[quote=bearishgurl]Once again, SK, you are still attempting to deflect the actual issues I brought up re: the inner workings of the ACA in CA, which obviously you have no experience with, being that you reside in AZ. You are doing this through your thinly-veiled insult diatribe towards me. It appears that you have been using outrageous insults in an attempt to get me to stop discussing what needs to be discussed about how the ACA actually “works” (or doesn’t work) in CA. I would not have expected that of you, of all Piggs. If I’m reading your posts of this morning correctly, you’re essentially stating that you knew all along that the ACA was expressly designed to place the masses on Medicaid whether they wanted to be there … or not. But your posts yesterday and prior omitted that dirty little secret by glossing over the facts. For example, last night, you posted only the figures you perceived were already enrolled in CC marketplace healthplans (1.7M, an erroneous figure). But you (conveniently) “failed” to come up with current Medi-Cal enrollee statistics, which are a much bigger piece of the ACA pie in CA. Many of the rest of your previous posts appeared to be an attempt to “sugar coat” the ACA in the eyes of the masses and you wouldn’t be the first one to do that.
No worries. I’m way beyond used to these shenanigans at this late date. I’ll be trying to help in any way I can to get SB-33 signed by Gov Brown and then we won’t be having this discussion anymore because the incentive for CC to keep repeatedly harassing CC enrollees about their incomes and the incentive of Medi-Cal workers to change CC enrollees’ (self-reported) income figures in CALHEERS will largely be gone … especially as it applies to the over-55 crowd.[/quote]
I don’t really give a shit what you want to discuss. You talk about what you want, and I’ll talk about what I want. If you throw out another lie, I’ll call you on it.
I never claimed that “that the ACA was expressly designed to place the masses on Medicaid whether they wanted to be there … or not”. Only that the goal was to get people covered. If they are eligible for Medicaid, that’s a win. If they get private insurance, that’s a win. I never glossed over anything because there is no reason to. The very reason the law included an expansion of Medicaid was that the goal was to get people access to care. Uninsured people still suffer horribly in states that have not expanded Medicaid, as do non-profit hospitals that continue to risk closure.
The 1.7 million was the goal for private QHPs. I grabbled the wrong number. Actual enrollees is closer to 1.5 million. You had suggested it was 1 million. You were off by 50%.
I don’t need to sugar coat anything. The facts stand for themselves. The ACA has worked. It has increased the number of people covered by insurance. The percentage of people not covered is approaching all time lows. People in California like it. They like it more as each year goes by. Premiums have increased at the slowest rate in decades. Total medical spending has increased at the slowest rate in decades. Slightly more people are covered through employer plans and there is no evidence whatsoever of significant job losses as a result of the law. Not a single one of the dire predictions about the law have come true. The fact that you cant figure out how it works is a reflection on you, not on the law. The fact that your experience with rates is different than most is not a reflection on the law as a whole.
If I didn’t respond to something you wanted me to respond to, tough. I responded to those things I wanted to.