218 Dec 2015 #139

Whatever is right..... VanillaRhapsody Dec 2015 #142

This is why we need Bernie Zinner88 Dec 2015 #58

+1 darkangel218 Dec 2015 #59

Uh Bernie supports this system VanillaRhapsody Dec 2015 #69

The costs and tax increases necessary were staggering.... Historic NY Dec 2015 #103

Thus we have Obamacares.... VanillaRhapsody Dec 2015 #106

It doesn't require that kind of tax increase on everyone equally. snot Dec 2015 #132

The you didn't click through to find out why Bernies state Vt. couldn't do it... Historic NY Dec 2015 #135

I feel your pain. Kilgore Dec 2015 #64

You have three kids in college and pretend you can't afford VanillaRhapsody Dec 2015 #70

WTF? I dont even have three kids!! Kilgore Dec 2015 #92

Your old policy would VanillaRhapsody Dec 2015 #93

Bullshit Kilgore Dec 2015 #94

Bullshit.....you were not immune to VanillaRhapsody Dec 2015 #95

I have to deal with the cards as they dealt to me. Kilgore Dec 2015 #99

Those less fortunate in your family ALSO have VanillaRhapsody Dec 2015 #96

They do, and they did before. Kilgore Dec 2015 #100

Well thats good.....now they wont go without.... VanillaRhapsody Dec 2015 #107

Thats bullshit... VanillaRhapsody Dec 2015 #97

So lets agree to disagree Kilgore Dec 2015 #98

Nope...i do not agree VanillaRhapsody Dec 2015 #109

Happy about your success... RayLib Dec 2015 #110

So? VanillaRhapsody Dec 2015 #111

None RayLib Dec 2015 #115

A 30% increase is not VanillaRhapsody Dec 2015 #117

From original post RayLib Dec 2015 #118

Uh I have had BCBS all those same years... VanillaRhapsody Dec 2015 #120

10,000 deductible? abelenkpe Dec 2015 #104

now we know what's in the bill mwrguy Dec 2015 #105

37 posts. Welcome to DU...I guess. stopbush Dec 2015 #127

What's your point? darkangel218 Dec 2015 #137

FWIW, check his profile. eoom uppityperson Dec 2015 #148

We called it.... VanillaRhapsody Dec 2015 #155