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Individual Mandate More Like Suggested Donation
The IRS has already said it will not enforce penalties for not obtaining health insurance, but according to an exception-filled set of rules proposed by the White House, there wouldn't be much to enforce even if the agency were willing.
Given the low reimbursement somehow state hospital associations are aggressively campaigning for states to expand Medicaid claiming it will reduce the cost shift! So let me get this straight, if a state expands Medicaid (subsidizing something encourages more utilization), but there are still significant uninsureds and more people turning 65 and no significant increase in primary care providers, that somehow there will be less cross subsidization? Seems like a recipe for more ER visits not less.
IRS to accept "suggested donations" the notion offends me.