Having health insurance is not the same as having health care

How affordable is the Affordable Care Act? Not so much, and increasingly not so much, according to a helpful od-ed in today’s morning newspaper by Nathan Nascimento, director of state initiatives at Freedom Partners Chamber of Commerce.

Nascimento points out that both premiums and deductibles for the three metal plans under ObamaCare — gold, silver and brozne — are high and going higher.

“All three metal categories increased by an average of $268, or 14 percent, in Nevada this year,” he writes of the deductibles.”Silver plans — which with 40,000 enrollees are the most popular in the state — now have deductibles averaging $2,848, while bronze plan deductibles average $5,790.”

According to Freedom Partners website, specifically Nevadans this year will see bronze plan deductibles go up $408, silver plans $210 and gold plans $507 for an average of $268.

Nascimento also notes that insurance premiums are also increasing — an average of 8.4 percent in Nevada this year. Centers for Medicare & Medicaid Service says the silver plan alone increases 8.1 percent Nevadawide this year, but 9.9 percent in Las Vegas.

When deductibles and premiums and other costs are added up, according to Kaiser Health News, even those with subsidies pay more than 10 percent of the their income for health care, and some older people aged 55 to 64 can see nearly 25 percent of their income go to health care costs.

“While some may instinctively blame insurance companies for these rising costs — after all, they’re the ones mailing the bills — they’re losing money, too,” Nascimento points out. “UnitedHealth, one of the nation’s largest insurers, has announced losses of nearly $1 billion in 2015 and 2016 on the exchanges. The outlook is so bad that UnitedHealth and other insurers are even considering leaving the exchanges altogether next year, which may result in millions of canceled plans.”

The Nevada Health Co-op has already closed shop with little chance of it ever repaying its $66 billion federal start-up loan, since it lost $42 million in its last year and a half of existence.

Nascimento concludes that higher premiums and higher deductibles are making health insurance too expensive for many people to use.

31 comments on “Having health insurance is not the same as having health care

  1. nyp says:

    much better to take away all of their health insurance

  2. nyp says:

    You could trust something called “Freedom Partners Chamber of Commerce,” or your could rely on Polifact:

    “Across all silver plans, the average increase is about 11 percent, estimated McKinsey & Company, a management consulting firm. But according to McKinsey, people who will see their lowest cost plans increase at rates above 10 percent are in the minority (28 percent).

    The national average increase for the benchmark plan, according to HHS, is not in the double digits. It’s 7.5 percent for the 37 states using healthcare.gov. In the 30 largest markets, representing about 60 percent of enrollees, the rate increase is 6.3 percent.

    “For most consumers, premium increases for 2016 are in the single digits and they will be able to find plans for less than $100 a month,” said Kevin Counihan, CEO of healthcare.gov in a news release. ”

  3. nyp says:

    “Year-over-year average changes in premiums alone, however, don’t fully capture how changes hit an enrollee’s wallet. To get a sense of the typicYear-over-year average changes in premiums alone, however, don’t fully capture how changes hit an enrollee’s wallet. To get a sense of the typical rate increase, we have to also consider enrollment figures for each state, as well as tax credits for premiums, which are available to consumers earning up to 400 percent of the federal poverty line (less than $97,000 for a family of four).

    Factoring in these two components, the average rates are significantly reduced and nowhere near double-digit increases.

    According to the Kaiser Family Foundation, the weighted average rate for major cities in 49 states and Washington, D.C., grew by 3.6 percent. After accounting for tax credits, the weighted average actually decreased 0.7 percent.”

  4. Juno says:

    What do o’bama voters care cause they don’t pay for any of it anyway. I hope the suckers that fell for this crap drove out for Trump in November.

  5. nyp says:

    You tell em, Juno!

  6. Steve says:

    “After accounting for tax credits”

    Yeah, talked with UHC today (choosing employer plans)
    They confirmed , quietly, UHC is bleeding money on exchange business. They plan on leaving ACA next year.
    So much for those subsidies.

  7. Reality of rising health care costs vs. progressive cheer leading claims to the contrary…from the latest CNN townhall…

  8. Steve says:

    More non profits because they failed, so lets try again!
    That lady is stuck in a similar situation I found myself in while out of work, hers was the other side of the coin. While out of work I suspect her husband and she did odd jobs for cash and paid taxes on their earnings. This could easily have put them in a position where subsidies did nothing to lower their out of pocket premium costs. The other thing they found was a complete lack of service providers. So they were forced (as we were) to pay out of pocket for some of their services.
    It’s the reality of ACA. The law was written and passed with no consideration for what it would actually do. Small steps were called for while Democrats wanted giant leaps into the deep end of the pool.

    It is becoming more and more apparent the population of the US likes liars.
    Consider the current two top candidates for president…..both lying through their teeth and both smiling at us when they do it!

    Gary Johnson for president.

  9. […] we learned that the cost of ObamaCare keeps going up in terms of deductibles and […]

  10. nyp says:

    A lot of us were puzzled by the story of the woman whose non-employer market premiums had supposedly gone up so much. Two very careful observers, Charles Gaba and Michael Hiltzik, looked into the issue. Their findings are here:


    and here:


  11. Rincon says:

    So these poor folks made more than $64,000 a year and were whining that they weren’t eligible for subsidies. And that’s something that’s wrong with Obamacare? Sounds like Conservatives talking out of both sides of their mouths again.

    As for Steve’s lack of service providers, isn’t that left over from the old system? I recall out of network providers being pretty common back then too. Is Steve asking to get rid of that problem too? If so, I have a few ideas.

  12. Steve says:

    Rincon, that’s wrong. the number is 49,560 and above. This is the 400% above poverty level as defined by Obamacare. (I will now have to pay back all of my 2016 subsidies because I landed a good paying job. They punish me for finding work! Nice huh?
    But it’s a damned good thing I turned down Medicaid, I would have been on the hook for the full RETAIL cost of any services rendered under that option! (And they really pushed me to get on it too!)


  13. Steve says:

    Rincon, nope. My wife’s doctor dropped exchange insurers because he couldn’t get them to pay their bills. He still has his lawyer working on it.
    So we opted to pay his retail fee, remember I had savings and still have inheritance money. But the fact is doctors are dropping exchange insurers like they are hot potato’s.
    And lets not forget insurers themselves, UHC is really looking at dropping their exchange coverage for 2017.

    This is serious stuff, and it comes from experience.

  14. Rincon says:

    Your wife’s doctor dropped exchange insurers. That’s capitalism! What are you griping about? This is what you want. An insurance company that is free to challenge bills from your doctor and a doctor that has the freedom to accept other insurers and reject yours.

    If doctors are all dropping exchange insurers right and left, who are they treating? Is there some vast pool of patients that they weren’t serving before?

    And you complain about having to pay back your subsidies. I though you were morally opposed to subsidies.

  15. Steve says:

    Rincon, he wasn’t getting paid.
    That is not capitalism, it’s socialism.

  16. Rincon says:

    It’s a private insurance company that refuses to pay the bills and you call that socialism? Show me where it’s carved in stone that everybody pays their bills in a capitalistic society. BTW, I think you might be interested in buying a bridge in New York. I can make the arrangements. Just send me the money.

  17. Steve says:

    “It’s a private insurance company that refuses to pay the bills”

    Wrong again, Rincon. The so called private insurer was Nevada Health Coop. The UNION RUN obamacare inspired “non profit” that paid their top brass (D Taylor of Culinary 226) more than 400,000 a year.
    Nice “work” if you can get it.
    More like a total scam.

  18. Rincon says:

    According to Wikipedia, A health care coop is owned by the people it serves. Is this not private ownership? I also found a Humana Web Site offering health care plans for Nevadans. They don’t count?

  19. Steve says:

    hmmph….the people it was supposed to serve were not served. Specially with the bosses making real fat cat money. They were certainly served. And definitely not a good example of what you wanted to call capitalism.

    Humana pays their bills but they are an HMO. Many doctors already don’t contract with them. VERY small network.

  20. Rincon says:

    They are still privately owned. The companies and doctors are engaging in the rules of capitalism, not socialism.

  21. Steve says:

    Humana is nothing like Nevada Health COOP was, Rincon.

  22. Rincon says:

    Isn’t part of capitalism that poorly performing entities will lose market share and sometimes go out of business? There’s no guarantee about how many customers suffer for it. That’s considered of little importance by conservative types.

  23. Steve says:

    ACA pushed for the COOP’s then set aside money to support them.

    This is nothing like capitalism. It is Socialism, plain and simple. Trying to throw a ton of words at it doesn’t change a thing.

  24. Rincon says:

    So this “socialist” business couldn’t compete with private businesses and so, went out of business. Sounds like capitalism overcoming socialism. This is bad?

  25. Steve says:

    It’s bad because your candidate wants to DO IT ALL OVER AGAIN!

  26. Rincon says:

    Your evidence of that?

  27. Steve says:

    She said it! See the speech from 3/13.

  28. Rincon says:

    It was a 48 minute speech. Sorry Steve, but I’m not interested in hunting for a needle in a haystack.

  29. Steve says:

    That explains a lot about your lack of comprehension in most of these exchanges.

    I read a transcript. As Tom has pointed out numerous times (you probably didn’t take the time) reading is 6 times faster than listening…and even faster when one is trained in speed reading.

    (Speed reading was an early way of teaching us dyslexics how to work with the syndrome. It benefits me to this day)

  30. Rincon says:

    The transcripts I found were in narrow, hard to read columns. I had to either read slowly or continue searching. And I don’t even know if the speech I Googled was the only one she made that day. I have no reason to work that hard to learn YOUR view. If you can’t send the message clearly and perhaps sometimes repeatedly, then I’m not interested in digging for it. Go find a different sucker.

  31. Steve says:

    Sure, I’m the sucker for your lack of comprehension.

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