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Read the rules in the OP before posting, please.

In order to ensure that this thread continues to meet TL standards and follows the proper guidelines, we will be enforcing the rules in the OP more strictly. Be sure to give them a re-read to refresh your memory! The vast majority of you are contributing in a healthy way, keep it up!

NOTE: When providing a source, explain why you feel it is relevant and what purpose it adds to the discussion if it's not obvious.
Also take note that unsubstantiated tweets/posts meant only to rekindle old arguments can result in a mod action.
KwarK
Profile Blog Joined July 2006
United States43967 Posts
Last Edited: 2017-05-25 17:01:18
May 25 2017 16:59 GMT
#152721
Last time I saw the option of COBRA it was $400/month for a healthy 30 year old with zero preconditions who had never cost the insurer a penny for coverage with a $5k deductible. To make it economically rational we'd need a 3% chance of a health issue with $20k in costs coming up that month. Even with a 100% chance of a health issue with $5k in costs it'd be worthless.
ModeratorThe angels have the phone box
Plansix
Profile Blog Joined April 2011
United States60190 Posts
May 25 2017 17:00 GMT
#152722
http://www.npr.org/2017/05/25/529513771/new-immigration-crackdowns-creating-chilling-effect-on-crime-reporting

Jason Cisneroz, a community service officer in Houston, is troubled. His job in the nation's fourth largest city is to forge good relations between the police and Hispanic immigrants, a population typically wary of blue uniforms.

"A couple of days ago there was a witness to a burglary of a motor vehicle," he said. "She saw the suspects run to a certain place and with items they stole from a car, but she was afraid to come to police, she was in fear they would ask for her papers."

Police officials have been warning about the unintended consequences of Trump's immigration dragnet. They caution it will further isolate immigrants who are in the country illegally and are victims of crimes like sexual assault. In Houston and in other U.S. cities, police and immigrant advocates say: it's already happening.

Unauthorized immigrants living in Texas have a double whammy. Under President Trump, federal agents have stepped up the arrests of immigrants, even those without a criminal record. And a brand new state law further tightens up immigration enforcement in Texas.

The numbers

Cisneroz's partner, Officer Jesus Robles, has a unique perspective. Robles came to Texas from Mexico as a child without papers, and later got citizenship. He also notices the chill.

"People are afraid to talk to the police, and how does that help us as police do our job?" Robles asked.

Their boss, Chief Art Acevedo, citing Houston Police Department data, says Hispanics reporting sexual assault have dropped nearly 43 percent in the first three months of this year, compared to last year. And the number of Hispanic-reported robberies and aggravated assaults are each down 12 percent.

"What we've created is a chilling effect that we're already starting to see the beginning of," Acevedo said. "They're afraid that we're more interested as a society in deporting them than we are in bringing justice to the victims of crime."

Earlier this month, Texas Gov. Greg Abbott signed the so-called "sanctuary cities" bill. It orders local jail officials to cooperate with federal immigration agents, and authorizes any Texas peace officer to check the immigration status of any subject they detain.

Latino lawmakers are furious. Activists have vowed a "summer of resistance" of lawsuits and more demonstrations. Abbott defends the new law, saying it's meant to catch criminals and that he can't be racist because his wife is Mexican-American.

"If you are not someone here who has committed a crime, you have absolutely nothing to worry about. There are laws against racial profiling, and those laws will be strictly enforced," Abbott told a reporter for Univision last week at a memorial service for state troopers.

Houston, like many cities, has a policy discouraging its officers from inquiring about a subject's legal status. Now with the new state law, Acevedo says any officer may ask about a subject's citizenship but they cannot act like it's open season on immigrants. He says his officers shouldn't think, " 'I'm gonna go out to the Home Depot and start going after those day laborers that may be undocumented immigrants,'" the chief says. "We're going to make sure we provide plenty of training to those who might be inclined, to make them understand that racial profiling is not going to be tolerated."

In an emailed statement to NPR, Patrick Contreras, Houston field office director of Immigration and Customs Enforcement (ICE), says foreign nationals who are victims of sex crimes, trafficking or domestic violence may qualify for special visas that allow them to stay in the country. He stresses that ICE's mission is to combat crime and protect the public, and to suggest otherwise is "reckless," and creates "fear within communities."

Yet, fear of deportation has long complicated relations between Latinos and law enforcement, and lately it's gotten worse.

Afraid to get involved

Palmira is a 43-year-old house cleaner and babysitter from Guanajuato, Mexico, who lives in Houston with her two teenage daughters. She asked that her last name not be used because she's here illegally.

Sitting outside of a Starbucks, she describes how there are drug dealers in her apartment complex. They get in fights, and their customers come day and night, but she won't report them.

"I was always afraid to deal with the police because I'm illegal, and I feared they'd take me away," Palmira said, "but now I'm even more scared."

Houston is not alone.

In Los Angeles, Police Chief Charlie Beck says reports of sexual assault this year have dropped 25 percent among the city's Latino population compared to the same period last year.

A new survey of hundreds of victim's advocates and legal service providers in 48 states finds that immigrants are afraid to call police, afraid to press charges and afraid to testify at trial because ICE is making arrests at courthouses.

Moreover, this trend is not new. A study published in 2013 by the University of Illinois at Chicago asked Hispanics in major cities their perceptions of police. At the time, the Obama administration was pushing a program to get local officers to work with federal immigration agents. Around 45 percent of Latinos surveyed said they were unlikely to report a crime to police, fearing deportation.

Supporters of stricter immigration enforcement are not convinced, especially with only three months of crime-reporting data under the new president. "Well, color me skeptical. I don't believe it, and I'd really be curious to see how they got that data considering that supposedly you're dealing with people living in the shadows, living in fear," said Liz Theiss, founder of Stop the Magnet in Houston.

With the immigration crackdown coming from Washington, and now Austin, law enforcement has to balance what can be two very different goals: enforcing federal law and policing the community.


Along with the theme of the week, everything is a trade off. Deporting illegal immigrants via a drag net makes it harder for police to do their job effectively.
I have the Honor to be your Obedient Servant, P.6
TL+ Member
ZeromuS
Profile Blog Joined October 2010
Canada13407 Posts
May 25 2017 17:02 GMT
#152723
On May 26 2017 00:28 brian wrote:
Show nested quote +
On May 26 2017 00:14 KwarK wrote:
On May 26 2017 00:07 brian wrote:
can anyone explain why that would ever be construed as an unreasonable little speech? seems like the most sensible few words he's strung together. but i don't know any nuances that may be involved wrt NATO

There isn't a 2% contribution rule, there certainly is no suggestion that anyone might owe another country money for it, there is no mechanism for Trump to collect on a debt nor any mechanism by which that debt would even exist, there is no reason to use total US defence spending as a comparison to NATO (NATO covers the North Atlantic, the US has other alliances like SEATO, for every dollar the US spends in any region on any project they seem to want to go to each alliance and say "that dollar benefited you somehow, match me" and that's fucking retarded). If US completely pulled out of the North Atlantic their military spending would still be high enough for them to insist that they're carrying too much of the burden. The subtext of this speech is "we spent all our money fucking up the Middle East and causing the refugee crisis and you didn't spend any money doing that so here's a bill so you can share the cost, you're welcome".

Not only does he have no idea how NATO works, he's actually got together a group of leaders of American allies so he can collectively make a total idiot of himself in front of them because the desired audience of his speech isn't them, it's the American public, most of whom know even less than he does. Literally nothing will come of this speech other than some minor civil servant in each of the NATO governments drafting a letter to the Trump administration explaining how NATO works.

i mean i have no doubt he's insinuated it before but nowhere in that speech did i hear him suggest any member owes the united states money.

just because there's no 2% rules doesn't make it an unreasonable goal? and again, he didn't suggest member nations match the US by any metric?

like i said, i'm working from this one video alone. so if this happened else wise i understand. but i'm definitely not seeing any of this here.


He said they owe a debt...

and he said they aren't living up to their obligations of 2% ...

How is that not implying theres a goal/debt/issue

and he compared their spending to the US spending

Its like you've completely ignored the words he used and thought he said something like "everyone should contribute more to strengthen NATO" and not "we spend too much, so much, you all aren't pulling your weight like the US is. You owe us" -- which is in short what the speech was actually about.

In public. Throwing his ALLIES under a bus. This amid reports that the US does not agree with the rest of NATO on Russia coming out of this meeting. And also amid reports that Trump has not actually recommitted to Article 5 of NATO and hasn't every actually supported it publicly. You know, the whole thing that implies that if one member of NATO is attacked, effectively all of them have been?

You know, the thing that Russia is most vehemently against with regards to the way NATO is structured and why they don't want any of their border states to join NATO?
StrategyRTS forever | @ZeromuS_plays | www.twitch.tv/Zeromus_
jcarlsoniv
Profile Blog Joined January 2010
United States27922 Posts
Last Edited: 2017-05-25 17:08:06
May 25 2017 17:07 GMT
#152724
On May 26 2017 01:14 Sadist wrote:
Show nested quote +
On May 26 2017 01:03 xDaunt wrote:
On May 26 2017 00:52 Mohdoo wrote:
On May 26 2017 00:48 Plansix wrote:
Ryan’s statements give me comfort. That he and the Republican House get exactly what they deserve around November of next year. My only hope is that they don’t pass any version of this nightmare bill.


Don't leave work early, dress well, stay assertive and keep your job. That's honestly the perspective I've been taking with regards to all this. Whatever you do, do not lose your job.

You can lose your job or change your job. Just make sure that you don't have any gaps in coverage by getting COBRA coverage between jobs.




Ya its not like COBRA is expensive or anything


As someone who hasn't ever had to deal with non-employer provided healthcare, isn't part of the idea (whether just in theory or actual practice) of AHCA to reduce the cost of things like COBRA?

I'm pretty ignorant of how it all works since I've fortunately never had to go through any part of that process.
Soniv ||| Soniv#1962 ||| @jcarlsoniv ||| The Big Golem ||| Join the Glorious Evolution. What's your favorite aminal, a bear? ||| Joe "Don't call me Daniel" "Soniv" "Daniel" Carlsberg LXIX ||| Paging Dr. John Shadow
GreenHorizons
Profile Blog Joined April 2011
United States23930 Posts
May 25 2017 17:11 GMT
#152725
I love how the reports from polling places are that everyone knows about the choke slam but no one is changing their vote.

Like I said, they are just going through the motions because we have two privileged classes bumping into each other.
"People like to look at history and think 'If that was me back then, I would have...' We're living through history, and the truth is, whatever you are doing now is probably what you would have done then" "Scratch a Liberal..."
On_Slaught
Profile Joined August 2008
United States12190 Posts
May 25 2017 17:12 GMT
#152726
Who cares about premiums being low when you are stuck with the majority of every health bill? God forbid something happens and you need surgery or air transport etc...
KwarK
Profile Blog Joined July 2006
United States43967 Posts
May 25 2017 17:12 GMT
#152727
On May 26 2017 02:11 GreenHorizons wrote:
I love how the reports from polling places are that everyone knows about the choke slam but no one is changing their vote.

Like I said, they are just going through the motions because we have two privileged classes bumping into each other.

The Democratic candidate for Montana looks like someone for whom the word privileged very much should not apply.
ModeratorThe angels have the phone box
KwarK
Profile Blog Joined July 2006
United States43967 Posts
May 25 2017 17:15 GMT
#152728
On May 26 2017 02:07 jcarlsoniv wrote:
Show nested quote +
On May 26 2017 01:14 Sadist wrote:
On May 26 2017 01:03 xDaunt wrote:
On May 26 2017 00:52 Mohdoo wrote:
On May 26 2017 00:48 Plansix wrote:
Ryan’s statements give me comfort. That he and the Republican House get exactly what they deserve around November of next year. My only hope is that they don’t pass any version of this nightmare bill.


Don't leave work early, dress well, stay assertive and keep your job. That's honestly the perspective I've been taking with regards to all this. Whatever you do, do not lose your job.

You can lose your job or change your job. Just make sure that you don't have any gaps in coverage by getting COBRA coverage between jobs.




Ya its not like COBRA is expensive or anything


As someone who hasn't ever had to deal with non-employer provided healthcare, isn't part of the idea (whether just in theory or actual practice) of AHCA to reduce the cost of things like COBRA?

I'm pretty ignorant of how it all works since I've fortunately never had to go through any part of that process.

Your employer negotiates a bulk rate with the insurance companies with risk pooling. They then charge all their employees the same (socialism!) by putting them all in the same risk pool with the same terms (deductible, annual max etc) in their contracts.

How COBRA works is it gives the individual who has lost his employment the right to take over that contract on a temporary basis, paying the premiums the employer used to pay on his behalf. So they don't get assessed on their own individual risks but rather continue membership of that risk pool.
ModeratorThe angels have the phone box
Sadist
Profile Blog Joined October 2002
United States7328 Posts
May 25 2017 17:20 GMT
#152729
On May 26 2017 02:07 jcarlsoniv wrote:
Show nested quote +
On May 26 2017 01:14 Sadist wrote:
On May 26 2017 01:03 xDaunt wrote:
On May 26 2017 00:52 Mohdoo wrote:
On May 26 2017 00:48 Plansix wrote:
Ryan’s statements give me comfort. That he and the Republican House get exactly what they deserve around November of next year. My only hope is that they don’t pass any version of this nightmare bill.


Don't leave work early, dress well, stay assertive and keep your job. That's honestly the perspective I've been taking with regards to all this. Whatever you do, do not lose your job.

You can lose your job or change your job. Just make sure that you don't have any gaps in coverage by getting COBRA coverage between jobs.




Ya its not like COBRA is expensive or anything


As someone who hasn't ever had to deal with non-employer provided healthcare, isn't part of the idea (whether just in theory or actual practice) of AHCA to reduce the cost of things like COBRA?

I'm pretty ignorant of how it all works since I've fortunately never had to go through any part of that process.



COBRA as i know it allows you the option to stay on your previous employers insurance plan if you lose your job. The thing is in the USA your employer pays all or part of your premium pre tax. You do the same if you are responsible for part of the premium. The thing is the cost of healthcare insurance that your employer pays is pretty much invisible to most americans. Its also pretty expensive.

For example. Your employer might pay a $500 premium for your insurance pre tax. You may pay $100 so the total cost is $600. With Cobra you can buy the same coverage for $600 + a fee but its out of pocket after taxes. So you get double fucked. You are responsible for the employers portion of the premium plus your portion but its after taxes instead of before. So you lost your job but pay way more premium in cost + get fucked by taxes.

Unemployment is $362 /week if you cap out so about half of your unemployment goes to your premium.

I think you can recoup some of the premium on your taxes but im not sure.

You can get insurance on the exchanges instead if you want.

It really becomes apparent why health insurance should not be related to employment at all when you look at this stuff
How do you go from where you are to where you want to be? I think you have to have an enthusiasm for life. You have to have a dream, a goal and you have to be willing to work for it. Jim Valvano
Plansix
Profile Blog Joined April 2011
United States60190 Posts
May 25 2017 17:22 GMT
#152730
Punch. To. The. Throat. You get the paperwork for COBRA along with you unemployment paperwork. So you get to pay health insurance that is more expansive, while having reduced income based on your past income. And unemployment doesn't take into account the amount your employer was paying for health insurance. It is borderline insulting to receive the paperwork.
I have the Honor to be your Obedient Servant, P.6
TL+ Member
KwarK
Profile Blog Joined July 2006
United States43967 Posts
May 25 2017 17:27 GMT
#152731
On May 26 2017 02:20 Sadist wrote:
Show nested quote +
On May 26 2017 02:07 jcarlsoniv wrote:
On May 26 2017 01:14 Sadist wrote:
On May 26 2017 01:03 xDaunt wrote:
On May 26 2017 00:52 Mohdoo wrote:
On May 26 2017 00:48 Plansix wrote:
Ryan’s statements give me comfort. That he and the Republican House get exactly what they deserve around November of next year. My only hope is that they don’t pass any version of this nightmare bill.


Don't leave work early, dress well, stay assertive and keep your job. That's honestly the perspective I've been taking with regards to all this. Whatever you do, do not lose your job.

You can lose your job or change your job. Just make sure that you don't have any gaps in coverage by getting COBRA coverage between jobs.




Ya its not like COBRA is expensive or anything


As someone who hasn't ever had to deal with non-employer provided healthcare, isn't part of the idea (whether just in theory or actual practice) of AHCA to reduce the cost of things like COBRA?

I'm pretty ignorant of how it all works since I've fortunately never had to go through any part of that process.



COBRA as i know it allows you the option to stay on your previous employers insurance plan if you lose your job. The thing is in the USA your employer pays all or part of your premium pre tax. You do the same if you are responsible for part of the premium. The thing is the cost of healthcare insurance that your employer pays is pretty much invisible to most americans. Its also pretty expensive.

For example. Your employer might pay a $500 premium for your insurance pre tax. You may pay $100 so the total cost is $600. With Cobra you can buy the same coverage for $600 + a fee but its out of pocket after taxes. So you get double fucked. You are responsible for the employers portion of the premium plus your portion but its after taxes instead of before. So you lost your job but pay way more premium in cost + get fucked by taxes.

Unemployment is $362 /week if you cap out so about half of your unemployment goes to your premium.

I think you can recoup some of the premium on your taxes but im not sure.

You can get insurance on the exchanges instead if you want.

It really becomes apparent why health insurance should not be related to employment at all when you look at this stuff

If you're itemizing then the tax deductibility of the insurance premiums is unchanged. You were always allowed to deduct health insurance costs on the Schedule A as long as they were paid with post-tax money (because a deduction is essentially claiming back the tax you paid on an expense and if you pay with pre-tax money then you never paid any tax on that money in the first place so you can't get it back).

It's one of those things where if you're one of the poorer Americans who doesn't itemize then you're fucked but if you're itemizing (middle class/homeowners with expensive houses etc) then you're fine.

TLDR: You can claim back the taxes on your premiums if you already had $12,600 of deductible expenses to make itemizing worth it.
ModeratorThe angels have the phone box
Sadist
Profile Blog Joined October 2002
United States7328 Posts
May 25 2017 17:27 GMT
#152732
On May 26 2017 02:22 Plansix wrote:
Punch. To. The. Throat. You get the paperwork for COBRA along with you unemployment paperwork. So you get to pay health insurance that is more expansive, while having reduced income based on your past income. And unemployment doesn't take into account the amount your employer was paying for health insurance. It is borderline insulting to receive the paperwork.





Ya its fucked. I think like 50% or more of the country lives pay check to pay check regardless of income level. Let that sink in how fucked you are if you lose your job. Im sure lots of people dont take the cobra coverage if they are single because they cant afford to. That means gap in coverage. If you have a pre existing condition you could easily be fucked.
How do you go from where you are to where you want to be? I think you have to have an enthusiasm for life. You have to have a dream, a goal and you have to be willing to work for it. Jim Valvano
Plansix
Profile Blog Joined April 2011
United States60190 Posts
May 25 2017 17:30 GMT
#152733
On May 26 2017 02:27 KwarK wrote:
Show nested quote +
On May 26 2017 02:20 Sadist wrote:
On May 26 2017 02:07 jcarlsoniv wrote:
On May 26 2017 01:14 Sadist wrote:
On May 26 2017 01:03 xDaunt wrote:
On May 26 2017 00:52 Mohdoo wrote:
On May 26 2017 00:48 Plansix wrote:
Ryan’s statements give me comfort. That he and the Republican House get exactly what they deserve around November of next year. My only hope is that they don’t pass any version of this nightmare bill.


Don't leave work early, dress well, stay assertive and keep your job. That's honestly the perspective I've been taking with regards to all this. Whatever you do, do not lose your job.

You can lose your job or change your job. Just make sure that you don't have any gaps in coverage by getting COBRA coverage between jobs.




Ya its not like COBRA is expensive or anything


As someone who hasn't ever had to deal with non-employer provided healthcare, isn't part of the idea (whether just in theory or actual practice) of AHCA to reduce the cost of things like COBRA?

I'm pretty ignorant of how it all works since I've fortunately never had to go through any part of that process.



COBRA as i know it allows you the option to stay on your previous employers insurance plan if you lose your job. The thing is in the USA your employer pays all or part of your premium pre tax. You do the same if you are responsible for part of the premium. The thing is the cost of healthcare insurance that your employer pays is pretty much invisible to most americans. Its also pretty expensive.

For example. Your employer might pay a $500 premium for your insurance pre tax. You may pay $100 so the total cost is $600. With Cobra you can buy the same coverage for $600 + a fee but its out of pocket after taxes. So you get double fucked. You are responsible for the employers portion of the premium plus your portion but its after taxes instead of before. So you lost your job but pay way more premium in cost + get fucked by taxes.

Unemployment is $362 /week if you cap out so about half of your unemployment goes to your premium.

I think you can recoup some of the premium on your taxes but im not sure.

You can get insurance on the exchanges instead if you want.

It really becomes apparent why health insurance should not be related to employment at all when you look at this stuff

If you're itemizing then the tax deductibility of the insurance premiums is unchanged. You were always allowed to deduct health insurance costs on the Schedule A as long as they were paid with post-tax money (because a deduction is essentially claiming back the tax you paid on an expense and if you pay with pre-tax money then you never paid any tax on that money in the first place so you can't get it back).

It's one of those things where if you're one of the poorer Americans who doesn't itemize then you're fucked but if you're itemizing (middle class/homeowners with expensive houses etc) then you're fine.

TLDR: You can claim back the taxes on your premiums if you already had $12,600 of deductible expenses to make itemizing worth it.

Kwark, my wife and I needed your magical accounting powers back in 2011-2012, or as I call them "The two year I vaguely remember as being Hell."
I have the Honor to be your Obedient Servant, P.6
TL+ Member
opisska
Profile Blog Joined February 2011
Poland8852 Posts
May 25 2017 17:30 GMT
#152734
Honestly, the unemployment problem is a painful issue even in the "UHC" system we have in Czech Republic. Because while for a worker, the health insurance is nothing but a tax (you pay a percentage of your income, capped), there is a minimum you need to pay monthly. If you have no income, you still have to pay at least this minimum. It's not much ($50 or so) and you can get it paid for you if you are actively looking for a job for some time. But it still is a huge source of issues for long-term unemployed and homeless and generally out-of-society folks, because they just accumulate debt every month. I am not alone in considering this totally idiotic and the main rebuttal is that it is an "insurance" that you have to pay, not a tax, even though it works as a tax for absolutely everyone but the poorest people, which is ... idiotic.

The moral of the story is that the only reasonable way to pay for healthcare is taxes. A percentage of your income, regardless of your medical situation. Any other way will always lead to the weakest being shat upon.
"Jeez, that's far from ideal." - Serral, the king of mild trashtalk
TL+ Member
Sadist
Profile Blog Joined October 2002
United States7328 Posts
May 25 2017 17:33 GMT
#152735
On May 26 2017 02:27 KwarK wrote:
Show nested quote +
On May 26 2017 02:20 Sadist wrote:
On May 26 2017 02:07 jcarlsoniv wrote:
On May 26 2017 01:14 Sadist wrote:
On May 26 2017 01:03 xDaunt wrote:
On May 26 2017 00:52 Mohdoo wrote:
On May 26 2017 00:48 Plansix wrote:
Ryan’s statements give me comfort. That he and the Republican House get exactly what they deserve around November of next year. My only hope is that they don’t pass any version of this nightmare bill.


Don't leave work early, dress well, stay assertive and keep your job. That's honestly the perspective I've been taking with regards to all this. Whatever you do, do not lose your job.

You can lose your job or change your job. Just make sure that you don't have any gaps in coverage by getting COBRA coverage between jobs.




Ya its not like COBRA is expensive or anything


As someone who hasn't ever had to deal with non-employer provided healthcare, isn't part of the idea (whether just in theory or actual practice) of AHCA to reduce the cost of things like COBRA?

I'm pretty ignorant of how it all works since I've fortunately never had to go through any part of that process.



COBRA as i know it allows you the option to stay on your previous employers insurance plan if you lose your job. The thing is in the USA your employer pays all or part of your premium pre tax. You do the same if you are responsible for part of the premium. The thing is the cost of healthcare insurance that your employer pays is pretty much invisible to most americans. Its also pretty expensive.

For example. Your employer might pay a $500 premium for your insurance pre tax. You may pay $100 so the total cost is $600. With Cobra you can buy the same coverage for $600 + a fee but its out of pocket after taxes. So you get double fucked. You are responsible for the employers portion of the premium plus your portion but its after taxes instead of before. So you lost your job but pay way more premium in cost + get fucked by taxes.

Unemployment is $362 /week if you cap out so about half of your unemployment goes to your premium.

I think you can recoup some of the premium on your taxes but im not sure.

You can get insurance on the exchanges instead if you want.

It really becomes apparent why health insurance should not be related to employment at all when you look at this stuff

If you're itemizing then the tax deductibility of the insurance premiums is unchanged. You were always allowed to deduct health insurance costs on the Schedule A as long as they were paid with post-tax money (because a deduction is essentially claiming back the tax you paid on an expense and if you pay with pre-tax money then you never paid any tax on that money in the first place so you can't get it back).

It's one of those things where if you're one of the poorer Americans who doesn't itemize then you're fucked but if you're itemizing (middle class/homeowners with expensive houses etc) then you're fine.

TLDR: You can claim back the taxes on your premiums if you already had $12,600 of deductible expenses to make itemizing worth it.



It still means you have to eat the cost until tax season right?

You eat the cost upfront but get it back later. Hopefully there is enough cash around to get a person through.
How do you go from where you are to where you want to be? I think you have to have an enthusiasm for life. You have to have a dream, a goal and you have to be willing to work for it. Jim Valvano
Plansix
Profile Blog Joined April 2011
United States60190 Posts
May 25 2017 17:35 GMT
#152736
On May 26 2017 02:33 Sadist wrote:
Show nested quote +
On May 26 2017 02:27 KwarK wrote:
On May 26 2017 02:20 Sadist wrote:
On May 26 2017 02:07 jcarlsoniv wrote:
On May 26 2017 01:14 Sadist wrote:
On May 26 2017 01:03 xDaunt wrote:
On May 26 2017 00:52 Mohdoo wrote:
On May 26 2017 00:48 Plansix wrote:
Ryan’s statements give me comfort. That he and the Republican House get exactly what they deserve around November of next year. My only hope is that they don’t pass any version of this nightmare bill.


Don't leave work early, dress well, stay assertive and keep your job. That's honestly the perspective I've been taking with regards to all this. Whatever you do, do not lose your job.

You can lose your job or change your job. Just make sure that you don't have any gaps in coverage by getting COBRA coverage between jobs.




Ya its not like COBRA is expensive or anything


As someone who hasn't ever had to deal with non-employer provided healthcare, isn't part of the idea (whether just in theory or actual practice) of AHCA to reduce the cost of things like COBRA?

I'm pretty ignorant of how it all works since I've fortunately never had to go through any part of that process.



COBRA as i know it allows you the option to stay on your previous employers insurance plan if you lose your job. The thing is in the USA your employer pays all or part of your premium pre tax. You do the same if you are responsible for part of the premium. The thing is the cost of healthcare insurance that your employer pays is pretty much invisible to most americans. Its also pretty expensive.

For example. Your employer might pay a $500 premium for your insurance pre tax. You may pay $100 so the total cost is $600. With Cobra you can buy the same coverage for $600 + a fee but its out of pocket after taxes. So you get double fucked. You are responsible for the employers portion of the premium plus your portion but its after taxes instead of before. So you lost your job but pay way more premium in cost + get fucked by taxes.

Unemployment is $362 /week if you cap out so about half of your unemployment goes to your premium.

I think you can recoup some of the premium on your taxes but im not sure.

You can get insurance on the exchanges instead if you want.

It really becomes apparent why health insurance should not be related to employment at all when you look at this stuff

If you're itemizing then the tax deductibility of the insurance premiums is unchanged. You were always allowed to deduct health insurance costs on the Schedule A as long as they were paid with post-tax money (because a deduction is essentially claiming back the tax you paid on an expense and if you pay with pre-tax money then you never paid any tax on that money in the first place so you can't get it back).

It's one of those things where if you're one of the poorer Americans who doesn't itemize then you're fucked but if you're itemizing (middle class/homeowners with expensive houses etc) then you're fine.

TLDR: You can claim back the taxes on your premiums if you already had $12,600 of deductible expenses to make itemizing worth it.



It still means you have to eat the cost until tax season right?

You eat the cost upfront but get it back later. Hopefully there is enough cash around to get a person through.

If you are middle class, it should work out and you should be able to swing it. But it is unnecessarily cumbersome and disenfranchises the poor.
I have the Honor to be your Obedient Servant, P.6
TL+ Member
Sadist
Profile Blog Joined October 2002
United States7328 Posts
May 25 2017 17:40 GMT
#152737
Ya this whole thing is why i feel like the criticisms of single payer being unaffordable are dishonest.

If you take the money already paid by employers and employees for premiums and gave that to medicare instead i would be very interested to see how the numbers came out. I feel like the criticism about having to raise taxes assumes its a tax on where you are currently. It doesnt take into account employers already paying for premiums as a part of compensation.
How do you go from where you are to where you want to be? I think you have to have an enthusiasm for life. You have to have a dream, a goal and you have to be willing to work for it. Jim Valvano
TheTenthDoc
Profile Blog Joined February 2011
United States9561 Posts
Last Edited: 2017-05-25 17:42:19
May 25 2017 17:41 GMT
#152738
On May 26 2017 02:11 GreenHorizons wrote:
I love how the reports from polling places are that everyone knows about the choke slam but no one is changing their vote.

Like I said, they are just going through the motions because we have two privileged classes bumping into each other.


I think the effects of the choke slam are less likely to be seen in people who go to the polls and more likely to be seen in the people who don't ("lesser of two evils" applies less to this kind of situation than ever, choke slamming someone doesn't win the opponent your vote generally).

That said it's probably not going to change the results.
Mohdoo
Profile Joined August 2007
United States15743 Posts
May 25 2017 17:41 GMT
#152739
On May 26 2017 02:33 Sadist wrote:
Show nested quote +
On May 26 2017 02:27 KwarK wrote:
On May 26 2017 02:20 Sadist wrote:
On May 26 2017 02:07 jcarlsoniv wrote:
On May 26 2017 01:14 Sadist wrote:
On May 26 2017 01:03 xDaunt wrote:
On May 26 2017 00:52 Mohdoo wrote:
On May 26 2017 00:48 Plansix wrote:
Ryan’s statements give me comfort. That he and the Republican House get exactly what they deserve around November of next year. My only hope is that they don’t pass any version of this nightmare bill.


Don't leave work early, dress well, stay assertive and keep your job. That's honestly the perspective I've been taking with regards to all this. Whatever you do, do not lose your job.

You can lose your job or change your job. Just make sure that you don't have any gaps in coverage by getting COBRA coverage between jobs.




Ya its not like COBRA is expensive or anything


As someone who hasn't ever had to deal with non-employer provided healthcare, isn't part of the idea (whether just in theory or actual practice) of AHCA to reduce the cost of things like COBRA?

I'm pretty ignorant of how it all works since I've fortunately never had to go through any part of that process.



COBRA as i know it allows you the option to stay on your previous employers insurance plan if you lose your job. The thing is in the USA your employer pays all or part of your premium pre tax. You do the same if you are responsible for part of the premium. The thing is the cost of healthcare insurance that your employer pays is pretty much invisible to most americans. Its also pretty expensive.

For example. Your employer might pay a $500 premium for your insurance pre tax. You may pay $100 so the total cost is $600. With Cobra you can buy the same coverage for $600 + a fee but its out of pocket after taxes. So you get double fucked. You are responsible for the employers portion of the premium plus your portion but its after taxes instead of before. So you lost your job but pay way more premium in cost + get fucked by taxes.

Unemployment is $362 /week if you cap out so about half of your unemployment goes to your premium.

I think you can recoup some of the premium on your taxes but im not sure.

You can get insurance on the exchanges instead if you want.

It really becomes apparent why health insurance should not be related to employment at all when you look at this stuff

If you're itemizing then the tax deductibility of the insurance premiums is unchanged. You were always allowed to deduct health insurance costs on the Schedule A as long as they were paid with post-tax money (because a deduction is essentially claiming back the tax you paid on an expense and if you pay with pre-tax money then you never paid any tax on that money in the first place so you can't get it back).

It's one of those things where if you're one of the poorer Americans who doesn't itemize then you're fucked but if you're itemizing (middle class/homeowners with expensive houses etc) then you're fine.

TLDR: You can claim back the taxes on your premiums if you already had $12,600 of deductible expenses to make itemizing worth it.



It still means you have to eat the cost until tax season right?

You eat the cost upfront but get it back later. Hopefully there is enough cash around to get a person through.


This is a problem. The average American household savings do not allow for this. Sure, people should save more, but they aren't. When people get these medical bills, it creates secondary costs and issues. When people can't afford care, or end up in too much debt, society as a whole suffers more secondary costs. At the end of the day, a policy which assumes people can cover some up front cost is illogical. It is based on a situation that has been shown does not exist.
KwarK
Profile Blog Joined July 2006
United States43967 Posts
Last Edited: 2017-05-25 17:48:23
May 25 2017 17:45 GMT
#152740
On May 26 2017 02:33 Sadist wrote:
Show nested quote +
On May 26 2017 02:27 KwarK wrote:
On May 26 2017 02:20 Sadist wrote:
On May 26 2017 02:07 jcarlsoniv wrote:
On May 26 2017 01:14 Sadist wrote:
On May 26 2017 01:03 xDaunt wrote:
On May 26 2017 00:52 Mohdoo wrote:
On May 26 2017 00:48 Plansix wrote:
Ryan’s statements give me comfort. That he and the Republican House get exactly what they deserve around November of next year. My only hope is that they don’t pass any version of this nightmare bill.


Don't leave work early, dress well, stay assertive and keep your job. That's honestly the perspective I've been taking with regards to all this. Whatever you do, do not lose your job.

You can lose your job or change your job. Just make sure that you don't have any gaps in coverage by getting COBRA coverage between jobs.




Ya its not like COBRA is expensive or anything


As someone who hasn't ever had to deal with non-employer provided healthcare, isn't part of the idea (whether just in theory or actual practice) of AHCA to reduce the cost of things like COBRA?

I'm pretty ignorant of how it all works since I've fortunately never had to go through any part of that process.



COBRA as i know it allows you the option to stay on your previous employers insurance plan if you lose your job. The thing is in the USA your employer pays all or part of your premium pre tax. You do the same if you are responsible for part of the premium. The thing is the cost of healthcare insurance that your employer pays is pretty much invisible to most americans. Its also pretty expensive.

For example. Your employer might pay a $500 premium for your insurance pre tax. You may pay $100 so the total cost is $600. With Cobra you can buy the same coverage for $600 + a fee but its out of pocket after taxes. So you get double fucked. You are responsible for the employers portion of the premium plus your portion but its after taxes instead of before. So you lost your job but pay way more premium in cost + get fucked by taxes.

Unemployment is $362 /week if you cap out so about half of your unemployment goes to your premium.

I think you can recoup some of the premium on your taxes but im not sure.

You can get insurance on the exchanges instead if you want.

It really becomes apparent why health insurance should not be related to employment at all when you look at this stuff

If you're itemizing then the tax deductibility of the insurance premiums is unchanged. You were always allowed to deduct health insurance costs on the Schedule A as long as they were paid with post-tax money (because a deduction is essentially claiming back the tax you paid on an expense and if you pay with pre-tax money then you never paid any tax on that money in the first place so you can't get it back).

It's one of those things where if you're one of the poorer Americans who doesn't itemize then you're fucked but if you're itemizing (middle class/homeowners with expensive houses etc) then you're fine.

TLDR: You can claim back the taxes on your premiums if you already had $12,600 of deductible expenses to make itemizing worth it.



It still means you have to eat the cost until tax season right?

You eat the cost upfront but get it back later. Hopefully there is enough cash around to get a person through.

Yes and no. You can't get the tax back on those specific dollars until tax season. However what you can do is know what the tax on those dollars would be and then underpay tax on some different dollars to net it out.

The real problem is the fact that itemizing basically sucks. Here's the process
1) A = how much you spent on medical costs
2) B = your adjusted gross income
3) C = A-(0.1*B) = medical costs in excess of a 10% floor of your income
4) D = C+ a bunch of other deductible expenses = how much you can deduct
5) E = D - $12,600 = how much more you can deduct than you could have anyway had you not itemized

So let's plug some numbers in. A family earns $50,000 in 2016. They had to pay $6,000 in medical fees/health insurance etc on a post-tax basis. $6,000 minus ($50,000*0.1) = $1,000. They have a $1,000 medical deduction. If they can come up with another $11,601 in deductions then this whole process will save them the taxes they would have paid on one dollar. So maybe 10 cents.

There are ways to deduct on a for AGI basis rather than a from AGI basis but you basically need to be me to manage that shit. PM for details if interested.
ModeratorThe angels have the phone box
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