Tag: Affordable Care Act

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Accountability general freedom government transparency media and media people nannyism national politics & policies responsibility too much government

Ad Budget Slashed

Affordable Care Act, ObamaCare, advertising, partisan

Republican politicians, who had been running since 2010 on killing ObamaCare, did not. Not when they had a chance. Despite dominating Congress, they failed, because 

  1. they opted for a goofy way to do it (the House’s AHCA plan being a terrible mess, probably worse than the monster it was trying to replace) and 
  2. partly because the libertarians — along with a few “liberal” Republicans — blocked it in the Senate.

But that’s the olds; here’s the news: the Trump Administration has cut back ObamaCare’s advertising budget.

Progress?

I’m not sure. Maybe. Probably not.

The facts: ObamaCare outreach has been cut by 90 percent, and outsourcing grants to groups engaging in sign-​up efforts have been cut by 40 percent:

The Trump administration downplayed the impact of boosted ad spending, noting that during 2017 open enrollment there was a decline of 5 percent in overall sign-​ups. It also saw a 42 percent decline in first-​time enrollment and enrollment of people who pay their premiums decline by 500,000 people.

So, it seems natural to respond to a perceived decline in “demand” with a reduction in “supply” — or any attempt to drum up more “customers” for subsidized policies.

Also natural is the partisan fall-​out, with Democrats crying “foul” over the decided lack of support for their program. As Peter Suderman noted over at Reason, ObamaCare became partisan because it started out partisan.

But it was always — from conception in the Heritage Foundation braintrust* to its current choking gasps — an unworkable monstrosity.

And folks of all parties — and none — should be able to understand that.

This is Common Sense. I’m Paul Jacob.

 

* Note: the Heritage folks not unreasonably distance themselves from their past association with some of ObamaCare’s core notions, and others are skeptical of the distancing.

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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 folly free trade & free markets general freedom moral hazard nannyism national politics & policies responsibility too much government U.S. Constitution

According to Logic

healthcare, Obamacare, Trumpcare, Affordable Care Act, pre-existing condition

“Polling on every possible option confounds all logic,” or so writes Tiana Lowe about ObamaCare and its repeal, at National Review.

“Americans overwhelmingly dislike the individual mandate and prioritize lowering the cost of health care over all other health problems in the country,” Ms. Lowe elaborates, “but a majority of Americans do not want to roll back Obamacare’s guaranteed coverage of pre-​existing conditions. Just a quarter of Americans are happy with Obamacare as-​is, but a mere 12 percent favor the now-​dead Senate health-​care bill.” 

Perceptively, she notes that the situation is as bad or worse for politicians, who want to “have their cake and eat it too.” The problem with politicians is pretty obvious: they lie because they are afraid of confronting the truth.

But it seems to me, on the evidence Lowe herself provides, Americans mostly have it right. 

We want to lower costs of health care. Well, that should be the first priority. It should’ve been government’s highest priority, since government caused our predicament. 

A huge supermajority is unhappy with ObamaCare, which makes sense. The Affordable Care Act is not affordable. But the Senate health-​care bill was worse than ObamaCare, so folks were right to oppose it.

The only real issue? Many Americans don’t seem to understand that the “pre-​existing coverage” mandate necessarily raises costs. Forcing insurance companies to pay for non-​eventualities* requires them to pass those extras onto customers in general. Here is where leadership would be of help.

And where it has failed, our President most of all. 

Lowe criticizes Trump for not pushing the Senate’s bill more effectively. I’m thankful for that.

This is Common Sense. I’m Paul Jacob.

 

* Insurers wager against unpredictable future illness or accident, not the sucker’s bet of paying for an existing predicament.

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The Worst Is the Enemy of the Cure

Obamacare, healthcare, single payer, Ryancare, Trumpcare, government, Affordable Care Act

You’ve heard the adage: “the perfect is the enemy of the good.” This can be true in politics, where opposing an ameliorating reform because it is not ideal means, sometimes, getting stuck with unmitigated policy disasters.

But there’s a corollary: in politics the worst is likely to emerge … when practiced compromisers succumb to fearing the best, because unpalatable, or perhaps not in line with political interests.* Trying to avoid the “best is the enemy of the good,” we’re left with the outrageously awful.

Cures worse than the disease are not uncommon. The Democrats’ “Affordable Care Act” (ObamaCare) was a clumsy, badly drafted hodgepodge designed to fix problems by doing the opposite of what made sense.

And it immediately started having ill effects, pushing up costs for many, many health-​care and medical insurance consumers.

No wonder Republicans ran year after year promising repeal.

But now that Republicans have the chance for a real cure, they’re chickening out. The Senate just debuted their ObamaCare replacement. And Senator Rand Paul (R‑Ky) calls it “worse than ObamaCare.”

Why worse?

Because Republican politicians are better at promising than delivering. Fearing how those who directly benefited from ObamaCare might squawk, and how badly the GOP would be treated in the media because of this, moderates went with what they know: snake oil. 

Fortunately, Rand Paul’s opposition may kill the bill. If one other senator joins Dr. Paul — and Sen. Susan Collins (R‑Maine) who announced her opposition for other reasons — in not voting for the monster, it will not pass. 

Which is great, because going for a cure worse than the previous cure leaves us all with the worst possible outcome.

This is Common Sense. I’m Paul Jacob.

 

* Like many cures. Politicians these days no longer have the knack for the necessary “spoonful of sugar” to help medicine go down. They prefer distributing just sugar pills.

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Tough Luck, Chumps

Obamacare, Affordable Care Act, Obama, Trump, Sanders, debate, CNN

Advertised as a big deal ahead of time, the debate didn’t get much play afterwards.

Especially from the Left blogosphere.

Why?

Billed as about the “future of ObamaCare,” it was really about what should replace ObamaCare.

The CNN debate pitted Sen. Ted Cruz, well-​known Republican opponent of the Affordable Care Act*, against Sen. Bernie Sanders, well-​known “independent” proponent of what he likes to call the “Medicare for All single-​payer program.”

Upshot? While either Bernie or Ted may possibly be construed to have won, there was indeed one certain loser, ObamaCare itself.

Sen. Sanders conceded nearly every charge Sen. Cruz lobbed at the program. He merely countered with his support for treating health care “as a right, not a privilege” (a leftist farrago from days of yore) and moving on to single-​payer medicine.

That’s how bad ObamaCare really is. Its chosen champion refused to champion it.

The basic tension was best summed up between “town hall” questioners Carol, suffering from multiple sclerosis, who asked Cruz to promise continued coverage for cases like hers, and LaRonda, a woman with a chain of hair care shops who cannot afford insurance for herself or her employees and also cannot expand her company because at 50 employees the ACA would force her to provide insurance.

Cruz expressed his sympathy for Carol, but seemed to meander around her request for a guarantee. He also evaded** a straightforward answer re: “healthcare as a right.”

Sanders was a tad more honest, in effect giving the “tough luck” answer that the entrepreneur just “should” pay*** for her employees’ medical insurance.

Well, we sure are all “paying” for ObamaCare, one way or another.

This is Common Sense. I’m Paul Jacob.

 

* Which is the same thing as ObamaCare. Some folks purportedly hate ObamaCare but love the ACA. No reader of Common Sense, of course.

** Cruz concluded the debate better, alluding to an old SNL skit about a recording session wherein the cowbell ringer always wanted “more cowbell” in every take. “It was government control that messed this all up. And Bernie and the Democrats’ solution is more cow bell, more cow bell.”

*** “[I]f you have more than 50 people, you know what, I think — I’m afraid to tell you — I think you will have to provide health insurance.”

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If they can do it, why can’t we?

other country's healthcare, socialized, healthcare, free college, meme, illustration

In Europe, some large programs (like “free” healthcare and college”) appear to work for some countries and are a complete disaster for other nations. In many southern European nations, citizens look on state provided healthcare with horror, and make every effort to insure that they don’t have to depend on that system.

American progressives are strangely incurious about what makes some systems work and other systems crash and burn. In many cases, the explanation is cultural and institutional. (As it happens, Scandinavians had a well-​established culture of hard work and self reliance and social cohesion, which is what made the establishment of a large welfare state even possible. When the Scandinavians began their ambitious welfare programs, it was a point of honor among many to NOT USE IT. This attitude has been eroded over time).

The Scandinavian models also have had better success rates because they have focused on maintaining a VERY FREE business environment, with corporate taxes LOWER than are found in the US, and limits placed on unions (a practice that would be abhorrent to the average American progressive).

When large government programs are established in the U.S., they quickly become bloated, inefficient and corrupt. The government is currently $21 trillion in debt.

Why not demonstrate that they can do the job they already have before being given control of the healthcare industry (an estimated 1/​5 of the economy)?

Opponents of the progressive welfare state believe that considerable damage could be done to the American system (which has always been a powerhouse of innovation and expertise), and many people could be hurt.