“...the Affordable Care Act will benefit millions of uninsured, low-income Americans.” - That is not the issue, the issue is “At what cost to whom?”
Millions of poorest Americans get no Obama subsidies
Lost among reports of the difficulties of the Affordable Care Act’s health insurance exchanges is the news that President Obama’s health insurance reform law is actually making it harder for the very poor to get insurance coverage. The architecture of the law and the Supreme Court’s 2012 decision that struck down a portion of the Affordable Care Act have combined to create a gap for low income Americans that deprives them of Obamacare’s health insurance subsidies as well as no-cost coverage under Medicaid.
Danielle Morgan, the 23-year-old married mother of four in North Carolina, is one of those affected. Danielle’s husband is a full-time Bible college student with no income. Danielle told Examiner that she works to support their family, but her employer does not offer health insurance. The family has not had health insurance in the past, but Danielle was hopeful that the new health insurance marketplaces would allow her to purchase an affordable policy for her family and avoid Obamacare’s fine.
Even though Danielle is employed, President Obama unilaterally delayed the portion of Obamacare that requires employers to provide their employees with health insurance. The employer mandate will only apply to companies with more than 50 employees when it goes into effect in 2015.
The problem of insuring low income workers is made worse because Obamacare bans the “mini-med” policies that cover an estimated 1.4 million Americans according to an estimate by Politico. These plans were used by many employers, such as McDonald’s, to provide low-cost health coverage for low-income workers who cannot afford to pay their share of a traditional health insurance plan. Because the plans have annual limits for payouts and do not provide the federal minimum essential coverage, they do not qualify as health insurance under the Affordable Care Act. Many workers formerly insured by “mini-med” plans will likely become uninsured unless new “skinny” plans can be designed that meet the requirements of the law.
After several attempts at logging on the exchange, Danielle finally went to Kaiser’s online premium and subsidy calculator. What she found shocked and dismayed her. The premium for her family would be $5,711 per month for a Bronze plan. She also found out that her family would not qualify for a subsidy even though they are below the poverty line.
Danielle and her family fell into a gap created when the Supreme Court struck down Obamacare’s mandatory Medicaid expansion. In the 2012 ruling, the Court held that the federal government could not force the states to expand Medicaid to low income families. If states voluntarily expanded their Medicaid programs, the federal government promised to pay the full cost for three years and 90 percent thereafter. Twenty-five states, including North Carolina and Georgia, chose not to join the Medicare expansion.
http://www.examiner.com/article/obamacare-leaves-5-million-poor-americans-uninsured