# What is your ongoing opinion of the Affordable Care Act? (Title Edited) **URL:** \ **Category:** Politics & Elections\ **Created:** [January 17, 2013, 11:21pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561 "2013-01-17T23:21:39Z")\ **Posts on this page:** 20\ **Page:** 5
**Author:** ![2ManyTacos](https://avatars.discourse-cdn.com/v4/letter/2/3da27b/32.png) [@2ManyTacos](https://boards.straightdope.com/u/2ManyTacos)\ **Post date:** [April 26, 2013, 4:57pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/81 "2013-04-26T16:57:51Z")
In the wake of all of the chaos surrounding the ACA yesterday, here’s some slightly more optimistic news: [Calif. Health Exchange To Spend $290M on Public Outreach Efforts](http://www.californiahealthline.org/articles/2013/4/26/calif-health-exchange-to-spend-290m-on-public-outreach-efforts.aspx) For what it’s worth, that’s apparently more money than Obama & Romney _combined_ spent on advertising in Ohio. I imagine that we’ll start seeing news such as this start leaking out as we head into the summer, when the Obama administration plans on unleashing its massive public outreach campaign. ---
**Author:** ![Face\_Intentionally\_Left\_Blank](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/face_intentionally_left_blank/32/288_2.png) [@Face\_Intentionally\_Left\_Blank](https://boards.straightdope.com/u/Face_Intentionally_Left_Blank)\ **Post date:** [April 27, 2013, 9:32pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/82 "2013-04-27T21:32:50Z")
> [@2ManyTacos](#): > > shoe-in [Shoo-in. Shoo-in.](http://oxforddictionaries.com/us/definition/american_english/shoo-in) /doing my part //also, pet peeve ///Gonna go look for info on this Schweitzer fellow. ////Good grief the 2000 Senate election info on Wikipedia. How’d he lose!? ---
**Author:** ![adaher](https://avatars.discourse-cdn.com/v4/letter/a/dec6dc/32.png) [@adaher](https://boards.straightdope.com/u/adaher)\ **Post date:** [April 28, 2013, 2:18am UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/83 "2013-04-28T02:18:27Z")
> [@2ManyTacos](#): > > In the wake of all of the chaos surrounding the ACA yesterday, here’s some slightly more optimistic news: > > [Calif. Health Exchange To Spend $290M on Public Outreach Efforts](http://www.californiahealthline.org/articles/2013/4/26/calif-health-exchange-to-spend-290m-on-public-outreach-efforts.aspx) > > For what it’s worth, that’s apparently more money than Obama & Romney _combined_ spent on advertising in Ohio. I imagine that we’ll start seeing news such as this start leaking out as we head into the summer, when the Obama administration plans on unleashing its massive public outreach campaign. They need money for that and didn’t include it in the health care bill itself. I keep hearing the ACA is supposed to reduce the deficit, but it’s cheating the system if you have to keep on asking for ACA money that wasn’t appropriated in the bill. Every dime ACA needed should have been in the bill, but then it might not have been shown to reduce the deficit. ---
**Author:** ![Joshuagenes](https://avatars.discourse-cdn.com/v4/letter/j/8e7dd6/32.png) [@Joshuagenes](https://boards.straightdope.com/u/Joshuagenes)\ **Post date:** [April 28, 2013, 8:20pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/84 "2013-04-28T20:20:57Z")
The ACA fails the K.I.S.S. philosophy. AUTOMATIC REJECT! ---
**Author:** ![adaher](https://avatars.discourse-cdn.com/v4/letter/a/dec6dc/32.png) [@adaher](https://boards.straightdope.com/u/adaher)\ **Post date:** [April 30, 2013, 7:25am UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/85 "2013-04-30T07:25:33Z")
Administration won’t implement IPAB. At all. 2019 is the new target date to fill the board. The projections that ACA would reduce the deficit were based in part on savings from IPAB. No IPAB, no savings. I’d bet that almost all of the savings are going to be put off. The first Medicaid cuts got put off a couple of months ago. ---
**Author:** ![Really\_Not\_All\_That\_Bright](https://avatars.discourse-cdn.com/v4/letter/r/e8c25b/32.png) [@Really\_Not\_All\_That\_Bright](https://boards.straightdope.com/u/Really_Not_All_That_Bright)\ **Post date:** [April 30, 2013, 2:41pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/86 "2013-04-30T14:41:23Z")
> [@Face\_Intentionally\_Left\_Blank](#): > > [Shoo-in. Shoo-in.](http://oxforddictionaries.com/us/definition/american_english/shoo-in) Whoah. Ignorance fought. I always thought shoo-in was the corrupted form. > [@Joshuagenes](#): > > The ACA fails the K.I.S.S. philosophy. AUTOMATIC REJECT! How many lines of code do you think were required for you to write that message board post? You’d better stop using computers. ---
**Author:** ![adaher](https://avatars.discourse-cdn.com/v4/letter/a/dec6dc/32.png) [@adaher](https://boards.straightdope.com/u/adaher)\ **Post date:** [April 30, 2013, 2:57pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/87 "2013-04-30T14:57:08Z")
Ah, then since we expect no problems, since government workers can handle complexity ,we know who to blame if there are problems. ---
**Author:** ![Really\_Not\_All\_That\_Bright](https://avatars.discourse-cdn.com/v4/letter/r/e8c25b/32.png) [@Really\_Not\_All\_That\_Bright](https://boards.straightdope.com/u/Really_Not_All_That_Bright)\ **Post date:** [April 30, 2013, 3:24pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/88 "2013-04-30T15:24:31Z")
I think I speak for everyone when I say, “huh?” ---
**Author:** ![2ManyTacos](https://avatars.discourse-cdn.com/v4/letter/2/3da27b/32.png) [@2ManyTacos](https://boards.straightdope.com/u/2ManyTacos)\ **Post date:** [April 30, 2013, 7:28pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/89 "2013-04-30T19:28:42Z")
FWIW, President Obama spent about eight minutes talking about the ACA with reporters this morning. It’s definitely worth a watch if you’ve been paying attention to this stuff: [Here](http://www.c-spanvideo.org/clip/4447664) ---
**Author:** ![Leaper](https://avatars.discourse-cdn.com/v4/letter/l/4bbf92/32.png) [@Leaper](https://boards.straightdope.com/u/Leaper)\ **Post date:** [April 30, 2013, 9:36pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/90 "2013-04-30T21:36:38Z")
From [here](http://money.cnn.com/2013/04/30/pf/boston-victims-medical-bills/index.html?hpt=hp_t2), on the medical bills the Boston bombing victims face: > [@CNN](#): > > Correction: An earlier version of this story incorrectly stated that victims could could risk hitting their health insurer’s lifetime benefits cap. Lifetime dollar limits were eliminated under the Affordable Care Act. Many people won’t like that, true, but I daresay that for most, the visceral reaction of reading that will probably be positive. > [@Joshuagenes](#): > > The ACA fails the K.I.S.S. philosophy. AUTOMATIC REJECT! You do realize that one big reason laws are so complex in the first place is that everybody and his brother, most especially large companies with lots of accountants and lawyers, look for every loophole they can to get away with not complying, right? Look at how many cases come out of something as apparently simple as the Bill of Rights, for Pete’s sake! ---
**Author:** ![adaher](https://avatars.discourse-cdn.com/v4/letter/a/dec6dc/32.png) [@adaher](https://boards.straightdope.com/u/adaher)\ **Post date:** [May 1, 2013, 12:02am UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/91 "2013-05-01T00:02:50Z")
Actually, simple is harder to get around. ACA is complex because of the exemptions, loopholes, and discretionary power given to HHS. Anyway, this whole thread is now rendered moot, because ACA will not be fully enacted until 2019. IPAB was one of the primary cost control measures in the bill, and the bill had a dual purpose: expand access to health insurance, and reduce the cost of health care. Plus, the small business exchanges don’t start until 2015. So as of 2014, SOME of the bill will be enacted, but there’s still a lot left undone and much will apparently be left to Obama’s successor. ---
**Author:** ![Kevbo](https://avatars.discourse-cdn.com/v4/letter/k/e47774/32.png) [@Kevbo](https://boards.straightdope.com/u/Kevbo)\ **Post date:** [May 6, 2013, 11:16pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/92 "2013-05-06T23:16:41Z")
> [@jtgain](#): > > But the point you are missing is that it isn’t free. Nothing is free in the world. By covering 25 year old “children” other policy holders will be subsidizing the cost of providing health insurance by increasing premiums across the board. This is wrong. Unlike car insurance, 20 somethings are low risk, low cost health insurance customers. This law increases the number of young healthy people paying premiums (or having parents do so) that subsidize the old sickies. The new law facilitates social responsibility, rather than encouraging freeloading. ---
**Author:** ![Fear\_Itself](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/fear_itself/32/19637_2.png) [@Fear\_Itself](https://boards.straightdope.com/u/Fear_Itself)\ **Post date:** [May 6, 2013, 11:38pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/93 "2013-05-06T23:38:45Z")
> [@adaher](#): > > Administration won’t implement IPAB. At all. > > 2019 is the new target date to fill the board. The projections that ACA would reduce the deficit were based in part on savings from IPAB. No IPAB, no savings. You have been misinformed. The IPAB is only implemented if Medicare spending increases at a rate of 3.03% annually. Fortunately, the projected growth of Medicare spending is only 1.15% through 2015, so the IPAB is unnecessary to achieve the spending cuts planned for Medicare. The cuts are happening without IPAB. > **[Medicare Board Won't Be Triggered Until 2015, Expert Says - Law360](https://www.law360.com/health/articles/437748/medicare-board-won-t-be-triggered-until-2015-expert-says)** > > A Medicare cost-cutting panel created by the Affordable Care Act and reviled by much of the health industry will not go into effect next year or the following year, the chief Medicare actuary said Tuesday, because spending growth on the program has... ---
**Author:** ![adaher](https://avatars.discourse-cdn.com/v4/letter/a/dec6dc/32.png) [@adaher](https://boards.straightdope.com/u/adaher)\ **Post date:** [May 7, 2013, 12:28am UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/94 "2013-05-07T00:28:22Z")
If that happens, that’s great, but IPAB is still supposed to be in place in case spending outpaces projections. It should also be noted that there is already a law in place to control Medicare spending, but it has been ignored. There are actually a lot of laws like that, which is why when conservative say they don’t trust that the cuts will actually take place, and thus there will be no deficit reduction, are arguinjg in good faith. It’s the politicians and their supporters who constantly promise deficit reduction that never happens who are liars. ---
**Author:** ![elfkin477](https://avatars.discourse-cdn.com/v4/letter/e/a9a28c/32.png) [@elfkin477](https://boards.straightdope.com/u/elfkin477)\ **Post date:** [May 11, 2013, 7:11am UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/95 "2013-05-11T07:11:27Z")
> [@Kevbo](#): > > This is wrong. Unlike car insurance, 20 somethings are low risk, low cost health insurance customers. This law increases the number of young healthy people paying premiums (or having parents do so) that subsidize the old sickies. The new law facilitates social responsibility, rather than encouraging freeloading. The old sickies aren’t freeloading in this scenario? ---
**Author:** ![Boyo\_Jim](https://avatars.discourse-cdn.com/v4/letter/b/87869e/32.png) [@Boyo\_Jim](https://boards.straightdope.com/u/Boyo_Jim)\ **Post date:** [May 11, 2013, 8:10am UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/96 "2013-05-11T08:10:40Z")
Just a few weeks ago I talked to a guy who works for an agency that helps the poor find health care. According to him (and perhaps this just applies to WI) there is still virtually no information at all about how Obamacare is to be implemented at “street level”. they don’t tell people how to get any of these new benefits or policies because no one has told them or the state hasn’t acted on how to implement it. ---
**Author:** ![Fear\_Itself](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/fear_itself/32/19637_2.png) [@Fear\_Itself](https://boards.straightdope.com/u/Fear_Itself)\ **Post date:** [May 11, 2013, 10:12am UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/97 "2013-05-11T10:12:15Z")
> [@elfkin477](#): > > The old sickies aren’t freeloading in this scenario? No. That is how insurance is supposed to work. The healthy pay for the sick. No insurance plan, public or or private, is sustainable without that model. ---
**Author:** ![adaher](https://avatars.discourse-cdn.com/v4/letter/a/dec6dc/32.png) [@adaher](https://boards.straightdope.com/u/adaher)\ **Post date:** [May 11, 2013, 12:04pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/98 "2013-05-11T12:04:50Z")
Funny, I don’t remember it being sold to healthy, young people as a wealth transfer between them and their wealthier elders. ---
**Author:** ![Fear\_Itself](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/fear_itself/32/19637_2.png) [@Fear\_Itself](https://boards.straightdope.com/u/Fear_Itself)\ **Post date:** [May 11, 2013, 12:44pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/99 "2013-05-11T12:44:56Z")
> [@adaher](#): > > Funny, I don’t remember it being sold to healthy, young people as a wealth transfer between them and their wealthier elders. All insurance is. Why would Obamacare be any different? ---
**Author:** ![adaher](https://avatars.discourse-cdn.com/v4/letter/a/dec6dc/32.png) [@adaher](https://boards.straightdope.com/u/adaher)\ **Post date:** [May 11, 2013, 1:15pm UTC](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561/100 "2013-05-11T13:15:31Z")
It wouldn’t be. But a lot of young people don’t know that. Be interesting to see how sticker shock affects their voting behavior in 2014 and beyond. [Previous page](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561.md?page=4) [Next page](https://boards.straightdope.com/t/what-is-your-ongoing-opinion-of-the-affordable-care-act-title-edited/647561.md?page=6)