Quote:
Originally Posted by AmeliaG
For any business which employs more than one person or has any other significant expenses, the difference between gross and net is a big deal. Quantitatively speaking, the largest disregard for MAGI, per the gov doc you linked, is 17%.
How many businesses have a profit margin of more than 83%? Even a self-employed musician or actor will have to pay out more than 17% to managers, agents, etc.
If the difference between your MAGI and net was negligible, and ACA helped you significantly, that means you have no real expenses or your business grosses very little and you probably were qualified for Medi-Cal already, but had simply not applied. Either that or ACA is not actually helping you, unless you had a pre-existing condition. ACA does help some people with pre-existing conditions.
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This discussion about MAGI vs NET is all irrelevant now in terms of your health care situation. You said insurance is for people who are bad at math. So it does not matter whether or not insurance coverage is based on MAGI or NET, you prefer not to use health insurance either way.
The bottom line is you prefer to pay cash for your quality health care. So by all means, please continue to do so. Your access to quality health care has not changed one bit. The only thing that has changed is your access to your previous doctor, and that was because he decided to stop accepting your cash payments to remain as a client.