Hacker News new | past | comments | ask | show | jobs | submit login

Try being self employed with a family! $1,400/mo premiums and $8,000 deductible. Certainly not even the worst case.



For me (bronze ACA plan w/ no subsidy) it's approaching $800/mo with a $15k max family deductible ($8k/person), and $18k maximum out-of-pocket expenses.

So minimum to maximum liability spread for healthcare cost is ~$10k-$27k. If I pull down $100k in a year, 10-27% of my gross paycheck goes to healthcare.

A shoddy analysis of ACA programs countrywide for 2019 [1] (e.g., for a 30-year-old couple with one child) lead me to the conclusion that it really doesn't get that much cheaper. Bronze, silver, gold, or platinum -- you're going to end up paying a good chunk for premiums. The metal level just is a gamble whether to front- or back-load the costs to you (roll the dice on if you think you're going to be sick next year). At absolute minimum $6400/yr, and if you get really sick, it's going to cost you $17-50k.

It's incredible and terrifying to me how small business owners -- at least those who earn too much for a subsidy -- have fallen through the cracks of the ACA. It's far better than it was, but we need universal healthcare, period.

It will lower total cost of healthcare (even though taxes will obviously increase, they should increase less than healthcare costs will decrease, since the US often pays double what other rich countries pay for healthcare [2]), remove the sword of Damocles of employer-subsidized healthcare hanging above the head of would-be entrepreneurs (who hope to leave and follow their own path, but many don't because if they don't make enough in your new business to offset the massive increase in healthcare costs, they're screwed), remove medically caused bankruptcies, and remove "should I get this cough/lump/etc. checked out" as an economic vs. health question (which is just a perverse calculation, but one that happens often in the US). These are just a few of the primary benefits.

[1] Data available here: https://www.healthcare.gov/health-and-dental-plan-datasets-f...

[2] https://www.healthsystemtracker.org/chart-collection/health-...




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: