Politics is a Team Sport: Rand Paul’s Destiny

adfa7100cb2d163a27ee88a1965a4c19_400x400Rick Perlstein said it best, “I believe politics is a team sport. That, for awful and unfortunate reasons beyond any of our control, the American system only allows, effectively, for two teams.”

Is politics a team sport? The question resurfaced recently when Senator Rand Paul referred to the Graham-Cassidy Health Care Plan as — “Amnesty for Obamacare.”

When I saw this, I immediately fired off a tweet to Senator Paul stating, “Not again! It’s a team sport. Time is up. If you are not Republican, then get off the team and go join the Democrats.”

An unidentified third party then replied, “Wrong – it’s absolutely NOT a team sport. Members must represent their constituents’ wishes – not follow some pigheaded slogan.”

In reality, it’s Senator Paul who’s following a self-contrived “pigheaded slogan”, while most Republicans in the House, 90%+ of those in the Senate, and the Trump Administration are in support of a “bill”, which repeals the main provisions of Obamacare, and takes power away from the District of Columbia, handing it back to the states.

If politics isn’t a team sport, then why do political parties exist? And, what is the purpose of winning the majority in both houses and the White House if the party in control isn’t going to stick together on major legislation? Of course, politics is a team sport.

Yet there always seems to be at least one grandstanding maverick, almost always a Republican, who wants to make a name for himself rather than play his position. Face it, Rand Paul doesn’t represent any constituents. Like John McCain and a few others, he merely represents himself.

If Senator Paul represents anyone, it should be the party he belongs to, whichever that may be. At this point, he represents constituents of the Democratic Party, who oppose the bill at all costs, and cares nothing for Republicans, the majority of whom favor some measure of victory.

Under the Graham-Cassidy plan a Federal block grant is given annually to states to help individuals pay for health care, Planned Parenthood is defunded, and the individual mandate, employer mandate, and medical device tax are completely repealed, to name a few. But even better, it’s supported by most Republicans in the House, 90%+ of those in the Senate, and the Trump Administration. So, what’s Rand Paul’s problem?

If Senator Paul can’t get 90%+ of Republican Senators to go along with his proposal, which he can’t, then perhaps he should dismount from his high horse and support the 90%+ of his party who see merit in Graham-Cassidy. If that’s not good enough for Senator Paul, then only one choice remains.

Stop calling yourself a Republican, and go team up with those more in line with your views. At this point in time that would be none other than the Democratic Party, which stands firm, in unison, against every proposal favored by the President and the majority of Republicans.

Affordable Care Excise Tax, Part IV

What Marketplace?

:: By: Larry Walker II ::

“Putting thoughts into words is vastly different from putting truth into words. For words are not truth. As ardently as writers sort and select and polish their words, at the end of the day they are still words. They are not, in themselves, truth…” ~ Lionel Fisher

The act of naming the federal government’s unlawfully subsidized website an “Exchange” or “Health Insurance Marketplace” doesn’t make it one. In a true marketplace, when a product or service is inadequate new competitors are allowed to step in and offer something better. But free competition is stifled when a government controlled, crony capitalist managed, overpriced monstrosity places rigid restrictions on the types of products and services offered. This is precisely the case with the health insurance plans offered by the U.S. government’s imaginary marketplace.

The federal government should do away with the individual mandate, including the vile affordable care excise tax, and open the “marketplace” to catastrophic plans. What kind of marketplace bars consumers from choosing between all possible options, and then imposes a tax for failing to make a purchase? That would be a government-run marketplace.

What is a Catastrophic Health Care Plan?

According to the federal government catastrophic health care plans are meant to provide protection from worst-case scenarios. They generally require you to pay all of your medical costs up to a certain amount (i.e. a deductible), which is usually several thousand dollars. Also according to the government, “they are basically the same as either not having insurance, or opting for a Bronze plan.” A statement that reveals something many have already discovered regarding the latter.

After reaching your deductible, costs for essential health benefits are generally paid by the plan. But here’s the key; catastrophic plans have lower monthly premiums than comprehensive plans. Although they primarily protect you from worst-case scenarios like serious accidents or illnesses, they also cover 3 primary care visits per year at no cost, even before you’ve met your deductible. They also cover free preventive services. Such features make them better than most comprehensive options.

As the law stands today, only U.S. residents under the age of 30 are allowed to purchase low-priced catastrophic health care policies. Those age 30 and over are out of luck, unless they have applied for and received a government approved hardship exemption. Those over the age of 30 aren’t even allowed to view the costs and benefits of such plans until they have obtained the burdensome bureaucratic sanctioned privilege.

Small Business Owners

Many Americans have money tied up in small businesses. The fact that some receive K-1 Forms from S-corporations or partnerships, reporting that they earned “X” amount of dollars, doesn’t mean they actually received a dime. Yet they are forced to pay income taxes on such earnings whether or not physically received. This is hardly fair, but now it’s worse.

If forced to remove all, or even a portion, of their earnings (or capital) from such enterprises each year, in order to comply with the Individual Mandate, many small business owners may not have sufficient funds to cover upcoming salaries, payroll taxes, debt service payments, general operating expenses, and income taxes. For these, catastrophic health insurance plans may be the best option.

Most Democrats are clueless about what I just said. Knowledgeable Democrats and unelected bureaucrats will say, “No problem, just fill out a 14 page hardship application, attach copies of your personal and business tax returns (and all other required backup documentation), and the federal government will get back to you and let you know whether or not you qualify for a catastrophic plan.” However, if a bureaucrat decides you can afford it, then you’ll either need to purchase an overpriced government approved plan, or pay the affordable excise tax.

The federal government doesn’t have a problem reducing any American to the level of a means-tested welfare program applicant, but resource allocation decision makers should. Are small business owners working 12 to 18 hour days to be treated like welfare applicants? I think not. They shouldn’t need a bureaucrat’s permission to purchase whatever type of health insurance meets their needs, and if none of the available options fit, they should be free to go without (i.e. free from a punitive excise tax).

Individual Market

If you’re single and think you might be able to afford up to $6,300 in medical bills each year (the bronze plan deductible for individuals), but are not sure you would be able to after having already forked over five thousand dollars (or so) in government mandated health insurance premiums upfront, you’re not alone.

If you’re married and not sure whether you could manage $12,600 in medical bills annually (the bronze plan deductible for couples), but are fairly certain you would not be able to after having been forced to pay ten thousand dollars (or so) in government-mandated health care premiums upfront, you’re not crazy.

Exorbitant health insurance deductibles, $6,300 for singles and $12,600 for families, coupled with pricey monthly premiums are precisely Obamacare’s problem, not to mention the unconscionable excise tax levied for noncompliance. The federal government may have forgotten that it already snatches 17% to 50% of its most productive citizen’s income each year, in the form of Social Security taxes, Medicare taxes, excise taxes and income taxes, but those affected by such and also subject to the Individual Mandate have not.

It’s been reported that middle class Americans, those most affected by Obamacare’s inflated premiums, are beginning to skip medical checkups and scrimp on their own health care, because once the premiums have been paid there isn’t much of anything left to cover the associated deductibles and out-of-pocket expenses dictated by an out of touch overlord.

Millions of middle class Americans don’t need to break their piggy banks trying to comply with the individual mandate, to know they would be forced to cut back on their own personal health care. After having wasted thousands of dollars a year to satisfy the Democratic Party’s seemingly drunken delusion, that every U.S. resident can afford health insurance, what they will be left with is a worthless insurance policy, not better health care.

To spell it out in terms anyone should be able to understand: Gross income minus federal and state income taxes, Social Security and Medicare taxes, rent or mortgage payments, utility bills, car payment(s), auto insurance, auto fuel and maintenance, debt service, food, clothing and personal expenses, retirement savings, and other family obligations, equals next to nothing for most of America. Yet, being well aware of this, the Democratic Party made the purchase of what it calls “minimum essential coverage” mandatory.

Quid Pro Quo

To better visualize the idiocy of Obamacare let’s compare it to a vehicle service contract and extended warranty. I recently purchased the package on a new vehicle. It covers the first five years or 60,000 miles for a one-time premium of $5,000. The cost was fairly steep, but what do I get in return?

When my truck needs an oil change, any regularly scheduled maintenance, or if any part fails, it’s covered. There are no deductibles or out-of-pocket costs. In other words, I don’t have to worry about shelling out another dime for nearly any situation which may occur with the truck over its first 5 years, or 60,000 miles. Not bad.

In comparison, an Obamacare bronze plan would cost me around $5,000, each and every year, subject to annual inflation increases. In addition, I would be forced to cover the first $6,300 I incur in medical expenses (the deductible), each and every year out of my own pocket. So over a five year period, I am expected to cover $25,000 in Obamacare premiums (subject to inflation), plus another $31,500 in out of pocket costs. Had this been the case with my truck, I would have bit the bullet.

Although a human being, at least in Western civilized society, is in theory worth more than a vehicle, that doesn’t mean a single middle class American can magically come up with $56,500 ($113,000 for a married couple), over a five year period, to comply with the Democratic Party’s pipe dream. Yet, for middle class taxpayers in their 50’s that’s what Obamacare demands. Let me check my bank book and see if I’ve got an extra $56,500 lying around from the last five years. What about you?

When it comes to getting something for something, that’s not what we find when it comes to the individual mandate. Thanks, but I’ll take a pass on Obamacare. Anyone that thinks this is a rational plan was either already covered by a governmental or employer health care plan, or is pitifully out of touch with reality. But this is always the case with big government programs run amok. Unless a program affects people in a personal manner, most tend to be idealistic or apathetic.

Fixing Obamacare

As revealed in Part III, in spite of Obamacare, 30 million U.S. residents are projected to remain uninsured indefinitely. Among them, 26 million are expected to claim an exemption from the penalty. Did I say penalty? Sorry, I meant excise tax. In its present form, the law is without question a colossal failure, and ignoring the results of the most recent landslide election would be a monumental miscalculation.

Government intervention in the health insurance market, in the form of excise taxes, tax credits, subsidies and regulations has led to the unintended consequences of artificially high insurance premiums and lofty deductibles. Imposing an excise tax on consumers least able to comply with the mandate, forcing them to choose between purchasing an overpriced policy or paying a tax, has created another unintended consequence – animosity toward one’s own government.

How can we amend this broken concept?

  1. The federal government should simply drop its individual mandate and let the market operate freely. That means no subsidies and no excise taxes.

  2. Then, it should allow anyone desiring to purchase a catastrophic health insurance policy the right to do so, regardless of age or household income.

Any hope of reducing costs, restoring national allegiance, and encouraging the uninsured to enter (or reenter) what used to constitute a health insurance marketplace rests on this combination. If the federal government is sincerely concerned with the welfare of all of its citizens and residents, it will repeal the individual mandate and establish a true marketplace.

The End; hopefully of Obamacare.

Related:

Affordable Care Excise Tax, Part I

Affordable Care Excise Tax, Part II

Affordable Care Excise Tax, Part III

#Healthcare

Picture credit: Emergency Physicians Monthly

Affordable Care Excise Tax, Part III

Paying Your Fair Share

:: By: Larry Walker II ::

In Tax Simplification, Part II, I expounded on a 2010 Annual Report to Congress, in which National Taxpayer Advocate Nina E. Olson focused on the need for tax reform as the No. 1 priority in tax administration. In particular, she focused on the problem of delivering social benefits through the tax system, which complicates the mission of the Internal Revenue Service (IRS), resulting in a dual mission of welfare administration as well as revenue collection. But instead of taking heed, the federal government doubled down, adding a new health care excise tax and health insurance premium tax credit to the IRS’s burden.

Telephone hold times with the IRS can sometimes run as long as four to seven hours these days, and if you don’t believe me try calling yourself. A taxpayer facing a federal tax lien, levy or wage garnishment doesn’t have a choice. He or she must call immediately in order to prevent an adverse action, but unless they have a day to spare and a very powerful battery, may wind up on the phone for several days just trying to get someone on the line. The federal government has taken an agency best suited for revenue collection, and turned it into a socialist style welfare office, long lines and all.

In Part 2, I affirmed that the shared responsibility payment isn’t a fee, because nothing is received in return. Nor is it a penalty, because failure to purchase health insurance doesn’t constitute a crime. The individual shared responsibility provision imposes an excise tax on a tiny minority of U.S. residents who don’t have government-mandated health insurance or qualify for one of several exemptions. Although Internal Revenue Code – Section 5000A refers to it as a penalty, in general, if it involves filling out a federal income tax form (i.e. Form 8965), and is assessed on and payable with your personal income tax return, it’s a tax.

Opting Out

Many U.S. residents opted out of government mandated health insurance last year. Most simply couldn’t handle the government dictated concoction of monthly premiums and annual deductibles. For these, the Affordable Care Act’s punitive excise tax only makes matters worse. To those affected by this odious tax, it represents a discriminatory confiscation of wealth they are least likely to possess.

For example, the lowest cost Bronze Plan in the state of Georgia currently costs a married couple in their late 40’s to early 50’s (without children and with annual income of around $80,000) a monthly premium of around $622. Conjoined with an annual deductible of $12,600, their insurance policy won’t cover a dime of medical expenses until they have exhausted slightly over a quarter of their annual income ($20,064 / $80,000).

If the couple reasons that they may be able to afford the first $7,464 in medical bills, but would be screwed if they had to pay an additional $12,600, they would be better off not wasting their money on insurance premiums. Once having come to this conclusion, in steps the government to impose the execrated tax. The couple is then forced to hand over 1% of their income (above the filing threshold) in 2014, 2% in 2015, 2.5% in 2016, and more thereafter.

In this example, the government-inflicted excise tax is meant to encourage, or if you will, coerce the couple into purchasing a service they deemed impractical from the get go. But will it? Since the problem boils down to its exorbitant overall cost, how does a government imposed tax of $597, $1,194 or $1,493 help this couple? Newsflash: It doesn’t. Taking money away from one middle class taxpayer and handing it to another serves no meaningful purpose.

What is the purpose?

The premise behind the Affordable Care Act (ACA) was originally as follows: Too many Americans are being denied access to medical care. Health care is a fundamental right for every American. Therefore, every American should have universal access to health care. Anything less is immoral. Yet, in spite of an unprecedented level of government intervention, according to the Congressional Budget Office (CBO), roughly 30 million nonelderly U.S. residents will remain uninsured in 2016, and every year thereafter.

One critical detail, virtually forgotten in its more than 20,000 pages of regulations, is that prior to implementation of the ACA, 42 million U.S. residents were uninsured, according to an annual report from the U.S. Census Bureau. And now, after upending the entire American health care system, and throwing another monkey wrench into U.S. tax administration, come to find out that 71% of them will remain uninsured for the duration.

But at least 12 to 13 million got covered, right? Well perhaps, but not without taxpayer assistance, or what’s known in the real world as additional government debt. According to the Heritage Foundation, roughly 6 million of the newly insured were added to taxpayer-funded Medicaid programs. And according to H&R Block, the other 6.8 million purchased health insurance, but only after employing taxpayer-funded subsidies (i.e. premium tax credits).

In short, 30 million of the 42 million who were uninsured prior to the ACA will remain uninsured in 2016 and every year thereafter. And, of the 12 to 13 million newly insured, every last one received a taxpayer handout. What’s up with that? Couldn’t we have achieved the same result without maiming the tax code?

Ironically, and according to the U.S. Census Bureau, around 30 million U.S. residents, age 18 or older, never made it past the 11th grade, but that’s another story. Although not likely the same 30 million who will never have health insurance (because they get theirs for free), you can bet Progressive’s will constantly characterize them as hard-working Americans worthy of evermore governmental assistance (i.e. a higher minimum wage, free child care, free junior college, free health care, etc… etc…)

Right, so they didn’t make it past the 11th grade, but now it’s our job to hand them a free ride? Are you kidding me? These are not hard-working Americans; they are society’s losers. Close to half probably aren’t even legal. Oops! The notion of robbing the middle class, in order to dole out freebies to a bunch of flunkies is absurd. If you want something in life, work for it like the rest of us. But I digress. The affordable excise tax, being levied against the true middle class, is damnable.

Are you paying your fair share?

Now get this. Of the 30 million (or so) who will remain eternally uninsured, the majority are expected to be exempt from the new excise tax. That’s right! Despite the federal government’s ultimatum, the CBO estimates that 23 million will qualify for one or more of the following exemptions:

  1. Not lawfully present. Any individual who is neither a U.S. citizen, U.S. national, nor an alien lawfully present in the U.S. If you are in the U.S. illegally, then according to the law you are exempt.

  2. No filing requirement. An individual whose household income is below the minimum threshold for filing a tax return. The requirement to file a federal tax return depends on filing status, age, and types and amounts of income. If you are not required to file a return, then no other action is required.

  3. Income below the federal poverty level. You were determined ineligible for Medicaid because your state didn’t expand eligibility for Medicaid under the Affordable Care Act.

  4. Plans are unaffordable. You have no affordable coverage options because the minimum amount you must pay in annual premiums is more than 8% of your household income.

  5. Indian tribes. Any member of a federally recognized Indian tribe. You may claim this exemption directly on your tax return through self-attestation.

  6. Incarceration. Any individual in jail, prison, or a similar penal institution or correctional facility. You may claim this exemption through self-attestation when you fill out your federal tax return.

For more on exemptions, see Part 2. So in the year 2016, only around 7 million of the 30 million uninsured will have to deal with this new excise tax, in one fashion or another. The CBO estimates that among the 7 million, 3 million will either request hardship exemptions, or simply refuse to pay (i.e. take advantage of the IRS’s inability to administer and collect the tax).

All in all, the CBO believes a mere 4 million hapless Americans will be forced to fork over an estimated $4 billion in affordable care excise taxes in the year 2016. The figure climbs to an estimated $5 billion a year from 2017 to 2024. Note: The CBO neglected to offer estimates for tax years 2014 and 2015, which will likely involve higher numbers subject to the tax due to novelty of the law.

In brief, 4 million pay, while 26 million get a pass. Well, so much for the vaunted Fair Share theory! Perhaps all should be granted immunity, or at least an opportunity to purchase catastrophic health insurance policies, as I pleaded for in Part 1.

Squashing the Real Middle Class

Among the doomed 4 million (i.e. those subject to the affordable care excise tax), the CBO estimates that roughly 74% will be from what many consider to be the middle class (i.e. income exceeds 200% of federal poverty guidelines), with the remaining 26% in the low income category (i.e. income below 199% of federal poverty guidelines).Great!

So by the year 2016, out of 30 million perpetually uninsured Americans, comprising roughly 10% of the population, only 4 million, or just over 1% of the population, will be forced to pay what the Supreme Court said, “…may reasonably be characterized as a tax.” The bulk of the disheartened will represent the middle class, with a minority from the lower middle class. Wow!

Prior to the ACA, 42 million U.S. residents were uninsured. Following its implementation, 30 million, or 71%, will remain uninsured indefinitely. Of the 12 to 13 million newly insured, every single one is on the government dole, either through free Medicaid or subsidized health insurance premiums. In 2016, 4 million uninsured American citizens will be forced to hand over 2.5% of their income to the federal government in exchange for nothing, while another 26 million, in essentially the same boat, will remain uninsured but at least suffer no further humiliation. So the U.S. is finally taxing the 1%, eh?

Although the ACA focuses its excise tax on a tiny fraction of permanently uninsured Americans, at the same time it provides subsidies for people making up to four times the federal poverty line (i.e. $46,680 for a single person, $62,920 for a family of two, and $95,400 for a family of four). Can you say overpriced? As a general rule, when a product or service is subsidized it’s being sold at a premium (i.e. the insurance is overpriced). But not to worry, the ACA’s premium tax credits turn out to be a load of bull as well.

According to the Washington Examiner as many as 3.4 million of the 6.8 million who received taxpayer subsidized health insurance may owe money back to the federal government. H&R Block estimates that as many as half of the 6.8 million people who received insurance premium subsidies under the ACA benefited from subsidies that were too large. Oh, for crying out loud!

At this point, if you’re a left-winger you’re probably thinking, “Yippee, we did it!” If you’re conservative you’re likely saying, “I told you so.” And if you find yourself in the cross hairs of the affordable excise tax, you’re probably muttering words you dare not convey in public.

To be continued…

Related:

Affordable Care Excise Tax, Part I

Affordable Care Excise Tax, Part II

Affordable Care Excise Tax, Part IV

#Healthcare

Affordable Care Excise Tax, Part II

Effing the Middle Class

:: By: Larry Walker II ::

In Part 1, we voiced concern that in constitutional law sense, an excise tax is usually an event tax as opposed to a “state of being” tax, the recent exception to this principle being the “minimum essential coverage” tax under Internal Revenue Code section 5000A as enacted by the Patient Protection and Affordable Care Act (Public Law 111–148), whereby an indirect tax is imposed on the condition of not having purchased health insurance coverage.

This is not the first time in history the United States has forced its middle class to pay a tax supposedly for our common good; Social Security and Medicare taxes come to mind. However, this is the first time the federal government has ordered its middle class to either engage in an act of commerce, or else hand over a percentage of its hard earned income.

Nearly 18 million state and local government employees as well as a few conscientious religious objectors are exempt from Social Security taxes, while the rest of us are bound to a sinking ship. Is it fair that millions of Americans get a better deal, while the masses are forced to contribute to the welfare of others?

Under the Affordable Care Act it’s worse. Those who voluntarily purchase private company health insurance plans, predetermined by the federal government as meeting their needs, and deemed affordable to them based on contrived criteria, are allowed to escape the new tax, while those in need (i.e. stuck in the middle and still uninsured) get screwed.

If the principle behind the affordable care tax were applied consistently across the board, then those participating in qualified retirement plans should be exempt from Social Security tax, and owners of long-term care insurance contracts should be excluded from Medicare tax. This would be fair and equitable, but as it stands the new tax represents a major departure from Americanism.

Under this latest departure from common sense, the poor receive free health care through state-run Medicaid programs, the rich can handily afford the best of insurance plans, and the middle class are either stuck with high premiums compounded by soaring deductibles, or slapped with an excise tax for not purchasing a government mandated plan.

Members of the middle class, and those once aspiring, who refuse on principle, or are for myriad reasons unable to purchase a government mandated health insurance plan, and not meeting one of several exemptions, are subject to this new “state of being” tax. In other words, the state of being stuck between a rock and a hard place makes the middle class a prime target for funding government subsidies to the poor.

If you and your family did not have minimum essential coverage in 2014, you will need to meet a specific exemption to avoid paying the new excise tax. If you would like to obtain coverage for 2015, the deadline for doing so is February 15, 2015. To obtain coverage, your options include:

  • Health insurance provided by your employer;

  • Health insurance purchased through the Federal website (healthcare.gov), or your State’s Marketplace;

  • Coverage provided under a government sponsored program (i.e. Medicare, Medicaid, Veterans Administration);

  • Health insurance purchased directly from an insurance company; or

  • Other health insurance coverage that is recognized by the Department of Health & Human Services.

Who is exempt?

The Affordable Care Act mandates individuals without health insurance to pay an excise tax on top of their regular federal tax obligation, however there are exemptions. If you are exempt from the requirement to maintain minimum essential coverage, the excise tax won’t apply when you file your 2014 federal tax return. An exemption may apply if you meet one of the following criteria:

  1. You have no affordable coverage options because the minimum amount you must pay in annual premiums is more than 8% of your household income; or

  2. You have a gap in coverage for less than three consecutive months; or

  3. You qualify for one of the hardship exemptions listed below, or belong to an exempt group (explained later).

Numbers 1 and 2 (above) may be claimed directly on your income tax return, but a hardship exemption (number 3) must be approved by a government bureaucrat. To claim a hardship exemption, you must complete and mail an application to what’s being called the Health Insurance Marketplace (i.e. the federal government). Upon approval, you will receive an “exemption certificate number” (ECN), which must be included on your tax return to receive the exemption.

Please be aware, that if you do not qualify for exemption numbers 1 and 2 (above), and think you may qualify for one of the following hardship exemptions, the time to submit an application is now. If you wait until tax season, the filing of your tax return may be delayed (awaiting receipt of an ECN), or you may have to file without an exemption and amend your return later. Choosing the latter will affect the amount of your refund or balance owed.

If any of the following hardships apply to you, you must submit an application for exemption as discussed in Part 1:

  1. You were homeless.

  2. You were evicted in the past 6 months or were facing eviction or foreclosure.

  3. You received a shut-off notice from a utility company.

  4. You recently experienced domestic violence.

  5. You recently experienced the death of a close family member.

  6. You experienced a fire, flood, or other natural or human-caused disaster that caused substantial damage to your property.

  7. You filed for bankruptcy in the last 6 months.

  8. You had medical expenses you couldn’t pay in the last 24 months that resulted in substantial debt.

  9. You experienced unexpected increases in necessary expenses due to caring for an ill, disabled, or aging family member.

  10. You expect to claim a child as a tax dependent who’s been denied coverage in Medicaid and CHIP, and another person is required by court order to give medical support to the child. In this case, you don’t have the pay the penalty for the child.

  11. As a result of an eligibility appeals decision, you’re eligible for enrollment in a qualified health plan (QHP) through the Marketplace, lower costs on your monthly premiums, or cost-sharing reductions for a time period when you weren’t enrolled in a QHP through the Marketplace.

  12. You were determined ineligible for Medicaid because your state didn’t expand eligibility for Medicaid under the Affordable Care Act.

  13. Your individual insurance plan was cancelled and you believe other Marketplace plans are unaffordable.

  14. You experienced another hardship in obtaining health insurance.

If any of the 14 hardships (above) apply to you, and you wish to be excluded from the affordable excise tax, then you must submit a hardship application, along with proper documentation supporting your claim. If approved, you will be granted an ECN to enter on your tax return. Good luck with that. If denied, you may need to pay the tax, or if you are expecting a refund the IRS will conveniently subtract it out.

Exempt Groups: The following individuals are exempt from coverage:

  1. Religious conscience. Any member of a religious sect that is recognized as conscientiously opposed to accepting insurance benefits. The Social Security Administration administers a similar process allowing exemption from Social Security and Medicare taxes. You must submit an application to claim this exemption.

  2. Health care sharing ministry. Any member of a recognized health care sharing ministry. Health care sharing ministries (HCSM) provide health care cost sharing arrangements among persons of similar and sincerely held beliefs. HCSMs are operated by not-for-profit religious organizations acting as a clearinghouse for those who have medical expenses and those who desire to share the burden of those medical expenses. You may claim this exemption directly on your tax return through self-attestation.

  3. Indian tribes. Any member of a federally recognized Indian tribe. You may claim this exemption directly on your tax return through self-attestation.

  4. No filing requirement. An individual whose household income is below the minimum threshold for filing a tax return. The requirement to file a federal tax return depends on filing status, age, and types and amounts of income. If you are not required to file a return, then no other action is required.

  5. Incarceration. Any individual in jail, prison, or a similar penal institution or correctional facility. You may claim this exemption through self-attestation when you fill out your federal tax return.

  6. Not lawfully present. Any individual who is neither a U.S. citizen, U.S. national, nor an alien lawfully present in the U.S. If you are in the U.S. illegally, then according to the law you are exempt. Well, imagine that.

You’ve Been Grubered

The affordable excise tax maxes out at 1% of household income (above the filing threshold) in 2014, increases to 2% in 2015 (i.e. a 100% increase), then to 2.5% in 2016 (i.e. an additional 25% hike) and is automatically adjusted for inflation thereafter. What’s the rationale behind the dramatic rate of increase? Is inflation expected to rise by 100% in 2015 and by another 25% in 2016? Are middle class wages expected to grow at anywhere near this clip?

You’ve got to give it up for the Grubers (i.e. Democrats), for pulling the wool over our eyes and sneaking this baloney into law. As if their deception wasn’t bad enough on its own, what’s even more disturbing is their blatant persistence in calling this “state of being” excise tax a fee or penalty, even after the Supreme Court ruled it to be a tax. One has to wonder just who they are trying to fool at this point? Certainly members of the middle class, who are beginning to feel the pinch, are not fooled.

If the affordable care tax is indeed a fee, doesn’t the act of paying a fee normally correspond with the receipt of some good or service? Sure, but in the matter at hand, what does the middle class get in return for this so-called fee? Do we receive health insurance? Nope.

All the middle class winds up with is less money to cover its uninsured, out-of-pocket, health care expenses, and less to put towards compliance with the nefarious Act. So how exactly does this help the uninsured? Well, it doesn’t help this group.

If the affordable care tax is a penalty, doesn’t the assessment of a penalty normally succeed an act of wrongdoing? Yes, but in this matter, what wrong has been committed? Is the act of paying one’s own health care expenses out-of-pocket (without the benefit of health insurance) a crime? Since the statute waives criminal penalties for non-compliance with the requirement to maintain minimum essential coverage, it’s not a crime.

The Supreme Court agrees, its Chief Justice having stated that, “The Affordable Care Act’s requirement that certain individuals pay a financial penalty for not obtaining health insurance may reasonably be characterized as a tax…” Had the court deemed it a penalty, the entire law could have been ruled unconstitutional. Face it, the affordable excise tax is just that, a tax. It’s not a fee, nor is it a penalty, so it’s high time you Grubers cut the B.S. and start calling it what it is. Hopefully, the new Congress will bring an expeditious end to this looming catastrophic nightmare.

To be continued…

Related:

Affordable Care Excise Tax, Part I

Affordable Care Excise Tax, Part III

Affordable Care Excise Tax, Part IV

#Healthcare

Affordable Care Excise Tax, Part I

What the Individual Mandate means for you and your family

:: By: Larry Walker II ::

Under the Affordable Care Act, beginning in 2014, State governments, insurers, employers, and selected individuals are supposed to share in the responsibility of providing health insurance coverage.

The Act’s shared responsibility provision, also known as the individual mandate, requires you and each member of your family to either:

  • Have minimum essential coverage; or
  • An exemption from the responsibility to have minimum essential coverage; or
  • Pay an Excise Tax.

You will report minimum essential coverage, claim an exemption therefrom, or make an excise tax payment when you file your 2014 federal income tax return in 2015.

Now let’s stop and think about what this means. What it means for me, since I chose not to purchase health insurance this year, instead choosing to pay my own health care expenses out-of-pocket, is that on top of what I have already paid this year (which incidentally comes to less than 10% of my income so none of it will be tax deductible), I am also being punished by way of an excise tax. An excise tax for what exactly? For not purchasing a service which I deem to be worth less than its cost, due to high deductibles coupled with premiums?

‘State of Being’ Tax

In the United States, an Excise tax is an indirect tax on listed items. In constitutional law sense, an excise tax is usually an event tax (as opposed to a state of being tax). A recent exception to this “state of being” principle is the “minimum essential coverage” tax under Internal Revenue Code section 5000A as enacted by the Patient Protection and Affordable Care Act (Public Law 111–148), whereby an indirect tax is imposed on the condition of not having health insurance coverage.

In case you didn’t catch that, excise taxes are usually assessed on events, such as the purchase of a quantity of a particular item like gasoline, diesel fuel, liquor, wine, cigarettes, airline tickets, tires, trucks, etc. Such a tax is usually included in the price of the item—not listed separately like sales taxes. To minimize tax accounting complications, excise taxes are generally imposed on quantities like gallons of fuel, gallons of wine or liquor, packets of cigarettes, etc. and are usually paid by the manufacturer or retailer.

Other examples of excise taxes imposed in the U.S. relate to such things as luxury passenger automobiles, heavy trucks and trailers, “gas guzzler” vehicles, tires, petroleum products, coal, vaccines, medical devices, recreational equipment, firearms (see National Firearms Act), communications services (see Telephone federal excise tax), air transportation, policies issued by foreign insurance companies, wagering, water transportation, removal of hard mineral resources from deep seabeds, chemicals, certain imported substances, non-deductible contributions to certain employer plans, and many other subjects.

Excise taxes are normally passed on to the consumer who eventually consumes the product. The price for which the item is eventually sold is usually not considered in calculating the amount of the excise tax. Income taxes, value added taxes (VATs), sales taxes, and transfer taxes are examples of other excise taxes but are typically not called such (in the United States) because of the different ways they are imposed. In the U.S. the only taxes called excise taxes are essentially taxes on quantities of enumerated items (whiskey, wine, tobacco, gasoline, tires, etc.). Other taxes on certain events may technically be considered excise taxes, but may or may not be collected under the name “excise tax.”

Virtually every excise tax levied since the founding of this nation (perhaps since the dawn of time) has been levied for actively participating in some event. If you buy gasoline, you pay an excise tax on each gallon purchased, but if you don’t own a vehicle and don’t purchase gasoline, the tax is not levied. If you use a land-based or mobile telephone service, you pay an excise tax, but if you don’t have a phone, you don’t get charged. If you legally purchase tobacco, you pay an excise tax, but if you don’t smoke, you are spared. And I might add, if you are caught bootlegging a couple of loose cigarettes (loosies) on a street corner, you’re liable to get choked by a corybantic cop, and left to die on a New York sidewalk.

Anyway, will someone please explain to me why a person choosing not to engage in an event should be taxed? In effect, I’m damned if I do, and damned if I don’t. If I pay the premiums for the least expensive health insurance policy that the government insists I can afford (without so much as bothering to check my balance sheet), won’t I still have to pay the first $6,300, or more, in medical expenses to meet its annual deductible? Yes. And, if my out-of-pocket expenses turn out to be less than the deductible, barring some major catastrophe, won’t I have needlessly wasted my money? Yes. So what’s the point?

If it was up to me, and by the way it should be, I would purchase a low-cost catastrophic health care plan, just in case something happens down the road. The only thing standing in my way is the federal government. That’s because under the misnamed Patient Protection and Affordable Care Act, catastrophic plans are only allowed to persons either under the age of 30, or to those over 30 who wish to go through the torture of completing an eleven, or more, page hardship exemption application, which must then be approved by a nameless, faceless government bureaucrat.

Catastrophe in the Making

My first problem with having to complete a hardship application is that I shouldn’t have to. If I want to buy a catastrophic plan, I should have the freedom to do so. Secondly, after looking over the application and all the information my government wants from me, my initial thoughts are as follows: Why don’t they know most of this already? Followed by, it’s none of your damned business. Here are just a few examples from the requisite exemption application.

  1. Tell us about yourself (name, address, county, phone numbers, and email address). – [Okay.]

  2. Tell us about members of your household (your spouse and dependents). – [Okay.]

  3. Provide everyone in your household’s name, date of birth, sex, social security number. – [Incidentally, just beneath the space where your SSN is entered, it says in bold type: You are not required to have an SSN to get this exemption. Really, but if I don’t have a social security number, why would I need an exemption? Duh!]

  4. Are you pregnant? – [Not that I’m aware of.]

  5. Were you in foster care at age 18 or older? – [Uh, what does this have to do with anything?]

  6. Have you used tobacco in the last 6 months? – [If I did will my request be denied?]

  7. Are you a U.S. Citizen or U.S. national? – [Shouldn’t you wizards know this by my name, date of birth, and social security number entered at the top? Don’t tell me you didn’t bother to add citizenship status to your Master-File database.]

  8. Are you a naturalized or derived citizen? – [Uh, what perchance is a derived citizen? And again, if you don’t know this by the information entered above, then you have serious yet solvable problems.]

  9. Optional: What is your race? – [Do I have a better shot if I’m a person of color?]

  10. Are you enrolled in health care coverage? – [If I was enrolled in health care coverage, then I wouldn’t be wasting my time?]

  11. Are you offered health coverage from a job? – [I’m self-employed, and haven’t offered myself coverage.]

  12. What company do you work for? – [Does it really matter?]

  13. How much money do you make and how often are you paid? – [Ah, now we’re getting down to brass tacks.]

  14. How many hours do you work each week? – [Too many, but since I’m not paid by the hour, does it really matter?]

  15. When did you start this job, and when will it end? – [When will it end? Perhaps sooner than it should, due to this lousy law.]

  16. What months do you expect to have income from this job this year and next? – [Who knows? Hopefully all of them.]

  17. Are you self-employed? If so, what type of work do you do, and how much is your net income? – [Yes. Why does it matter what I do? And I’m not sure what my net income is yet, because you guys are still working out the final details of the 2014 tax law. However, I’m pretty sure I’m not making much headway burning valuable time and energy reading all of your rules and regulations, and filling out this application.]

  18. When did you start this self-employment and when will it end? – [When will it end? Why don’t you tell me, since you’re mucking up the works, and have predetermined that I can afford your prescribed coverage?]

  19. What month’s do you expect income from self-employment over the next two years? – [Two years? I’m not sure, but at this pace my prospects are dimming.]

  20. Tell us about your other income (unemployment, retirement, pension, farming/fishing, rental/royalty, alimony, social security, etc…) – [Gross, or after expenses, principal debt repayments and taxes?]

  21. Now tell us about deductions you claim on your tax return (alimony paid, IRA deduction, student loan interest, and other…) – [What about my out-of-pocket medical expenses, mortgage interest, property taxes, state income taxes, employee business expenses and other itemized deductions? I guess these don’t count.]

  22. Now do the same for your spouse and any dependents you claim on your tax return. – [Damn it. Oh, I almost forgot; good thing I’m still technically single.]

  23. Proof of yearly income: Submit proof of each type of income listed for each person on this application (copy of your most recent tax return, original W-2 and 1099 Forms, one or more pay stubs, financial statements, Schedule C, Form 1120S, lease agreements, court documents for alimony, etc.) – [Are you kidding me? Anything else before we get to the long-awaited catastrophic health plan?]

  24. Just one more question before you sign. Is anyone listed on this application incarcerated? – [WTH? Not yet anyway.]

  25. Now just sign, date and wait. – [Well alrighty then, but since this statement is not sworn under penalties of perjury, does that mean it can be a complete fabrication without consequence? And since this is a pseudo-government agency, how long before I get an answer — months or years?]

After assessing the prospect of completing and submitting the requisite hardship application along with supporting documents, and awaiting approval or denial from a faceless, faraway bureaucrat; solely to obtain permission to purchase a catastrophic health care plan, which is all I really want and need; I’m seriously leaning towards just forking over the 1% excise tax next year, another 2% in 2016, and 2.5% in 2017. What a catastrophe! So not only am I paying my actual out-of-pocket health care expenses, some of which already include excise taxes, but on top of that I’m being unfairly taxed (based on a percentage of gross income above the filing threshold) for the privilege of doing so. This is a travesty of justice.

The bottom line: An “event tax” should not be imposed on anyone who chooses not to participate in the event. The Affordable Care Excise Tax, being levied against Americans for not purchasing health insurance, is thus immoral. No American should be subject to an excise tax for choosing to take personal responsibility for his or her own health care expenses, without insurance. And, no American, desiring to do so, should be denied, or forced to jump through hoops for the right to purchase a catastrophic health care policy. You may proceed with this unjust confiscation of my money (if you will), and then go blank yourselves, or you can do what only true Americans would do. Open the damned “marketplace” so that health insurance plans available to selected Americans are available to all Americans.

Related:

Affordable Care Excise Tax, Part II

Affordable Care Excise Tax, Part III

Affordable Care Excise Tax, Part IV

#Healthcare

Political Racism

Ending Identity Politics

Eradicating Identity Politics

:: By: Larry Walker II ::

Those who say that Republican’s don’t like President Obama’s policies, solely because of the color of his skin, tend to forget that he’s also a member of the Democratic Party. In the United States, we basically have a two-party system comprised of Republicans (25%) and Democrats (31%). Even though the majority of us are independents (42%), who may at times be persuaded either way, we essentially have a two-party system with each side on opposite poles on just about every issue, foreign and domestic.

Generally, Republican voters stand for lower taxes, limited government, and a strong national defense; while Democratic voters slant towards higher taxes, an immense government, and a feeble defense. Both parties generally lean towards the preservation of individual liberties, except when it comes to certain aspects of the Affordable Care Act and an assortment of overbearing government regulations, but overall one would be correct in concluding that Republican voters disapprove of the Democratic Party’s policies period.

When it comes to President Obama, and the majority of Republicans feelings toward him, once this forgotten variable (the fact that he’s a Democrat) is added to the mix, one would be correct in stating that Republican voters don’t like President Obama because he adheres to Democratic Party policies. Say this and you’ve got it right. Say anything else and you’re a moron. When we are honest, and free of the poison of identity politics, we know this is the truth, but conflating differences in political ideology with racism is so far from reality that it borders on absurdity.

Political Racism

In short, racism is the belief that one race is superior to another. Formally defined, racism is, “the belief that all members of each race possess characteristics or abilities specific to that race, especially so as to distinguish it as inferior or superior to another race or races.” But is there such a thing as political racism? If so, let us clearly describe what it would look like.

First of all, each major political party is comprised of members of each and every race. So is it possible for White Republicans to believe their race superior to that of Black Democrats? No, but isn’t that what the hucksters are saying? If this were true, then wouldn’t White Republicans also have to believe themselves superior to Black Republicans, as well as to White Democrats? Assuming all of this was true, it would follow that Black Republicans must believe their race is superior to that of Black Democrats. Wait, isn’t this all just foolishness? Here’s a newsflash for you: White Republicans are not a race, neither are White Democrats, Black Republicans nor Black Democrats.

To have any validity whatsoever, such political racism would have to arise between members of the same political party. For example, if there were a Black male Democrat who believed in essentially the same things as, let’s say, a White female Democrat, and one chose to pull the race card in order to discredit and belittle the other, perhaps then you could make a case for racism. But to be viable, you must begin with members of the same political party, who agree 100% on everything, par for par, apples to apples, where the only difference between them is race. But even then, their disagreements may not be due to racism.

It may just be that only one member can hold the office up for grabs, and there are essentially no differences between them, other than race. Who do you vote for when this arises? Will it be that every time a Black candidate faces off against a White candidate, we must all goose step to the drumbeat of the Black candidate, regardless of his or her moral character, political affiliation or beliefs? Must the Black candidate win 100% to 0%, in order to dispel any allegation of racism? Following such an election, must the public then agree 100% with whatever policies the Black officeholder dictates, without question? Is this how we are to correct the racial injustices of centuries past?

Identity Politics

It turns out that what 21st century Democrats are slobbering about isn’t racism at all, but rather a form of identity politics. Through identity politics, social pressure is applied in an attempt to influence the majority to accept the beliefs or behavior of a minority. But, we should never confuse beliefs and behavior with race. I am a Black Conservative, and entitled to my own opinions. Thank you! If I don’t like your brand of politics, and your policies have negatively influenced my life, why in the world would you expect me to convert to your position?

What did you think would happen when the first Black President was spawned from the Democratic Party? Did you expect Republicans to change their ideology? Did you think a light would dawn in the minds of Republicans, wherein they would realize they had been wrong about low taxes, limited government, and a strong national defense, altogether? Did you expect the entire party to repent, and join ranks with the Democratic Party? Is that how you thought it was supposed to work?

Did all Democratic Party members suddenly drop their party allegiance and join ranks with Republicans when George W. Bush was elected to the presidency? No, they didn’t. Rather, they screamed, hollered, whined and protested constantly about almost everything the man did or said. So now that the shoe is on the other foot, the same bunch is crying racism. Those that didn’t bother to vote in the 2014 mid-term elections did us all a favor. They know better. Here’s another newsflash: Abstention is a vote.

Repealing Obamacare

It would not matter whether President Obama was White, Hispanic, Asian, straight, gay, male or female; Republicans would disagree with his, and the Democratic Party’s policies period. My personal feelings about Mr. Obama are thus: I despise the man and everything he stands for. I have nothing against his wife and children, and if he wasn’t the President, I wouldn’t have an opinion either way. In fact, before he ran for President, I kind of enjoyed hearing what he and his fellow left-wingers had to say. But my personal animosity towards him began on the day he started campaigning for the office. For me it’s not personal, it’s all about his brand and style of politics.

Here’s the crux: I don’t like anyone telling me I have to do something, or if I refuse I’m going to be punished. Here’s a prime example: “You have to join our religion, or else we’re going to cut your head off.” Well, come on and take your best shot. You see, it’s one thing to make improvements to our national health care system, which actually improve our health and lower costs, but entirely another when it boils down to the government commanding me to buy one of its prescribed insurance plans, or else I will be forced to pay a tax. Pardon my French, but eff that!

The fact is if Mr. Obama’s health insurance plans were so great, and so affordable, then no one would have to force me to buy one, I would happily do so. However, as things stand today, in my opinion, his plans suck, and I can’t afford either available combination of premiums, deductibles and out-of-pocket expenses. But what sucks even more is this notion that the federal government will impose an additional tax on me, for not complying with Mr. Obama’s individual mandate. The employer mandate is equally bad for America. Both should be repealed.

Whether you got a better deal through the Affordable Care Act, or nothing changed, you should realize that thousands upon thousands of your fellow Americans got screwed. My life was already tough enough without the government threatening to take more out of my pocket than it already takes, under the guise of this misnamed piece of legislation. They should rename it the “Either You Will Buy One of the Health Insurance Plans We Prescribe, or Else Hand Over a Percentage of Your Income to the Government Act”. The concept of play or pay doesn’t mesh with the ideal of liberty in my book. I should have enough freedom to say, “No thank you”.

The bottom line: Those of us who have adopted Conservative-Republican ideals will likely never join ranks with Democrats, no matter the identity of the Democratic Party leader du jour. Democrats can nominate anyone of their choosing next time, Black, White, Hispanic, Asian, mixed, feminist, gay or lesbian, Christian or Muslim, but it won’t alter Conservative-Republican political beliefs one iota. Masking unpopular and unjust political policies behind the aura of anyone’s personal identity is akin to identity theft. President Obama’s policies aren’t Black or White; they belong to the Democratic Party, and are thus mostly defective outside the realm of a classroom. It’s time we end this errant notion of identity politics, and resume arguing our ideological differences at face value.

Image Via: The Pittsfield Police Department

Georgia’s Laconic U.S. Senate Race

It’s Perdue vs. Reid

:: By: Larry Walker II ::

On October 2nd, President Barack Obama correctly uttered, “I am not on the ballot this fall… But make no mistake: these policies are on the ballot. Every single one of them.” True, Obama is ‘Not’ on the ballot this fall, but he neglected to mention that his left-hand henchman, the one responsible for ramming through Obamacare without any Republican support, for killing more legislation passed by the people’s house than any other Senate majority leader in U.S. history, and the second most divisive and hated man in American politics today, Harry Reid is.

Just yesterday, a client lamented to me that she and her husband’s health insurance is going up by $1,000 a month next year, from around $526 per month to $1,526, and that they were in process of exploring other options. During the same conversation, she happened to mention that she wasn’t sure who to vote for this fall, Michelle Nunn or David Perdue. She heard some things about Perdue that she’s “not comfortable with”. I exclaimed, “You don’t know who to vote for?” I’m going to share with you what I told her and how I really feel.

Basically, you’ve got David Perdue, a successful businessman, against Harry Reid. Reid may be cloaked under the guise of the daughter of retired politician Sam Nunn, but make no mistake about it, a vote for Michelle Nunn is a vote for Harry Reid, no more and no less. In fact, when asked whether she would vote to keep Mr. Reid in charge of the U.S. Senate, Michelle Nunn merely quoted a so-called joke she says a farmer told her: “If David Perdue wants to run against Harry Reid so much, why doesn’t he just move to Nevada?”

I didn’t get the joke. The truth is that if I thought it would do any good, and if I could go back in time, I would move to Nevada myself, for the sole purpose of voting Harry Reid out of office. When Harry Reid ran for re-election in 2010, I felt powerless and utterly disgusted as I watched Nevadan’s vote against their own, and America’s interests. Whether Reid runs for re-election in 2016 is up in the air. Questions about the 74-year-old’s health, among other things, lead some knowledgeable insiders to speculate that he will retire rather than face a challenge in 2016.

Fortunately for us, Harry Reid is on the ballot this year. There are 36 U.S. Senate seats up for election in 2014, and Harry Reid’s fate is on the line in each and every race. This is our chance. This is our moment. We finally have a shot at decapitating the second most hated SOB in American politics today, and we don’t even have to leave home. It boils down to this. If you want to keep Harry Reid in power, then go ahead and cast your vote for Michelle Nunn (or the Harry Reid clone in your state).

But, if like me, you’re sick and tired of partisan politics, and want to send a direct message of your disgust to Washington D.C., by delivering a pink slip directly to Harry Reid’s desk, then it’s real simple. Vote against the Democratic U.S. Senate candidate this fall, and vote for the Republican candidate. A vote for Michelle Nunn is a vote for Harry Reid, and a vote for David Perdue is a vote against Harry Reid. This year I’m voting against Harry Reid, and therefore in favor of David Perdue.

A Pen, a Phone and GDP Contracts by 2.9%

:: By: Larry Walker, Jr. ::

Back on January 14, 2014, POTUS 44 announced, “We’re not just going to be waiting for legislation in order to make sure that we’re providing Americans the kind of help they need. I’ve got a pen and I’ve got a phone.” Well, great!

Then on June 25, 2014, the Bureau of Economic Analysis (BEA), in its third and final release, announced that real gross domestic product (GDP) decreased at an annual rate of 2.9 percent in the first quarter (that is, from the fourth quarter of 2013 to the first quarter of 2014). In the fourth quarter of 2013, real GDP increased 2.6 percent.

Well, so much for going it alone. Please stop with the help already, it’s not working. Did anyone seriously believe this guy was some kind of economic prodigy, capable of single-handedly leading the U.S. economy to the Promised Land? Oh, please! My first impression was “What a moron.” Isn’t this the same guy who hired a 35-year-old fiction writer as his Deputy National Security Advisor? And, isn’t this the same guy that (ad infinitum)… believe me, it’s not worth it.

After the first release estimate, Zerohedge.com reported, and I’m paraphrasing, “…if it wasn’t for the (government-mandated) spending surge resulting from Obamacare, which resulted in the biggest jump in Healthcare Services spending in U.S. history, GDP growth would be negative.” Well, it so happens that, according to the BEA’s third and final estimate, GDP growth actually was negative.

It seems that if all the cash sucked out of discretionary consumer spending during the first quarter, by way of artificially high (government-subsidized) health insurance premiums, and neatly tucked away into insurance company reserve funds (savings accounts), had instead been unleashed into the economy, GDP surely would have been positive.

Where I come from, a contraction in GDP of 2.9% should indicate that someone or something’s about to get the ax. Let’s just pray it’s this ridiculous pen and phone strategy. And, while we’re at it, how about losing that idiot fiction writer. Whose bright idea was that anyway?

Revised and updated on June 25, 2014.

Health Insurance for Under $50 per Month?

“If it sounds too good to be true, it usually is.” ~ Better Business Bureau

– By: Larry Walker, Jr. –

According to the U.S. Department of Health and Human Services (HHS), there are 7.2 million uninsured Americans ages 18 to 34 years, living in single-person households in 34 states. And, of that total, 2.9 million are eligible to buy health insurance on either federal or state partnership insurance marketplaces. And among those 2.9 million, 1.3 million, or 46%, could pay less than $50 a month for a “Bronze Plan”.

Hmmm. That sounds, well, too good to be true. Let’s see, 1.3 million times $50 equals $65 million per month, or $780 million per year. Sounds like a good deal… for insurers that is, since the balance of the monthly premium, perhaps another $50 or more, will be subsidized by taxpayers, and the risk of actually paying out any benefits, after high deductibles, co-payments and co-insurance levels are met, is next to nothing. What’s a Bronze Plan anyway, a worthless policy that covers nothing?

Generally speaking, the Bronze Plan is intended to have the lowest premium of the 4 new categories of plans (Bronze, Silver, Gold, and Platinum) but charge the highest out-of-pocket costs for healthcare services. For people without employer sponsored insurance, the Bronze plan is the minimum health insurance plan which satisfies the Affordable Care Act’s health insurance mandate.

What HHS doesn’t tell you is that Bronze Plans are designed so that policy owners wind up paying 40% or more of covered healthcare expenses in the form of out-of-pocket fees, and that’s over and above the cost of the plan’s monthly premium. Although out-of-pocket expenses for individuals are expected to be capped at $6,350, keep in mind that this amount is reset each calendar year.

Out-of-pocket expenses include fees like deductibles, copayments, and coinsurance. Different plans will approach the 40% or more that policy owner’s will pay in various ways, so it is important to research the financial details of a specific plan before deciding which one to purchase. For example, a person who has frequent medical expenses may want a Bronze Plan with a lower deductible, because they will be required to pay at least that much of their annual health care expenses – in full.

Look over the following examples of Bronze Plans, and then we’ll define the terms and discuss Example #2 in more detail.

Deductible – A deductible is the amount you pay for health care services before your health insurance begins to pay.

Coinsurance – Coinsurance is your share of the costs of a health care service. It’s usually figured as a percentage of the total charge for the service. You pay coinsurance after reaching your annual deductible.

Co-pay – A co-payment, or doctor’s visit fee, is a fixed amount you pay for a health care service, usually when you receive the service. The amount can vary by the type of service. You may also have a co-payment when you get a prescription filled.

Example #2: Okay, so let’s say the New York Bronze Plan (shown above) costs a young person $50 per month. What will he or she receive in return for this premium?

Well, since the annual deductible is $3,000, that means the insurance company won’t pay out a solitary dime, until after the insured pays the first $3,000 in annual health care costs. Then, once this $3,000 annual deductible has been met, the policy only covers 50% of the cost of doctor’s visits (co-pay), and 50% of the cost of all other medical services (co-insurance). It’s not until the insured reaches the annual out-of-pocket limit of $6,350 that the policy kicks in and pays all remaining expenses in full.

I hate to break it to you, but this alleged, under $50 per month, health insurance policy will actually wind up costing the poor sucker who buys it around $3,600 per year ($3,000 deductible + $600 premiums), or $300 per month, before it pays out a single dime in benefits. It will cost even more for plans with higher deductibles, and may wind up costing as much as $6,950 per year ($6,350 annual limit on out-of-pocket expenses + $600 annual premiums), or $580 per month, if ever actually utilized for a substantial amount of qualifying health care expenses.

Then there’s the question of which expenses such a plan actually covers, if any, once its benefits do kick in. Who in the hell knows the answer to that? Since the government’s official website is lacking in detail, even when it’s working, apparently you have to buy it first, in order to find out. Yeah, just call the toll-free number and blindly sign up. I guess it’s better than nothing, although not by much in my opinion. On this earth you get what you pay for, but the cost of nothing is generally free.

The bottom line: Don’t expect much from a health insurance plan costing less than $50 per month. If it sounds too good to be true, it usually is.

References:

How do deductibles, coinsurance and copays work?

Insurance for the young could be less than $50 a month

Bronze Plan – Affordable Care Act (Obamacare)

Related:

The Social Security Bust Fund – Opt Me Out

#Obamacare

The Third Conception: Growing the Debt

From an Extreme Radical Independent Centrist

– By: Larry Walker II –

In his 1943 study entitled, The New Philosophy of Public Debt, U.S. economist, founder and 1st president of Brookings Institution (1927-1952), Harold G. Moulton expounded on the two conflicting debt philosophies of that era. First was the traditional view, that “a continuously unbalanced budget and rapidly rising public debt imperil the financial stability of the nation.” And, second, the new conception of the day, that “a huge public debt is a national asset rather than a liability and continuous deficit spending is essential to economic prosperity of the nation.”

At the conclusion of Moulton’s study, it was determined that under the latter theory, continuous deficit spending would lead to constant money printing, and thus runaway inflation, culminating in a depression. And, the only way such inflation could be curbed would be through the use of totalitarian methods of control.

“We should have to control wage rates and farm incomes; we should have to regulate corporate earnings; we should have to control investment; we should have to ration commodities; we should have to control rents; we should have to license foreign trade; we should have to supervise, and possibly close the security and commodity markets. Given regimentation of virtually every phase of economic life, the process of inflation might be held in leash.”

However, even advocates of continuous deficit spending rejected such totalitarian control policies, as did the entire nation. Thus following World War II the new philosophy was cast aside, and the United States’ Debt-to-GDP ratio, which had increased from a modest 45.4% in 1941, to a peak of 122.0% in 1946 at the close of the Second World War, was eventually reduced to just 31.8% by 1981 (see chart above).

Jumping forward to today, we find the nation’s debt-to-GDP ratio once again above 100%, currently resting at around 106.5%, as we are lectured by Potus 44 on a completely new conception of public debt. At an Oct. 8, 2013 press conference, Potus 44 broke away from the two prevailing philosophies, debated in Washington D.C. for more than 70 years.

He proffered that there really is no such thing as a debt ceiling, and that even if there were, raising it would not increase the national debt. He declared, “Raising the debt ceiling is a lousy name, which is why members of Congress in both parties don’t like to vote on it, because it makes you vulnerable in political campaigns.” He continued, “Raising the debt ceiling does not increase our debt. It does not grow our deficits. It does not allow for a single dime of increased spending. All it does is allow the Treasury Department to pay for what Congress has already spent.”

Under what we shall term the Third Conception, what federal law calls the debt ceiling is likely just a misnomer, for raising this alleged ceiling won’t increase the nation’s debt, nor increase budget deficits, nor allow for even a single dime of increased spending. In other words, according to Potus 44, scholars of bygone days, including those who once favored unlimited government borrowing and spending, were misguided. Come to find out, there really is no national debt, and even if you choose to call it such, it carries no negative consequences, no matter how high it should climb.

So what are we to make of this? Could it be that the totalitarian control policies required to keep inflation in check are already secretly in place? Or have we drifted so far from reality that we no longer believe what we see with our own eyes? In Budgeting 201: An Immediate Debt Crisis, we saw how the tiny nation of Cyprus buckled as recession hit its economy while its debt-to-GDP ratio stood at around 93%, and we know that this led to the confiscation of funds from private citizen’s bank accounts. Yet our leaders turned a blind eye, as our own debt-to-GDP ratio edged above 100%.

Now, what we hear from Potus 44 is that “all of us need to stop focusing on the lobbyists and the bloggers and the talking heads on radio and the professional activists who profit from conflict and focus on what the majority of Americans sent us here to do. Yes, and what perchance is that, to grow the size of government, and along with it the National Debt?

To rephrase this, what Potus is saying is that since the final popular vote totals were 65,899,660 for Obama-Biden (51.1%) and 60,932,152 (47.2%) for Romney-Ryan, nearly half of us, or 47.2%, need to stop focusing on what we believe in, and in many cases would give our very lives for, and instead focus on whatever he, the person whom the other 51.1% of America voted for, says, no matter how preposterous, and no matter how much damage it may inflict on the nation as a whole. But who’s to say the other 51.1% actually co-signed on the concept of unlimited increases to the national debt? After all, when campaigning, didn’t Potus 44 himself promise to place the debt in check?

If it be not a debt ceiling, then what shall we call it – a debt sky, or maybe a debt horizon? Perhaps we should begin referring to it as simply “not the debt ceiling”. The truth is, no matter what we choose to call it, as soon as Congress voted to temporarily suspend the thing, the national debt catapulted above the $17 trillion milestone.

Thus, the Third Conception fails the reality test. Sorry, but we don’t compromise on principles merely to satisfy the insane whims of any and every brain-dead person around us. Try that in your own life, if you wish. In fact, Potus 44, himself, once voted against raising the debt ceiling while serving in the U.S. Senate.

As a side-note, Hell will freeze over before I ever purchase a commercial health insurance policy through the federal government. Are you kidding me? You thought people would flock to a federal government owned and operated website to purchase commercial health insurance policies from private insurance companies? Uh, what’s wrong with this picture? Do we really need the middleman? Good luck with that scam.

You see, there’s truth, and then there’s politics. One is real, the other make-believe. Does anyone out there know the difference between danger and fear? Danger is real; fear is imagined. So here’s how one can know the difference. Over the last 26 years, the United States has spent a total of $8.9 trillion on interest payments to service its national debt; $2.0 trillion of that since 2009 alone (see chart above).

Yet, according to the U.S. Treasury, the gross national debt was only $10.0 trillion at the close of fiscal year 2008, and it stands at $17.1 trillion today (see chart below). Herein is our dilemma: Unless interest rates hover near zero-percent forever and ever, this adjustable-rate, interest-only, debt bomb will one day explode, and the annual interest payments thereon will eventually consume every dime of tax revenue. Is this real, or imagined? I guess it doesn’t matter to some, as long as it’s not their money.

If the next generation doesn’t care about the size of the national debt, today, then it will reap the rewards of negligence. Those who care now won’t be around forever to warn of the perils of unlimited government debt, so if that’s how you want it, have it your way. But, don’t say you were never warned about the 70% to 90% income tax rates you’ll eventually enjoy, and don’t forget to send my generation every dime we’re due in Social Security and Medicare entitlements while you figure it all out. Have a great future! I’ll leave you with the following words of wisdom.

“If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There may even be a worse case. You may have to fight when there is no hope of victory, because it is better to perish than to live as slaves.” ~ Sir Winston Churchill

Related: #Debt