ACA

the_black_fox_

And the wildest part is there are still people who think the ACA needs to be repealed 😂😂

Nythoren

How, Mr. President? I'm willing to hear you out. How are Republicans bringing down prices? What actions? What laws? What regulations? All I've seen are tariffs, an unprovoked foreign war that's causing massive increases in diesel prices, increased diesel prices causing a ripple cost increase for everything else, removal of price controls on healthcare, shutting down the ACA exchange, removing all tax incentives to switch to green energy (both in generation and usage, like EVs) which are increasing demand/price for fossil fuels. None of those actions are helping, that's for sure. The only thing that seems to be cheaper than when Biden was in office are eggs. And those egg prices were related to bird flu, so the price increases and decreases happened with zero action from any government.

jark87

Only a handful of individual stocks representing less than 5% of my portfolio. I wouldn’t even have those any longer if not for needing to hold them to avoid capital gains and keeping MAGI below ACA subsidy levels.

Happy-n-Healthy

$500 ACA Refund check coming just in time thanks Mango Man!

proverbialbunny

Obama wrote his own speeches and bills, yes. He did not write all of the ACA, but he did write his own executive orders and many bills. Hillary and Biden also write their own bills.

Jazz-Hands--

They can easily cut social security nets without a revolt, even separately from inflation. Americans haven't and won't do anything, largely because so many of them are brainwashed and/or complacent. This has already happened with healthcare. Working class Americans are complaining about how the ACA repeal has already impacted their healthcare costs even before being in full effect, but that's it... and half of them are oblivious to why their premiums and deductibles are skyrocketing.

Immediate_Concept_23

healthcare stocks sold off after CMS moved to cancel ACA coverage for roughly 760,000 people. Tandem has little direct exposure to that

suchabeee

I love when people say this bs “not a fan of dems” like passing of ACA, Dodd Frank reform, IRA for clean energy and climate change, same sex marriage, chips act, infra and jobs act isn’t really a big deal for America. What has the other side done for the country? Lmaooooooooo

blueskies8484

It’s only workable imo if you’re willing to go without health insurance if the ACA subsidies disappear. That’s the real kicker 20 years from Medicare and ensuring you have sufficient income to not fall into the Medicaid zone.

95Daphne

I mean, I believe most Americans are willfully blind. Hope that helps! But seriously, since the ACA repeal failed, pre-pandemic the only two things that really would’ve broken through for the very casual person, of which there are millions of in the US, are the TCJA and “find me dirt on Biden.” Maybe the assassination in early 2020 for a news cycle. Guardrails then prevented anything else, and the economy was generally good thanks to Obama/tax cuts that weren’t needed.

Haunting_Demand_5114

I disagree on that idea in a big way. Assume democrats ride the wave this year and in 2028, or even people are sick of the mess and chaos he caused and elect an old school republican like Mitt Romney in 2028, we are still screwed for at least a decade. We are probably going into austerity mode due to five big problems: 1. A crazy high deficit that will need to be addressed. We will have the low corporate tax rates locked in and the regular folks tax savings expiring (good luck for any party to raise taxes - which we need). Medicare and Medicaide and food stamp cuts and ACA subsidy losses start in 2027. All the cuts to gov't services, agencies and staff will take a long, long time and a lot of money to repair (think of the loss of all the attorneys from the DOJ and the scientist from every part of our gov't). All kinds of long-term effects that take a while to fully impact the country. 2. Social Security trust fund running dry in 2032. From that point forward benefits will be cut by around a quarter. We will have to address that and it requires raising additional funds (tax increases - payroll taxes ect.). 3. Fallout from us screwing over our allies with a trade war and tariffs and a significant realignment of the global order. Allies are already making deals without the US and the other realationships will take years to repair. All these moves will put the US in a bad economic position for years to come and will have long-term effects on our economy. 4. Refilling the SPR will take a huge amount of money especially at the elevated oil prices we are likely to see in the future. 5. We have severely impacted long-term trust and confidence in our financial markets. This is sort of an all four prior reasons rolled into one. Not only the grift and fraud from the top but expect the AI bubble to pop in the next 1-3 years, treasuries will be more expensive to sell in the coming years and the rest of the world knows that at any time the US can elect a madman to wreck havoc on the globe. Or AI can kill us all and we don't have to worry about any of this......

D3AtHpAcIt0

did you go to the ACA market, or just ask your provider for the quote? It should be like $600/mo market rate

IncidentSouthern2119

Exactly my point. America is not an individualistic or capitalist society, it is Socialism for some and Capitalism for others. Social Security is a Social(ist) program. The massive amount of wealth stored in 401ks and the Stock Market as a whole means...how many times have you heard "too big to fail" - that's a Social(ist) backstop to the market. Capitalist, Free Market societies would end Social Security and let companies fail. Look at a the huge fluctuations in work stock markets through the 1800s. EMTALA - Socialist medical care. Medicare/Medicaid/ACA Subisidies - Socialist.

Complete-Tangelo1532

and the ACA rebates\*

Huge-Power9305

We went the ACA PTC route between my retirement and my wife's reaching Medicare age. Since it's a cliff design we got about 1/2 her Insurance covered (5k per year range on 9-10k insurance cost). That was on \~65k per year MAGI. We used after tax account/savings tp stay below that cliff. Once we both hit medicare age I did capital gain harvesting for 2 years on that taxable account to maximize the zero LTG bracket before my RMD age. That worked well. Not sure what is doable now with the changes to the PTC in BBB.

oldsock

Well said and agreed. I'm waffling between doing some Roth conversions and maxing ACA Subsidies when the time comes. The way healthcare costs keep increasing it feels better and better to take the known benefit now over the tax savings later.

Gold_Ticket_1970

The 1776$ that came out of the military housing budget?. Doge check? Tarriff check? ACA REBATE? HEALTHCARE PLAN ? 2 weeks away?Trump loves the truly stupid...keeyuk

Skeewampus

Did the government actually receive any money from people for the ACA. There’s was a portal connecting people to insurers. Wouldn’t the insurers need to provide that refund back on overcharges?

Unhappy-Estimate6402

That will pay for 10 days of unsubsidized ACA coverage. You just have to cover the remaining 355 days.

Jazz-Hands--

Damn I'm sorry, that sucks. I'm nervous about 2027 with ACA actually gone. Hopefully we've seen the worst of it already 🤞

Jazz-Hands--

Yeah after just the announcement that the ACA was toast my insurance costs went up $4,000 a year. $500 is a fucking joke.

Connect-Cap861

Same people who were in the ACA, but couldn't wait to repeal Obamacare

Kalkaline

The ACA subsidies expiring means healthcare systems are getting far less revenue. You'll see huge drops for publicly traded hospital companies ~20% revenue drop for Q1 year over year. Insurance companies are going to see big losses too. The healthcare system is going to absolutely suffer along with those who need it. 

This-Layer-4447

**So he just started by saying he’s going to do this, he’s going to do that, he’s going to give everyone these wonderful checks. First, it was a $5,000 DOGE dividend. Then it was a $2,000 tariff check. Then it was over $1,000 from ACA savings. Now, he's back to promising another $5,000 dividend if they win the midterms! But zero checks have been issued. Why hasn’t he done it? He’s in the White House right now! They control the House, they control the Senate, they have everything! They've had all this time to send the rebates and do all the things we talked about. Why hasn’t he done it?** **He should walk right out of the Oval Office tonight, go down the hall, get Congress together, and do the things he says he wants to do. But he hasn’t done it, and he won't do it, because they are spending all their time talking about things that don't make sense. They talk about DOGE savings paying for it, but the watchdogs caught them fabricating the data. They talk about tariff revenue, but the Supreme Court struck down his tariffs as unconstitutional and forced the government to pay billions in corporate refunds instead! They talk about health savings, but their own party couldn't even pass the ACA cuts through Congress. Germany tried playing around with their budget like that, and within one year they were completely stuck. We can't sacrifice our economy for the sake of a bad vision.** **But I just ask one simple question: why didn't he do it? We have a massive $1.8 trillion deficit, a nation in serious financial decline, and they are laughing at our economic plans all over the world. They don't understand what happened to us. We’re promising four different rounds of checks we don't have the money for. He says he'll do it after the midterms as a political carrot, but he has a total Republican trifecta today. Why wait? It’s a trail of empty promises, and the American people see right through it**

StatelyTree

My folks bitched and moaned about the ACA until my dad got super sick with no insurance and had to declare bankruptcy. Then immediately after got a plan off the ACA exchange lol.

Individual-Data396

Since becoming president again, we've been promised: \-$5000 stimulus checks via "DOGE dividend" \-$2000 stimulus checks via "tariff dividend" \-$1000+ checks via "savings" from expiring ACA subsidies \-$5000 "dividend" if Rs win midterms No checks have been issued

Several_Vanilla8916

Bro controls the White House and both houses of Congress. He could pass a doge refu….I mean tariff refu…I mean ACA refu…wait which one is this?

Wombat_Overlord

Don’t forget ACA subsidy expiry rebates

johntwilker

Don't worry about how, it won't happen. Just like his other promises \-$5000 stimulus checks via "DOGE dividend" \-$2000 stimulus checks via "tariff dividend" \-$1000+ checks via "savings" from expiring ACA subsidies \-$5000 "dividend" if Rs win midterms

PausedForVolatility

Don’t forget the ACA check that was also promised. It’s amazing people keep calling for this. Maybe they should’ve paid more attention to Charlie Brown and his football.

36monsters

Since becoming president again, we've been promised: $5000 stimulus checks via "DOGE dividend" $2000 stimulus checks via "tariff dividend" $1000+ checks via "savings" from expiring ACA subsidies $5000 "dividend" if Rs win midterms Thats a grand total of $13000 per American adult so far... No checks have been issued

Burning___Earth

Great, this will really help the same way my: \-$5000 "DOGE dividend" \-$2000 "tariff dividend" \-$1000+ check from expiring ACA subsidies All helped me... oh wait.

Zealousideal_Ad6996

The Trump dividend checks will come right after his healthcare plan is released, evidence the 2020 election was stolen, Mexico pays for the wall and the full Epstein files are released. Trump has promised: \-$5000 stimulus checks via "DOGE dividend" \-$2000 stimulus checks via "tariff dividend" \-$1000+ checks via "savings" from expiring ACA subsidies \-$5000 "dividend" if Rs win midterms Zero checks have been issued. Also, annual tariff revenue (under $300B) cannot fund a $1.3T payout and distributing funds requires congressional approval.

EnvironmentalMall221

ACA afd

Syllabub_Visual

Wanna actually make things great? Repeal the ACA and then employers will have far more capital to invest in new r&d and stocks will actually go up. Worst piece of legislation of the century, forcing hardworking founders to be caregivers for people who refuse to take responsibility and their lazy adult children…

byoung1434

Truthfully, if I would have just bought and held everything I had owned, my net worth would be 10x its current value (40 years old with around a million net worth) I will say that I came from a very financially illiterate family, and was the first person in the family  to ever have a retirement account at age 27ish. I was 20 when the Iphone had just came out and I had just started my career, making 9 bucks an hour. I was going around telling people how revolutionary the iphone was.. at the same time I wanted to learn about investing so I bought Apple, and since I was a gamer, I also bought Nvidia.. about a year later I sold them both. I made a solid 20% or so on Apple and a small loss on Nvidia? 2008 crash happened after that and spoked the shit out of me. Looking back, I see what a big advantage coming from a family with financial knowledge is. Even to this day, my dad is a life long addicted gambler and he still somehow has more net worth than my mom. Neither of them have any real retirement to look forward to other than social security and my mom recently lost her health insurance when they dropped the ACA subsidies. Her current plan for her immediate health issues is hold out for another year at what point she will be old enough for medicare. 🇺🇸 🫡 🥲 

Droo99

As far as I know you have to keep income under 130% of the federal poverty line to keep Medicaid access. Not sure how much it varies by state Then for 130%-400% you would use the ACA exchange with tax credits  I believe medicaid is typically better coverage. Best to stay on it and delay realizing gains or taking distributions until you are on Medicare if possible 

dope-a-meanie

Cool. What are your plans for healthcare from 50 to 65? Genuinely would like to know. I’m in my early 50’s and I’d you can share some ideas, would be appreciated. I’d imagine you’re not just humble bragging and leaving out that you have a spouse continuing to work and have healthcare covered, yeah? I ran some numbers on the ACA site and now that we have a cliff for subsidies, I’m trying to get people’s ideas - lot of these posts never quite mention one of biggest money drains.

ewokninja123

Republicans. Republicans gave up improving things a long time ago and especially after the ACA passed. They always talk about repealing the ACA but only "concepts of a plan" to replace it with. So they focus on identity politics and scaring their voters that trans athletes are everywhere and stuff like that.

CSATTS

The ACA subsidies and upcoming Medicaid cuts are huge and will have massive negative impacts. I agree everything else was small dollars, but they really wanted to gut healthcare in this country. But I agree, defense spending is where a person would start if they were actually serious about the deficit. But instead we keep raising the amount the DoD gets. Mind boggling amounts of money.

Hacking_the_Gibson

The ACA surcharge was the last time the marginal rates went up, and the shrieking was deafening. 

I_like_code

How about just regulating cost of medical care and pharmaceuticals? That would be a lot easier. Medicare and ACA are pretty terrible, so trusting government to get it right is dumb. We don’t need single payer to regulate healthcare prices lol. It’s a lot simpler than Medicare 2.0.

dudeondacouch

So I'm not the smartest man in the world, but I will say that I would be careful using any long-term vehicle to meet ACA marketplace limits. Requirements (or the whole damn thing) could easily change considerably in the coming years, and being locked into something prevents a pivot. (Not a financial advisor, and don't have to pay for healthcare so I'm not well versed. My opinion could easily be terrible.)

NecessaryEmployer488

Sure. Lets say I was 35 and had a large after tax inheritance I am living on. My ordinary income is low so get almost fully covered ACA. Of course I would take advantage of the tax code. Any changes in the Tax Code definitely helps some and hurts other.

Cisco-7

My point was that you stated that 90+% income tax was 2 decades ago so since you didn’t mean that or were confused, I brought up that it was close to 100 years ago. Now, the ACA is socialist as is our educational system, Medicare, law enforcement, and many other things. There’s nothing wrong with that if run correctly. I think republicans are saying that when the government runs these things, they do not work. There needs to be legislation passed that lowers the cost of drugs, treatment, etc.. in NYC, for example, in queens (Flushing specifically), Chinese immigrants have been engaging in Medicare fraud for the past year that has cost taxpayers close to $300 million. That’s one enclave in one city. Does that happen because it’s government run? You tell me.

greennurse61

And 2013 for the ACA marketplace on 2013 under the Obama regime. 

hollow_bridge

What's your point? But ok, lets say that far past isn't relevant, fine let's do something more recent, just go 16 years then, to 2010, when we had the bipartisan ACA. Current republicans call that socialist.

SoulStripHer

Capital gains count towards MAGI which is used for other IRS and federal program thresholds (IRMAA, ACA subsidies, Roth IRA eligibility, NIIT, etc.), but not for determining the 10%–37% ordinary income tax brackets.

ReturnOfBigChungus

Military spending is like 4th largest spending category behind 1. Social Security 2. Health Progams (ACA, Medicare/Medicaid, etc.) 3. Interest on debt This trope that if we just spent less on the military things would be fine is totally uninformed, it's like ~13% of the budget total. I'm all for more efficient military spending by the way, it just wouldn't really matter in the big picture.

SpongEWorTHiebOb

The market is not agreeing with the forward PE for many of these stocks. Elegance is a perfect example. Heavily exposed to marketplace ACA and Medicaid plans. This admin will continue to underfund health insurance.

Successful-Tea-5733

lol I'm making a fool of myself in public.... Hate to tell you but I know the audience here and how their intelligence is purely political. I'm not. I have no problem with democrats or republicans. I have a problem with ignorance. The 2000's recession started in March of 2000. Clinton was still President. Even if Gore won, the recession had already started. It's unlikely that Gore as president would have had any impact on 9/11. The planning all occured while Clinton was president. No one either R or D has ever proposed that it was Bush's fault, the terrorists exposed a gap that we didn't realize existed. Those 2 factors are what led to the initial expansion if government spending. Maybe we don't go to Iraq if Bush isn't president, but we sure go to Afghanistan. And we were there for Bush, Obama, Trump, and Biden. ACA has added substnatially to the deficit. I don't call it Obamacare largely because that would ignore the deficit impact caused by Bidens extension of ACA credits well past it's need during covid. I'm not cutting slack to the mistakes made by Trump, Bush or anyone else. But the fact is our economy caught fire under Reagan, continued through Clinton and was derailed by the tech bubble in Clinton's final year. If Clinton gets credit for the tech boom, does he not also get blame for the tech bust?

Public_Technician_87

Once we hit $200k in balance for 529 (I assumed our kiddo was state school bound), I put 100% of money into a UTM account.  Although!!!!  I was stupid and didn’t realize that utm account goes to our kiddo at 21…. Bought NVDA and it’s 1000%+ higher..   Anyway, the issues I’ve faced have been taxes..  cause we are retired early, his income from utm goes toward our taxes, with our ACA healthcare…. As of now, the 200k is more ,, and enough for the child’s college being attended in Fall.  With the max Roth transfer allowance we’ll work with our kiddo to get.   The utm has over $70k now, mostly from Nvda and Microsoft, and I can guaratee, a $10k investment in 529 never would have generated that kinda return.. so I’m a fan of diversifying expenses with different accounts. Barring issues with selling…

Tableau67x9u

I have looked at the numbers in the electoral college, an anachronistic accounting gimmick that gives Rs an inordinate advantage Yea Obama himself was the change you spoke of (I’m not downplaying the ACA but it led to a shellacking as Obama described it in the 2011 midterm) My contention is the country was ready to elect a non white president for the first time But a male An AOC candidacy would likely lead to a similar result in 2028 as in 2024 And Rs are salivating at the prospect of another D female candidate They wouldn’t have to defend anything Trump did or Rs in congress enabling it They’d run on ‘she’s a dumb broad’ again

SanDisk_Made_Me_Rich

Here's the scam. UnitedHealthcare collected $298 billion. Optum collected $253 billion. Total: $551 billion. Reported revenue? $400 billion. The $150 billion difference? "Intercompany eliminations." They paid themselves. With your premiums. With your tax dollars. The ACA said insurers must spend 80% on care. UnitedHealth's workaround? Buy the doctors. Buy the clinics. Then pay yourself and call it "care." These internal payments jumped from 16% of revenue in 2010 to 27% in 2024. They gamed the law designed to protect you. They own 10% of all doctors in America. Your surgeon works for your insurer. The company denying your claim employs the doctor who ordered it. $35 million buying Congress since 1990. $105 million on lobbying. A conservative Republican is calling for breakup. The DOJ opened a criminal investigation. These people are killing patients while swimming in Scrooge McDuck money vaults. It's time to break them up. Baby Bell style. Standard Oil style.

mygirltien

not bad overall but if single that going to press you into full priced ACA and raise your spend quite a bit. Otherwise yes.

More_Armadillo_1607

Depending on if they are in retirement or close to it, it makes sense. It helps hedge against SORR. Ot helps keep income low before 65 for ACA purposes. In a retirement sub, you probably have people who are already at 15 times their expenses or more. 2 years isn't as outrageous as it seems 

guccioli

His income will be very low. With ACA, any single filer under 22k qualifies for free healthcare. Next income bracket is still very cheap as well.

OutspokenLurker

Ha. I retired in my early 50s and it would take me almost 10 years to "clear out" gains in that bracket. Not a bad problem to have, but no way I can count on ACA subsidies, 402(k) to Roth conversions, or zero cap gains

Capt1an_Cl0ck

You know nothing about me. I hated the ACA because of that exact reason. Enriching insurance companies and inflating healthcare costs. But Trump is the worst president we have ever had period. He’s destroying every establishment. Weaponizing the doj just as he claimed it was used against him. Attacking his enemy’s. Hiding the Epstein files because it directly implicates him and his crooked cronies. All while stealing hundred of millions from the U.S. taxpayers. If you still support him after all the lies and destruction then your not more than your complacent in his destruction of this county.

Smiles-Edgeworth

No you’re thinking of how long it will take for COVID to blow over. Or when he announces his comprehensive healthcare plan to replace the ACA. Or when Infrastructure Week is.

Any-Grapefruit-937

Believe it or not, many hospitals just scrape by (I used to work for two different hospitals). That's why so many are closing in rural areas. The cuts to the ACA and medicaid have forced them out of business. Since hospitals buy a lot of stuff, this will definitely impact the sector. It won't all shift to a different provider. Some people just won't get care.

swohio

Further cuts to ACA subsidies means the industry loses a big chunk of money too.

Anxious_Aspect965

Trump just wanted a deal with his name on it, and to undo everything that has Obama’s name on it. It doesn’t matter if his deal is worse, just that his exists and Obama’s doesn’t. The reason Trump stopped trying to cancel the ACA is because now people refer to it as the ACA. The term “Obamacare” has now been ret-conned because Trump and GOP people realized the ACA is popular and so they just stopped referring to it as Obamacare when they could use that term to pin the ACA’s flaws on Obama. The stupidity of US politics in the 21st century.

ALLCAPITAL

Not all people are as political as you think. I mean I’m very political typically, but these posts don’t strike me that way. It’s a market forum, following politician trades has become a super common strategy. Pelosi is one of the longest standing and most famous reps. Of course she’s fair game for criticism. But to say “you can’t talk about THIS unless you mention THAT”… It’s the same reason we go in circled arguing with Trumpers. It’s whataboutism. Dodge the question, throw an accusation, muddy the waters and keep moving. I say this as a person who vowed never to vote Republican after around 2010. I said at that time that I’d seen enough, between Bush and then the blatant racist obstructionism towards Obama and their sabotage of the ACA. I swore they’d need to publicly apologize and denounce their actions before I ever considered their candidates again. And well… we see how that has gone.

ThirstyWolfSpider

Is it? When I retired, the COBRA (which should match employee+employer contributions) was about 10% more than ACA for the same coverage with the same doctors. However, I also hear from people in some other states having ACA costs that are up to double what mine are (CA), for the same ages of the same number of people and at least roughly (coverage class) equivalent coverage, and before considering reductions due to subsidies. So another possibility is that you're comparing an expensive-state ACA to the COBRA-equivalent. Or that you're talking about buying non-ACA private insurance for the individual, like what was _sometimes_ possible before the ACA, but always used to be quite expensive (and I haven't heard of anyone using since the ACA).

cgonz15

I sell ACA plans and do tax preparation

AnnoyingEditor

"A report released today by the American Cement Association’s (ACA) market intelligence team predicts the U.S. will need approximately 1-million metric tons of cement to construct data centers that will house Artificial Intelligence (AI) technology over the next few years. Data centers are typically built with high volumes of concrete due to their unique design considerations."

silver_2000_

The paygo thing is vaporware. I've had tandem pumps for 10ish years , current pump is out of warranty, option for new pump is $4400 cash. ACA insurance is useless ... I'd love to pay as you go but wasn't offered that option

Hummin2k

Democrats have continued to steer left on social issues, but they very much have not on economic issues. Both Clinton and Obama took the party to the right. Don’t you remember Clinton lambasting welfare queens? Obama did a great thing in ACA….by enacting the Republicans’ alternative to single payer or a national health system.

Wooden-Variety175

Ok so, this might cause a lot of the main health insurance companies who offer on ACA to go down however Cigna are not continuing ACA plans in 2027 so they may be one to watch if the others tank they may rise. Who knows. Maybe all the health insurers will jsut go down.

Waiting4Reccession

How does that matter, their net income will go down. Unless youre saying people buying through the ACA are making way more claims, the companies would try to get rid of those people even before this then?

dgreenmachine

The senior tax deduction is a phase-out and not a cliff so that shouldn't hurt by making more money. If you go above the 400% FPL cliff and lose the ACA tax credit when you retire before medicare then you're looking at potentially like $25k penalty when you lose the ACA completely.

sum_dude44

Except our government bows down to health insurers. UNH 2010 (ACA passage) -2022 returned better than MSFT.

PoopyisSmelly

Personally I would never touch any of the major healthcare stocks - there is so much regulatory risk its like owning Chinese stocks. Changes to medicare reimbursement rates, ACA subsidies, rules on HSAs or FSAs, or something more transfornative like single payer all could completely disrupt them. Pharma is a bit different IMO.

mx5plus2cones

On thing you cannot count on in the US is healthcare expenses . Insurance from the ACA, if it survives, is anything but cheap if you earn a decent wage. And healthcare costs is one of those things that is incredibly expensive. I have a medical condition that requiements me to get a colonoscopy every year and a MRI every year or 2. With a negotiated rate, the colonscopy is about $25,000 and the MRI is about $15,000. So right out of the bat, if I had to pay out of pocket, that's $40k/year. People say, well you can get it cheaper in mexico, thailand, taiwan etc etc. Well, if this s routine checkup, yes. But if this is a routine checkup, I wouldn't be doing this every year. Basically, I have a genetic condition that is guaranteed 100$ colon cancer, and doxtors found out about this when I was early 30ies. Before that I don't drink, dont' smoke, no drugs, and for the most part eat healthy no soda, no excessive sugary snacks, lots veggies, lots of white meat and fish, and red meat sparingly. Sorry, something caused your DNA to mutate because nobody else in familial ancestory or your sibling has it and you're considered a "spontatneous mutation". So basically while most people get their colonscopy in their 50ies and find many 1 or 2 polyps... Doctors found over 1000 polyps in my colon, which basically meant taking the entire thing out. Well I was lucky, because if you take the entire thing out, normally they create a little button for you in front and you get to wear a bag the rest of your life...For me, I had an option they take most of it out and leave the last 5 inches so I can more of less function the same way. But in doing so, that last 5 inches will continue to grow shit, but instead of 1000, it;'s more like 20-30/year. So every year I need to go see Mr. Assman, so he can go remove the 20-30 things that grow in there so they don't develop into cancer, which is guaranteed. Cost aside, it's just annoying as fuck to prep for a colonscopy, drinking that awful fluid, shitting the entire day, and then not being eat for 48 hours before and then after because they also need me to swallow a pill camera to check the rest of my GI track. You're not going to be able to do this at 1/4 the cost in mexico. And if you go to a country where there is universal coverage, you'll be waiting forever to find a specialist that does this, again it needs to be done every year. Here in the states, don't bother if you have a preexisting condition with getting on an HMO plan or with a high deductible HSA plan. And the you are left with a PPO plan which frankly doesn't matter if you pick the bronze, silver, gold, or platinum plan... The diffence between all 4 is the lower tier plan is you pay lower monthly premiums but have higher deductible and out of pocket costs...The platinum plan you pay higher monthly premium but lower out of pocket expenses...But if you do these special procedures, you're going to hit the maximum out of pocket expense anyway, so you end up paying about the same regardless of which plan you pick.. The monthly premimum and out of pocket expenses total about $15k/year or a $10/year saves versus without insurance and goes up with age. Yes, there is such a thing such as mediCal which is free medical coverage, but that only is a free option if you have close to nothing in your savings account, and then you are fully dependent on the social benefits of the US. MRIs, are not better. Simple procedure, but again around $15k out of pocket without insurance. Then let's talk about dental. Fortunately for me, my teeth are pretty decent. But some people dealt a shitty hand, like my GF, just has bad teeth. She brushes all the time, doesn't eat sugary shit, and yet still manages to get severe tooth decay. Dental is one of those things that royally suck in the US, even if you have insurance. Insurance while cheap, maybe $50/month covers very little, usually about $1000-2000 maximum coverage a year. Getting a filling these days cost a few hundred, getting a crown a thousand, and implants, let's not even talk about that. You can try to go to mexico and get it done, like she did , to save money, only for the dentist down their to royally botch things up and caused more damage that good, which is why she ended up needing to get about $20k worth of implants back here. I estimate that both me and my GF's healthcare burn rate is about $25k-40k/year (insurance premiums + copays + out of pocket expenses). There's insurance costs associated with my kid and her kids, but the assumption is when they grow up, they will have their own insurance. There was a period of time when I early retired from tech 4 years ago and that was pretty much my out of pocket healthcare costs for everyone. But as of last year, not that I really needed to work, I went back to work by invite of a CTO to work on AI, as a personal interest, and one of the side benefits (besides a pretty good paycheck that I really don't need, stock grants that are worthless right now) was pretty darn good PPO medical insurance where my total expense for myself and my kid is close less than $1000/year, leaving only my GF's dental costs of a few thousand. Huge huge savings by being on a company sponsored healthcare plan. It's expensive to get sick here in the US. It's even more expensive if you are born with a pre-existing condition. In fact, given everything that happened concerning my medical condition, the followup divorce from it, the detour I was forced to take when some asshole coworker stole my project while on medical leave....I seriously thought about doing the 180 degree reverse and driink heavily, smoke heavily, do drugs heavily, and eat high sugary snacks and food and totally fuck up my health since it couldn't be really fucked up any more and my health care costs to deal with it all would still be the same, lol.

ynotfoster

While you will have to pay taxes on the appreciated amount in your 401k, the nice thing is you won't pay on dividends and interest over the years before you withdraw. However, it's nice to have a stash in a regular brokerage account so you can withdraw without the early withdraw tax penalty if you need cash. In the days of decent ACA subsidies some people built up their taxable accounts to have enough money to live on before Medicare kicked in. That way they were living mostly on cash and kept their income low enough (but above Medicaid level) to get the substantial subsidies.

Kindly-Eagle6207

>You're not familiar with IRMAA surcharges? ...you're seriously complaining about IRMAA surcharges? I assumed you were talking about the ACA subsidy cliff because the difference between 400% of FPL and above is actually significant as far as premiums go and it's something that requires actual retirement income planning to take advantage of. But you're complaining *IRMAA*? Let me put this bluntly: If you're complaining about an extra $100/month once your household income is *above $200k* you are a deeply unserious spoiled brat. >I think you might want to head over to one of the retirement-oriented subreddits, where you'll find a lot higher level of knowledge. "Higher level knowledge" Christ are you out of touch.

big_deal

When I was younger I valued flexibility so I just put in enough to get the match and put anything else I wanted to save in a taxable account. Back then we had plans to replace cars, buy a home, have a baby so we didn't want money we might need locked up. As we got older, saving for retirement became a bigger priority so locking up money until retirement isn't a concern. And we were earning more, so the tax reduction from 401k contributions became a significant benefit. So we prioritize maximizing tax-deferred contributions (401k and HSA) for the tax reduction. Now that we are nearing retirement and considering early retirement we might back off on 401k so we can shift contributions to taxable account. This will help us manage our taxable income for ACA subsidies until we reach Medicare age.

Weekly_Print_3437

Medicaid cuts next year, ACA cuts this year, Medicare increases below the rate of inflation (so basically cuts)

jazxxl

Problem with some of these is no one has an actual plan on how to implement it . ACA for instance has no replacement . But I see your point. The issue the legalization or even the SAFE banking act was the pork . Safe could only pass if they also allowed other businesses like gun shops the same protections.

SwordfishOk504

Yes, Trump has frequently asked Congress to pass specific legislation that it has not passed, both during his first term (2017–2021) and in his 2025–2026 term. That's why he so often relies on EOs. Here's a few examples from Google: * The SAVE America Act (2026): In early 2026, Trump repeatedly demanded that Congress pass the "Safeguard American Voter Eligibility (SAVE) America Act," which includes voter ID requirements, proof of citizenship to vote, and limitations on mail-in ballots. He threatened to not sign any other legislation, including Republican priorities, until this was passed in its complete form. As of late March/April 2026, the Senate had not passed it due to a lack of votes. * Reining in College Sports (2026): In April 2026, Trump repeated calls for Congress to pass federal legislation to regulate name, image, and likeness (NIL) deals in college sports, stop pay-for-play schemes, and grant the NCAA an antitrust exemption to enforce these rules. * Codifying Drug-Price-Lowering Deals (2026): Trump requested that Congress codify his deals with pharmaceutical companies regarding drug prices, specifically asking for a law that ensures the U.S. does not pay higher prices than other countries. * Permanent Ban on Wall Street Buying Homes (2026): Trump requested Congress pass a law making permanent his executive order aiming to stop large institutional investors (those owning more than 100 homes) from purchasing single-family homes. * Immigration Enforcement Funding (2025/2026): Trump has requested that Congress pass funding for massive deportation operations and enhanced border security, sometimes demanding this be done via a budget reconciliation process to avoid Democratic opposition. * Repeal and Replace Obamacare (2017): In 2017, early in his first term, Trump pressured Congress to repeal and replace the Affordable Care Act (ACA). Despite having a Republican majority, Congress was unable to pass the legislation, specifically falling short in the Senate. * Border Wall Funding (2018-2019): Trump requested direct, large-scale funding from Congress to build a wall on the U.S.-Mexico border. When Congress did not pass the requested amount, it led to the longest government shutdown in U.S. history.

ddrsdght

VM, I have 100k saved but think my wife can be a top ten OF model mostly with gangbang content. We have about 5k a month fixed expenses. Can we realistically live off her OF content if we factor in ACA? Also live in a MCOL area and she has nice knockers.

ddrsdght

Hear me out. I have 100k saved but think my wife can be a top ten OF model mostly with gangbang content. We have about 5k a month fixed expenses. Can we realistically live off her OF content if we factor in ACA? Also live in a MCOL area and she has nice knockers.

Impressive_Review

They can’t. 2024: 30% of INSURED Americans delay or bypass filling prescriptions/getting needed care due to cost Medical bankruptcies are at all time highs. Medical debt is at all time high with 80% owing over $5,000.00. Over 75% of doctors now work for corporations or healthcare systems. Over 80% of primary care physicians and over 90% of specialists are paid based quantity, not quality. Pharmacy Benefits Managers had profits of $7.3 billion in just 5 years by denying prescriptions outright or via impossible prior authorizations until the patient abandons care. The price for health insurance continues to skyrocket since the ACA. The average insurance premium prices have tripled, deductibles have increased by 119%. Corporate-imposed protocols often override a physician’s individual clinical judgment. We now have the most expensive healthcare in the western world, highest priced prescriptions, worst outcomes, most avoidable deaths. Medicare reimbursement rate to doctors has been cut -30% and counting since ACA, with doctors increasingly opting out leaving hundreds of thousands seniors without access to care. Medicaid improper payment rates are substantial and soared after the ACA Medicaid expansion reaching up to $1.1 trillion from 2015-2024. Improper Medicaid payments ran around 6% before the ACA expansion in 2014. The improper Medicaid payment rate today is 27%. Another cumbersome govt program ‘No Surprises Act’ signed into law in December 2020 promised to lower cost of medical care but left providers with up to a 40% decrease in reimbursements, 680,0000 payment disputes, drove up of price insurance premiums, and led doctors to cut back on services. Taxpayers provide free healthcare to illegal immigrants, though states rather than the federal government bear the brunt, along with some funding shifted from the VA. In 2025 alone California spent $8.5 billion while Texas spent $1 billion. In order to do so, it is logged as “emergency” care.

ddrsdght

50m can I leanfire if wife does OF? Hear me out. I have 100k saved but think my wife can be a top ten OF model mostly with gangbang content. We have about 5k a month fixed expenses. Can we realistically live off her OF content if we factor in ACA? Also live in a MCOL area and she has nice knockers.

DelphiTsar

There is a lot of reasons to be bearish. S&P500 in particular has no reasonable way to meet its valuations. EPS & P/E data is skewed by GAAP rule changes in 2017. Mostly minority shares you own, you count unrealized gains as net income(profit) which is absolutely insane. Anthropic/SpaceX paper money funding round shows up on your books as profit. IOU's from companies that have no revenue to pay. Private Credit/Commercial Real estate loan debt reissue wall. The Japanese Yen Carry Trade Unwind ACA/Medicaid Cuts __________________________________________ Things were bearish before Oil issues. The market is held up with paper money and hype. It's much worse than dot com bubble. Who knows how long it'll last though. People have been bought in to buy S&P500 and hold forever and you can't lose (which is itself one of the reasons it keeps getting more and more out of Wack of reasonable valuations). It's musical chairs gambling at this point, someone's going to be left holding the bag when the market finally corrects. If you are still heavily invested sure better hope you can beat algo's.

GailaMonster

I moved about 10% into 6-months, but I really want to put that money elsewhere, so i'm mostly split between 3-month and 8 week (which until recently was actually the high water mark for rates on short term). I have another 25k in a HYSA that gives me 5, which is spiffy for a savings account, but only the first 25k in the account earns that rate, and as you said - that's basically just capital preservation in an inflationary environment. I could open a second account and throw another 25k in there in the short term, but that seems silly. (like you said, a lot of paperwork to hold up to 25k doesn't solve where to put most of the money i'm trying to push someplace more productive). I'm about to shoot the moon and buy me some IVF LOL. it's a nice hedge to have more kids in case things really go south and we return to an agrarian economy (/s). I could encourage them to go into healthcare as a hedge against elimination of ACA and Medicare. hmmmm

DelphiTsar

Not really, it's all GAAP account changes in 2017 and AI hype that doesn't exist(or rather AI hype that cannot translate to the profits these valuations require). Minority stake in Anthropic funding round counting unrealized gains as Net income(profit) lol what? IOU's on books that these companies have absolutely no path to actually pay. SpaceX trying to sell the idea of space datacenters that are a joke for so many reasons. All the companies that own minority stake in it, every time it does a funding round show a massive massive profit spike. (Yes it really does work like this now) It's the dot com bubble with extra bad accounting. ________________________________________________ The only other thing doing semi okay was inefficient healthcare spending (Not more or better services, just more expensive overhead). But that's going to take a hit with ACA/Medicaid cuts. __________________________________________________ The world is balancing on floating paper money held up by pure hype (or more increasingly cope)

GailaMonster

I get that the oil still exists and is merely waylaid. I am somewhat shocked the market is so confident we can get back to business as usual in a month or two. Trump is always saying something will happen in a couple more weeks- remember when he said infrastructure week was coming (the closest we got to infrastructure week…was the Biden administration’s infrastructure investments, which Trump was desperate to cancel). Remember when he said he was gonna show us a big beautiful healthcare plan to replace the ACA, and it literally never materialized? When Trump says something will happen in 2 weeks, that’s code for never.

bobrobor

Sounds like someone who did not actually try to get and use ACA. I forgive you.

cernv

Not only did Obama's ACA vastly expand access to health insurance, eliminating the pre-existing condition exclusions has been a huge boon for families. Blue states have better education, higher incomes, and lower murder rates.

artisanrox

> The Dems have been legislatively 10x more effective than Republicans, and largely with the thinnest of margins. aaaaand we're heading into a global recession/depression so I don't think you're caring about how all that works, you're just mad. >Want healthcare reform? Vote! Want more than ACA? Vote! We were literally one senate seat away from a public option when it was passed. You people are exhausting. We vote. We ground level fundraise. We work our asses off for a party whose Speaker doesn't seem to care how anything fkn works and can't be bothered to combat the media machine that creates their no-wins or razor thin successes. Dems don't want to RUN ON nationalized health care. They do not want to RUN on Medicare For All and universal basic Income. Dems win office and hand over as much money as possible right back into private business baron industries so they can elect more senators to get more tax breaks! How absolutely balls-on dare you ppl constantly yell to Vote Harder instead of figuring out ways to move the national needle back to the place that should have NEVER elected Trump to begin with.

2stix89

The Dems have been legislatively 10x more effective than Republicans, and largely with the thinnest of margins. You know what would be nice? Having people actually helping to spreading that message. You’re on here, attacking Dems for not countering right wing programming, while actively spreading the right wing programmed language. “WhY dONt tHE deMS stOp ME frOM atTaCkinG TheM??!!?!?? ArE THEy stuPID?!??” The biggest difference between republican and democrats isn’t their messaging, it’s that republicans have voters who actively get behind them, while dem voters look for every reason to shit on their own side, sit on the sidelines, and complain about why they aren’t doing anything when they objectively don’t have the power to do the things they want. Want healthcare reform? Vote! Want more than ACA? Vote! We were literally one senate seat away from a public option when it was passed.

2stix89

The Dems have been legislatively 10x more effective than Republicans, and largely with the thinnest of margins. You know what would be nice? Having people actually helping to spreading that message. You’re on here, attacking Dems for not countering right wing programming, while actively spreading the right wing programmed language. “WhY dONt tHE deMS stOp ME frOM atTaCkinG TheM??!!?!?? ArE THEy stuPID?!??” The biggest difference between republican and democrats isn’t their messaging, it’s that republicans have voters who actively get behind them, while dem voters look for every reason to shit on their own side, sit on the sidelines, and complain about why they aren’t doing anything when they objectively don’t have the power to do the things they want. Want healthcare reform? Vote! Want more than ACA? Vote! We were literally one senate seat away from a public option when it was passed.

2stix89

The ACA was the most progressive bill that could be passed through the senate. The house version had a public option, which was definitely not wanted by the upper class. Sorry, we didn’t have 60 dems in the Senate to pass it, meaning we needed votes from independents, namely Lieberman. Alternatively we would have had nothing. Maybe would have been fine for you, I know a lot of “progressives” are actually just wealthy white kids who are broadly insulated from political consequences. On my side, the law literally saved my uncles life. But hey, I guess Dems should have just let him die for your fucking purity test? Inflation reduction act included new taxes on major corporations, hard limits on deductions and loopholes, and massive increase of IRS agents to combat tax evasion. Was that all for the upper class? What about trying to forgive student debt? Think the banks liked that? Was massively investing in clean and green energy a boon for major oil manufacturers and foreign wealthy interests? You literally just gave no clue what you’re talking about. The Dem party is a wide coalition. In final action, the results are moderated by the political system we have. However broadly speaking, when dems have had agency to act, they’ve acted to push policies to help regular people to the extent they’ve been politically able to. It’s just never good enough for dipshits like you.

VrtualOtis

What a crock of shit. Name one time democrats haven't enriched the upper class? Every fucking one of them has been heavily influenced by special interests. Even the ACA was written by republican special interest groups. The only thing that stopped Democrats from privatizating Social Security was the Monica Lewinsky scandal. The only legislation they pass is usually a watered down version of a republican plan. The Democrats would be a right wing party anywhere else in the world.

Bittererr

>And no lifetime golden ticket pension and health plans. Who is this referring to? Congress doesn't have this. They have the standard federal pension plan and buy their health care off the ACA exchange as required by the ACA law itself.

Traditional_Drama_91

But they haven’t been treated worse.  If we look objectively at the facts dem policies from the CHIPS act to the ACA have benefited rural areas in this country in yet slogans like “Harris is for they/them” move poll numbers.   Small town decline is a real phenomenon and unfortunately, a consequence of the capitalist system we live in.  It’s also occurred as a cycle since the country was founded, have you ever heard of Yorktown? They would rather eat bigoted social media slop that tells them they’re victims and that they should believe the lies of a con man who tell them the impossible 

shryke12

We spend huge amounts of taxpayer money on healthcare. Saying we have 'no healthcare' is kind of insane. Medicare (mandatory): $839 billion Covers ~68 million older adults and people with disabilities. This is the largest single program. Medicaid and Children’s Health Insurance Program (CHIP) (federal share, mandatory): $584 billion Covers ~83 million low-income people; Medicaid alone finances a large share of long-term care. Affordable Care Act (ACA) Marketplace subsidies (primarily mandatory refundable premium tax credits): $125 billion total support (~$111 billion in direct outlays) Helps ~19 million people buy private coverage. Veterans’ health care (VA medical care) (discretionary): $128 billion Provides hospital and outpatient care to over 7 million veterans. National Institutes of Health (NIH) research (discretionary): $46 billion Funds biomedical research (often classified under health but supports future care). Other discretionary health programs (examples): Centers for Disease Control and Prevention (CDC): ~$9 billion Public health and emergency/social services: ~$11 billion Global/international health assistance: ~$10 billion Total direct federal outlays on health care programs and services: ~$1.9 trillion.

DelphiTsar

Completely ignoring the case for AI and the Revenue it would need to generate to make sense (Tough ask). There is no path for current tracked CAPEX spending to be used without Grid power that doesn't and cannot exist. No one is pricing in these companies funding their own energy. Healthcare is going to get a wakeup call with ACA funding revoked and Medicaid cuts coming. It was the only other thing keeping the economy afloat. Apart from maxing out what it's reasonable able to extract from the market. Private Credit is sitting on a 2T landmine. with debt reservicing mostly falling around this year. Commercial real estate held longer term debt but a lot of it needs to be reserviced this year too around 1.5T. The Japanese Yen Carry Trade Unwind Consumer wall, carried by 10%. The thing with 10% holding everything on their shoulders is it takes a lot less of them spending to cause issues. We'll pretend Oil/LNG/Fertilizer/Plastics/Petrochemicals is short term issue. I will say Oil last closed at 111 though. The .88% of GDP extraction sector will make a killing, administration hasn't banned exports like most countries though, so US businesses have the honor of bidding war with Asia which is fun. __________________________________________________________ **Don't get me wrong, I am not saying the market is going to crash any time soon. Copium is a strong drug.**