Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

renie408

(9,854 posts)
Fri Aug 31, 2012, 12:25 PM Aug 2012

"My healthcare has skyrocketed" --help debunking healthcare cost

I have a friend who is FINALLY coming around to at least discuss actual issues. I have taken care of welfare fraud, housing costs, the stock market and several other issues she brought up.

But I am having a hard time finding any information on PERSONAL healthcare expenses under the Affordable Healthcare Act. She says her paycheck is taking a hit because of healthcare costs and that her co-pay is only $20 less than the cost of the visit.

I can find info on budgetary spending, blah blah blah, but actual information on how the changes are effecting individuals is harder to find. Anybody got anything??

12 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
 

ehrnst

(32,640 posts)
2. Employers still make those decisions on what healthcare to provide
Fri Aug 31, 2012, 12:29 PM
Aug 2012

She should absolutely ask her employer why they are going up.

The employer should ask the insurance company.

frazzled

(18,402 posts)
3. What the heck kind of insurance does she have?
Fri Aug 31, 2012, 12:32 PM
Aug 2012

On a PERSONAL level, our health care costs have remained stable (premiums did not rise) and been reduced (we experienced free, no copay preventive services this year, including physicals and expensive lab tests, e.g., a 2,300 colonoscopy). We even got $40 back from the insurer through my husband's employer--not a big amount, but proof that the cost-cutting is starting to come into play.

We, of course, have good group insurance through an employer. We chose the HMO plan, which has no deductibles and low copays ($20 for PCP, $40 for specialists, $0 if it involves preventive care services.)

So you can tell her that while she may have crappy insurance, she needs to see her employer, or if self-insured, needs to find a better plan. Other people are already benefitting (you can cite my PERSONAL experience.) Secondly, you can tell her that the main provisions of the ACA have not yet gone into effect, and that she should be seeing improvements in the future.





sinkingfeeling

(51,460 posts)
4. Well, the cost of health care in this country has increased 10-fold since 1980.
Fri Aug 31, 2012, 12:44 PM
Aug 2012
http://www.kaiseredu.org/Issue-Modules/US-Health-Care-Costs/Background-Brief.aspx

Health expenditures in the United States neared $2.6 trillion in 2010, over ten times the $256 billion spent in 1980. [1] The rate of growth in recent years has slowed relative to the late 1990s and early 2000s, but is still expected to grow faster than national income over the foreseeable future.[2] Addressing this growing burden continues to be a major policy priority. Furthermore, the United States has been in a recession for much of the past decade, resulting in higher unemployment and lower incomes for many Americans. These conditions have put even more attention on health spending and affordability. [1]

And therefore, premimums continue to rise:



http://www.consumerwatchdog.org/story/health-care-premiums-rise-5-year-increase-131-decade

enlightenment

(8,830 posts)
5. Why do you automatically assume she is wrong?
Fri Aug 31, 2012, 12:55 PM
Aug 2012

Take a look at this website - the statistics they are reporting are cited. This doesn't mean that the ACA is bad, but it does suggest that the insurance companies are doing their damnedest to position themselves before the majority of the legislation kicks in.

http://medaccessforamerica.wordpress.com/2012/07/05/health-insurance-companies-raise-premiums-by-181-4-since-health-care-reform-passage/

Much of the legislation that will affect the average individual won't go into effect until 2014, which may be why you are having difficulty finding the information you want.

renie408

(9,854 posts)
7. I don't. I automatically assume that whatever is going on, it isn't Obama's fault.
Fri Aug 31, 2012, 01:17 PM
Aug 2012

Since she automatically assumes it is, I need some kind of countervailing argument.

enlightenment

(8,830 posts)
12. Ah, your post was unclear on that.
Fri Aug 31, 2012, 02:38 PM
Aug 2012

Hopefully, some of the links in the article will help you develop an argument - unfortunately, there really isn't enough control over the insurance companies at present and they are taking advantage of the lag between the passage and the implementation of the law.

renie408

(9,854 posts)
9. Do we think there is some relief in the future? Cause if not, the average person isn't going
Fri Aug 31, 2012, 01:23 PM
Aug 2012

to give a shit WHY their costs have gone up, just that they have. And they WILL be blaming Obamacare and I am not sure I can blame THEM for that.

 

ehrnst

(32,640 posts)
10. And you can blame FEMA for skyrocketing gas prices when they order an evacuation.
Fri Aug 31, 2012, 01:35 PM
Aug 2012

but you don't, you blame the people gouging you while you still don't have any other option.

mike_c

(36,281 posts)
6. always count on insurance companies to screw their policy holders...
Fri Aug 31, 2012, 01:15 PM
Aug 2012

...by any means open to them. Period. No amount of "reform" is ever going to make for-profit health insurance a good deal.

cbdo2007

(9,213 posts)
11. The point of the ACA wasn't to lower people's individual healthcare costs....
Fri Aug 31, 2012, 01:40 PM
Aug 2012

though there was the provision that they must spend 85% of the cost of the insurance on actual medical costs.

At least not initially. The main goal was to have more coverage for all the people that need it, with the hope that with more people in the health insurance pool it would lower costs in the long run. Just tell her it isn't going to happen over night but if she isn't happy with the plan provided by her employer, she should blame them rather than President Obama. They are the ones who are probably hoarding millions of dollars in cash while offering their employers the plan that is cheapest for THEM not for you.

Latest Discussions»General Discussion»"My healthcare has s...