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What does the Better Care Reconciliation Act (Republican Senate health bill) accomplish?

In order to understand this, you need to understand what Obamacare does.It tells insurance companies they can’t deny coverage on the basis of pre-existing conditions.It tells healthy people they have to buy insurance, in order to prevent the development of a death spiral where costs rise as more and more healthy people leave the insurance marketplace.It gives people subsidies to allow them to afford health insurance.It expands Medicaid, paying 90% of the costs of the expansion in states that accept it. Many Republican states have chosen to opt out of the Medicaid expansion.It mandates minimum levels of coverage to be provided by health insurance plans, so that people don’t have nominal “insurance” that doesn’t actually cover anything. This makes insurance more expensive.It caps how much more insurance companies can charge the sickest people, compared to what they charge healthier people. This is in effect a subsidy from the healthy to the sick.It raises taxes (more than half a trillion dollars) to pay for all of this:A 3.8 percent surtax on investment income on households making $250K or more.A 0.9 percent surcharge on wages above $250KTaxes on drug companies and medical device manufacturersTaxes on health insurance company profits.This is the ACA in a nutshell. It’s a redistributive policy:The rich are taxed more so that the poor may have health care.The healthy are forced to pay more so that the sick may pay less.The problem is that this is mind-numbingly complex and therefore hard to explain. The other problem is that there will always be problems. And the problems with the law allowed its opponents to relentlessly attack it.What were most people unhappy with?Their premiums and deductibles rose, so that they felt they were paying too much and receiving too little. This is by far the biggest complaint. We will see what this bill proposes to do.They did not get to keep their doctor.They were forced to buy insurance when they might have preferred not to.When many Republican voters complain about this law, these are their most common complaints.But what the Republican party as an institution hated about this law was the fact that it raised taxes on the rich to provide a benefit to the poor. So, while the party spent years attacking the unpopular parts of the law, its aim was not actually to fix what most people hated about the law. Here’s what Mitch McConnell, probably this generation’s most gifted politician, said back in January:What you need to understand is that there are 25 million Americans who aren’t covered now. And many Americans who actually did get insurance when they did not have it before have really bad insurance that they have to pay for, and the deductibles are so high that it’s really not worth much to them.What is he complaining about?the law doesn’t cover enough peoplethe insurance is “really bad.” Most people would understand that to mean that it doesn’t cover enough things.the deductibles are too high.Hearing this, one could be forgiven for assuming that Republicans wanted to expand health insurance coverage to more people, make it more generous, and reduce deductibles.But that’s not what this bill does at all. Its main aim, which is also reflected in the AHCA, was to repeal taxes on the wealthy. Let’s look at the effects of this bill in turn:It repeals all of the aforementioned taxes. This is a huge tax cut for high income earners, the medical device industry, and the health insurance industry. The problem is that this means that there is less money in the system to pay for health insurance. The result, inevitably is that fewer people will get covered, or the amount of healthcare purchased for each individual will have to decrease, or both.It repeals the Medicaid expansion by 2021. About half of the 20 million or so people who have gained insurance with the passage of the law did so through the Medicaid expansion. Another 4 million people were eligible through the old rules but weren’t aware. These people wouldn’t lose insurance with this change. But that still leaves about 10 million people who will lose insurance from the repeal of this provision alone.It cuts Medicaid beyond the repeal of the ACA expansion. Under current law, the government pays the bills without any cap. It keeps things affordable by paying doctors and hospitals at a lower rate than do other insurances. The new bill would change this system to either a per-capita system where states would receive a certain amount of money based on how many people they covered or a block grant system, where they would get a lump sum of money regardless of how much they covered, thereby providing them with an incentive to kick people off the rolls (fewer people covered would mean more money in the coffers of the state). The amount spent on Medicaid would also be indexed to the Consumer Price Index starting in 2025. Below is the historical difference between the the two indices: as you will note, the CPI rises a lot slower than the MCI. This means that there would over time be less money to spend on more expensive healthcare. This would again result in fewer people being covered.The individual mandate is repealed. Fewer healthy people will sign up. The overall pool of the insured will be sicker and more expensive to cover. Insurers will raise premiums to cover the increased costs. More healthy people will opt to go without insurance, which will make the pool of the insured even sicker overall, raising costs further. This is the much feared death spiral. It’s a near-certainty if this bill is signed into law as is.States may opt out of ACA requirements that health insurance cover a certain list of essential health benefits. This is about SECTION 1332: STATE INNOVATION WAIVERS. Currently, in order to get a waiver to experiment with a different means of providing health insurance, states must provide coverage:at least as comprehensive and affordable as would be provided absent the waiver.to a comparable number of residents of the state as would be provided coverage absent a waiverthat does not increase the deficit.The senate bill repeals (a) and (b). The result is that states will be able to provide less generous coverage to fewer people.It changes how much people receive in subsidies in 2 main ways:The ACA subsidies are available people earning less than 400 percent of the federal poverty line ($47,550 for an individual or $97,200 for a family of four). This bill changes that to 350 percent of the federal poverty line. This effect is a net negative for the working poor.It makes people below the federal poverty line eligible for subsidies. These people were meant to be covered by the Medicaid expansion, but in its ruling on the legality of the ACA, the Supreme Court made the Medicaid expansion optional for states. So, some states opted not to expand Medicaid. The result is that many poor people found themselves without Medicaid but subjected nonetheless to the insurance mandate. This provision would be a benefit to them.It changes the definition of “affordable.” Right now, “affordable” care means that people earning under 400% of the federal poverty line can be charged a maximum of around 9% of their income before receiving subsidies to help with the rest. Now, some people could be charged as much as 16% of their income before being eligible for subsidies. The net effect of this will be to make insurance more expensive.So, what’s the overall effect of this bill?Millions will lose health insurance.Insurance will cover less.Deductibles will be higherAnd all that will be done in order to cut taxes for rich people, bigly!

What are the best health insurance plans for you and your family in India?

Incurred Claim Ratio (ICR) is an indicator of a company’s ability settle claims. Every year, the incurred claim ratios of prominent health insurers are published by the Insurance Regulatory and Development Authority of India. The formula for calculating Incurred claim ratio is simple. It is equal to the net amount paid as claims divided by the net premium collected by the company in a financial year.Ideally, one should go for an insurance company with ICR close to the average ICR of all the providers in an FY.With an increase in the demand for health insurance, the insurance industry has an overabundance of insurance providers and policies. The question arises- which one should you buy? There are a lot of reputable players in the market. A few of them are Religare health insurance policy, Star health insurance, HDFC Ergo Health insurance, and Aditya Birla Health Insurance.What Do Health Insurance Plans Include & Do Not Include?According to your requirements, you can customize your health insurance policy. You can club it with add-ons as well. There are various types of health insurance like Individual health care policy, Family health plan, Senior citizen health plan, surgical plans, critical disease plans, cancer care plans, maternity policies etc. To protect yourself as well as your family, you can go for a family floater plan. A few features of such a plan are as follows.Cashless TreatmentCover for Pre and post hospitalization feeReimbursement for Ambulance fees.Expenses of Routine medical check-ups are coveredIn-patient hospital expensesCharges for treatment due to a pre-existing illnessCharges for treatment availed at home.Now let us see a list of services Not Covered By the Health Insurance Companies in IndiaNo coverage is given during the waiting period which is usually first 30 of policy commencement. For pre-existing diseases, the waiting period can be of 2-4 yearsCoverage of critical illnesses is subjected to a waiting period of 2-3 years.Injuries caused by war or terrorism or suicide attempts.Cosmetic surgeries.Treatment by an under-qualified medic or doctors.While looking for health insurance, people often search for the best family health insurance policies. In reality, there is no “best health insurance policy”. Instead, the search should be for a policy that meets your insurance needs. If understanding insurance puts you in a quandary, you should go for a third-party, professional opinion. This is why buying policy online is much better than running from pillar to post.However, keeping in mind the needs of an average Indian, we have compiled a list of top health insurance policies.1. Religare Care :Incurred Claim Ratio (2016-17): 51%Min Entry age: Children- 3 months; Adults- 18Max Entry age: N.A. (No max entry age); Lifelong renewabilityMinimum and the maximum sum assured: 3 lakhs to 60 lakhsMax. Number of members covered: 6Waiting period for pre-existing medical conditions: 4 yearsWaiting period for policy-specified diseases: 2 yearsEvery No-claim year will lead to a 50% waiver of the premium which can go up to 150%. This policy covers room rent in case of hospitalisation, pre-hospitalisation expenses and post-hospitalisation expenses in case of a surgery, ambulance expenses and also provides a daily cash benefit. It also offers cover for pre-hospitalisation charges of up to 30 days and post-hospitalisation up to 60 days. It also offers an organ donor cover of Rs.1 lakh-2 lakhs. There is no limit on ICU-stay charges. This policy offers private room facility in case of hospitalisation and one free medical check-up every year. Add-ons like Air ambulance cover, personal accident cover etc., can also be added.2. Apollo Munich Optima Restore Family:Incurred Claim Ratio (2016-17): 55%Minimum entry age: 5 years for children and 18 years for adultsMaximum entry age: 65 years; Lifetime renewabilityMinimum amount assured: 3 lakhsMaximum amount assured: 50 lakhs.Max. Number of members covered: 6Waiting period for pre-existing medical conditions: 3 years.Auto-reinstatement of the sum assured if the basic sum assured gets exhausted. But, this restoration can take place only once in a policy period. For every no-claim year, your basic sum assured will be increased by 50%. This policy will cover the complete expense in case of a life-threatening disease and comes with the feature of daily cash benefit as well.3. Star Family Health OptimaIncurred Claim Ratio (2016-17): 61%Minimum entry age: 16 days; Adults- 18Maximum entry age: 65 years; Lifelong renewabilityMinimum and the maximum sum assured: 2 to 15 lakhsMax. Number of members covered: 5Waiting period for pre-existing medical conditions: 4 yearsWaiting period for policy-specified diseases: 2 yearsThe expense cover expands to ambulance expenses, hospital charges, in-house treatments etc. Also, if the sum assured is exhausted, it will be automatically restored. 3 auto-restorations can be availed in one policy period. This insurance provider has tie-ups with more than 6000 hospital networks. Hence, the payouts are quicker. They have an option of maintaining records online as well.4. Max BUPA Health Companion:Incurred Claim Ratio (2016-17): 52%Min Entry age: 3 years; Adults- 18Max Entry age: N.A. (No max entry age); Lifelong renewabilityMinimum and the maximum sum assured: 3 lakhs to 1 crore.Max. Number of members covered: 6 (4 adults+2 children)Waiting period for pre-existing medical conditions: 4 yearsWaiting period for policy-specified diseases: 2-3 yearsAuto-refill of the sum assured is available in case the basic sum assured is exhausted. With a premium that does not burn a hole in your wallet, this policy offers higher daily cash benefit. Also, as NCB, for 5 consecutive no-claim years, the basic sum assured will be increased by 100%.5. HDFC Health Suraksha:Incurred Claim Ratio (2016-17): 41%Min Entry age: 3 years; Adults- 18Max Entry age: N.A. (No max entry age); Lifelong renewabilityMinimum and the maximum sum assured: 3 lakhs to 7.5 lakhsMax. Number of members covered: 4Waiting period for pre-existing medical conditions: 4 yearsPre and post hospitalisation expenses, ambulance expense, daycare or in-house treatment expenses are covered by this plan. Every non-claimable year will accumulate a 5% premium discount.6. Bajaj Allianz Family Floater health Guard:Incurred Claim Ratio (2016-17): 73.59%Min Entry age: Children- 3 months; Adults- 18Max Entry age: Children-25years; Adults- 65 yearsMinimum and the maximum sum assured: 2 lakhs to 10 lakhsLifelong renewal OptionMax. Number of members covered: 6Waiting period for pre-existing medical conditions: 28 monthsPre-hospitalization coverage- 60daysPost-hospitalization coverage- 90 daysWith simple eligibility criteria, Bajaj Allianz Family Floater Health Guard offers a maximum coverage of 10 lakh. The policy offers a cumulative bonus of 5% for each claim free year up to a maximum of 50%. Moreover, the plan also provides tax benefit under section 80D of the Income Tax Act. 15 days grace period is offered in case the policy is not renewed timely. As this is a family health plan, it provides coverage to the entire family under a single plan.7. Oriental Insurance Happy Family Floater Policy:Incurred Claim Ratio (2016-17): 114%Min Entry age: Children-3 months; Adults- 18Max Entry age: N.A. Children-25 years ; Adult- 55 yearsMinimum and the maximum sum assured: 1 lakhs to 10 lakhMax. Number of members covered: 8 (6 adults+2 children)Waiting period for pre-existing medical conditions: 28 monthsOriental Health Insurance Family Floater plan is available in two variants- gold and silver. The policy provides coverage to the insured and his/her immediate family members. The insured can avail tax benefits under section 80D of Income Tax Act. The plan also provides no claim bonus of 5% for every claim free year up to maximum of 20%.8. SBI LifeSmart Health Insurance:Incurred Claim Ratio (2016-17): 54.41%Min Entry age: Children-3 months; Adults- 18Max Entry age: N.A. Children-22 years ; Adult- 65 yearsMinimum and the maximum sum assured: 1 lakhs to 5 lakhsMax. Number of members covered: 6Waiting period for pre-existing medical conditions: 28 monthsThis is a comprehensive health plan with fixed benefits. Irrespective of the health insurance claimsmade, the premium of the policy remains constant and is required to be paid for the entire tenure of 5 years. The plan provides daily cash benefit upon hospitalization, daily ICU benefit, day care treatment, lump-sum surgical benefit post hospitalization coverage.A healthcare policy is a protective cover that will shield your savings in case of a health emergency and will let you recuperate in peace. To find the best health insurance policy in India that suits you and your family, you must compare different policies according to your family’s needs.

What are your views on Jairam Ramesh’s comment that India can't afford the demise of the Left? Why is the Congress interested in backing the communists?

Congress has no love for the Communists. They have been the main opponents of communists in West Bengal, Kerala and in many other North-Eastern states for several decades. If they have suddenly developed love for Communists, it is due to the fear of their common enemy BJP.An old proverb rightly sums it up, “The enemy of my enemy is my friend.”Left is never going to be irrelevant in India because Indians have a great method to make a great ideology redundant by their trick of assimilation.Let me explain this with an example.Buddhism is one of the most popular religions in the world. There are almost 500 million followers of Buddhism in the world. However, Buddhism is practically extinct in the country of its birth because Hindus declared Buddha as an incarnation of Lord Vishnu and assimilated Buddhism to Hinduism. When Buddha is considered to be one of the Gods of Hindus, why then they have to adopt a separate religion.In the same way, today BJP, the so called extreme right wing party of India has become more leftists than the Left itself.They have started numerous peoples’ friendly programmes, poverty alleviation programs, loan waiver schemes etc. during their regime. They are spending more taxpayers money on the poor than any leftist government can spend. The recent launch of ‘Modi-care’ health insurance scheme for almost 500 million poor in India is one such example.When the extreme right of Indian politics is so leftist, where is the question of the demise of Left?The Indian politics has become so leftist today that even Lefts have to reinvent themselves to compete with their Rightist brothers.Sourceshttps://en.wikipedia.org/wiki/DashavataraBuddhism by country - Wikipedia

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