Shopping the ACA Marketplace: One Small Business’ Route to ‘Affordable’ Healthcare

ACA-paper12-sig-sm72by Pamela Powers Hannley

With full implementation of the  Affordable Care Act (ACA), January 2014 marks the beginning of a new era in health insurance in the US.

For the chronically uninsured and for those with pre-existing conditions, it's been a long and financially perilous wait for all of the ACA benefits to kick in.

For anti-government, conservative ideologues, the three-year waiting period gave them time to mercilessly attack reform that will provide insurance for millions of Americans, spread layers of misinformation about "Obamacare," hold dozens of meaningless repeal votes in the Republican-controlled House of Representatives, and hold the country hostage for 16 days in a multi-million-dollar government shutdown fiasco.

Today, December 23, 2013 is the cut-off date for enrollment in ACA insurance plans which begin January 1, 2014; the final deadline for ACA enrollment is March 31, 2014. Since the beginning of December, I have been shopping the healthcare marketplace on behalf of the ultra-small business that I work for–The American Journal of Medicine. On Friday, I submitted our final paperwork to our insurance broker.

This is the story of one small business' route to "affordable" care.

Our Journey

Our journey began long before the premier of Healthcare.gov, the much-maligned ACA enrollment website, and even before the ACA was signed into law in 2010. At the Journal, we had been unhappy with our health insurance plan through Aetna for years. Like clockwork, the cost went up 10-25% each year, forcing us to rethink coverage multiple times in order to live within our budget.  We also were dissatisfied with the limited number of even more expensive alternative plans offered to us. The Journal's editorial pages have been pushing for Medicare for all for years and broke the stories about medical bankruptcy in 2009 and continued medical bankruptcy under Romneycare in Massachusetts in 2011. Consequently, we were ready for the public option back in 2009; today, we're just glad that the ACA made it through the Republican gauntlet and the Supreme Court. Unlike recent news stories about people and small businesses wanting to keep their existing healthcare plans, we were waiting with baited breath for three years to dump our plan.

The bottomline is that with Obamacare, the Journal — and the emplopyees– will pay less for healthcare insurance. Read about our ACA Marketplace experiences and lessons learned after the jump.

PDA Meeting: Everything You Ever Wanted to Know about the Affordable Care Act (and Healthcare Reform)

by Pamela Powers Hannley The Affordable Care Act (ACA) and healthcare reform, in general, will be the focus of PDA Tucson’s general membership meeting on Thursday, Nov. 14. Andrea Witte (the Connect the Dots Lady) will present the updated version of “The American Healthcare CrazyQuilt”, which looks at how the US healthcare system evolved into the … Read more

UPDATE: Oct 16 PDA Tucson Fall Membership Meeting Postponed until Nov 14

October 15 Update:
Yesterday, I posted a notice about the Fall Membership Meeting of PDA Tucson. The headline speaker was to be Congressman Raul Grijalva.
The Congressman had to cancel, so the PDA meeting is being postponed until Thursday, Nov. 14. 
Here is a link to the event on Facebook. You can find updates there or on this blog. We had hoped that Grijalva canceled because he was called back to DC to vote on lifting the shutdown and the debt ceiling, but given this afternoon's headlines that vote appears to be a distant dream.
October 14 Blog Post:
With the government shutdown, historic gridlock in Congress, and multiple protests errupting, Washington DC has been a hotbed of political activity.

While some Arizona Democrats are cozying up to the Republicans, Congressman Raul Grijalva continues to be a leader of the progressive movement. Last week, he and other progressive Congressmen were arrested at a recent immigration reform protest in DC (above). He also spoke with Democracy Now about the shutdown and immigration reform.

This Wednesday, October 16, Grijalva will give a Washington update at the Fall Membership Meeting of Progressive Democrats of America (PDA) Tucson Chapter at the Ward 6 midtown office.  

On Occupy’s 2nd Anniversary: The World Says ‘End Austerity Now!’ (video)

Camping144-sig-sm72by Pamela Powers Hannley

What began on Sept 17, 2011 as an extended sit-in in a park in Manhattan– the bastion of US capitalism– the Occupy Movement grew into a worldwide movement with a simple message, "We are the 99%."

And we are oppressed by the 1% who own the world's wealth.

Occupy's we're-all-in-this-together– regardless of age, race, ethnicity, gender, sexual orientation, ability, or location on the globe– message presented an ah-ha moment and raised the class consciousness of millions of people.

Despite being ignored by the mainstream media, within weeks, Occupy encampments sprung up across the USaround the world, and here in Tucson.

Although small-scale compared to big-city encampments, Occupy Tucson was one of the longest running, ongoing encampments and one of the most harassed by local police and one of the most ignored by the local media. Hundreds of tickets for violating park curfews were issued to Tucson Occupiers in nightly park sweeps. At one point in 2011, more Occupy tickets had been issued in Tucson than in any other US city– except for New York City.

Today, Occupy Tucson lives on– not in the parks– but in a small office in the Alliance for Global Justice headquarters, where several activist groups share space. Well-known local Occupiers and their allies regularly speak out or organize actions related to ending corporate personhoodstopping Citizens United, building a sustainable community, ending drone warfarestopping genetically modified foods, and other issues of the day.  [Video links and the impact of Occupy after the jump.]

Tucson Food Stamp Challenge: A Teachable Moment

Food-stamp32-sig-sm72by Pamela Powers Hannley

September is Hunger Action Month. Locally, the Community Food Bank of Southern Arizona is encouraging Tucson residents to take the SNAP (food stamp) challenge by trying to live on $4 of food per person per day.

If you follow my blog, you know that I write regularly about poverty and imperiled social safety net programs, including food stamps and other nutrition programs like Meals on Wheels and school lunches. When the food bank called me and asked if I wanted to join the SNAP Challenge and blog about it, I jumped on board. I was intrigued by Cory Booker’s food stamp challenge blogging and video and wanted to try it.

My husband and I both participated in the SNAP challenge this week. Since there were 2 of us doing it, our allotment was $32 for the 4 days of the challenge. Read about our experience after the jump.