{"id":1372,"date":"2021-03-10T20:19:26","date_gmt":"2021-03-11T03:19:26","guid":{"rendered":"http:\/\/danschmidtforsenate.com\/blog\/?p=1372"},"modified":"2021-03-10T20:19:26","modified_gmt":"2021-03-11T03:19:26","slug":"row-the-boat","status":"publish","type":"post","link":"https:\/\/danschmidtforsenate.com\/blog\/?p=1372","title":{"rendered":"Row the Boat"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/danschmidtforsenate.com\/blog\/wp-content\/uploads\/2021\/03\/Age-Dropdown.png\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"998\" src=\"https:\/\/danschmidtforsenate.com\/blog\/wp-content\/uploads\/2021\/03\/Age-Dropdown-1024x998.png\" alt=\"\" class=\"wp-image-1373\" srcset=\"https:\/\/danschmidtforsenate.com\/blog\/wp-content\/uploads\/2021\/03\/Age-Dropdown-1024x998.png 1024w, https:\/\/danschmidtforsenate.com\/blog\/wp-content\/uploads\/2021\/03\/Age-Dropdown-300x292.png 300w, https:\/\/danschmidtforsenate.com\/blog\/wp-content\/uploads\/2021\/03\/Age-Dropdown-768x749.png 768w, https:\/\/danschmidtforsenate.com\/blog\/wp-content\/uploads\/2021\/03\/Age-Dropdown-1536x1498.png 1536w, https:\/\/danschmidtforsenate.com\/blog\/wp-content\/uploads\/2021\/03\/Age-Dropdown.png 1598w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption>From the Kaiser Family Foundation website<\/figcaption><\/figure>\n\n\n\n<p>So, it\u2019s been four years of a Republican administration and congress vowing to \u201cRepeal and Replace\u201d then \u201cRepeal\u201d, then \u201cLet\u2019s Beg the Courts to\u201d deal with the great abomination they perceive the Affordable Care Act to be. But, I guess, elections have consequences. Now we have a Democratic administration and congress. Are they doing anything? Let\u2019s look.<\/p>\n\n\n\n<p>You remember I have written about the problems with the ACA before. When Nancy Pelosi said \u201cWe have to pass the law to find out what\u2019s in it\u201d she wasn\u2019t kidding. There have been lots of quirks.<\/p>\n\n\n\n<p>There is this thing called the \u201cSubsidy Cliff\u201d. It affects some people who purchase insurance on the exchanges (about 10% of Idahoans). Most Idahoans get health insurance through their employment (about 50%). Then there\u2019s us Idaho geezers on Medicare (about 15%) and the poor or disabled on Medicaid (another 15%). Approximately 10% of Idahoans are uninsured (2019 numbers). You see, everybody is in a different boat. The single payer folks think this would be easier to fix if we were all in one boat. It would sure be a big boat.<\/p>\n\n\n\n<p>But some of the folks in the Idaho Exchange boat are getting juiced. They face the subsidy cliff. Currently, if you make less than $50K and you buy your insurance on the Idaho Exchange, your premium comes to about 10% of your income. If you make $55K, the premium percentage jumps to about 20% of your income. It doesn\u2019t make sense that a $5K raise would actually cost you $5K more in health insurance, but that\u2019s how the current set up is.<\/p>\n\n\n\n<p>And just like he promised, Joe Biden proposes to address this. He campaigned on fixing the problems with the ACA. Remember, lots of Democratic presidential candidates raised their hands to \u201cMedicare for All\u201d. But we got Joe.<\/p>\n\n\n\n<p>The current $1.9 Trillion Covid relief budget reconciliation bill has \u201ca fix\u201d for this subsidy cliff. If it passes both houses (passed the Senate this weekend, maybe House on Tuesday), this cliff will disappear. Instead, folks buying insurance on the exchange will see gradual increases in the percentage they pay as their incomes go up, not the steep jump.<\/p>\n\n\n\n<p>Here\u2019s the catch. It\u2019s only a two-year fix. Unless it is continued, in two years, the cliff comes back. What else happens in two years? Yup, mid term elections. The House will probably go back to the \u201cRepeal\u201d crowd and nothing will be done awaiting another presidential election.<\/p>\n\n\n\n<p>It\u2019s our fault folks. We don\u2019t demand our elected officials address the health care mess in this country. We can\u2019t stay focused on a problem longer that it takes to watch a Tick Tock or read a tweet. And if we can\u2019t, we sure can\u2019t expect our elected officials to have that discipline.<\/p>\n\n\n\n<p>This fix has been in a lot of congressional drawers for four (maybe ten!) years getting no discussion, no traction. We, the splintered masses, have not asked for this simple fix with any sort of voice that could be heard.<\/p>\n\n\n\n<p>It makes sense, given the many boats we are in. This problem probably affects about 1-2% of Idahoans, and about the same percent nationally. That\u2019s not a large electorate, even for a simple fix. Especially when all you have to say is \u201cObamacare\u201d and the AR15s come out.<\/p>\n\n\n\n<p>Yes, it\u2019s our fault. But it is a very complicated law, that ACA, Obamacare thing. There are lots of folks paying attention to it with ideas and suggestions. But we sure don\u2019t want to hear any of that, do we?<\/p>\n\n\n\n<p>Maybe, the scream and Tweet crowd would rather we have a simpler system, one where we are all in the same boat? If we don\u2019t do the work to fix the many little boats we are in, we\u2019ll all be swimming soon enough.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>So, it\u2019s been four years of a Republican administration and congress vowing to \u201cRepeal and Replace\u201d then \u201cRepeal\u201d, then \u201cLet\u2019s Beg the Courts to\u201d deal with the great abomination they perceive the Affordable Care Act to be. But, I guess, &hellip; <a href=\"https:\/\/danschmidtforsenate.com\/blog\/?p=1372\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/1372"}],"collection":[{"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1372"}],"version-history":[{"count":1,"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/1372\/revisions"}],"predecessor-version":[{"id":1374,"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/1372\/revisions\/1374"}],"wp:attachment":[{"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1372"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/danschmidtforsenate.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}