Obamacare starts when in 2014 private health insurance becomes a requirement for all employed United States citizens. But in actuality a huge chunk of Obamacare has already been implemented in the form of taxes and organizational changes.
As previously reported by The Inquisitr, even before Obamacare starts some doctors are stopping insurance coverage. One doctor claims this allows them to eliminate the insurance paperwork and improve both patient care and the bottom line.
When Obamacare starts in 2014 the NY Times claims the goal is to pay less yet get more by giving incentives to doctors:
“Doctors and hospitals are paid primarily for procedures and tests, not health outcomes. The goal of the health care law is to flip this fee-for-services system (which some insurance companies are emulating) to one where the government pays doctors and hospitals to keep Medicare patients healthy and the services they do render are reimbursed more for their value than volume.”
To meet this goal all doctors will have to switch to electronic patient records which can be shared between providers. Gathering all this data would allow computer programs to analyze patient’s records in order to provide preemptive health care. For example, there might be early signs of cancer that could be screened via computer based analysis.
But critics are already saying Obamacare is being implemented poorly. Even Harry Reid, who helped pass the Affordable Care Act, calls Obamacare’s rough start a “train wreck.”.
What’s more troubling is that the IRS will be in charge of implementing Obamacare. The Obamacare taxes started being collected in 2010, but this money only covers six years of coverage to 2020 for 10 years of taxes. When Obamacare starts in 2014, the IRS leader in charge of Obamacare is also the same person who was in charge of targeting conservatives as part of the IRS Scandal.
When Obamacare starts in 2014, anyone who does not purchase qualifying health insurance must pay an Obamacare individual mandate non-compliance tax, which is estimated to affect six million Americans mostly in the middle class. All families will be required to provide estimates of future income at the end of 2013. But if projections are wrong Obamacare could trigger large tax surprises years down the road.
Other Obamacare taxes already implemented include a capital gains tax, a medicare payroll (FICA) tax increase, taxes on high medical bills, medical device taxes, and taxes on Flexible Spending Accounts (FSA). When Obamacare starts in 2014, businesses face penalties ranging from $2,000 to $3,000 per employee for not offering health coverage. As Obamacare starts some taxes will not be phased in until 2018, which includes extra taxes on health insurance companies, union members, and early retirees.
When Obamacare starts in 2014, what do you plan on doing?