DeluxAuto
AntiSocial Extrovert
- Joined
- Dec 16, 2010
- Posts
- 22,593
Really trying hard to sell this one.dementedcrap
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Really trying hard to sell this one.dementedcrap
So not dependent on the ACA.Fraud is an issue and difficult to find and prosecute.
So not dependent on the ACA.Waste and abuse can be addressed but the will to make changes has to be there. Politicians need to admit to themselves that there's a better way to conduct business.
Preexisting conditions not being covered was a problem that was addressed by the ACA. If the solution needs work to make it better, then let's find those.Competition is all but eliminated in ACA. Choice for more equitable policies that cater to individual needs is limited. In 2010 had the government dealt with pre-existing conditions the need for government overreach would not have been required. People are channeled into huge insurance companies eliminating competition and choice playing the "WERE THE ONLY GAME IN TOWN".
It exists in the private sector as well.The bigger the government the more waste, fraud and abuse exist. IMHO
Yup, buying collision insurance after the wreck.So not dependent on the ACA.
So not dependent on the ACA.
Preexisting conditions not being covered was a problem that was addressed by the ACA. If the solution needs work to make it better, then let's find those.
It exists in the private sector as well.
Do you understand what is factored in as preexisting conditions?Yup, buying collision insurance after the wreck.![]()
Then there's this AI overview:
Fraud and abuse in Affordable Care Act (ACA) subsidies are significant issues, largely driven by unscrupulous brokers manipulating enrollment data to maximize commissions and enrollees misrepresenting their income to receive higher subsidies. Recent estimates suggest billions of dollars are lost to improper payments and fraudulent schemes.
Common Types of Fraud and Abuse
- Misstating Income: Both brokers and enrollees have incentives to misreport income. Brokers might inflate an applicant's income to meet the minimum eligibility for subsidies (100% of the federal poverty level), while some individuals might misstate their income to receive higher premium tax credits than they are entitled to.
- Unauthorized Enrollments and Plan Switching: A rampant form of abuse involves brokers enrolling individuals in plans or switching their existing plans without their consent or knowledge (often after obtaining personal information through misleading advertisements).
- Targeting Vulnerable Populations: Unscrupulous brokers have targeted individuals experiencing homelessness, unemployment, and mental health issues, sometimes bribing them to sign up for plans using manipulated information to maximize subsidies.
- "Zero-Claim" Enrollees: A high number of enrollees who do not file any medical claims are often "phantoms" (unaware they are enrolled or already covered by another plan like Medicaid or employer coverage). This points to enrollment-at-any-cost strategies that benefit insurers and brokers through government payments, not actual patient care.
- Deceptive Marketing: False advertisements on platforms like Facebook and YouTube promising cash benefits or government-funded gift cards are used to gather personal information from potential enrollees.
- Automatic Re-enrollment: Aggressive automatic re-enrollment procedures can perpetuate improper enrollments year after year, especially for those in fully subsidized plans who may not even know they are enrolled.
Recent Cases and Statistics
- The Department of Justice (DOJ) has brought charges against individuals involved in large-scale fraud schemes, including one in South Florida that allegedly claimed nearly $162 million in ACA subsidies through deceptive practices.
- The Centers for Medicare & Medicaid Services (CMS) received over 200,000 complaints from people enrolled or switched to plans without their permission in 2024.
- A March 2025 CBO analysis, cited by some Republican lawmakers, estimated that 2.3 million individuals improperly claimed premium tax credits by misstating their income in 2025, a significant increase from prior years.
Democrats have zero plan to fix ACA other than throw more money at it. ACA started with a 50/50 split on how to pay for ACA where the government would pay 50% of the cost. Now that the program chased out individual and small business purchasers of healthcare coverage the government now pays 90%.
ineedhelp1 is a seriously stupid and non-responsive fuckwit.
Crime should be punished AND the ACA is / was a great advancement in healthcare coverage / access / service.
I’m glad ineedhelp1 agrees.
We. Told. Them. So.
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Democrats have zero plan to fix ACA other than throw more money at it. ACA started with a 50/50 split on how to pay for ACA where the government would pay 50% of the cost. Now that the program chased out individual and small business purchasers of healthcare coverage the government now pays 90%.
Show me how government subsidies year after year helps lower cost. There's like 8 million people who are covered by ACA and their own healthcare policy. The government is paying for those phantom policies straight into insurance provider pockets.
A lot of Democrats are actually mad at these folks because they helped open the the government. Sounds like many in the party actually wanted to keep it closed indefinitely. Crazy!List of eight Democratic United States Senators, who voted to end the Schumer Shutdown:
*United States Senator Jacky Rosen (D-NV): up for reelection in 2030.
*United States Senator Catherine Cortez Masto (D-NV): up for reelection in 2028: although I will laugh if Nevada Governor Joe Lombardo knocks off Cortez Masto in three years if national Republicans pressure him to run against her.
*United States Senator Angus King (I-ME): up for reelection in 2030, although I will be shocked if he runs for a fourth term.
*United States Senator John Fetterman (D-PA): up for reelection in 2028: It wouldn't shock me if he retires due to the obvious BULLSHIT he's been getting lately.
*United States Senator Tim Kaine (D-VA): up for reelection in 2030. Kaine will be safe by then when the triggered freaks get over it.
*United States Senator Maggie Hassan (D-NH): up for reelection in 2028.
*United States Senator Jeanne Shaheen (D-NH): Retiring in 2026, it's quite obvious Shaheen is in the "I don't give a shit anymore" moods.
*United States Senator Dick Durbin (D-IL): Retiring in 2026 after 30 years in the United States Senate.
Rep. Grijalva signs petition on Epstein files, giving it the 218th signature needed to force House voteLol, no she doesn't. And, until she is, her signature isn't relevant.
Look at all the mad Dems over at Fox!A lot of Democrats are actually mad at these folks because they helped open the the government. Sounds like many in the party actually wanted to keep it closed indefinitely. Crazy!
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word on the street is that the usa government shut down is officially over
NBC too! You poor soul.
Lol, no she doesn't. And, until she is, her signature isn't relevant.
Rep. Grijalva signs petition on Epstein files, giving it the 218th signature needed to force House vote
By — Associated Press
Politics Nov 12, 2025 4:56 PM EST
WASHINGTON (AP) — Rep. Adelita Grijalva, D-Ariz., signed a petition Wednesday to force a House vote on releasing files related to Jeffrey Epstein, giving it the needed 218 signatures.
Grijalva was sworn in as the newest member of Congress on Wednesday, more than seven weeks after she won a special election in Arizona to fill the House seat last held by her late father.
Poor![]()
The best thing about this shutdown is that it's over.the best thing about this shutdown is that it will forever be blamed on trump no matter who was actually at fault.
I agree with you that it's a good thing the dems ended it.The best thing about this shutdown is that it's over.
Interesting priorities you have there.