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by zaroth 3013 days ago
Years ago I purchased private insurance for my family in CA. As I recall I was able to get a plan for my wife with no maternity benefits since we were done having children at that point which was significantly cheaper than the alternative. We were paying something like $400/mo total for a family of 4 with an HSA and $4k deductibles.

Later, after some health issues <cough> first child diagnosed with T1D <cough> we were grandfathered into the private plans and the premiums did not change but the deductible was pretty high and the network was not great.

Later, and this was still pre-ACA - California had guarantee issue health insurance with little or no rating factor adjustment (surcharge) for companies with 2-50 employees. So I hired my wife and we switched to one of those plans. Premiums around $800/mo and $2k deductibles. That was about the time when our 2nd child was diagnosed with T1D.

When ACA passed all CA guaranteed issue small business plans disappeared and everything switched over to marketplace. Silver plans for $2,000/mo for the family and $2,000 deductibles with $12,500 our of pocket max. Basically every spare penny went to healthcare, and then some, and we were slowly drowning in debt because of it.

Finally, I stepped off the treadmill, stopped taking a salary, and we switch to Medicaid. And went from spending $35,000/yr out-of-pocket after tax on healthcare to spending $0.

ACA unquestionably increased premiums and total cost for my family substantially, until I stopped taking a salary and went on Medicaid at which point ACA was a god-send due to Medicaid expansion / cost-sharing reductions.

For a healthy family of 4 ACA is horrifically expensive and acts as an extraordinary tax on middle class families who start earning too much for the subsidies. The marginal effective tax rates are so high, the CBO doesn’t have the guts to publish them with the ACA subsidy phase-out included in the calculations.

1 comments

Yes, ACA is bad if you don’t care about your others in your country getting healthcare. If you do, then you need to figure out how to spread the costs, and ACA is the best we could get with the legislature we had.
The ACA is bad for people that even do care and even initially supported the ACA, like myself. It has plenty of good parts, but I have to be honest, my choices of insurance options went to almost nothing, and the prices skyrocketed. Part of this may have to do with certain parties in Congress purposely underfunding the ACA to make it fail, so I don't know how much blame goes to the ACA and how much goes to those trying to sabotage it.

However, the fact remains that my health insurance options have generally been worse and more expensive since ACA passed. This year, thankfully, I am on employer healthcare plan instead. Because in my area, with the ACA, there is one provider only, and none of the plans are good, and they're all more expensive than before, and at least 2x what I was paying pre-ACA and with MUCH MUCH higher deductables.

ACA allowed more people to get access to healthcare. This means increased demand. ACA did not increase supply of healthcare. This means higher prices, implying higher premiums and deductibles.

Your options are fewer now because you have to be bigger to able to absorb the costs of the extremely high cost individuals such as those with anemia and premature babies and cancer patients.

Everything you’re experiencing is because more people are getting access to healthcare, and instead of everyone paying for it via higher taxes, we’re paying for it via higher premiums and deductibles.

Only way to bring relief is through more supply of healthcare, which means more doctors (they lobby against that) and more medicine (they lobby against that too).

One solution is to marry a doctor so you can take advantage of the situation.

Simplistic supply and demand analysis does not reflect the complexities of the US healthcare market. There are numerous public analysis of where the costs from our market come from - and they are strongly correlated with the fact that it's a "market" at all.

e.g. the US as more doctors per capita than the UK and Canada - both of which have much lower healthcare costs than the US.