American Elephants


Oh Harry Reid, Harry Reid, For Shame! by The Elephant's Child

Harry Reid glum

Poor Harry Reid is caught between a rock and a hard place, and he’s not up to defending his position. It’s difficult, he’s majority leader of the Senate, and he has to defend the disastrous ObamaCare policy. Really frightening stories are emerging, about cancer patients who are suddenly denied the doctors and the care that was giving them the hope that they might live, and all Harry can think of is to call them all liars. Callous and insensitive doesn’t begin to describe it.

Now he has dissed a fellow senator, a medical doctor who is himself battling cancer, because he pointed out ObamaCare’s disastrous impact on cancer treatment. Senator Tom Coburn (R-OK) noted that the majority of cancer centers in this country aren’t covered under ObamaCare.

“Dr. Coburn is very good at getting into the weeds and trying to find something that he thinks makes sense. But I think we need to look at the overall context of this bill.”

When cancer patient Julie Boonstra appeared in a TV ad telling how Obamacare had jeopardized her treatment with rising and unpredictable premiums and co-pays. Reid took to the Senate Floor: “There’s plenty of horror stories being told. All of them are untrue.”

He also coldly dismissed Edie Sundby, a stage four cancer patient, who was told that the plan that had paid out $1.2 million and helped her to survive, was substandard, and would be cancelled because it didn’t fit the one-size-fits-all ObamaCare standard.

Coburn said that under ObamaCare, out of “Nineteen of the cancer centers in this country, only five are covered under ObamaCare.” Coburn said the cut-rate payments of the Affordable Care Act provides for those treatments. “You know, it’s a market,” Coburn said,”and what they’ve done is they’ve priced it where these cancer centers, a lot of them aren’t going to participate because they don’t get paid [enough] to cover the costs.”

During the government shutdown, House Republicans wanted to pass a stand-alone bill to fund the National Institute of Health so children with cancer could continue to participate in clinical trials. Reid called that move “reckless and irresponsible” by those obsessed with this ObamaCare.” A reporter asked “If you can help one child who has cancer, why wouldn’t you do it?”

Reid said “Why would we want to do that? I have 1,100 people at Nellis Air Force base that are sitting home. [because of the shutdown] They have a few problems of their own.”

I understand that for Senate Democrats, ObamaCare is about power, and more control of the American people. But for the rest of us it is about the American people getting the care that they have been promised, that the rest of us are paying for.



A Letter From a Practicing Family Physician: by The Elephant's Child

When I saw my doctor this last week, she said “I wish I’d gone to secretarial school instead.” A despairing joke.

In an address to the House, Alabama Representative Mo Brooks read aloud a letter sent to him by Dr. Marlin Gill of Decatur. The letter holds nothing back while detailing the excessive costs and regulations that Dr. Gill calls ObamaCare’s “War Against Doctors.” We need pay attention. He speaks for multitudes.

Dear Congressman Brooks,

As a practicing family physician, I plead for help against what I can best characterize as Washington’s war against doctors.

The medical profession has never before remotely approached today’s stress, work hours, wasted costs, decreased efficiency, and declining ability to focus on patient care.

In our community alone, at least 6 doctors have left patient care for administrative positions, to start a concierge practice, or retire altogether.

Doctors are smothered by destructive regulations that add costs, raise our overhead and ‘gum up the works,’ making patient treatment slower and less efficient, thus forcing doctors to focus on things other than patient care and reduce the number of patients we can help each day.

I spend more time at work than at any time in my 27 years of practice and more of that time is spent on administrative tasks and entering useless data into a computer rather than helping sick patients.

Doctors have been forced by ill-informed bureaucrats to implement electronic medical records (“EMR”) that, in our four doctor practice, costs well over $100,000 plus continuing yearly operational costs . . . all of which does not help take care of one patient while driving up the cost of every patient’s health care.

Washington’s electronic medical records requirement makes our medical practice much slower and less efficient, forcing our doctors to treat fewer patients per day than we did before the EMR mandate.

To make matters worse, Washington forces doctors to demonstrate ‘meaningful use’ of EMR or risk not being fully paid for the help we give.

In addition to the electronic medical records burden, we face a mandate to use the ICD-10 coding system, a new set of reimbursement diagnosis codes.

The current ICD-9 coding system uses roughly 13,000 codes. The new ICD-10 coding system uses a staggering 70,000 new and completely different codes, thus dramatically slowing doctors down due to the unnecessary complexity and sheer numbers of codes that must be learned.

The cost of this new ICD-10 coding system for our small practice is roughly $80,000, again driving up health care costs without one iota of improvement in health care quality.

Finally, doctors face nonpayment by patients with ObamaCare. These patients may or may not be paying their premiums and we have no way of verifying this. No business can operate with that much uncertainty.

On behalf of the medical profession, I ask that Washington stop the implementation of the ICD-10 coding system, repeal the Affordable Care Act, and replace it with a better law written with the input of real doctors who will actually treat patients covered by it.

America has enjoyed the best health care the world has ever known. That health care is in jeopardy because physicians cannot survive Washington’s ‘war on doctors’ without relief.

Eventually the problems for doctors will become problems for patients, and we are all patients at some point.

Sincerely yours,

Dr. Marlin Gill of Decatur, Alabama



Harry Reid Calls Harry Reid a Liar. Or Something Like That. by The Elephant's Child

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It must be really hard for politicians to grasp that they must change their ways, for the world has changed around them. The words that they say so confidently on Monday, cannot be erased on Friday, for they are preserved for all time on YouTube, and will be called up whenever it is useful to call them up.  Case in point:

Oops! Well there you go. Caught in the act for all posterity.

We heard about the evils of Obamacare, about the lives it’s ruining in Republicans’ stump speeches and in ads paid for by oil magnates, the Koch brothers. But in those tales, turned out to be just that: tales, stories made up from whole cloth, lies distorted by the Republicans to grab headlines or make political advertisements.”

“There’s plenty of horror stories being told. All of them are untrue, but they’re being told all over America.”

- See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf

 

Senate Majority Leader Harry Reid (D-Nev.) said Wednesday that, “I have never come to the floor, to my recollection, I’ve never said a word about examples that Republicans have given regarding ObamaCare and how it’s not very good.”

“Mr. President, the junior senator from Wyoming has come to the floor several times recently talking about the fact that examples that he and others Republicans have given dealing with ObamaCare, examples that are bad, I’ve called lies. Mr. President, that is simply untrue,” Reid said.

- See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf

Senate Majority Leader Harry Reid (D-Nev.) said Wednesday that, “I have never come to the floor, to my recollection, I’ve never said a word about examples that Republicans have given regarding ObamaCare and how it’s not very good.”

“Mr. President, the junior senator from Wyoming has come to the floor several times recently talking about the fact that examples that he and others Republicans have given dealing with ObamaCare, examples that are bad, I’ve called lies. Mr. President, that is simply untrue,” Reid said.

– See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf

Senate Majority Leader Harry Reid (D-Nev.) said Wednesday that, “I have never come to the floor, to my recollection, I’ve never said a word about examples that Republicans have given regarding ObamaCare and how it’s not very good.”

“Mr. President, the junior senator from Wyoming has come to the floor several times recently talking about the fact that examples that he and others Republicans have given dealing with ObamaCare, examples that are bad, I’ve called lies. Mr. President, that is simply untrue,” Reid said.

– See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf

Senate Majority Leader Harry Reid (D-Nev.) said Wednesday that, “I have never come to the floor, to my recollection, I’ve never said a word about examples that Republicans have given regarding ObamaCare and how it’s not very good.”

“Mr. President, the junior senator from Wyoming has come to the floor several times recently talking about the fact that examples that he and others Republicans have given dealing with ObamaCare, examples that are bad, I’ve called lies. Mr. President, that is simply untrue,” Reid said.

– See more at: http://cnsnews.com/mrctv-blog/barbara-boland/reid-denies-making-videotaped-claim-obamacare-horror-stories-are-lies#sthash.7mu0KEMB.Y7yvZ0II.dpuf



If You Can’t Get Enough Americans Signed Up, Go for Illegals.. by The Elephant's Child

mexican-flag-us-flag-reuters

President Obama announced today that 6 million people had enrolled in ObamaCare. There is no evidence that this is true, nor no evidence that any of them have paid up. But he did announce that, and the media reported his words.

Breitbart helpfully reports that:

The Obama administration has been helping to facilitate a series of events nationwide at Mexican Consulate offices to enroll people in ObamaCare — and a key activist says the efforts are “our responsibility” regardless of citizenship.

Health Care insurance navigator groups hosted an ObamaCare enrollment fair on Tuesday in the Mexican Consulate’s Brownsville, Texas, office, the Rio Grande Guardian reported last Friday, where Mexican nationals among other wer counseled about enrolling in the ACA.

According to the Affordable Care Act (ACA) undocumented immigrants aren’t supposed to be receiving government-run health benefits or subsidized coverage. The president told Latinos in early March that the Healthcare.gov website would not be used to find out about an individual’s immigration status. “None of the information that is provided in order for  you to obtain health insurance is in any way transferred to immigration services.” he said.

Mexican Consulates are being used to enroll individuals into ObamaCare  in Chicago, Las Vegas, and other cities.

During a speech today at a U.S. Hispanic Chamber of Commerce event, Vice President Joe Biden said that undocumented immigrants should be given the chance to become citizens and contribute to the country.

These people are just waiting, waiting for a chance to be able to contribute fully. And by that standard , eleven million undocumented aliens are already Americans in my view.

Those oaths about faithfully executing the laws — nevermind.

A spokesman for Senator Jeff Sessions (R-AL) said:

One, the possibility that illegal immigrants could fraudulently access federal subsidies; two, that such promotions provide a financial inducement to unlawfully enter the U.S. (or overstay a visa) by offering households headed by illegal immigrants federal subsidies through their legal relatives or dependents; and three, that these activities widen an existing flaw in our legal admissions process by continuing to subvert the principle that those seeking to lawfully enter the US should be financially self-sufficient,” Miller said.

Mexican Consulates have been used previously to advance USDA assistance programs like food stamps to Mexican nationals, The Daily Caller reported in July of 2012. Mexico promoted the program to 50 of its consular offices in the U.S.

These activities certainly cast a bit of suspicion on the White House numbers. If they have plenty of people signed up, they are certainly going to some strange (and probably illegal) efforts to dredge up some more people.



Obama’s Changing The Rules Again! by The Elephant's Child

That March 31st deadline to sign up for ObamaCare—they didn’t really mean it—if you started signing up and just couldn’t get done, or if you can offer some valid excuse (anything at all) well, you can finish up sometime in April. The law is completely fluid until we have enough people signed up to make this thing work.

The White House and congressional Democrats are ramping up a coordinated effort to celebrate the fourth anniversary of ObamaCare. The White House has provided members of Congress with packets that detail state by state benefits of the law and what the cost of repeal would mean for constituents within their districts. Minority Leader Nancy Pelosi (D-SF)  has provided members with data and sample language for members to use on new Medicare drug savings data.

The president and other senior administration officials will mark the anniversary through efforts to highlight the individual stories of consumers who say their families have benefitted from the Affordable Care Act.

White House staffers will tweet a series of six graphics highlighting the dumb ideas that guarantee that the program cannot work: eliminating lifetime limits, prohibiting denial because of pre-existing conditions, and mandate free birth control and free mammograms. The graphics feature an image of the president’s very own signature on the ObamaCare bill.

Many Democrats would prefer “single-payer” which means that you can go to a doctor who is a salaried employee of the state and not have to pay at the point of service. Liberals think that is the ultimate good. Everyone is dependent on the government, which is their ideal, and you just raise taxes enough to pay for it. This makes our ruling class proud that they are doing this wonderful charitable thing for the people, but they really don’t care much about what kind of care the people are getting, and they will just issue regulations and directives to reduce costs.

Liberals like the warm, fuzzy feelings of doing good for others. It is really good, isn’t it with free contraceptives. Women can have all the sex they want with no consequences. But you will notice that already, before it has really even begun, the cost of the thing means you can’t have keep your doctor, your local hospital may not be available, you may be sent to a nurse-practitioner instead of a doctor, and your insurance doesn’t cover anything outside of your local program, so if you travel to another town and have a heart attack, you’re out of luck. Planning a trip to Europe? You will have to find a separate policy to insure you for the trip. And people are already saying that they cannot afford the premiums. Wait till next year.

The Ruling Class plays hardball. They want ObamaCare. They want to gradually move it to a single-payer plan specifically to glorify themselves. They will fight repeal tooth and nail, and attempt to “reform” it enough to make it palatable, and they will try to scare people that any Republican plan will probably kill them.

ObamaCare fails basic math and basic economics. The National Health Service in Britain is so dire that it is killing people, particularly the old and helpless. The French hate their health care. The Canadians have long, long waits for service and many of the diagnostic machines we count on are either unavailable or there is too long a wait for a diagnosis. The federal government runs Veterans healthcare, and has made a mess of it.The backlog of requests for appointments grew so long that they just dumped the requests and pretended they didn’t exist. The Indian Health Service is reportedly dreadful. The Secretary of the Interior just denied a needed road so a community of Aleuts could get out to get health service because it might disrupt the shorebirds.

The Democrat’s “narrative” is that Republicans are merely out to sabotage ObamaCare because they object to the race of the president. When they start crying “racism” you can tell they know they are in trouble. Kevin Williamson has a column today on “Antithought” — the “use of language as an instrument for concealing or preventing thought.”There’s a lot of that going around, and we must be on our guard.



They’re Coming to Take Me Away— Ha Ha! by The Elephant's Child

harry_reid_profile_AP

Democrats are losing their grip. First Majority Leader Harry Reid claimed that all the horror stories about ObamaCare were just Republican lies, then the Senate’s Democrat leader announced that Republicans may have helped Russia annex Ukraine’s Crimean Peninsula. Huh?

This astonishing accusation came before a Monday test vote on a Russia sanctions and Ukraine aid bill that Republicans blocked before Congress left for a recess two weeks ago. Since, Crimea seceded and Russian lawmakers annexed the territory. Leader Reid said:

It’s impossible to know whether events would have unfolded differently if the United States had responded to Russian aggression with a strong, unified voice.”

The Nevada Democrat said blocking the bill “sent a dangerous message to Russian leaders.”

The problem? Democrats actually blocked the bill, which passed in the Republican-led House.

And back to Nancy Pelosi, former Speaker of the House:

Standing in front of a placard touting “The Affordable Care ct Four Years Later” which portrayed happy-looking satisfied patients, she said “We just couldn’t be prouder” —of the reform that has denied Americans their preferred doctors, health plans, lots of their money, and an ability to travel, and still have care.

A reporter asked if ObamaCare is a “political liability for your party” in an election year. Pelosi said happily:

We’re not running on this, We’re running on what the American people want us to run on, and that is job creation.”

Well, there  you go. If you say it, it must be so. The Obama-Pelosi “recovery” has included the longest period since the Great Depression with unemployment at or above 9.0 %, and higher for some segments of the workforce—especially young black men.

During the 65 years from 1949 to the beginning of 2013 — there have been no months with unemployment over 8% except for 26 months during the bitter 1981-82 recession which resulted in ending the historic inflation of the 1970s.

So the Democrats are going to run on job creation?  Good luck with that.

 



The Goal Is Signing You Up, Not Giving You Good Care. by The Elephant's Child

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It’s all falling apart. Nancy Pelosi insisted that it is not “ObamaCare,” it’s the Affordable Care Act. It’s “Affordable, Affordable, Affordable” — just when a very large percentage of Americans rise up in a multi-million voiced scream: “No it’s Not! It is not affordable!” They really don’t get it. They do not understand what a mess they have made of things through their arrogance and conceit. And the insurance companies are warning that premium costs will double or triple next year.

Insurance is meant to protect you from the unlikely but possible catastrophe. Your house burns down. A tree falls on your car. The simple fact that it is statistically unlikely makes it possible for many people to buy protection from the unlikely event, because it won’t happen to most people. The modest amounts everyone pays for protection produce the funds to give to the poor soul who did have the house fire, and still allow the insurance company to make the profit that allows them to do business and stay in business.

It should work the same way with health insurance. If many people pay in modest amounts for protection from needing brain surgery, there will be enough to pay for the one who does. What the Democrats managed to contrive in their back rooms is sort of a mish-mash of pre-paid health care, where everybody has to pay for their own needs and also the needs of everyone who can’t afford to pay for their own care, and the new bureaucracy to run it.  And they claim it will save money, and be better care.

They neglected to include the cost of the vast federal bureaucracy that is to be added on top of the medical bureaucracy and the insurance bureaucracy. The Democrats thought that a lot of young, healthy people who didn’t really need much in the way of health care would than pay enough to cover all those extra expenses of giving everyone not only what they needed but whatever they might want or find convenient.

The young healthy adults who have been uninsured because they don’t want to pay for insurance— because they are healthy—are collectively saying that they have no interest in paying for everybody else. In other words they may be young and naive, but they’re not that stupid. Democrats continue to pretend that ObamaCare is quite wonderful and everybody will love it—eventually, or perhaps they believe that they can just reform it into single-payer without anybody noticing. Which, if Britain’s National Health Service (NHS), which the ObamaCare advisers love, is any example, which it is, kills way too many of its clients.

Other than that, the Democrats say that aside from some “minor glitches” it is all quite wonderful, any claims to the contrary are lies (Harry Reid), and as soon as Obama manages to revise it enough, everyone will love it.



About that “War on Women” by The Elephant's Child

Jason L. Riley reports in the Wall Street Journal:

At a fundraiser in Miami on Thursday, President Obama described his political opponents as “no less patriotic” than Democrats. “They love their families just as much. Many of them do wonderful things in their communities,” he added. Then he went on to describe Republicans as selfish ideologues who are indifferent to the needs of women and the less fortunate.

“[T]heir basic vision is that we don’t have an obligation, at least through our government, to help; everybody has got to just look out for themselves or the community that you’ve built in your church or synagogue or your block or your family,” said Mr. Obama of the Republican world view as he understands it. “We don’t have to worry about that kid on the other side of town. We don’t have to worry about that woman who is cleaning our house—which is why every initiative we put forward they say no to.”

He cited polls showing public support for preschool education, but he did not cite the multitude of studies that show that it does not confer any lasting benefit for the kids.

He bragged about polls showing that the public liked minimum wage increases, but forgot to mention that such increases are job destroyers and increase unemployment. You can’t just order a business to pay people more without figuring out where the money is going to come from — vastly increased prices, or getting rid of some employees.

He said polls showed that the public supports immigration reform, but didn’t mention what kind of reform the public supports. Since he refuses to support the immigration laws that are on the books, the reform the public supports may refer to first enforcing the laws.

He warned the donors to whom he was speaking (yes, he’s still campaigning, and never mind the mess in the Ukraine) that the midterm elections may not go well for Democrats. And he added:

The challenge is, is that our politics in Washington have become so toxic that people just lose faith and finally they just say, ‘You know what, I’m not interested, I’m not going to bother, I’m not going to vote.

As usual. It is not his fault that everything is going badly — that ObamaCare is a mess, that his weak posture on foreign policy has encouraged Putin’s adventurism, the debt is soaring, and there still are not any jobs. It’s those rascally Republicans refusing to do what he wants them to. At least he didn’t call us racist this time.



Fifty States of ObamaCare Failure by The Elephant's Child

Harry Reid’s pathetic attempt to claim that everyone is lying about the failure of ObamaCare brands him irrevocably as a fool, a liar, and a failure as a Majority Leader.

These few people represent multitudes. It is poor quality health insurance. You can’t travel. It’s too expensive now and the cost is going up dramatically next year.

ObamaCare is on life-support; the patient is comatose and brain dead. The family just won’t admit it.



There’s No Mention of “Rising Costs” in Obama’s Sales Pitch by The Elephant's Child

The recession (the worst since the Great Recession, they always add) officially ended in June of 2009. Really. Poverty has increased every year. The numbers of long-term unemployed keep increasing. At some point, it should become clear that Democrats just aren’t very good at economics. If you keep that in mind, it explains a lot.

Insurance companies set their premiums based on experience. When they lack experience, as with constantly changing ObamaCare, they have to make assumptions. They hire actuaries, who are people who are really, really good at math, to come up with those assumptions based on history, and worst possible situations, and economics.

Those who designed the Affordable Care Act knew from the beginning that they would have to sign up all those healthy young people who would not require much actual care so their premiums would pay for the older, not-so-healthy people who would need more care. They estimated there were something like 40 million uninsured that they needed to sign up — so they designed in a mandate to force them to purchase insurance. Then they designed in what seemed to be a useful idea that allowed those who hadn’t managed to sign up, to sign up  when they actually got sick, so they could be covered at the last minute. (I told you they weren’t very good at economics). Then when it turned out that all those healthy young people who hadn’t signed up because they were healthy, decided not to sign up because they were healthy, and they couldn’t afford the insurance. How many aren’t signing up? Around 40 million.

Americans buying health insurance outside the new ObamaCare exchanges are being forced to swallow premiums up to 56 percent higher than before the health law took effect because insurance companies have raised the cost to cover all the added features of the new “Affordable” Care Act.

A report on costs from eHealthInsurance, a nationwide online private insurance exchange, shows families are paying an average of $663 a month and singles $274 a month — way more than before ObamaCare kicked in. Most buyers are choosing the lowest level of coverage, the so-called “bronze” plans. In California, for example, some families are paying a high of $2,504 a month, and in New York, $1,845.

The shocking surge in prices show what Americans not in ObamaCare or covered by their employer are paying as they look for lower premiums. Typically they are not eligible for subsidies that ObamaCare offers to those with low incomes.

Premiums are increasing because of the new required provisions for 2014 Affordable compliant plans — including guaranteed issue, essential health benefits, modified community rating and minimum actuarial values. It is likely insurance companies expect additional risk because people with pre-existing conditions could no longer be denied coverage, and have priced their plans higher to cope with this risk.

The Hill reports:

Health industry officials say ObamaCare-related premiums will double in some parts of the country, countering claims recently made by the administration. The expected rate hikes will be announced in the coming months amid an intense election year, when control of the Senate is up for grabs. The sticker shock would likely bolster the GOP’s prospects in November and hamper ObamaCare insurance enrollment efforts in 2015.

Kathleen Sebelius has tried to downplay concerns about rising premium costs but her comments baffled insurance officials, who said it runs contrary to industry consensus. The Obama administration has embarrassed itself in trying to recruit young people with a “Between Two Ferns” interview, with “Pajama Boy,” and “Angry Mom.” Obama has been rewriting the law as fast as he can to delay any unpleasantness until after the election, but insurers must present their premium increases to state officials for formal approval this summer.

In Iowa, which hosts the first presidential caucus in the nation and has a competitive Senate race this year, rates are expected to rise 100 percent on the exchange and by double digits on the larger, employer-based market.

I think ObamaCare is on life-support, but brain-dead. They just aren’t ready to admit it’s hopeless.



“Oh What a Tangled Web We Weave, When First We Practice to Deceive.” by The Elephant's Child

Health and Human Services Secretary Kathleen Sebelius testified before the Hour Committee on Ways and Means about the White House’s 2015 budget proposal. To no one’s surprise, Ms. Sebelius was peppered with questions about the impact of the Affordable Care Act and its effect on insurance rates.

“I think premiums are likely to go up, but at a smaller pace than what we’ve seen since 2010,” Mrs. Sebelius said, adding that she thought the likely increases would be less significant than they had been in the years before the federal health-care law was enacted.

You are not going to see any Democrat admitting any time soon that the cost of health care had been declining for a number of years. New life-saving drugs, new diagnostic techniques, more people taking better care of themselves have made a difference. The mantra about the terrible escalating cost of health care being a reason for ObamaCare was always hype.

You already have people complaining that they simply cannot afford the premiums for ObamaCare. At a town hall for Spanish-language media recently, Obama was challenged by a viewer on the economics of it for low-income Americans who are now forced to buy comprehensive health insurance. On a $36.000 annual income, the requirement to buy the broad policy rather than hospitalization coverage combined with a Health Savings Account — which is now illegal, makes it impossible to comply.

The President replied smugly, “if you looked at their cable bill, their telephone, their cell-phone bill — it may turn out that they just haven’t prioritized health care.” He added that if a family member gets sick, the father “will wish he had paid that $300 a month.”

According to the National Center for Public Policy Research, the health care law is reducing choice and increasing premiums.  Consumers are paying an average of 39% more than they did before the law was implemented.

Liberals just don’t get basic economics. Regulations imposed by the government have a cost of compliance. Whether it is retrofitting a process or installing new equipment, or just all the people who must be hired to deal with the government paperwork, bureaucrats seldom have any understanding of the costs involved in complying. When liberals want to make their health care policies more attractive by including benefits that are not customarily part of a health care policy — it makes the policies cost more. Whether it is free contraceptive pills, or including childbirth  and well-child visits in all policies for all ages, it raises the cost of the policies dramatically. And of course there is the cost of the vast government bureaucracy to administer the whole thing.

Sowell

The federal government is so desperate to get healthy young people to sign up that they are waiving the individual mandate — the detail that was supposed to make the whole thing work. Not only that, they are offering all  sorts of ways to avoid being fined or penalized — “hardship cases” loosely enforced. Just please, please sign up, and we’ll revise the law to make it work.

The whole thing is based on guesswork. The proportion of young Americans signing up for coverage through state and federal exchanges has remained below levels thought necessary to keep premiums stable. The administration said 4.2 million people enrolled in health-insurance plans but it doesn’t count unless they have paid up. That is far below the 6 to 7 million the nonpartisan Congressional Budget Office projected would sign up.

Next year’s premiums are not set by the government, but by the insurance companies, who don’t really know what costs they have to base their premiums on. Oh well, if it doesn’t work, Obama will just issue some more executive orders. Laws are no longer fixed, but — fluid. Just keep delaying the bad stuff so nobody will know how it will work — until after the election.



ObamaCare On Life-Support, But Brain-Dead. by The Elephant's Child

Donald Verrilli

It was almost two years ago, when President Obama’s solicitor general Donald Verrilli told the Supreme Court that without the individual mandate, ObamaCare would fail. In his oral arguments before the court Mr. Verrilli made it clear that without the individual mandate ObamaCare would “make matters worse, not better”

He told the justices the “guaranteed issue” and “community rating” regulations at the heart of ObamaCare would not work if you allowed the  young and healthy to choose not to buy insurance. It turns out that if people can wait until after they get sick to buy insurance, and get it at a subsidized rate, most will do exactly that, resulting in an insurance premium death spiral. When Kentucky tried these reforms, “virtually every insurer left the market.” In New Jersey, insurance rates doubled, causing its market to collapse.

ObamaCare was supposed to avoid this because of the mandate and the tax penalty on those who did not buy insurance. After the cancellation fiasco last year, Obama added a one-year expansion to the mandate’s “hardship exemption” for anyone who’d  had policies canceled. Then last week, Obama quietly extended this loophole for two more years as the Wall Street Journal discovered. So people can claim an exemption if they’ve had their previous plan cancelled and “consider the other plans available unaffordable.” They just need a copy of the cancellation notice.

The rules are incredibly loose for exemptions. Someone claiming to have “experienced domestic violence” is automatically exempt without any need for documentation. Or just fail to pay a utility bill until a shut-off notice comes, and send that in. Instant hardship exemption.

Democrats also neutered the IRS’s ability to collect the penalty — avoiding political blowback, but giving the uninsured little incentive to pay. Sounds like it has already collapsed entirely, it’s just that nobody wants to admit that the corpse is truly dead.




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