According to the Washington Post, healthcare reform will not change one thing in my life. My insurance coverage and taxes will remain exactly the same. Aside from the immediate goodies in the reform bill, how is this affecting my household budgeting?
For starters, I am slowly letting go of the mentality that the other shoe is about to drop. I am a member of Generation X, a tiny generation sandwiched between the vast bulk of boomers and Gen Y. Too young to benefit from pensions, too old to experience helicopter parenting, many of my friends and classmates were latchkey kids scarred by the divorce rate that took off when we were growing up in the 1970s and 80s. A lot of them don’t have kids yet or are becoming parents for the first time in their late 30s and early 40s. It’s a very strange generation to be a part of, and yet I embrace it because I understand it.
So, my generation does not have a sense of entitlement. Quite the contrary, we expect to get screwed over when it comes to retirement via scaled back or non-existent Social Security and Medicare benefits. Basically, we expect to have to contribute to the system our entire working lives and simultaneously save for retirement via individual 401k accounts. That is a large part of my long-term financial planning; to cover all eventualities.
My household management has already helped us achieve one of our life goals; buying a lifetime home. By most people’s standards, we are in fantastic financial shape. We have no debt aside from our mortgage, substantial assets, and good earning prospects. So how could one healthcare bill make such a difference in our lives?
Because it has given me peace of mind. I have a great track record at saving to meet large long-term goals, but how do you deal with catastrophe? The next ten years are going to be extremely vulnerable ones for our family of four. Most people buy term life insurance because it is inexpensive and provides large payouts for a limited time period (usually 20 years), which is really all you need to get children into a safety zone where they are old enough to fend for themselves (hmm, maybe life insurance term limits should be 30 years). But what about disability coverage?
Picture this scenario: my husband is walking to work tomorrow and gets hit by a car (could happen with the way people drive around here). He is injured badly enough that it takes him months to recover. In that time, he loses his job and we have to pay for Cobra ($1000/month?) We instantly lose all our income tax deductions because, hey, you have to have income in order to take deductions. So we are looking at $4k/month out of pocket for household maintenance, plus let’s say another $2k in living expenses. Add in medical bills because no health insurer automatically pays for 100% of every bill they get handed; another $10k/month? Oh, and let’s assume the car that hit my husband was piloted by an uninsured motorist, so we don’t get a dime from them. All this adds up to $17k/month, all with little/no income coming in because disability payments don’t kick in for 60 days and only replace about half of your income. And let’s not forget that I suddenly have an infirm husband and a household with two toddlers to care for 24/7 by myself. Plus the $10k/month for medical bills is probably too low. My friend’s mom spent $500k out of pocket a couple of years ago to treat stomach cancer, and she is a retired state employee so has decent health insurance.
So we go in one instant from thrifty, secure living to serious bankruptcy risk. I am sorry, I don’t care how good you are at money management, nobody can plan for a medical catastrophe. The only way it works is if you have serious cash in the bank, like $500k-$1MM, and my husband and I just haven’t had the time to build up savings like that because we have only been in the workforce for about 12 years (and let’s be real, I am only marginally in the workforce).
I know very well that the healthcare reform bill isn’t a panacea. I know it will decimate Medicare and raise overall healthcare costs. But I would a million times rather pay a few more thousand dollars a year as part of deep risk pool than not pay it and gamble that nobody in my family will ever get seriously sick or injured. Because a lifetime is a very long time, and nobody is immune from bad luck.