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Cisco Systems, Inc. Message Board

  • buffettinvesting buffettinvesting Jun 28, 2012 10:42 AM Flag

    Isn't the Obamacare decision a worse case scenario? Taxes with no mandate?

    I am not sure why this an Obamacare win. It sounds like The Supreme Court simply said that Congress can increase taxes on Americans - which it always could - but they cannot mandate that people buy health insurance, correct? If that is the case, many people who do not pay taxes (about 47-53% of Americans), may not take the initiative to go and get health insurance (today's situation which leads to unnecessary emergency room visits), and hence remain uninsured and drive costs up. Isn't this a worse case scenario? Taxes will go up on those who do pay taxes (disguised as a health care tax), millions of Americans will remain uninsured because there is no penalties for not acquiring medical insurance (the main point of Obamacare), and Congress will probably find some new way to spend the extra tax dollars that they collect and do not get used as medical insurance vouchers? Or am I not undrstanding this correctly, and instead at tax time people will need to submit a copy of their medical insurance proof, and if they cannot, they will have to pay an additional tax, which again omits anyone who is not paying taxes and submitting a 1099? Let me know your thoughts. Thanks.

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    • no you do not understand the ruling. The ruling affirmed the mandate, if you don't have insurance you now must purchase it or pay a fine. The Justices ruled that the fine is a type of tax.

    • All it means is that doctors and hospitals willl need to provide services at lower costs, instead of milking the patient's insurnace coverage like they do now.

      • 1 Reply to ka1524
      • I appreciate your feedback. I am not sure what the profit margins of most hospitals are, but I know that a lot of physicians are struggling - many of whom studied their tails off through college and medical school, paid huge sums of money to go to college and grad school, and work their tails off today. I am sure there are some bad eggs, but many physicians I know work extremely hard, are extremely dedicated, and have huge malpractice insurance to deal with while now they are getting squeezed at the top end. With all of the expenses and all of the hard work and headaches required, I would expect the to see a shortage of excellent physicians at some point in the future, especially as lots of the babyboomer physicians retire and pass on, but our overall population keeps growing and physicians begin to get paid based on outcomes and patient feedback - so requiring more time be spent with each patient. Less physicians + less patients per physician + population growth = shortage of physicians and surplus of patients. I mean come on, if a patient does not get the prescription he wants, he can give the physician a thumbs down and the physician does not get paid? Is that the kind of healthcare system we want?

 
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