Surviving Obamcare – Losers & Winners Did you know under the Affordable Healthcare Act (ACT) nurses will face layoff making healthcare spread even thinner? Union members that think they will not be effected who now have very generous plans risk losing them in 2018. Government spending on healthcare administration, telling doctors and patients what they can and cannot do will more than double next decade. Winners 1. Well it seems by perusing the ACT bill that low income childless adult, who were not eligible for Medicaid under the old rules, may be eligible in 2014 in states that choose to expand Medicaid eligibility.
2.
3.
4.
5.
6.
Household earnings that go up to $92,200 dollars for a single family of four who pay for their own insurance in 2014 will get a taxpayer funded subsidy. Young adults will be able to stay on parent’s healthcare plan until age 26. Newcomers to the U.S., regardless of immigration status, ACT will cover those of diverse cultures and languages. Racial and ethnic minorities will benefit from federal funded programs to train a diverse health care workforce receiving community transformation grants targeted specifically at minority organizations. ACT is adding federal government employees at such a fast pace so much so
that the General Accounting Office stated that spending will increase from $29 billion in 2008 to $71 billion in 2020. 7.
Insurance companies are winners because the approximate estimated increase to their health insurance roles stands at around 23 million new recipients.
8. Patients who had pre-existing conditions will benefit from rules barring insurers from barring lifetime cap on their care. Losers 1.
Hospital patients will wait longer when cutbacks reduce the supply of diagnostic equipment and fewer nurses on the floor.
2.
3.
4.
5.
Nurses and hospital employees will lose out because hospitals will face severe budgetary pressures because of cuts in Medicare reimbursement. In the past when Medicare cut payments to hospitals, nursing care was spread thin, and nursing workloads increased. Taxpayers making $200,000 or couples making $250,000 will be hit with a higher Medicare Part A payroll tax and a new 3.8% tax on unearned income in addition to capital gains tax being raised to 43.5%. Union members in 2018 that have the generous health care plans will be hit with a so called “40% Cadillac Tax� on insurers kicks in. Doctors will receive lower pay, more paperwork, and more government
interference in how they treat their patients. More smart doctors will be leaving the profession because of government interference retraining in other fields of endeavor that will have more free time. 6.
7.
Seniors will pay more than half the Obama health care law through cuts in Medicare, 700 billion overall, and Medicare Advantage programs. Baby boomers entering retirement signing up for Medicare will also receive less care while paying more. Women and men who want to keep their medical records private will find it very hard to do so. The current privacy laws will not work because millions of strangers will be presented with medical information who are not doctors. That means that private and confidential records will then be exposed to
federal employees that many people will not wish to share.