Comment by nradov

Comment by nradov 4 days ago

6 replies

Right, the federal tax code is structured to give advantages to employer sponsored health plans. But it doesn't have to be that way. A better approach would be to eliminate those plans and force everyone to purchase individual or family plans through state ACA marketplaces using pre-tax dollars.

jswelker 3 days ago

Not sure why the down votes. Severing health insurance from employers would be a huge win. It's just such a massive task that the efforts to address it like Obamacare aren't enough even remotely.

  • hylaride 3 days ago

    As a Canadian, for all the faults of our healthcare system, the fact that I don't have to stick with a job to maintain healthcare for myself or my family is a massive amount of freedom I take for granted.

    • lotsofpulp 3 days ago

      You don’t have to stick with your job in the US either, you just have to earn enough money to buy it yourself from healthcare.gov. But that goes for everything, from food to shelter to utilities, etc.

      Probably half the jobs in the US don’t pay enough for the employee regularly see a doctor. It might protect them for the $500k emergency heart bypass, but they are not going to be able to afford the $10k out of pocket costs or the ongoing healthcare expenses after they lose their job.

trashface 3 days ago

The ACA would need to be changed too, it isn't as generous tax-wise as employer based care. The portion of the premium paid by the subscriber is not automatically tax deductible - they have to itemize or meet certain self-employment restrictions. Many don't, so they are paying effectively with after tax dollars. Its one reason why the ACA rate hikes next year are so brutal.

It matters for early retirees (or these days, people forced out of job some years before they wanted to officially retire). Without self-employment income they can't deduct it, and often for similar reasons they can't itemize. They still get the standard deduction of course, but an person on an employer plan gets that + their cost of premiums, automatically.

mjevans 3 days ago

Or, just provide 'basic healthcare' as a human right (and service for being taxed) and make ALL plans on top of that luxury services.

Wouldn't you like to STOP the insanity of "picking" a plan every year (or more) and also end the billing nightmare by just making it all single payer (the government of the people, for the people)?

  • orangecat 3 days ago

    This is entirely due to the employer being involved. I don't have to pick a new auto or home insurance plan every year.