📣 Breaking: @CMSGov releases January 2022 enrollment report: Medicaid/CHIP now cover ~87 million Americans, or 26% of the total U.S. population: acasignups.net/22/04/28/cms-r…
Another 64.2 million Americans are now enrolled in Medicare...45% of whom are now enrolled in privately-administered Medicare Advantage plans, for good or for bad. That's over 19% of the U.S. population.
11.9M of these are dual-eligibles (counted as part of both programs), so combined that's around 139.3 million, or ~41.6% of the total U.S. population enrolled in Medicare, Medicaid or CHIP.
Add to this ~13 million enrolled in effectuated #ACA exchange plans & ~1 million enrolled in ACA Basic Health Plans, and that's > 153 million, or ~45.7% of the total U.S. population receiving their healthcare coverage via government-run or directly government-subsidized programs.
NOTE: I say "directly" subsidized because ANOTHER ~45% or so of the U.S. population is enrolled in EMPLOYER-BASED coverage, which is *indirectly* subsidized in the form of the federal income & payroll tax exclusion. taxpolicycenter.org/briefing-book/…
In other words, for those claiming that they don't want "The Gub'mint" subsidizing their healthcare coverage, I have some bad news for you: It's been doing that to some extent for the vast majority of the population for decades, even before the ACA came around.
I'm not sure how self-insured corporations play into this and there's likely plenty of other caveats/etc, but $273B / ~154M = an average "subsidy" of ~$1,770/year per employer-sponsored enrollee.
Also, if you're covered via your employer, they likely pay upwards of 60-70% of your premiums! This is technically part of your compensation, but still.
Here's how to see how much of YOUR employer-based health insurance is being paid for by your employer: acasignups.net/22/04/28/quick…
In other words, if you're single & earn $50K/yr + an employer health policy costing $7,200/yr, you're likely only paying ~$1,200 of it yourself, w/your employer picking up the other $6,000.
Technically, you're earning $57,200/year but only paying taxes on $50,000 of it.
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President Biden is likely screwed no matter what he does or doesn't do re. student debt at this point.
If he does nothing, he pisses off millions.
If he cancels all of it for everyone, he pisses off millions.
If he cancels some of it for some people, he pisses off millions.
No matter how he slices & dices it (means tested; not means tested; if he pairs it with interest/fee reform or if he doesn't; if he makes it retroactive or doesn't; etc.), he's going to infuriate tens of millions of Americans, and I'm not just talking about Republicans.
I realize this sort of thing kind of comes with the job, it's just a reminder of why I would never want to be President of the United States and I honestly can't understand why anyone else would either. It's a pretty depressing job if you think about it.
Also note that he said this in the same thread where he tries to extort Biden by vowing not to vote Dem if he doesn’t get paid $50,000. Here he openly admits that he has no intention of voting Dem anyway, making that an empty threat.
I happen to think Biden should offer some level of means-based student debt relief combined with interest/fee reform…but he shouldn’t do it because he thinks it’ll get the DSA crowd to turn out in droves this fall. Clearly it won’t. Either do it or don’t for other reasons.
If Biden does make it $50K I wonder how many of those who owe less than that will then say they feel “cheated” because they didn’t take out larger loans to begin with?
And I say this as someone who actually thinks he probably should waive a significant chunk of student debt (though reforming the interest rate/fee system seems more important…some of each would be best I’d say).
📣 Yesterday CMS released #NBPP2023! This is a Big Deal in healthcare wonkery circles.
The NBPP is the rulebook for various changes in how the #ACA will be administered in the upcoming year. Each year there's various tweaks...some major, some minor. 1/
The document itself is several hundred pages, but it boils down to a dozen or so major provisions (plus various minor ones).
Some of these get *really* wonky & over my head, but most aren't too in the weeds. I've broken them out into several posts. 2/
First up: STANDARDIZED PLANS!
A few years ago, there was a risk of "bare counties" where there weren't ANY insurance carriers offering ACA policies. Today, it's the opposite: The market is often saturated with *hundreds* of near-identical plans. 3/
This thread is getting some buzz, so I want to clarify:
I'm not saying SCOTUS *would* uphold such a law. I'm saying that there's a more-than-negligible POSSIBILITY of them doing so, which should be PLENTY to scare the living shit out of everyone.
Saying "That's Unconstitutional!" isn't a magic spell.
A thing is Unconstitutional right up until the moment that the Supreme Court of the United States says otherwise.
In 2005, a (since debunked) story was widely circulated in which then-President George W. Bush, confronted by one of his aides that something was "unconstitutional," supposedly replied that "The Constitution is just a goddamned piece of paper."