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Thread: Donald Trump Announces Health Care Expansion Without Socialism

  1. #1

    Thumbs up Donald Trump Announces Health Care Expansion Without Socialism

    President Donald Trump announced plans Friday to expand health care for small business and workers through health reimbursement arrangements (HRA).

    Trump said that the expansions of HRAs would allow families to start shopping around for health care plans that they wanted and to get reimbursed by their employers.
    “It’s popular, it’s really, really been a success,” Trump said, noting that the Obama administration leveled penalties for HRAs, making it essentially unworkable.
    The president held an announcement ceremony in the Rose Garden.
    Trump said the decision would help expand the level of coverage, particularly for small businesses, calling it a “monumental” achievement.
    The president brought to the podium small business owners, who explained that the new rules would help them considerably. One businessman noted that after the Obama administration hurt the HRA option, he lost employees because they needed better healthcare options.
    Trump warned Americans away from free government healthcare plans proposed by Sen. Bernie Sanders, pointing out that it would lead to socialism.
    “That’s going to hurt a lot of people,” Trump said, warning of worse care and long wait times under a government-run system.
    “We have to reject the socialist model,” Trump said, calling for freedom of choice and access to the best health care plans.
    “We are putting the people back in charge with more choice, at better care, at a much lower cost,” he said.
    The audience at the event surprised the president by singing Happy Birthday, as he turned 73 on Friday.


    https://www.breitbart.com/politics/2...out-socialism/
    Never attempt to teach a pig to sing; it wastes your time and annoys the pig.

    Robert Heinlein

    Give a man an inch and right away he thinks he's a ruler

    Groucho Marx

    I love mankind…it’s people I can’t stand.

    Linus, from the Peanuts comic

    You cannot have liberty without morality and morality without faith

    Alexis de Torqueville

    Those who fail to learn from the past are condemned to repeat it.
    Those who learn from the past are condemned to watch everybody else repeat it

    A Zero Hedge comment



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  3. #2
    https://www.benefitspro.com/2019/06/...20190514192536

    An HRA is vehicle that an employer uses to help employees pay for health care and health insurance.

    U.S. employers have been offering HRAs and similar arrangements since the 1960s.

    The Internal Revenue Service established HRA rules in 2002. Under federal law, an employer must offer another type of personal health account, the health savings account (HSA), with high-deductible health insurance. An HRA is somewhat less flexible in some ways, but an employer can offer an HRA together with ordinary, low-deductible, or no-deductible, health insurance.

    When the administration of former President Barack Obama began setting up the Affordable Care Act framework for health insurance, in 2010, some health insurers and policymakers wanted to limit use of HRAs, to keep employers from using cash-for-coverage HRAs to push high-cost employees out of their health plans. The Obama administration tried to block use of cash-for-coverage HRAs, by defining a cash-for-coverage HRA as a group health insurance plan.

    Obama administration officials held, for example, that, like a group health plan operating under Affordable Care Act rules, a cash-for coverage HRA would have to offer coverage without annual or lifetime benefits caps.

    In the 21st Century Cures Act of 2016, Congress required the Obama administration to let small employers offer cash-for-coverage HRAs, or qualified small employer health reimbursement arrangements (QSEHRAs).

    When Donald Trump became president, he made expanding employers’ access to personal health account programs, including HRA programs, a priority. He later developed a health cost control strategy that made expanding HRA access one of his top three priorities.

    The new regulations
    The new final regulations will create two new types of HRA.

    One is the individual coverage HRA, or ICHRA. An employer of any size could use an ICHRA program to give workers cash for major medical coverage. Under the regulations, an employer cannot use an ICHRA program to discriminate against older workers or sicker workers.

    ICHRA users must have individual health insurance.

    An employer cannot offer a worker a choice between having an ICHRA and having a traditional group health plan, and an employer cannot push the employees to use their ICHRA to buy certain types or brands of health insurance.

    The Trump administration is that 800,000 employers could eventually use ICHRA programs to provide coverage for about 11 million people.

    The second new type of HRA would be the excepted benefit HRA. An employer could use an excepted benefit HRA to provide up to $1,800 in cash per year, to help employees pay for supplemental coverage and cover out-of-pocket health care costs, such as health plan deductibles.

    How ICHRA users would get their coverage
    Officials suggest in the preamble, or official introduction, to the new final HRA regulations that some ICHRA users would get their individual health coverage from the Affordable Care Act public exchange system, and that some would buy their coverage outside of the ACA exchange system.

    Officials say employers could ease employees’ health coverage shopping process by letting health insurance brokers come to the worksite, or by offering the employees’ private exchange programs.

    “A plan sponsor may provide assistance to participants and beneficiaries in shopping for individual health insurance coverage without being considered to endorse any particular coverage if that assistance is unbiased, neutral, uniformly available, and does not steer participants and beneficiaries towards a particular health insurance issuer or coverage,” officials say. “For example, an HRA plan sponsor could accommodate requests from insurance brokers to speak with employees or distribute informational materials at their worksite, so long as such accommodations are granted on an equal basis and also without any preference for brokers that represent a particular firm or have a relationship with a certain health insurance issuer.”

    Tri-agency officials say use of a well-designed private exchange could also help an employer help employees, in an unbiased and neutral way.

    An ICHRA-compatible private exchange platform “would be required to present all available coverage options in a way that is entirely neutral,” officials say. “The platform could not be designed or operated in a way that limits users’ ability to select a coverage option that would otherwise be available to them or that promotes one option over another (for example, with ‘recommended or ‘starred’ listings), or the prohibition on endorsement would not be satisfied. However, an otherwise neutral platform that allows users to select certain criteria (such as a platform that allows participants to search for [high-deduction health plans] or plans that contained specific providers in their network) and search for coverage options that fulfilled these criteria would not be considered to be an endorsement by the employer.”
    More information : https://www.dol.gov/sites/default/fi...rangements.pdf

    To qualify as excepted benefits:

    • The annual HRA contribution must be limited to $1,800 per year (indexed for
    inflation beginning in 2021).

    • The HRA must be offered in conjunction with a traditional group health plan,
    although the employee is not required to enroll in the traditional plan.

    • The HRA cannot be used to reimburse individual health insurance premiums,
    group health plan premiums (other than COBRA), or Medicare premiums,

    although it can reimburse premiums for excepted benefits, such as dental and
    vision coverage, as well as for STLDI.

    • The HRA must be uniformly available to all similarly situated individuals (as
    defined under the Health Insurance Portability and Accountability Act, which
    generally permits bona fide employment-based distinctions unrelated to health
    status).
    Last edited by Zippyjuan; 06-14-2019 at 05:35 PM.
    Quote Originally Posted by Swordsmyth View Post
    The quality seems to have dropped significantly since I came here, I guess you get what you pay for.
    "There is always a tweet. That has become accepted fact in the Trump presidency: For every pronouncement the President makes, there is at least one tweet from his past that directly contradicts his current view." -CNN

    I am Zippy and I approve of this post. But you don't have to.

  4. #3
    That's like saying he's expanding globalist interventions without neoconism.

    Or he's still taking on Obamaism post election but without birtherism.

    Fakenews.


    Potentially Related


    "As he (Trump) launched his campaign, the conservative National Review reported that he was a registered Democrat from 2001 to 2009 and praised a Canadian-style universal health care system. Party affiliation in the United States is usually changed by ticking a box while registering to vote and doesn't imply any financial contribution. However Trump has also shown a willingness to contribute considerable sums to Democratic causes - including Hillary Clinton's campaign for Senate in 2002."

  5. #4
    Quote Originally Posted by enhanced_deficit View Post
    That's like saying he's expanding globalist interventions without neoconism.

    Or he's still taking on Obamaism post election but without birtherism.

    Fakenews.
    Never attempt to teach a pig to sing; it wastes your time and annoys the pig.

    Robert Heinlein

    Give a man an inch and right away he thinks he's a ruler

    Groucho Marx

    I love mankind…it’s people I can’t stand.

    Linus, from the Peanuts comic

    You cannot have liberty without morality and morality without faith

    Alexis de Torqueville

    Those who fail to learn from the past are condemned to repeat it.
    Those who learn from the past are condemned to watch everybody else repeat it

    A Zero Hedge comment

  6. #5
    Quote Originally Posted by enhanced_deficit View Post
    That's like saying he's expanding globalist interventions without neoconism.

    Or he's still taking on Obamaism post election but without birtherism.

    Fakenews.

    He is de-regulating burdensome regulations that were instated under Obamacare.
    "He's talkin' to his gut like it's a person!!" -me
    "dumpster diving isn't professional." - angelatc


    "Each of us must choose which course of action we should take: education, conventional political action, or even peaceful civil disobedience to bring about necessary changes. But let it not be said that we did nothing." - Ron Paul

    "Paul said "the wave of the future" is a coalition of anti-authoritarian progressive Democrats and libertarian Republicans in Congress opposed to domestic surveillance, opposed to starting new wars and in favor of ending the so-called War on Drugs."

  7. #6
    Should we ask what reimbursement means ?

    Reimbursement from what source?

    Is this a lot different than redistribution of wealth?

  8. #7
    Quote Originally Posted by Stratovarious View Post
    Should we ask what reimbursement means ?

    Reimbursement from what source?

    Is this a lot different than redistribution of wealth?
    The money isn't coming from government.
    Companies are allowed to give it to employees as part of their benefits.
    Never attempt to teach a pig to sing; it wastes your time and annoys the pig.

    Robert Heinlein

    Give a man an inch and right away he thinks he's a ruler

    Groucho Marx

    I love mankind…it’s people I can’t stand.

    Linus, from the Peanuts comic

    You cannot have liberty without morality and morality without faith

    Alexis de Torqueville

    Those who fail to learn from the past are condemned to repeat it.
    Those who learn from the past are condemned to watch everybody else repeat it

    A Zero Hedge comment

  9. #8
    Quote Originally Posted by Swordsmyth View Post
    The money isn't coming from government.
    Companies are allowed to give it to employees as part of their benefits.
    This sounds like 'normal' , before Obama Care.



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  11. #9
    Quote Originally Posted by Stratovarious View Post
    This sounds like 'normal' , before Obama Care.
    Exactly.
    Never attempt to teach a pig to sing; it wastes your time and annoys the pig.

    Robert Heinlein

    Give a man an inch and right away he thinks he's a ruler

    Groucho Marx

    I love mankind…it’s people I can’t stand.

    Linus, from the Peanuts comic

    You cannot have liberty without morality and morality without faith

    Alexis de Torqueville

    Those who fail to learn from the past are condemned to repeat it.
    Those who learn from the past are condemned to watch everybody else repeat it

    A Zero Hedge comment

  12. #10
    Quote Originally Posted by Stratovarious View Post
    This sounds like 'normal' , before Obama Care.
    But OJ man still bad, right?

    Please tell me OJ man still bad!
    How to plug a TWEET in post [ TWEET] [/TWEET ]

  13. #11
    Quote Originally Posted by eleganz View Post
    But OJ man still bad, right?

    Please tell me OJ man still bad!
    Bart Simpson Better

    Cranberry Juice Better

  14. #12
    Quote Originally Posted by eleganz View Post
    But OJ man still bad, right?

    Please tell me OJ man still bad!
    I can think of at least four things Obama did that were good but that doesn't make him a good president IMO. (Allowing waivers to No Child Behind, eventually pulling us out of Iraq, the Iran nuke deal, undoing the Ronald Raygun ban on guns in national forests). Yes I think this is a good thing Trump has done. I'm more impressed with his First Step Act, money for inner city revitalization and money for HBCUs. I'm not impressed with his push for billions for a wall that even he has admitted does nothing to stop the flow of drugs or asylum seekers. I'm not impressed with face scanning cameras at airports or at the border or the bumpfire stock ban. I'm not impressed with his using the power of the federal government to propagandize for war with Iran and attack critics of that war. I'm not impressed with his going after Julian Assange, a man who arguably helped Trump get elected, and putting Chelsea Manning back in prison for refusing to lie in order to put an innocent man in prison. But yes, this particular move (and several others) are good.
    9/11 Thermate experiments

    Winston Churchhill on why the U.S. should have stayed OUT of World War I

    "I am so %^&*^ sick of this cult of Ron Paul. The Paulites. What is with these %^&*^ people? Why are there so many of them?" YouTube rant by "TheAmazingAtheist"

    "We as a country have lost faith and confidence in freedom." -- Ron Paul

    "It can be a challenge to follow the pronouncements of President Trump, as he often seems to change his position on any number of items from week to week, or from day to day, or even from minute to minute." -- Ron Paul
    Quote Originally Posted by Brian4Liberty View Post
    The road to hell is paved with good intentions. No need to make it a superhighway.
    Quote Originally Posted by osan View Post
    The only way I see Trump as likely to affect any real change would be through martial law, and that has zero chances of success without strong buy-in by the JCS at the very minimum.

  15. #13
    Quote Originally Posted by Stratovarious View Post
    This sounds like 'normal' , before Obama Care.
    "Normal", you have to go quite a ways before Obamacare to get there.
    "The Patriarch"

    Quote Originally Posted by RJB View Post
    Now a days the future freedoms of ones posterity is less important than the freedom today to insert what one wants into ones posterior.
    Quote Originally Posted by Swordsmyth View Post
    That is a lie.
    @Brian4Liberty, devil keeps spreading this lie.
    Quote Originally Posted by Swordsmyth View Post
    I will report violations of the forum rules to the forum staff when they are egregious enough.

    You should remember that.

  16. #14
    Quote Originally Posted by jmdrake View Post
    I can think of at least four things Obama did that were good but that doesn't make him a good president IMO. (Allowing waivers to No Child Behind, eventually pulling us out of Iraq, the Iran nuke deal, undoing the Ronald Raygun ban on guns in national forests). Yes I think this is a good thing Trump has done. I'm more impressed with his First Step Act, money for inner city revitalization and money for HBCUs. I'm not impressed with his push for billions for a wall that even he has admitted does nothing to stop the flow of drugs or asylum seekers. I'm not impressed with face scanning cameras at airports or at the border or the bumpfire stock ban. I'm not impressed with his using the power of the federal government to propagandize for war with Iran and attack critics of that war. I'm not impressed with his going after Julian Assange, a man who arguably helped Trump get elected, and putting Chelsea Manning back in prison for refusing to lie in order to put an innocent man in prison. But yes, this particular move (and several others) are good.
    What does any of that have to do with this thread? Or is staying on topic just not a thing anymore?

    Why does one have to attach a list of ifs and buts to everything they agree with but that they're not "supposed" to?

    Is it to just appease petulant sufferers of TDS like the RPF version of SJW leftists?

    Oh Donald did this one thing good but hold on, let me just list everything I hate about him so I can retain my libertarian street cred.

    When Obama made the decision to be more open with Cuba, I remember I just gave him the credit for that without listing all of the sht he did wrong, which we all already knew by heart and didn't need to be repeated for the millionth time here and on the internet.

    I, for the life of me, cannot figure out why libertarian principles and issues need to be repeated over and over and over again here. The libertarian circle jerk is real. Nothing against you, just ranting in general.
    How to plug a TWEET in post [ TWEET] [/TWEET ]

  17. #15
    Quote Originally Posted by eleganz View Post
    What does any of that have to do with this thread? Or is staying on topic just not a thing anymore?
    I was responding to "Is Trump still bad" by analogy. Just because a president does something good doesn't mean he's not a bad president. So...technically you took the thread off topic.
    9/11 Thermate experiments

    Winston Churchhill on why the U.S. should have stayed OUT of World War I

    "I am so %^&*^ sick of this cult of Ron Paul. The Paulites. What is with these %^&*^ people? Why are there so many of them?" YouTube rant by "TheAmazingAtheist"

    "We as a country have lost faith and confidence in freedom." -- Ron Paul

    "It can be a challenge to follow the pronouncements of President Trump, as he often seems to change his position on any number of items from week to week, or from day to day, or even from minute to minute." -- Ron Paul
    Quote Originally Posted by Brian4Liberty View Post
    The road to hell is paved with good intentions. No need to make it a superhighway.
    Quote Originally Posted by osan View Post
    The only way I see Trump as likely to affect any real change would be through martial law, and that has zero chances of success without strong buy-in by the JCS at the very minimum.

  18. #16
    Quote Originally Posted by Origanalist View Post
    "Normal", you have to go quite a ways before Obamacare to get there.
    Precisely- gov should have NO business in health care at all.
    There is no spoon.



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  20. #17
    Quote Originally Posted by Swordsmyth View Post
    The money isn't coming from government.
    Companies are allowed to give it to employees as part of their benefits.
    The government is giving them tax breaks if they give their employees up to $1800 a year towards healthcare. (how much healthcare can you buy for $1800 a year?) Under previous rules, that could be used for deductables (after you used your own insurance). Under new rules, Trump will allow you to put that towards premiums too if you want (again, up to that $1800 a year).
    Quote Originally Posted by Swordsmyth View Post
    The quality seems to have dropped significantly since I came here, I guess you get what you pay for.
    "There is always a tweet. That has become accepted fact in the Trump presidency: For every pronouncement the President makes, there is at least one tweet from his past that directly contradicts his current view." -CNN

    I am Zippy and I approve of this post. But you don't have to.

  21. #18
    Quote Originally Posted by Zippyjuan View Post
    The government is giving them tax breaks if they give their employees up to $1800 a year towards healthcare. (how much healthcare can you buy for $1800 a year?) Under previous rules, that could be used for deductables (after you used your own insurance). Under new rules, Trump will allow you to put that towards premiums too if you want (again, up to that $1800 a year).
    So?
    That's not money coming from government.
    Never attempt to teach a pig to sing; it wastes your time and annoys the pig.

    Robert Heinlein

    Give a man an inch and right away he thinks he's a ruler

    Groucho Marx

    I love mankind…it’s people I can’t stand.

    Linus, from the Peanuts comic

    You cannot have liberty without morality and morality without faith

    Alexis de Torqueville

    Those who fail to learn from the past are condemned to repeat it.
    Those who learn from the past are condemned to watch everybody else repeat it

    A Zero Hedge comment

  22. #19
    Quote Originally Posted by Swordsmyth View Post
    So?
    That's not money coming from government.
    Tax breaks reduce tax revenues from what they would have been. That money has to come from someplace- either taxing somebody else or borrowing and taxing somebody else in the future. Same net effect if the government gave them cash equal to the amount of the tax.
    Quote Originally Posted by Swordsmyth View Post
    The quality seems to have dropped significantly since I came here, I guess you get what you pay for.
    "There is always a tweet. That has become accepted fact in the Trump presidency: For every pronouncement the President makes, there is at least one tweet from his past that directly contradicts his current view." -CNN

    I am Zippy and I approve of this post. But you don't have to.

  23. #20
    Quote Originally Posted by Zippyjuan View Post
    Tax breaks reduce tax revenues from what they would have been. That money has to come from someplace- either taxing somebody else or borrowing and taxing somebody else in the future. Same net effect if the government gave them cash equal to the amount of the tax.
    Lowering taxes is not the same as giving money that might be taken from someone else.
    Never attempt to teach a pig to sing; it wastes your time and annoys the pig.

    Robert Heinlein

    Give a man an inch and right away he thinks he's a ruler

    Groucho Marx

    I love mankind…it’s people I can’t stand.

    Linus, from the Peanuts comic

    You cannot have liberty without morality and morality without faith

    Alexis de Torqueville

    Those who fail to learn from the past are condemned to repeat it.
    Those who learn from the past are condemned to watch everybody else repeat it

    A Zero Hedge comment

  24. #21
    Quote Originally Posted by Ender View Post
    Precisely- gov should have NO business in health care at all.
    I agree.



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