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rdgMatthew HoltgadflyspikeRon Greiner Recent comment authors
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Matthew Holt
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I guess Ron had better give me the 7/11 guys number!

gadfly
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gadfly

//write Dr. Novack’s commercials//
Well I’m looking for a job…
*checks soul to see if it’s for sale yet…*

Ron Greiner
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Ron Greiner

gadfly, you should write Dr. Novack’s commercials attracting Northern clients in the future for the PHCS PPO Network, which is Nationwide. How about: “If you need a break from the snow and are having knee surgery soon, and locally, your PHCS PPO Network surgeon is charging $5,000, many times I can do knee surgery for THREE. You can fly in, stay at the Hilton, take limos, sun bathe, drink frothy cocktails, and paint, and still save over $500 left over, for free.” Plus, medical travel expenses are a Qualified Medical Expense (QME) with your tax free HSA, it’s sweet. Power… Read more »

gadfly
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gadfly

//no free lunch in Bali for Gadfly//
Dang, I was planning to sun bathe, drink frothy cocktails, and Paint. 🙁

Matthew Holt
Guest

Kids — we pay the taxes and take the deductions that the government actually gives us, and not the ones that we think they ought to charge or give us. Otherwise, according to RDG I support Bush’s adventure in the desert because I’m paying for it.
Sadly, there’s no free lunch in Bali for Gadfly….even if the selfish elite will be there.

rdg
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rdg

Matthew,
You did nothing to clear up the confusion. It seems to me that by your participation in HSAs that you do in fact support them, despite your rhetoric to the contrary.
If the IRS audits you, you are on your own.

gadfly
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gadfly

//This is brilliant! You just saved me a fortune.//
Since you will be swimming in tax-free windfall under the new RDG dispensation, Matt, will you take me on a nice escape to Bali before the pinkertons come and get you?

Ron Greiner
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Ron Greiner

Matthew, If you don’t claim your HSA deposit and take your deduction by April 15th of the following year, you will lose your deduction forever, exactly like an IRA. So you have some time to weigh your alternatives and if you even want to use your tax dodge HSA, that you would prefer no one else have the pleasure of duplicating and saving on their burdensome taxes that they work until May to pay for instead of buying food for their hungry children, darn Democrats. rdg wants to know why you yourself use a tax free HSA to save on… Read more »

Matthew Holt
Guest

RDG Sorry for the confusion but I love your idea. From now on instead of obeying the law and paying taxes/taking deductions as the law suggests, I’m going to not take theones I dissaprove of (like HSAs) but not pay the taxes for things I also don’t support. Invading Iraq? Not for me, so I’ll not pay a chunk for that wasted 150bn. The Drug War. I dont approve, so none for that wasted $70bn. Interest on the debt–all run up by bonehead Republicans, so I’m not paying for that. Medicare and Medicaid are both too expensive, so I’ll only… Read more »

Ron Greiner
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Ron Greiner

Matthew you wrote, “And if there are 10 million Medicare recipients with Federally funded HSAs there will be no more Medicare. You still have never answered me about the basic mathematical problem behind that. Do you care to do it now?” Matthew, that is the 2008 election. This is the last Presidential election before the Baby Boomers start swelling the Medicare rolls. You probably already understand that Medicare Savings Accounts (MSA) were passed in the Balanced Budget Aggreement in 1997 but restricted Medicare’s MSAs to 390,000 seniors. Then in the historic Medicare Rx bill of 2003, when HSAs were passed… Read more »

rdg
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rdg

Mathew,
You have said previously that high deductible plans are bad public policy. Yet you yourself have one. Is this a contradiction? I think it is. Why is what is good for you not what is good for everybody? Shouldn’t policy be based on the understanding that people will act in their own best interests?

rdg
Guest
rdg

Matthew, I think you got me confused with Ron. I agree that HSA plans don’t do anything to get quicker payment to the service provider. (sorry for the double post earlier, there seemed to have been some kind of hiccup when I tried to post) But in one sense why should health care be different from other services? It finally dawned on me how absurd the current situation was when I got a dental bill one day. I had dental insurance at the time. My wife went in for a root canal. The bill was 900 dollars. I waited to… Read more »

Matthew Holt
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Ron I agree that the third party payment system is very strange, but there is nothing in the HSA that means that high-deductible plans will be any different to how they operate now. I have one. I paid my providers AFTER i got the EOBs from the insurer and AFTER I had got the insurer to get them corrected and I paid EXACTLY the discounted rate that the insurer would have paid had I not had a high-deductible plan. How exactly did that improve life for the physician. It didn’t — in fact it made it worse because then they… Read more »

rdg
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rdg

Isn’t it disturbing that doctors cannot expect payment at the time of service? I’m talking about an office visit with some lab tests. What prevents the doctor from getting paid immediately? Oh wait. I know. Its the third party payor system. And its the fact that people get charged different prices for the same service depending on their insurance status. The current situation is very strange indeed.

rdg
Guest
rdg

Gadfly, Yes. HSA funds can be put in a brokerage account. I think this question comes from the fact that there are two components to the HSA concept. The first is that people must be covered under a qualifying high deductible major medical insurance policy. The law describes what is necessary for a policy to qualify. Once a person has a policy in force, they can put money in an HSA account. The account is separate from the insurance and does not have to be administered by the insurance company. The account trustee can be pretty much any financial institution… Read more »