August 9, 2014
THE GOP TWEAK TO RYANCARE...:
The Latest Obamacare "Glitch" Isn't a Glitch At All--and It's Democrats' Fault (Brian Beutler, 8/07/14, New Republic)
[B]eneficiaries who do the easy thing and re-enroll automatically are likely to discover at some point in 2015 that they're on the hook for more money than they were this year. Others, who decide to initiate the Healthcare.gov process all over again, might find cheaper plans, but those plans might not carry the same cost-sharing arrangements or provider networks that their current plans do.This is not a glitch, like the Healthcare.gov software failure or the provision of the law that unintentionally withholds subsidies from the families of people whose employers offer them, and only them, affordable coverage. It's a natural outgrowth of the scheme. It's one of the many concessions liberals made to conservative Democrats and that conservative Democrats in turn made in a doomed attempt to entice Republicans to support the ACA and avoid the smear that they supported a government takeover of health care.It's a relic of the ACA's conservative design--the same template Republicans still envision for Medicare. When they inevitably use tales of frustration over this issue to attack Obamacare, it will be disingenuous. But that will be little solace to the administration and the Democrats who voted for the law. And in the short term there isn't much they can do about it.
...will just make HSAs the default and permanent option. You'll have to go through a cumbersome and expensive process to opt-out.
Posted by Orrin Judd at August 9, 2014 7:42 AM