The other one nobody seems to want to talk about or understand is Medicaid. People think they are getting health insurance (or whatever they want to call it) when, in reality, they are accumulating debt with the government and a debt most states are required, by law, to collect.
This is one of the huge problems (outside of costs and lies) I have with Obamacare. The claim is that millions of people now have insurance when, in reality, millions of people were shoved into Medicaid and are accumulating a non-trivial financial obligation with the government. To say this is dishonest is probably cutting it short.
https://www.medicaid.gov/medicaid/eligibility/estate-recover...
It's true that Medicaid will seek reimbursement for procedures that should not have been covered, but that's not different much different than what happens when a private insurance company refuses to pay a benefit. The hospital is free to pursue the person directly for the balance they owe.
Please read the info in the link I provided. It's from the Medicaid website itself so no bias or fabrication at all.
Medicaid is not health insurance. It provides access to health services but the patient is on the hook for the cost of those services. In certain states things are a bit different. With some 64 million people enrolled in Medicaid it is probably safe to say that tens of millions of people are accumulating debt with the government.
My point of contention is that almost nobody knows this because it is swept under the rug for the political gains afforded by saying that millions more have "health insurance" when, in fact, they don't.
It also really bothers me that a good number of those in the program are poor and probably not very educated and don't realize they are signing over their estate to the government.
This really bugs me. We need to provide health services to those who cannot afford the cost and we need to do so without making an underhanded grab for what little they may possess.
This, to me, is nothing less than fraud. A private enterprise would be destroyed by lawsuits and people would end-up in jail if they had such provisions in their contracts and they were not fully disclosed ad-nauseum as a condition for entering into that contract.
Not sure why we accept this from government other than, per my findings, almost nobody knows how Medicaid actually works.
There is no asset test, and there is no paying back benefits if you are under 65 when you took them.
Medicaid expansion is quite literally the best insurance that money can't buy.
In CA, for example, a family of 4 earning less than $33,500 gets MediCal [1]. If you just want free coverage for the kids, you can earn $64,600. [2]
[1] - http://www.dhcs.ca.gov/services/medi-cal/Pages/DoYouQualifyF...
[2] - http://hbex.coveredca.com/toolkit/renewal-toolkit/downloads/...
A progressive tax system should not be paired with a regressive subsidy as massive as ACA. It adds up to nearly a 100% tax on the first $60,000 of income for unhealthy / chronically ill families, and a 60% effective tax rate for healthy ones.
It's also worth noting that, in most of the US, the alternative to medicaid was/is filial support laws, in which the nursing home could take the assets of the children of the patients in their care.
This is very, very far removed from the idea of health insurance. Your property becomes the property of the government. With real health insurance nobody places a lien on your home for medical services rendered.
SS is not quite a pension fund, but it is also certainly _not_ a "tax on income like any other". The funds taken all go to directly to the SSA fund, they aren't available for general use like basic income tax is. For another difference, it is payroll tax, so if you don't have income from wages (e.g., all income is through interest and dividends) there is no SS tax at all.
Importantly, although it's possible that the fund could become exhausted if payments aren't reduced (as baby boomers age and the elderly grow to far outnumber the young), the size of payments would be reduced far before that point. Also, since there will always be at least some young people paying into SS, even if the fund itself was basically exhausted there would still be a continuous stream of incoming payments to distribute out to the elderly, just much reduced from the current size of outgoing payments.
If I wanted government to plan my life I would have lived in Cuba not in USA.
The government strongly encourages belief in the myth that Social Security is something other than a welfare tax with no implied obligation to the taxpayer because that notion makes the tax much more palatable than the reality.