Tag: ACA

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Accountability folly free trade & free markets general freedom ideological culture moral hazard nannyism national politics & policies too much government

ObamaCare’s Casualties

healthcare, Obamacare, TrumpCare, ACA, Affordable Care Act, Healthcare reform, government, socialism

We all know the truth: Partisan “warfare” yields the usual war casualty, truth itself. Now, because of the increasing weight of federal government presence in healthcare markets, partisan untruth incurs medical costs. 

Take the goofy Republican plan(s) to “repeal and replace” ObamaCare — pushed with so many half-​truths and downright lies that one wonders where to begin. But before die-​hard Republicans get too incensed about this judgment, let’s note that the supporters of the mis-​named “Affordable Care Act” are no better.

Probably worse.

“Fact-​checking,” writes David Harsanyi on the media mishandling of ObamaCare, “has evolved from an occasionally useful medium to an exercise in revisionism and diversion.” Journalists now seem more like spin doctors. 

And their patient? The reputation of ObamaCare’s namesake.

One journalist, for example, insists that “Obama didn’t lie or ‘mangle facts’ or mislead anyone,” Harsanyi writes.

What does this journalist claim Obama did in repeatedly promising “if you like your doctor you can keep your doctor”? 

Well, “he gave a ‘misguided … pledge.’ The word ‘misguided’ intimates that Obama wasn’t misleading anyone on purpose.”

It helps the former president save face if he accidentally got us in this fix. He had the best intentions, you know.

Worse yet, as both sides snipe about these little untruths, they lose sight of the biggest truth, which I wrote about this weekend: that “government-​run” means “government-decided,” and that, in turn, means 

government deciding matters of your life and your death.

It would be helpful if our leaders took this all a bit more seriously, daring to speak truth … to us … as well as to themselves and each other.

This is Common Sense. I’m Paul Jacob.

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Accountability responsibility too much government

Out of Our Misery

Obamacare, ACA, Trump, Chickens home to roost

Obamacare may be on the way out.

According to The Atlantic, “the powers of the incoming Health and Human Services secretary are broad enough to cripple the [Affordable Care Act] so it has to be replaced.” Which is significant since the new President has just “signed an executive order empowering his administration’s agencies to do all they can — within the bounds of the Affordable Care Act — to undercut that law.”

The Atlantic’s Vann R. Newkirk II suggests this is … “ironic.” The executive leeway Trump is taking is not without precedent. “The irony of that component,” he writes, “is that it rests on precedent set by the Obama administration, which used executive and regulatory power liberally to make the law work in the face of Republican opposition.”

Irony? How about chickens returning to the home roost?

Obamacare itself undermined Obamacare. The plan, from the beginning, was so gimcrack with hidden redistribution that, to both opponents and proponents, it was designed to fail … to usher in the Glorious Era of socialized medicine.

Since Obamacare increased “insurance” costs for hundreds of thousands of previous insurance policy holders, and increased medical costs generally, too, it actually discouraged participation from the healthiest, many of whom would rather pay the exorbitant fines, er, “taxes.” Throwing the insurance industry into a death spiral.

So, putting the system out of our misery sooner seems sensible.

But Congress and Trump cannot stop there. Either they repeal more federal regulation and subsidy*, or keep parts of Obamacare, despite a lack of financial stability. A new bill in the Senate promises to do the latter.

We haven’t seen much hint of the former.

But can hope. Audaciously.

This is Common Sense. I’m Paul Jacob.

 

* To let markets work. Note that The Atlantic tends to miss the point of Obamacare critics. In describing more market-​based options, the magazine characterizes the Medical Health Savings Account approach as “For people sick of high deductibles, Republicans offer high-​deductible plans as replacements for Obamacare.” The idea is to incentivize people to pay for their own care, which would bring costs down generally.

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free trade & free markets general freedom moral hazard nannyism national politics & policies

Best Plan Is No Plan

Obamacare, ACA, Healthcare, reform, replace, policy, insurance

“Republicans would create chaos in the health care system because they are stuck,” Senate Minority Leader Chuck Schumer says, “between a rock and a cliché.”

Oh. Off by a word or two. But I don’t need to fix it.

What needs to be fixed is the whole system. “Head clown”* Schumer gloats that it cannot be done. The “delicate balance” that is the Affordable Care Act makes it impregnable. For all Republicans’ talk of repeal, “for five years now they’ve had nothing to put in its place.”

Schumer sees the trap. He set it when he and his comrades voted Obamacare in without reading it. Any new program with any new constituency always presents a set of … political hurdles … that quickly become “impossible” to jump.

The President-​elect, he notes, has supported three of the “most popular” regulations in Obamacare: “pre-​existing conditions,” “26-​year-​olds on parents’ plans,” and sex equality re: insurance rates.

What Schumer fails to mention is that these are three huge drivers of spiraling insurance prices. The Affordable Care Act “delicately balances” medical markets by shifting who pays for what, hoping that the biggest losers† don’t complain too much and the obvious winners never cease protesting‡ any change.

The truth? Obamacare can be repealed. But replacing it would be a disaster. The best plan is no plan. Repeal all the regulations. The federal government should completely deregulate the markets, and prevent states from ruining interstate markets in insurance and health care.

Do what the Commerce clause was designed to do.

Schumer is counting on Republicans to do nothing. Despite signs they’re cooking up something.

This is Common Sense. I’m Paul Jacob.

 

*What Trump called Schumer. And in the same tweet dubbed Obamacare “a lie.” Truer words never spoken?

† Obamacare presents a huge burden on the self-​employed, self-​insured, and on the previously insured, since it is these people who most obviously pay for all the newly insureds. Of course, in the end, everybody pays … from increasing prices and decreasing rates of progress.

‡ At least they are the focus of advocacy groups. The poor neatly serve as innocent shields of the spoliators.

N. B. Adapted from this weekend’s Townhall column.

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Obamacare, ACA, Healthcare, reform, replace, policy, insurance