American Elephants


Triumphant But Angry: How Dare You Disagree. by The Elephant's Child

President Obama addressed the nation his supporters yesterday in the Rose Garden, obviously trying to reignite enthusiasm for the Affordable Care Act. He announced that 7.1 million people have signed up. His precise decimal point brought wide derision. But the speech was more of an angry pep-rally. How dare you not agree that ObamaCare is wonderful.

The key point came late in the speech: “It is making sure that we ae not the only advanced county on Earth that doesn’t make sure everybody has basic health care.”

He added: “But today should remind us that the goal we set for ourselves—that no American should go without the health care that they need.” He said:” The Affordable Care Act hasn’t completely fixed our broken health care system, but this law has made our health care system a lot better—a lot better.

Our health care system was not broken. By law, anyone, whether they could afford it or not, could go to any emergency room and be treated. The cost of health care had been declining steadily in recent years, and the decline had nothing to do with ObamaCare, but with new diagnostic treatments, new drugs that made a real difference in shorter hospital stays, preventing major illnesses, and keeping more people alive and in good health. Early diagnosis saves lives.

Democrats rely on World Health Organization numbers regarding our health care,  meaningless numbers  based on skewed information. WHO numbers rank us low for live births, because we call every birth with a live baby a live birth—including those too small to survive—or too premature— because we try to save them all, with pretty good results. Other countries do not count those as “live births,” and do not attempt to save them. We also have a lot of highway deaths because we have a lot of highways and a lot of vehicles. It’s a big country. The WHO also grades us down sharply because we don’t have free health care for all (socialized medicine).

What the president’s pep-talk largely showed was that he doesn’t really understand how insurance works. You have insurance for the big stuff: house fires, car crashes. Because those things statistically don’t happen to everybody regularly, everyone can pay a small amount which will go to the few who do have a big catastrophe, and you are protected against the time it happens to you. You don’t insure against a leaky roof, or needing new carpeting. You don’t insure against flat-tires or worn-out windshield wipers. The free contraceptives and free mammograms are the flat-tires of health insurance. Adding all the goodies makes the insurance unaffordable, as those forced onto ObamaCare will discover when they get their insurance costs for next year.

Back in the Bush administration, Democrats badly wanted a free drug plan for Medicare. As his price for signing the bill, Bush insisted on an incentive for seniors to, when possible, select a generic drug (way cheaper) than a brand name drug —all things being equal. Contrary to Progressive thinking, Seniors are not dummies. Incentives work. If the cost of  your drugs added up to a significant amount, you had to pay the full price (unless you could not afford it, in which case there was government subsidy) until the cost reached another level, at which point they were free. That gap was, for most people, avoidable if they relied on generic drugs, and Seniors found it quite sensible to do so. This meant the Medicare Drug Plan was the only big government program in history that came in costing less than projections.

President Obama announced triumphantly that “We’ve closed a gaping hole in Medicare’s prescription drug plan. We’ve closed the donut hole“— in other words they have eliminated the incentive that kept the Medicare Drug Plan costs reasonably low, and costs will skyrocket. Some triumph!

Despite this law, millions of Americans remain uncovered in part because some governors in some states for political reasons have deliberately to expand coverage under the law.” Well, yes they did. The federal government demanded that States dramatically increase the amount they spent on Medicaid. No federal help, just a demand that states come up with more funding, and raise taxes or whatever it took.
Some governors said their state could not afford it, and they were unwilling to raise taxes to meet the federal requirement that the feds wouldn’t pay for.

And we didn’t make it a hard sell. We didn’t have billions of dollars of commercials like some critics did.” Bw-ha-ha-ha. Billions for commercials? Sebelius admitted to $677 million on the failed website up to October, but we don’t really know what it has cost— the work has continued. Hawaii’s ObamaCare spent $35,749 per ObamaCare enrollee— at a cost of $205,342,270. The District of Columbia spent $133,573,927 to sign up just 6,518 people. Cover Oregon spent over $200 million and has not enrolled a single person. Maryland has spent over $125.5 million on an unworkable website and is now considering buying Connecticut’s system.

The law is a disaster. We are already told that premium costs will double or triple next year. Insurers have pared costs back by narrowing the provider list and eliminating the ability to be covered when you travel. The despairing stories of people who have been significantly harmed continue to pile up. Americans must fight back. The president is out fund-raising again today.

 

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