American Elephants


It’s All Falling apart. Chapter Five by The Elephant's Child
June 3, 2015, 7:44 pm
Filed under: Democrat Corruption, Health Care, Regulation | Tags: , ,

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The euphemistic name “The Affordable Care Act” always made people laugh. But already, it is reaching the point where “The Unaffordable Care Act” is more appropriate. The LA Times reports that large numbers of Californians enrolled in ACA plans are struggling financially under the cost.

Forty-four percent of exchange policyholders surveyed said it’s somewhat or very difficult to afford their premiums. That’s compared with 25% of adults who had employer-based or other private health insurance.

Peter Lee, executive director of Covered California, acknowledged that many Californians find it hard to fit health insurance premiums into their household budget, even when they qualify for generous federal subsidies.

ObamaCare exchanges have a gimmick called a “risk corridor.” The idea was that insurers who made a profit would share a portion of that profit with other insurers. If there were not enough profit makers, the taxpayers would make up the difference. Republicans added a provision that required the risk corridors to be revenue neutral, meaning insurers  would no longer have access to taxpayer funds. But suggested rates for 2016 are beginning to show up.

In Oregon, five insurers on the exchange are proposing average premium increases for next year ranging from 25.6 percent to 52 percent…. Four insurance companies on Montana’s exchange are requesting average premium increases ranging from 22.4 percent to 45.1 percent.

The biggest company on Tennessee’s exchange, BlueCross/BlueShield, is proposing an average premium increase of 36.6 percent, while the co-op on the exchange, Community Health Alliance, is proposing a 32.6 percent increase. In New Mexico, Health Service Corp. is asking for a premium hike of 51.6 percent. The largest insurer on South Dakota’s exchange is Wellmark, and in Maryland it is CareFirst. They are asking for average rate increases of 42.9 percent and 30.4 percent, respectively.

Charles Krauthammer reports on what his doctor friends are reporting on the increasingly frustration conditions of clinical practice.

The complaint was not financial but vocational — an incessant interference with their work, a deep erosion of their autonomy and authority, a transformation from physician to “provider.”

“[A] never-ending attack on the profession from government, insurance companies and lawyers … progressively intrusive and usually unproductive rules and regulations,” topped by an electronic health records (EHR) mandate that produces nothing more than “billing and legal documents” — and degraded medicine.

Democrats have never understood the free market, nor incentives and disincentives, and they remain convinced that their brilliant friends in the federal bureaucracy can fix everything if they just have enough control. They’re working now on a study to determine how much they can narrow the window in which women can get a mammogram, so they can reduce that cost.

They added all sorts of nice-sounding benefits (free birth control pills) which add big costs, and when they are surprised by the increase, try to figure out what they can take away to compensate.


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