Near the end of a long article in the Washington Post about the resistance people have in Oklahoma to buying car insurance or being told what to do by the government, we encounter an anonymous man who has no health insurance and doesn’t like the insurance mandate in the Patient Protection and Affordable Care Act:
On a recent morning at the center, patients waited in avocado-green chairs to pick up medicine or see a doctor. John, 37, who would not give his last name, said he could not afford health insurance for himself, his wife and his five children on his $38,000 salary as an apartment manager. He said he resents the idea that the government could compel him to do something he may not be able to afford.
“I don’t think the government should have the right to force people to do anything unless it’s following a criminal law or something,” he said.
This man has a large family. It’s larger than can be accounted for by the Kaiser Foundation health care subsidy calculator, which only will allow me to enter a maximum family size of four. Since he has a family size of seven, I can’t get a precise measure of what this man stands to get under ObamaCare, but it will be more generous than what I report here.
A 37 year-old man with a family of four and an annual income of $38,000 is making 162% of the poverty rate. A typical health care plan for such a family would cost $11,384, so it’s easy to see why this man cannot afford a policy. Under the new law, the maximum percentage of income a person/family has to pay for the premium if eligible for a subsidy is 4.56%. What this means is that the government will give this man $9,650 a year to insure himself and his whole family. He is obligated to pay $1,734.
Let’s break this down. Right now, he has no health insurance and it will cost him over eleven thousand dollars to buy a policy for his family. Under the new law, he can cover his whole family for $1,734 or he can pay a tax penalty of $695 and keep his entire family uninsured. So, essentially, the true cost of getting insured is $1,139. The true cost of remaining uninsured is $695 and all the untold risk that entails.
And, again, because his family size is seven and not four, I am underestimating the benefit he will receive.
Now, I hate the mandate because it attempts to compel people to buy private for-profit health insurance, and I don’t think we should use insurance as the way to pay for health care. But this guy is probably totally unaware of the real choice he is facing. He is being offered a chance to avoid the risk of foreclosure on his house and total bankruptcy if any of his seven family members become seriously ill for a price tag of less than $1,800 a year when a normal policy currently costs in excess of $11,000 and would constitute more than a quarter of his annual income.
On top of that, his annual out-of-pocket expenses will be capped at $4,167 (based on a family of four) while he currently has no cap on that whatsoever.
He is being offered an incredible deal. But he’s been indoctrinated into believing that his liberty is being threatened. I hope John reads this, because he needs to know what President Obama did for his family, and he needs to take advantage of it.
I got a rebate from my health Insurance, because they did not meet the 80/20 rule.
Maybe someday, when the dust settles, President Obama will be these peoples’ hero. At least it’s our job to ensure that. Thanks for this post BooMan.
Boo:
You didn’t even quote the best part of that article(if you are into black humor). How about the guy at the very end with kidney disease?
Somehow the concept of “personal responsibility” escapes these people, even though it’s their mantra. Boggles the mind it does.
man I was already all in in regards to the ACA, but with all this shit with my months past 2weeks, I’m really more than all in. my mom used to be covered by her husbands ‘insurance, but when he left her, he also took her off the plan. so she had a heart attack 2weeks ago with 95% & 100% blockage in 2 arteries due in part to her not being ale to control her diabetes,since she couldn’t afford the mess. now that she is out of the hospital, we went to fill her prescription and for all the drugs she uses, for a 30-90 day supply totaled over $1000!
she barely has enuff to pay her rent & now she’s alas supposed to be able to pay this much money for the scripts if she wants to live! it’s given me a new appreciation for the ACA.
Welcome to reality for the chronically ill for the last 20+ years. It beggars the imagination that it’s taken this long to do anything about it. The ACA isn’t perfect, but it will save many thousands of lives each year among people like your mom who couldn’t otherwise afford medications or the kind of regular care that catches serious problems early.
For-profit hospitals, Big Pharma, greedy doctors, etc. all have their share of blame, but insurance companies that refuse to insure sick people are the worst part of it. I’d really like to see them out of business and their leaders imprisoned. But at least the ACA saves lives. That’s a big start.
Also available in orange.
The more people there are like this, the stronger, louder message sent to the health-insurance octopus that we won’t be driven. Bankruptcy by bankruptcy, single payer comes closer.
He stands to lose everything, true, but he’s risking it all taking a stand for freedom, and against the profit motive in medicine.
Surely we should be lionizing him, and not belittling him.
He’s not taking a stand against anything. He’s parroting the talking points of RW radio/tv for the past 20 years. The only stand here is blatant disregard for reality.
He would, if he could, Kill the Bill.
So would the quondam Open Left, MyDD, Corrente, most of DKos, the lion’s share of DemocraticUnderground.com, a good chunk of Daily Kos….
For different reasons, sure, but you have to take your allies where you can find them.
Contraception is not a concept he has grasped, why would ACA fare any better? Years ago my boss was forced to hire a man with 5 children and I remember him saying, you are hired as long as you promise to buy a tv and watch it! Give your wife a break!
What an egotistical asshole! It’s no business of his how many kids his employees have or their marital status or their sexual orientation. By agreeing with him, you are one step from saying his employer has the right to DENY him contraception.
Forced to hire? How? By an anti-discrimination lawsuit or settlement?
Wouldn’t it have been nice if the WaPo had figured out what John’s family would get through the ACA and included that in the article?
Nah, that would be too hard.
WAIT, wait, wait. At that salary, his kids should already be covered through some SCHIP type program, either state or federal, right? And actually with a family this size he may be covered by Medicaid. So from his perspective, he now will have to pay for something he gets for free? Or perhaps he thinks that he’s going to pay $1000+ per year for himself and his wife, and he’s 39 and healthy. That may not look like such a good deal to him. Is that thinking all wrong?
Remember this is Oklahoma and states can opt out of Medicaid, and, I believe, SCHIP.
I’ve spent some time in Oklahoma and they are nuttier than Alabama.
Yep, but hey, they got a shiny new canal and a sculling crew. That must count for something. Never mind all the taxes that went into it…
Fools like him don’t think in terms of marginal cost or risk.
“…I hate the mandate because it attempts to compel people to buy private for-profit health insurance…”
Quoting you, emphasis mine. In NC, the high-risk pool insurance established to comply with the Affordable Healthcare Act is provided by Inclusive Health, a non-profit organization.
If that’s really his family income he and his family are right to not buy health insurance at all.
And screw the mandate.
If there’s zero in you pocket after life’s basic necessities you can’t afford X even at half the normal price, or a third, or a quarter.
Get it?
Just too damned poor to do it.
You’re sounding like a Republican who says no matter how poor you are you can always save something for your own retirement, etc. etc.
And you’re NEVER too poor to pay taxes!
Doubt that’s the way he’s figured it out. With five children, he’s found a way to make the current system work well for him. (Am guessing that he didn’t deliver those children and hasn’t stitched up any of their cuts or set any broken bones. Scary is the possibility that his children haven’t received standard immunizations.)
Hold on, now. Where is John Who-Declines-To-Give-His-Last_Name getting his healthcare?
I seem to remember the members of a particular political party being all up in arms about people who expected someone else to pay for their medical care. Give me a minute…
So he probably does not want to pay for insurance or the penalty because he already has free health care.
I’m gonna just say this..
if a WHITE PRESIDENT had come up with the ACA..
this man would think it’s the best thing since sliced bread.
period.
White Republican President. They wouldn’t stand for Clinton or Gore doing it either. Bush or Romney? It would be revealed truth.