Free Markets, Free People

ObamaCare


Another reason you should never believe a thing this administration says

Because, as we’ve learned over the years, it’s likely either spin, just not true or both.

For instance, we have the President claiming victory for ObamaCare because it has 7.1 million enrollments.  Note the word – “enrollments”:

‘The goal we’ve set for ourselves – that no American should go without the health care they need … is achievable,’ Obama declared.

The president took no questions from reporters, but celebrated the end of a rocky six-month open-enrollment period by taking pot shots at Republicans who have opposed the law from the beginning as a government-run seizure of one-seventh of the U.S. economy.

‘The debate over repealing this law is over,’ he insisted. ‘The Affordable Care Act is here to stay.’

And, as is usual with this man, he simply declared he’d won and simply threw out “facts” that haven’t at all proven true. Essentially lies in a bigger lie:

‘“The bottom line is this,’ said Obama: ‘The share of Americans with insurance is up, and the growth in the cost of insurance is down. There’s no good reason to go back.’

Of course the “share of Americans” with insurance isn’t up (over 7 million lost their insurance when their plans didn’t qualify under ObamaCare) and costs are certainly not “down”.

Jay “Baghdad Bob” Carney took it from there (Carney is a perfect name for the position, he’s like a carnival barker):

‘At midnight last night we surpassed everyone’s expectations,’ he boasted, ‘at least everyone in this room.’

While he took great pains to emphasize that the total would grow – saying ‘we’re still waiting on data from state exchanges’ – he dodged tough questions about other statistics that reporters thought he should have had at the ready.

Those numbers included how many Americans have paid for their insurance policies, and are actually insured. Also, he had no answer to the thorny question of how few signups represented people who had no insurance before the Affordable Care Act took effect.

But as usual, when ever they drop something like this in a news cycle, the devil is in the details.  For instance, an unpublished RAND study that suggests that relatively speaking, very few of the enrollees were previously uninsured:

The unpublished RAND study – only the Los Angeles Times has seen it – found that just 23 per cent of new enrollees had no insurance before signing up.

And of those newly insured Americans, just 53 per cent have paid their first month’s premiums.

If those numbers hold, the actual net gain of paid policies among Americans who lacked medical insurance in the pre-Obamacare days would be just 858,298.

So effectively, assuming the numbers are correct, less than a million are newly insured.  And, as we’ve read in the past, most of them are Medicaid subscribers.

In other words, we’ve gone through all this hell, all this disruption, the higher costs, the lesser insurance plans, the IRS enforcement, etc. just to enroll 858,298 people – most of whom have ended up on a program that existed prior to this atrocity.

Perhaps the biggest laugh line of all, however, comes from David Axelrod, who declared that ObamaCare was totally going to change “the attitude that government can’t do anything“.  Of course he only felt comfortable saying that on MSNBC.  One can certainly understand why.

Meanwhile, for the most part, the RAND study goes unpublished and, for the most part, unexamined.  The King has declared victory – the big lie has been established – debate over.

~McQ


Observations: The QandO Podcast for 30 Mar 14

This week, Bruce, Michael and Dale talk about arresting climate change deniers, voter fraud, and Obamacare.

The podcast can be found on Stitcher here. Please remember the feed may take a couple of hours to update after this is first posted.

As a reminder, if you are an iTunes user, don’t forget to subscribe to the QandO podcast, Observations, through iTunes. For those of you who don’t have iTunes, you can subscribe at Stitcher. And, of course, for you newsreader subscriber types, our podcast RSS Feed is here.


Discounting human nature

One of the most ironic and, if it weren’t so serious, amusing aspects of central planners is how they come to the conclusion that their plan – despite thousands of years of human nature – will manage to overcome human nature.  What I mean by that akward sentence is they believe they can retrain us to like what they’ll make us do.  Screw human nature.  Screw the laws of economics.  Screw just about every immutable law of nature.  This crap sounded great in the beer haze of the dormitory among their liberal friends.

It’s a correlary of the “the only reason socialism hasn’t worked is we haven’t tried it my way” belief.  And I do mean “belief”.  An act of faith.  More underpants gnomes.

The case in point?  Megan McArdle brings it to us:

In December, I predicted that “doc shock” was going to be a major problem for the U.S. health-care overhaul, as people found out that the narrow networks insurers use to keep premiums low often don’t cover the top-notch doctors you’d like to see if you get really sick:

“If narrow networks could give everyone in the country access to health-care outcomes no worse than 90 percent as good as the folks with the best doctors at 75 percent of the price we’d pay for broader networks, the health-care wonks would jump on that deal as an unbelievable bargain. But I think it’s pretty clear that average folks don’t think like health-care wonks.

So what does ObamaCare do?  Force people into narrow networks despite it being clear to anyone with the IQ of a turnip and a couple of years observing how humans do things, that narrow networks are going to fail.

“So even if narrow networks actually were better, people would resist them. And they’ll fight with every fiber of their being when you tell them to take their kid with leukemia to a community hospital rather than the top-notch children’s hospital nearby. Expect the fight over doc shock to be bitter and long — and to end when insurers cave and start adding pricey doctors back to their networks.”

That’s right … you’re relegated to whatever backwater network of care the particular insurance company you’ve been forced to buy from (or pay a tax too if you prefer) has contracted with.  Want world-class care for your child?  Tough beans.  See your doc at the community hospital instead.

So what has happened?  Well exactly what happened before when something like this was tried:

However much good, sound policy sense narrow networks might make, they are political poison. Regulators and politicians are going to find it very hard to withstand the appeals of constituents who have been restricted to the bargain basement of our nation’s health-care system. I simply don’t think they’ll be able to stand it for very long. This is basically what happened to the managed-care revolution that held down cost growth in the mid-1990s — people in those plans complained bitterly, in their capacity as both voters and employees. A combination of legal and market pressure forced insurers to open up their networks and approve more treatments. And then costs started rising again. As people begin using their Obamacare policies and start running into restrictions, the same sort of pressure will begin to mount.

But did our estwhile leaders learn anything from managed care’s failure?

Nah.

Because, you know, they weren’t in charge at the time and besides, human nature is just overrated.

So, as with every other aspect of this nonsense, watch Obama do what is necessary to ensure the fewest number of people possible are hurt by this … until after midterms, at least and 2016 if Mr. “I can do whatever I want” can swing it.

~McQ


ObamaCare: you wonder how much the government can screw up something?

Well the hits keep on coming with this atrocity of a law known as the Affordable Care Act, aka ObamaCare.  More and more negative nonsense keeps emerging as we get deeper and deeper into its implementation:

In his State of the Union address, President Obama urged Congress to “give America a raise.” Well, it turns out that Obama is giving America a $70 billion annual pay cut, courtesy of Obamacare.

That is the overlooked nugget in the new Congressional Budget Office report detailing the economic costs of Obamacare. While much attention has been paid to the report’s finding that Obamacare will reduce employment by as much as 2.5 million workers, buried on page 117 (Appendix C) is this bombshell: “CBO estimates that the ACA will cause a reduction of roughly 1 percent in aggregate labor compensation over the 2017-2024 period, compared with what it would have been otherwise.”

Translation: Obamacare means a 1 percent pay cut for American workers.

How much does that come to? Since wages and salaries were about $6.85 trillion in 2012 and are expected to exceed $7 trillion in 2013 and 2014, a 1 percent reduction in compensation is going to cost American workers at least $70 billion a year in lost wages.

It gets worse. Most of that $70 billion in lost wages will come from the paychecks of working-class Americans — those who can afford it least. That’s because Obamacare is a tax on work that will affect lower- and middle-income workers who depend on government subsidies for health coverage. The subsidies Obamacare provides depend on income. If your income goes up, your subsidies go down. This means Obamacare effectively traps people in lower-income jobs by imposing an additional tax on every dollar of additional income they earn. Working hard to earn a promotion or get a raise, or taking on additional part-time work — all the things people do to pursue the American Dream — are discouraged by Obamacare. As Keith Hennessey, former chairman of the White House National Economic Council, explains it, “Obamacare punishes additional work, education, job training and professional advancement, anything that generates additional income for those trying to climb into the middle class.”

Emphasis mine.  Obamacare provides a disincentive to succeed (as do the majority of government welfare programs).  And what is the old saying?  If you want more of a behavior, reward it.  Want less?  Tax it.

The new twist?  They then subsidize the cost when they’ve knocked the victim’s income down enough to make insurance unaffordable.

Meanwhile Congressional Democrats and the administration are agitating for a raise in the minimum wage.  They take it away with one hand, try to ignore the fact that they’ve done so and demonize the GOP because they’re not pro-minimum wage (or said another way, they actually understand the economic impact of a minimum wage).

If ever there was a picture beside the definition of “dysfunctional government”, it would be this administration’s along with Congressional Democrats.

And beside the definition of “punching bag?”  The GOP.

~McQ


ObamaCare – the political gift that keeps on giving

As this Obamanation known as ObamaCare contiunes to unroll and unravell, we find more and more incompetence evident.  At this point, you mostly are so in awe (in a negative way) of how badly this was done, that all you’re left to do is shake your head in wonder.  The latest:

Amy Goldstein of  The Post reveals that the appeals process guaranteed in the Obamacare law does not actually exist. The story outlines an almost comical process that requires citizens who seek a fair hearing to have an innocent, HealthCare.gov-generated mistake corrected to fill out a seven-page paper form that is then inexplicably shipped to Kentucky, where it is entered into a government database that isn’t actually connected to anything. It’s a digital dead end for those who dare to complain. Typical. As a result, 22,000 Americans who have submitted an appeals request remain without proper coverage and they have no recourse. And, according to The Post, in the latest show of non-transparency from this administration, officials have “not made public the fact that the appeals system for the online marketplace is not working.” There is “no indication that infrastructure . . .  necessary for conducting informal reviews and fair hearings had even been created, let alone become operational,” and administration officials are refusing to give any information as to when the appeals process might start moving. This is an administration that wants to hide things rather than fix things.

So, the appeals process is analogus to filling out a long paper form and then just throwing it into a dumpster for all the good it does the person filling out the form.  But has the administration made it clear that the process is – well not broken, how about nonexistent?  Nope.  People are still required to fill our their appeals forms, submit them and wait.  Except there is no mechanism in the current system for anyone to see, much less review, the submission.  The appeal is entered into a data base and that’s the end of the process.  Those waiting are left without recourse.

One more time for the morons in the establishment GOP – here’s your issue.

Or, if you continue to pursue immigration – here’s your sign.

~McQ


I wonder if the GOP will figure this out

I am talking about the establishment GOP – those that think compromise on principle is a good thing if it keeps it all collegial in Congress and the left doesn’t call them bad names.

As the deadline for 2014 enrollment nears, Obamacare is increasingly growing unpopular, especially among the uninsured. A new Kaiser Family Foundation survey finds that about twice as many uninsured people have an unfavorable view of the health-care law than have a favorable one.

Among the uninsured, 47 percent view Obamacare in a negative light versus the 24 percent who view it favorably. That’s a change from 43 percent who viewed it unfavorably last month, and 36 percent who viewed it favorably. Overall, half of Americans view Obamacare unfavorably, while just over one-third have a positive take on the law. ​

More of the uninsured also said Obamacare made them worse off (39 percent) than improved their situation (26 percent), according to the poll.

Got that?  The majority of people find ObamaCare to be a travesty and a plurality of those who are uninsured want nothing to do with it.

Looking for an issue GOP (clue: it’s not caving passing immigration “reform”)?

This mess the Democrats have made is the single issue on whichyou can win.  That’s right, single issue.  This is a subject very near, dear and important to every Americans.  And the Democrats have screwed it up royally. You have no need, in the interim, cave on anything.  There is nothing which requires you to pass legislation that will piss off your base.  None.

Think about it.

Please.

~McQ


ObamaCare: the myth and the reality

Perhaps I should say the building myth and the reality.

What is the building myth?  That the worst is behind it.  Megan McArdle fills you in:

Many of the commentators I’ve read seem to think that the worst is over, as far as unpopular surprises.

But she then takes a chain saw to that particular notion:

In fact, the worst is yet to come.

· 2014: Small-business policy cancellations. This year, the small-business market is going to get hit with the policy cancellations that roiled the individual market last year. Some firms will get better deals, but others will find that their coverage is being canceled in favor of more expensive policies that don’t cover as many of the doctors or procedures that they want. This is going to be a rolling problem throughout the year.

· Summer 2014: Insurers get a sizable chunk of money from the government to cover any excess losses. When the costs are published, this is going to be wildly unpopular: The administration has spent three years saying that Obamacare was the antidote to abuses by Big, Bad Insurance Companies, and suddenly it’s a mechanism to funnel taxpayer money to them?

· Fall 2014: New premiums are announced.

· 2014 and onward: Medicare reimbursement cuts eat into hospital margins, triggering a lot of lobbying and sad ads about how Beloved Local Hospital may have to close.

· Spring 2015: The Internal Revenue Service starts collecting individual mandate penalties: 1 percent of income in the first year. That’s going to be a nasty shock to folks who thought the penalty was just $95. I, like many other analysts, expect the administration to announce a temporary delay sometime after April 1, 2014.

· Spring 2015: The IRS demands that people whose income was higher than they projected pay back their excess subsidies. This could be thousands of dollars.

· Spring 2015: Cuts to Medicare Advantage, which the administration punted on in 2013, are scheduled to go into effect. This will reduce benefits currently enjoyed by millions of seniors, which is why they didn’t let them go into effect this year.

· Fall 2015: This is when expert Bob Laszewski says insurers will begin exiting the market if the exchange policies aren’t profitable.

· Fall 2017: Companies and unions start learning whether their plans will get hit by the “Cadillac tax,” a stiff excise tax on expensive policies that will hit plans with generous benefits or an older and sicker employee base. Expect a lot of companies and unions to radically decrease benefits and increase cost-sharing as a result.

· January 2018: The temporary risk-adjustment plans, which the administration is relying on to keep insurers in the marketplaces even if their customer pool is older and sicker than projected, run out. Now if insurers take losses, they just lose the money.

· Fall 2018: Buyers find out that subsidy growth is capped for next year’s premiums; instead of simply being pegged to the price of the second-cheapest silver plan, whatever that cost is, their growth is fixed. This will show up in higher premiums for families — and, potentially, in an adverse-selection death spiral.

In fact, she is exactly right.  Note how many of these surprises happen before 2016.  And, as they come true, perhaps … just perhaps … when voters are told that the rest of this nonsense is likely to come true too (it is the law, you see), they might believe it.

Perhaps.  The “Cadillac tax” was inartfully delayed until after the election.  However, the snowball will already be rolling down hill by then and you’d think the public would be open to believing that the rest of this abomination, that which was delayed, will indeed happen.  And you’d also believe they’d want to do something about that (that, of course assumes Obama doesn’t wave the magic executive pen and waive all of this until after the election).

But then, doing something would depend on what?  Well, getting elected officials that want to actually get rid of most of this monstrosity and are willing to say that and then do it.  Uh, that won’t be Democrats (well except perhaps blue dog Democrats, if they’re not extinct by then).

What it all boils down too is that voters will have to depend on Republicans to do the heavy lifting.  The question is will they do that if elected?  In other words, will Republicans be up to the job?

If I had to base it on the current crop – yeah, not so much.

~McQ


Administration has no idea who has or hasn’t paid for ObamaCare

You remember the post a couple of days ago when I broadly hinted that you shouldn’t believe a single statistic (or most of anything else) this administration proffers?

More proof.  You might recall a number of administration spokespersons and Democrat mouthpieces telling us that millions have enrolled and paid?

Yeah, not so fast:

An official from the Centers for Medicare & Medicaid Services admitted at a House hearing today that no one knows how many people have actually paid for Obamacare coverage.

“So we don’t know at this point how many people have actually paid for coverage?” asked a member of Congress.

“That’s right,” the CMS official conceded.

Inept, incompetent and unfortunately, in charge.

~McQ


The law with the Orwellian name continues to lose support

The Affordable Care Act, the monstrosity of Democratic legislation with the Orwellian name, continues to lose supporters.   And, as an added special feature, people in employer based programs are now paying more out-of-pocket for their medical expenses than before ObamaCare.  Very “affordable”, no?

Support for the Affordable Care Act has plummeted since late last summer, and people with employer-based health insurance say they increasingly are paying more for out-of-pocket medical expenses, a new Bankrate.com survey released Wednesday revealed.

When Bankrate.com first polled people in September—right before the launch of Obamacare insurance exchanges, there was an even split between those who said they would repeal the Affordable Care Act if given the power to do so and those who would keep it: 46 percent each. (The rest either had no opinion or didn’t know how they felt.)

But three months later, after the botched launch of those government-run exchanges, the number of people who said they would gut Obamacare had risen to 48 percent, while the number of respondents who said they would keep it as law had plunged to 38 percent.

While the “botched launch” may have had some effect on that “plunge”, my guess is that hitting people’s wallet has pushed it down even more.  Health care insurance isn’t some esoteric policy argument.  It’s something that is important to everyone.  It is about their family and trying to afford the best for their family’s health. When policy negatively effects real people, they react just as negatively (and I do hope that Democrats double down on their support of the law, since it is all theirs anyway) :

The survey also found that people, by a 2-to-1 margin, felt Obamacare had had a more negative than positive impact on their own, individual health care. The poll questioned 1,005 adults, and had a margin of error of 3.6 percentage points.

[...]

His company’s survey also found that a total of 44 percent of people with employer-provided insurance said they are shelling out more dollars in deductibles and copayments than they were a year ago. And 47 percent of that group of people reported having more money deducted from their paycheck to pay the cost of those insurance plans than in 2012.

People earning between $50,000 and $75,000 annually were the most affected group: with 64 percent of them reporting a bigger hit on their paychecks from health insurance. Just 38 percent of the people earning less than $30,000 reported paying more for insurance in payroll deductions as of 2013.

The great leveling.  Apparently you’re “rich” if you earn between $50 and $75k, so it’s okay that you’re paying more – and besides, those “Cadillac plans” just aren’t fair (well, except for the exempt unions, of course … and Congress, and ….).  Don’t forget the tsunami of cancellations that will hit employer based programs hasn’t yet happened.

Obviously it doesn’t take great powers of perception to realize that this is just going to get worse and worse as the months pass.  And as those months pass, those supporting the legislation will become fewer and fewer.  It will be a grand issue on which Congressional Republicans can run (if they actually can figure out how to do that successfully without the usual idiocy).  Unfortunately, politics aside, it is going to be a building disaster for the American people.

Repeal is the best remedy.

~McQ


Observations: The QandO Podcast for 05 Dec 14

This week, Bruce, Michael and Dale talk about Global Warming, NSA Spying, and Obamacare.

The direct link to the podcast can be found here.

Observations

As a reminder, if you are an iTunes user, don’t forget to subscribe to the QandO podcast, Observations, through iTunes. For those of you who don’t have iTunes, you can subscribe at Podcast Alley. And, of course, for you newsreader subscriber types, our podcast RSS Feed is here.

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