Obamacare is Bad News for Your Wallet Today and Worse News for Your Wallet Tomorrow

July 9, 2014

Phineas Fahrquar:

The Democrats and their enablers, including the big insurance companies and groups like AARP, have much to answer for.

Originally posted on International Liberty:

I wrote a few weeks ago about the hidden economic damage of Obamacare, particularly the harm to the job market.

Today, let’s get further depressed by looking at the ever-worsening fiscal damage of the law.

Here’s some of what Chuck Blahous of Mercatus wrote about this costly new entitlement.

The ACA was enacted in 2010 with the promise of reducing the federal budget deficit while expanding health insurance coverage. Nearly lost amid the recent press cheerleading over ACA enrollment figures is that this promise has disintegrated, and now no one…can say how much fiscal damage the ACA will ultimately cause. …CBO currently estimates that the ACA’s coverage provisions will cost the federal government $92 billion a year by FY2015. This is roughly 0.5 percent of projected U.S. economic output for 2015, well exceeding the relative costs of Social Security and Medicaid at similar points in their histories. (The amount falls…

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Rewarding failure: GSA awards big contract to designer of #Obamacare web site

July 8, 2014
Obama foreign policy advisers

GSA contracts oversight team

Because they did such a great job with the federal Obamacare web site, why shouldn’t they be given the chance to compete for billions more of our tax dollars?

FAIRFAX, VIRGINIA, Jul 08, 2014 (Marketwired via COMTEX) — CGI Federal Inc. (CGI) GIB -1.59% CA:GIB.A -1.49% announced today that the General Services Administration (GSA) has chosen the company as a prime contractor under a new contract vehicle known as One Acquisition Solution for Integrated Services (OASIS). The multi-award contract has an unlimited ceiling, allowing CGI to compete for billions of dollars in complex professional services task orders across all agencies in the U.S. federal government.

GSA oversees the business of the federal government, among other things supplying federal purchasers with cost-effective, high-quality products and services from commercial vendors. CGI is one of 74 awardees under OASIS, an “indefinite delivery indefinite quantity” (IDIQ) contract that will allow awardees to compete on a range of program management, management consulting, logistics, engineering, scientific and financial management services. Awardees will also be able to offer technology solutions as an ancillary service. For the first time, agencies will be able to purchase high-value professional services along with supporting IT solutions through a single contract, saving customers time and money.

The Obamacare site rollout was such a fiasco that the Federal government refused to renew its contract with CGI when it expired last February. And this isn’t the only time they’ve been told to go away: the government of the Canadian province of Ontario fired CGI for missed deadlines and a failure to deliver a functional product, an online medical registry.

So, naturally the GSA decides that CGI warrants even more chances to deliver “quality IT solutions.” This being the same GSA that’s managed our dollars so well in the past.

What could go wrong?

via Iowahawk

(Crossposted at Sister Toldjah)


#Obamacare: Employees at failed Cover Oregon exchange receiving $650K in bonuses

June 27, 2014
"Obamacare has arrived"

“Obamacare has arrived”

And yet Oregon might well reelect Governor Kitzhaber, whose responsibility this fiasco is?

How do I get a job where I’m paid a bonus for maintaining something that doesn’t work? Given that the DOA Cover Oregon web site cost the taxpayers around $200,000,000 and that it’s estimated another $40,000,000 will be needed to transition to the federal exchange, one would think pitchforks and torches would be more in order.

via David Freddoso

(Crossposted at Sister Toldjah)


Obamacare penalties to slam low-income Americans

June 9, 2014
"Obamacare has arrived"

“Obamacare has arrived”

Wait. I thought the whole point of this rolling fiasco was to make insurance  affordable for the least among us. But, according to the Congressional Budget Office, roughly one million Americans will pay the fine tax whatever the heck Roberts decided it was. Via The Washington Free Beacon:

“All told, CBO and [the Joint Committee on Taxation] JCT estimate that about four million people will pay a penalty because they are uninsured in 2016 (a figure that includes uninsured dependents who have the penalty paid on their behalf),” the report said. “An estimated $4 billion will be collected from those who are uninsured in 2016, and, on average, an estimated $5 billion will be collected per year over the 2017–2024 period.”

A chart accompanying the report revealed that 200,000 of those paying the penalty earn less than 100 percent of the poverty line. An additional 800,000 are considered low-income, earning between 100 and 199 percent of the poverty level.

The article then points out how Obama was originally against the individual mandate, because it would be unfair to the poor. During a 2008 debate with Hillary Clinton Lady Macbeth, he said:

“You can have a situation, which we are seeing right now in the state of Massachusetts, where people are being fined for not having purchased health care, but choose to accept the fine because they still can’t afford it even with the subsidies,” he said. “They are then worse off, they then have no health care and are paying a fine above and beyond that.”

Which is …erm… kind of what’s about to happen right now under your system, sir. Not to be picky, or anything.

Of course, this is one of those predictible outcomes, like Obamacare causing increased use of emergency rooms instead of decreased use, that critics on the right have been warning about for several years. When faced with two painful choices –buy insurance you can’t afford or pay a fine– the vast majority will choose the least painful option. This was how the system was designed.

It’s a pity the Democrats who wrote it and shoved it down the nation’s throat didn’t bother read and understand it before voting on it and causing so many poor people so much pain. A pity, but not my problem, because not a single Republican voted for this anti-constitutional monstrosity.

And we need to remind them of that in November.

(Crossposted at Sister Toldjah)


The VA Health Scandal Is about Government Incompetence, not Inadequate Funding

June 1, 2014

Phineas Fahrquar:

Frightened of what the VA scandal foreshadows for life under Obamacare, the Left has fallen back on their standard policy prescription: More money! (Cries of “racism!” are next on the list, I think…)

Originally posted on International Liberty:

I’ve never been susceptible to the claim that you solve problems with taxpayer money.

Indeed, this amusing poster is a pretty good summary of my views on the effectiveness of government spending.

But what about the horrific stories about veterans dying because of secret waiting lists and bureaucratic skullduggery at the Veterans Administration?

I want to take care of former soldiers who need treatment because of their service, and national defense is one of the few legitimate functions of the federal government. So is this one of the rare cases where a budget needs to increase? That’s certainly the mentality in some quarters on Capitol Hill.

Here are some excerpts from Byron York’s column in the Washington Examiner.

Sanders and his fellow Democrats want to give the VA billions more. …What is striking about Sanders’ bill is not just its price tag but how irrelevant it is to the…

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Pelosi channels Whoopie Goldberg on the #VAscandal: It’s not really a scandal-scandal…

May 29, 2014

Oh, brother.

While her minions race to the microphones to denounce VA Secretary Shinseki before the voters take out their wrath on them, House Minority Leader (1) Nancy Pelosi took the softball question lobbed to her by Vox’s Ezra Klein (2) and explained that, yes, the poor treatment of veterans was scandalous, but she wasn’t sure if it really was a “scandal:”

Gee, Nancy, it sure seems to me that VA administrators and employees manipulating federal records to hide the poor treatment of veterans and win themselves some bonuses amounts to a scandal. Maybe even a criminal matter. What else do you need? Oh, wait. I know.

An (R) after the president’s name.

via The Right Scoop

Footnote:
(1) And a person very much responsible for creating that minority. Thanks, Nancy!
(2) He who thinks the Constitution is too old to understand.

(Crossposted at Sister Toldjah)


Opposition to #Obamacare is racist, and why Democrats love the race card

May 25, 2014

Liberal tolerance racist

Oh, brother. If we needed any more convincing that it was well-past time for Senator Jay Rockfeller (D-WV) to retire and never be heard from again, this clip of him not just playing the race card, but slamming it on the table and dancing around it should do the trick:

(h/t David Freddoso)

Apparently the senator’s “analysis” was aimed at Senator Ron Johnson (R-WI), who was at the hearing. Naturally, Johnson took offense:

“My opposition to health care has nothing to do with the race of President Obama,” Johnson said. “I objected to this because it’s an assault on our freedom. … I found it very offensive that you would basically imply that I’m a racist because I oppose this health care law.”

“You’re evidently satisfied with a lot of people not having health insurance,” Rockefeller responded.

“I am not. Quit making those assumptions. Quit saying I’m satisfied with that. I’m not. There’s another way of doing this,” Johnson said. “Please, don’t assume, don’t make implications of what I’m thinking and what I would really support. You have no idea.”

“I actually do,” Rockefeller said. “God help you.”

“No senator, God help you for implying I’m a racist,” Johnson replied.

Thankfully, Senator Rockefeller (D-RaceBaiter) will retire in January, hopefully to be replaced by Republican Shelley Moore Capito.

But the senator from West Virginia didn’t just slam his colleague from Wisconsin; he cavalierly insulted all of us who oppose the Affordable Care Act. While I can’t speak for others, let me recapitulate the reasons I oppose it:

Political Philosophy: By placing the State in charge of people’s healthcare, you fundamentally alter the relationship between citizen and State, turning free people into dependent wards of a Leviathan-like government and taking away their control over a crucial part of their own lives. To a conservative/classical liberal like me, this is a bad thing.

Constitutionalism: Congress has no authority –none!– to force a citizen to buy a private product under penalty of law. This is an abominable legislative usurpation and a trammeling of individual liberty. It tortures the Commerce Clause until it begs for mercy. It goes against the spirit and intent of our founding documents, and the Supreme Court, in the worst decision since Korematsu, was wrong to uphold the law.

Bad Law: I’ll be more charitable than Senator Rockefeller and stipulate that most voting for this law thought they were doing good and helping people. But that doesn’t justify defending a law that just isn’t working. It’s not even meeting its basic goals: healthcare premiums are still skyrocketing; millions have lost the insurance they liked; millions have lost access to the doctors they liked; and, even when you have insurance, you may not be able to find a physician who will take you. (Really. Watch that one.) When a law performs as poorly as this, is it any wonder people hate it? Are they all racists, Jay?

Somehow, looking over those reasons, I think it’s safe to say the President’s ancestry doesn’t matter to me and my opposition to his miserable law. In fact, I can quite honestly say I couldn’t give a rat’s rear end about President Obama’s race.

But I don’t expect you to get that, Senator.

PS: On a lighter note, I’m happy to say Andrew Klavan is back at last making satirical political videos. Longtime readers will recall my love for his “Klavan on the Culture” series. Now he’s returned, producing them for Truth Revolt. (He also still works with PJMedia and PJTV) In this video, he explains what we’ve all wondered: Just why do Democrats call us racist? Enjoy.

Welcome back, Andrew! smiley dance

(Crossposted at Sister Toldjah)


Unofficial Death Panels at the VA Show Where Obamacare Will Lead

May 23, 2014

Phineas Fahrquar:

The amazing thing to me is that, having known about this since taking office and having touted VA as a model for how Obamacare would work, why in Heaven’s name did the Obama administration not fix VA??

Originally posted on International Liberty:

In hopes of warning people about the dangers of Obamacare, I’ve shared horror stories from the United Kingdom about patients languishing on waiting lists and being left to die.

Now, thanks to whistleblowers, we have horror stories from America. The government-run system operated by the Veterans Administration has maintained secret waiting lists that have led to lots of delayed care and numerous deaths.

The Wall Street Journalopines on the scandal.

The real story of the VA scandal is the failure of what liberals have long hailed as the model of government health care. Don’t take our word for it. As recently as November 2011, Paul Krugman praised the VA as a triumph of “socialized medicine,” as he put it… What the egalitarians ignore, however, is that a government system contains its own “perverse incentives,” such as rationing that leads to treatment delays and preventable deaths, which the bureaucracy…

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Irate Maine doctor writes his senator about #Obamacare

May 5, 2014
"Quack medicine"

“Quack medicine”

A doctor in Maine decided to tell his senator his opinion of Obamacare. You’ll want to read the letter.


Obamacare: The Never-Ending Gift that Repeatedly Teaches Us that Big Government Doesn’t Work

May 1, 2014

Phineas Fahrquar:

I’m shocked –shocked!!– that the government contractor that promised to fix the the barely functional Obamacare web site is, wait for it, behind schedule and over budget.

Originally posted on International Liberty:

Sigh. Another day, another grim Obamacare update.

Actually, we have two updates on the never-ending disaster of government-run healthcare.

Our first story comes from the Washington Times, which reports that the company hired to fix the failed Obamacare website is way behind schedule and way over budget.

Fixing the Obamacare website to get it ready to handle a second round of enrollments will cost the federal government $121 million… The deal, which Accenture announced on its website Tuesday, costs more than the $93.7 million it took to build HealthCare.gov in the first place. It’s also $30 million more than the government projected for fixes just a few months ago… “There doesn’t seem to be a light at the end of the tunnel for Obamacare website expenses,” said House Oversight and Government Reform Committee Chairman Darrell E. Issa, California Republican.

I’m mystified, by the way, why taxpayers always have…

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#Obamacare: more proof that liberals don’t “get” economics

April 22, 2014
x

Obamacare insurance commissioner

Sometimes I think one of the greatest acts of charity I could perform would be to buy progressives each a copy of Thomas Sowell’s “Basic Economics: A Common Sense Guide to the Economy,” because they clearly were not paying attention in high school or college:

The practice of offering relatively inexpensive health plans with bare-bones provider networks has created tension between making health care affordable and keeping it accessible. It’s set to come to a head this week in Olympia.

The growth of “narrow networks” in Washington comes as the Affordable Care Act limits the ability of insurance companies to control their costs. That’s made it harder to offer plans at a range of prices — something the companies want to do as they compete for comparison shoppers on the health exchanges.

Many companies figured out they could sell cheaper plans that offer consumers fewer choices of where to get care. That caught some consumers, and Washington’s insurance commissioner, by surprise.

Commissioner Mike Kreidler says companies need to justify those narrow networks.

Mr. Kreidler wants insurance companies to prove they need to narrow their networks; after all, under Obamacare, they’re not really allowed to run their own businesses anymore. So he’s proposing new rules, regulations, and reporting requirements that have even the people running Washington’s exchange screaming that this will increase costs to the consumer and hinder companies from providing effective service. Kreidler, however, like many other fans of bureaucracy, just doesn’t get it:

Kreidler says he doesn’t believe prices will increase. He sees himself as walking a fine line, but with his compass oriented decidedly toward the consumer.

“Oriented” like a missile aimed straight at their wallets, he means.

Moe Lane provides a succinct explanation of why, to put it kindly, Mr. Kreidler’s belief is… “ignorant:”

There are three major elements to healthcare plan decisions:

  • Cost: How much does it cost per month or year, just to have it?
  • Deductible: How much does the consumer have to kick in for any given procedure?
  • Network: Who is willing to take you on as a patient, if you use that plan?

With me so far?  Good.  What Obamacare does is turn all of this into a zero-sum game: it mandates an across-the-board, let’s-slap-something-together, we-don’t-care-about-your-stinking-special-circumstances product and doesn’t really care how insurers and consumers cope with the situation.  So the insurers are left with a quandary: if they want to keep the networks intact, thanks to the various mandated procedures and general bureaucratic detritus either the total cost will go up, individual plan deductibles will, or both. And the same is true for the other two categories: push one down and the other two rise. All the good intentions in the world will not alter this calculation.

To use another example, the three legs of Obamacare mentioned above are like a balloon: squeeze one portion, and another must expand. It’s a law of physics, just as the cost to do business and the consequent price of insurance policies are subject to immutable laws of economics.

But technocrats like Mike Kreidler think they can control complex economies with a flourish of their pen, without there being any consequences for others. Perhaps along with a good book on economics, he should learn a lesson in humility and study the parable of King Canute.

Meanwhile, Washington voters should think of Mr. Kreidler and his “compass” as their premiums go up. They elected him with 58% of the vote in 2012; 2016 would be a good time to undo that mistake.

(Crossposted at Sister Toldjah)


#Obamacare: you may have coverage, but just try to find a doctor

April 20, 2014
"Obamacare has arrived"

“Obamacare has arrived”

Now that were a few months into our glorious new healthcare regime, we’re seeing more and more examples of something many predicted after the law was passed in 2010: you may have coverage, but good luck finding a doctor who takes it:

While open enrollment for coverage under the Affordable Care Act is closed, many of the newly insured are finding they can’t find doctors, landing them into a state described as “medical homelessness.”

Rotacare, a free clinic for the uninsured in Mountain View, is dealing with the problem firsthand.

Mirella Nguyen works at the clinic said staffers dutifully helped uninsured clients sign up for Obamacare so they would no longer need the free clinic.

But months later, the clinic’s former patients are coming back to the clinic begging for help. “They’re coming back to us now and saying I can’t find a doctor, “said Nguyen.

Thinn Ong was thrilled to qualify for a subsidy on the health care exchange. She is paying $200 a month in premiums. But the single mother of two is asking, what for?

“Yeah, I sign it. I got it. But where’s my doctor? Who’s my doctor? I don’t know,” said a frustrated Ong.

Nguyen said the newly insured patients checked the physicians’ lists they were provided and were told they weren’t accepting new patients or they did not participate in the plan.

And Nguyen says – while the free clinic isn’t technically supposed to be treating former patents they signed up for insurance, they can’t in good faith turn them away.

Dr. Kevin Grumbach of UCSF called the phenomenon “medical homelessness,” where patients are caught adrift in a system woefully short of primary care doctors.

(…)

Meanwhile, the sick and insured can’t get appointments.

“What good is coverage if you can’t use it?” Nguyen said.

(Emphasis added)

“Medical homelessness.” That’s a wonderful term for the chaos caused by Obamacare in provider networks. Not only do you discover that you can’t see the doctor you used to see, the new doctors you try to see may not take your health plan because it either doesn’t reimburse enough, or the regulations are too burdensome. Let’s review a few examples:

  • Thousands of elderly people are losing their insurance in New York. Will they find another doctor who takes Obamacare?
  • Need cancer treatment? Good luck if that top-shelf hospital that used to be on your old plan isn’t on your new one.
  • Thinn Ong in the story above isn’t the first Californian to have doctors turn her away. Maybe she could compare notes with Andrea Redamonti.
  • And one woman has (to date) gone through 96 physicians without finding one who would accept O-care Medicare coverage.

And there are a lot more in the archives.

Obamacare is an anti-constitutional monstrosity that’s not only not helping the people it was meant to help –the previously uninsured– but it’s actively hurting others. There’s only one thing to do with it: repeal it and then burn the legislation and scatter the ashes to the four winds.

And then replace it with something that will work.

Via Rick Moran, who has lots more.

PS: And don’t forget to vote out the idiots who passed it.

(Crossposted at Sister Toldjah)


Glorious #Obamacare success story! Alabama widows kicked off their insurance plans!

April 17, 2014
"Obamacare has arrived"

“Obamacare has arrived”

The law of unintended consequences (1) strikes again. First widows; are orphans next?

(Transcript via The Weekly Standard)

“More than two dozen widows who were married to retired Madison county employees, lost their health insurance coverage earlier this year. And now one commissioner says it’s time to give it back to them. The change was sparked by the new federal health care law, but whether or not coverage can actually be restored really isn’t clear,” said the anchor.

Says the reporter, “Madison county commissioner Roger Jones says no one realized just how much the new federal health care law would change things, especially for the spouses of some of his former employees.”
 
“A lot of these people are on fixed incomes, low fixed incomes. Some of them are living on Social Security and very little else and health insurance is very important to them,” says the county commissioner.

Essentially, the county had self-insured and provided coverage to the widows of its former employees. It’s a nice benefit, something I gather isn’t all that common.

But things changed when our glorious new healthcare act became law and we started to find out what was in it: Madison county discovered that, thanks to all the new requirements, it would cost them an extra $25,000,000 to cover the widows. They didn’t have the money, so guess who lost their insurance?

Apologists might argue that the county or state could raise taxes and fees to cover the expenses, or, even if they couldn’t, the widows still have Medicare and Medicaid (Oh, joy.) available, thanks to the ACA. So it’s not really a problem, right? Just a few bugs to work out.

But that’s not the point. These people had an insurance plan that met their needs, and the county was honoring its promise to its employees. There was no good reason for government to come in like a bull in a china shop and wreck those arrangements. Now, thanks to Barack Obama and the Democratic Party (2), you literally have widows on fixed incomes left without health insurance. And who knows how many places in America this story or ones similar to it are playing out?

This thing is an anti-constitutional monstrosity and it has got to go.

RELATED: More from Hot Air on the difficulties of restoring coverage to these people.

Footnote:
(1) Also known as: “Things that inevitably happen when a bunch of arrogant fools think they can control by bureaucratic ukase a complex, varied economy composed of millions of individuals with highly varied needs.”
(2) Remember, kids, not a single Republican voted for this mess, and we’ve been warning it would be a train wreck from Day One.

(Crossposted at Sister Toldjah)


Democrats’ “Look it’s Elvis!” strategy not playing on Main Street?

April 14, 2014
"Don't get distracted"

“Don’t get distracted”

The Democrats would really rather you talk about anything other than Obamacare, which has become a huge millstone around the neck of their political fortunes (1). To distract you from this anti-constitutional monstrosity and rally their base voters, they’re desperately deploying the weapons that have served them so well in the past, such as the Race Card.

Another weapon is the “War on Women,” the accusation that, in short, Republicans and conservatives want women barefoot, pregnant, and underpaid, shouting that women only earn 77 cents for every dollar a man earns. (2) There’s no denying that the “Sexism Card” was effective in the 2012 election, but how is it working for them, now?

If a Pittsburgh waitress is any indicator, not so good:

She gave a dramatic eye-roll in reaction to all of the fuss that Democrats and the president attempted to create over equal pay for women last week.

A Democrat herself, she said she has carved out a decent, comfortable life for her family over the years as a waitress at a local restaurant.

“I am in many ways my own boss,” she explained. “It is up to me to get the order right, treat people well, and use my personal skills to increase my wages.”

And she is “sick and tired of my party treating me like a victim. This is not 1970, and it’s insulting.”

Her last remark is telling. Progressives have long dreamed of instituting nationalized health care in the US, but the ACA’s passage was controversial (to say the least), the bill has never been popular, and it’s rollout to date has been a train wreck. Now faced with an electoral shellacking potentially worse than 2010′s, they’ve gone back to their happy place in the 1960s and whipped out the magic fetishes that have always saved them before: cries of racism, sexism, and class warfare.

Only, as the astute waitress observed, what worked 40-50 years ago doesn’t necessarily work now. American society has made enormous progress on issues of unfair treatment based on gender or race, and only an ideologue or a charlatan –or a desperate pol (or, in this case, all three)– would claim otherwise.

Remember what Lincoln said?

“You may fool all the people some of the time, you can even fool some of the people all of the time, but you cannot fool all of the people all the time.”

The Democrats have been able to fool enough of the people, but, at some point, people get tired of being taken for fools. They notice how dog-eared those cards in the Democrats’ deck have become from being played so often and they’re not impressed anymore. In fact, as our waitress noted, they’re insulted. And insulted people take their business (and votes) elsewhere.

More from the article:

Barack Obama has divided this country since the beginning of his presidency. He has not been transformative; instead, he has indulged one special-interest group after another — women in this case, but also blacks, young people, the lesbian-gay-transgender community and Hispanics in earlier instances.

He has governed by sliced-and-diced division, fear, secrecy and resentment, all accented with toothless executive orders used as political weapons.

This is definitely not the transparent and compassionate administration that he promised.

Maybe this is what happens when you over-promise, or maybe this is who Barack Obama is.

Or the answer is “C,” both. Obama and the Democrats clearly over-promised to win over a public tired by war and frightened by an economic crisis, but it is also who Obama is: a political “slice-and-dicer.” Remember that Obama got his start and his education in retail politics as a community organizer, a profession invented by Saul Alinsky. The whole point of community organizing is not to unite or build bridges, but to divide communities into “us and them” and then organize your faction to achieve your goal by setting them against the other guys. Thus no one should be surprised that Obama has operated this way over the course of his presidency.

It’s who he is and all he knows.

PS: The article’s author, Salena Zito, is a great reporter who looks at politics from a “Main St.” perspective, the point of view of the people the Beltway often forgets exist. You should add her to your reading list.

RELATED: John Fund on the race card as a losing game.

Footnotes:
(1) And deservedly so.
(2) And even though even the White House admitted that was wrong.

(Crossposted at Sister Toldjah)


Ted Cruz explains #Obamacare’s success in one graphic

April 13, 2014
"Your MEA shop steward"

“Obamacare salesman on the job”

With the recent announcement of more than seven million sign-ups for Obamacare, the administration and its supporters have been running around shouting “Success! SUCCESS!!”, as if an enrollment figure means that the implementation of the law itself, with its myriad problems (for example) (1), will be just a matter of working “the bugs” out.

Nevertheless, seven million was the administration’s goal, and they met it. So, how does one explain this victory? How did they do it?

Senator Ted Cruz is ready with the answer:

obamacare broken window bastiat ted cruz

Apparently the good Senator is a student of Frederic Bastiat’s “Parable of the broken window.” Would that the rest of Congress were.

Footnote:
(1) For lots more, check out my Obamacare archives.

via Dan Mitchell

(Crossposted at Sister Toldjah)


#Obamacare success! New Medicaid enrollee turned down by 96 doctors

April 9, 2014
"Train wreck"

“Train wreck”

One of the oft-stated goals of the Affordable Care Act was insuring the uninsured. For those who couldn’t afford insurance even with the new subsidies, states could expand their Medicaid offerings with (temporary) help from the federal government (i.e., taxation and borrowing). Great, right? Even if you don’t make enough to afford private insurance, you still get medical care, right?

Not if the doctor refuses to take Medicare:

“I’m sorry, we are no longer accepting that kind of insurance. I apologize for the confusion; Dr. [insert name] is only willing to see existing patients at this time.”

As a proud new beneficiary of the Affordable Health Care Act, I’d like to report that I am doctorless. Ninety-six. Ninety-six is the number of soul crushing rejections that greeted me as I attempted to find one. It’s the number of physicians whose secretaries feigned empathy while rehearsing the “I’m so sorry” line before curtly hanging up. You see, when the rush of the formerly uninsured came knocking, doctors in my New Jersey town began closing their doors and promptly telling insurance companies that they had no room for new patients.

My shiny, never used Horizon health card is as effective as a dollar bill during the Great Depression. In fact, an expert tells CNN, “I think of (Obamacare) as giving everyone an ATM card in a town where there are no ATM machines.” According to a study 33% of doctors are NOT accepting Medicaid. Here in Jersey, one has a dismal 40 percent chance of finding a doctor who accepts Medicaid – the lowest in the country.

That insurance or Medicaid card does one a whole lot of good when no one will accept it, doesn’t it?

This is one aspect of a broader access problem that’s going to get more and more attention as we get deeper into the Obamacare morass. In addition to a growing doctor shortage (something that Obamacare may make worse), and shrinking provider networks, the limited number of doctors who accept Medicaid will only get smaller, because the system underpays for their services, and yet under Obamacare is greatly increasing the number of patients. Noble sentiments aside, a medical practice is a business, and a physician or hospital can only afford to see so many money-losing patients before it’s no longer worth staying in business.

Call it another of Obamacare’s broken promises: the government promises you medical care, but what if the care-provider refuses to play?

Of course, one would-be Democratic lawmaker in Virginia has a solution for that: serfdom.

Via Jim Geraghty, who notes it’s even harder to find specialists who take Obamacare.

RELATED: Bobby Jindal has a better idea.

(Crossposted at Sister Toldjah)


#Obamacare chronicles: middle-class children lose their health insurance

April 7, 2014
"Obamacare has arrived"

“Obamacare has arrived”

Wait. Wasn’t one of the justifications for passing the Affordable Care Act that we had to do it “for the children?” That so many children were among the uninsured that it would be heartless, cruel, and even racist to not pass Obamacare? (1)

Then how do they explain this?

While the federal government was trumpeting the benefits of Obamacare to boost enrollment earlier this year, about 1,800 families in New Jersey were receiving letters telling them their children would be losing their health coverage last week.

The Affordable Care Act — the federal law that mandates everyone have insurance — effectively killed FamilyCare Advantage, a low-cost option for kids in New Jersey created six years ago for parents who earned too much to qualify for Medicaid and other subsidized programs but too little to buy on a policy on their own. The state program was the first of its kind in the nation.

Horizon Blue Cross Blue Shield of New Jersey was the only insurance carrier that agreed to offer the FamilyCare Advantage plan, which covered most medical, dental and vision needs for the relative bargain of $144 a month per child.

What was it that killed FamilyCare Advantage? Oh, just the lack of services Obamacare declares must be included in every policy.

Such as maternity care. For children.

FamilyCare Advantage was New Jersey’s experiment to help lower middle-class families who made too much to qualify for state assistance, but not enough to buy adequate insurance on their own. Under (what used to be) our federalist system, states could try different approaches to common problems, see what worked and what didn’t, and then other states could, if they wanted, copy and adapt them to their own people’s needs. It’s that famous “laboratories of democracy” concept that leads to the discovery of best practices. Instead, these 1,800 families and their children get to experience the “benefits” of a top-down, one-size-fits-all, we-know-better-than-you nationalized health care system. One that kills the health insurance plan they liked and were promised they could keep.

Neat, eh?

But, don’t worry. These families can still go on the exchange and buy a policy there. Of course, it will likely be more expensive and carry a high deductible, but beggars can’t be choosy, right?

After all, it’s for the children.

Afterthought: There’s one other point that needs to be made. The article quotes one father frustrated with both Obamacare and the insurance company:

“Obamacare did snuff it out, but it also looks like Horizon was looking for a reason to end it. With all of the federal mandates (for employers to offer insurance) delayed, they didn’t need to do anything right now.

Emphasis added. This kind of resentment is inevitable when you have chief executive whose governing style seems to be borrowed from Argentina’s Juan Domingo Peron. Rather than treat people as free citizens, equal under the rule of law, you instead get individuals clamoring to get the same special favor as the other guy, turning free citizens into dependent clients and a president of a constitutional republic into El Patrón, doling out the favors to those who please him (or he needs to please) most. And that dependency, in the long run, is the progressives’ real goal.

via Jim Geraghty’s Morning Jolt

Footnote:
(1) And I exaggerate only a bit, here.

RELATED: The Affordable Care Act becomes unaffordable.

(Crossposted at Sister Toldjah)


The Obama Administration’s Engages in Contortions to Claim that Obamacare Is a Success

April 6, 2014

Phineas Fahrquar:

Where “contortions” means “spin like an out of control top.”

Originally posted on International Liberty:

I’ve observed, reported, mocked, written, and explained that Obamacare is a cluster-you-know-what.

So I’m rather bemused and frustrated by the latest pro-Obamacare spin that the law is a “success” because there are now 7 million people who have picked a plan.

There are lots of reasons for normal people to have a what-the-expletive-deleted response to this declaration of victory. For instance:

The goal of Obamacare was to insure the uninsured, yet that number has barely budged, so why is the Administration allowed to move the goalposts to something far more modest?

Obamacare also was supposed to lower premiums by $2500 and allow everyone to keep their plans and their preferred providers, so what happened to those goals?

And why should we even believe the White House spin when we have no idea whether people who have picked a plan have actually paid for that plan?

Moreover…

View original 218 more words


The thrill is gone: networks refuse prime time slot for Obama speech

April 4, 2014
Feeling rejected.

Feeling rejected.

Oh, how this must pain the soul of our Narcissist in Chief. Remember the halcyon days of Hope and Change in his first term, when it seemed like he was making a national address every week? Joint sessions of Congress, prime time press conferences, the networks just couldn’t get enough Obama.

Someone cue B.B. King, because the thrill is gone, baby:

White House officials sought valuable primetime air for a rare, impromptu Tuesday night address to tout the accomplishment of signing up more than 7 million people under the Affordable Care Act.

But network officials refused to make the kind of accommodation they did previously for the announcement that Osama Bin Laden had been killed, for instance, and Obama was left instead cutting into the much smaller audiences of Ellen and other daytime shows.

Three sources familiar with the request confirmed the White House asked for the primetime slot in their effort both to emphasize a bright moment following the challenging roll out and, more important, to try to reintroduce the country to a law that remains unpopular.

Oh, man. “No, you can’t interrupt NCIS. But, hey, we’ll let you cut into Ellen, champ.” How far our modern Icarus has fallen. Could it be even the major networks knew the 7 million sign ups “milestone” was just a bunch of smoke?

Regardless, it’s a sign both of the growing irrelevance of Obama as he moves further into lame-duck status and that the fight over this train-wreck of a law isn’t over, no matter how many they claim to have signed up. The major networks aren’t going to give up valuable commercial revenue just to satisfy Obama’s need to take a victory lap.

This calls for a song. Hit it, B.B.!

(Crossposted at Sister Toldjah)


#Obamacare to cost employers more than $5,000 per employee

April 2, 2014

 

"Obamacare has arrived"

“Obamacare has arrived”

The American Health Policy Institute did something unusual: rather than estimate the effects of Obamacare from the outside, they went to 100 large employers and asked the directly what their expected costs would be over the next ten years. The results were eye-opening — and disturbing:

Obamacare will cost large companies between $4,800 and $5,900 more per employee and add hundreds of millions to their overhead, according to a new survey.

(…)

Factoring in the health care law’s added mandates, fees, and regulatory burdens, employers anticipate cost hikes between $163 million and $200 million in 2016, a 4.3 percent increase. By 2023, employers will be paying 8.4 percent more than “what they would otherwise be spending” for their employees’ health care.

In the next 10 years, the total cost of Obamacare to all large American employers is estimated to be from $151 billion to $186 billion, according to the study.

“This study is a c-suite diagnosis of how [the Affordable Care Act] ACA is shaping large employer behavior,” Tevi Troy, president of the American Health Policy Institute, said. “We don’t know yet precisely how employers will react, but the study shows that employers will have to make real changes or incur heavy costs, which means that the ACA will have a significant impact on those in employer-sponsored health care.”

While noting that some will say the results will “lead to more economical use of health care dollars,” the study questions whether the increase in health costs could bring the “end of the employer-sponsored health care system.”

I don’t think there’s any “may” about it: the perverse incentives of Obamacare scream at employers to save money by dumping their insurance plans, pay the fines instead, and let the employees try their luck on the exchanges. (And luck is what they’ll need.)

This, of course, is what was intended all along, part of the Obamacare Trojan Horse that Harry Reid admitted we’re all supposed to ride to the land of single-payer, state-run healthcare. Blowing up the existing health care and insurance industries, which most people were satisfied with, was all part of the plan.

We shall have a chance to comment on said plan next November. I, for one, am looking forward to it. Aren’t you?

Read the rest at the Free Beacon.

(Crossposted at Sister Toldjah)


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