Tag: healthcare

Yesterday the Republican leadership in Congress unveiled their proposed replacement for Obamacare.

This is not a repeal. It proudly keeps many of the Obamacare provisions that have made health insurance unprofitable, which is why Obamacare and the entire health insurance industry is going bankrupt. First, the Republican proposal keeps the Obamacare requirement that forces insurance companies to accept applicants with pre-existing conditions at no extra charge. Insurance cannot work under this condition. Second, the plan forces insurance companies to cover the children of customers until they are 26.

Several articles today outline the stupidity of this new plan:

• RINO-Care: A more insolvent version of Obamacare … except this time GOP owns it
• Republicans Cave On ObamaCare
• Conservatives pan House Obamacare repeal bill
• Added: The GOP’s Obamacare Repeal Bill Is Here. Is This Just Obamacare Lite?
• Added: AFP, FreedomWorks, Heritage Action all against this bill
• Added: Texas Public Policy Foundation: This proposal “falls short” and “fails” [pdf]
• Added: The House GOP Leadership’s Health Care Bill Is ObamaCare-Lite — Or Worse

From the first article above:

The first thing to understand about the GOP healthcare bill is that it is not merely Obamacare-lite or a bad “replacement” bill. It doesn’t repeal the core of Obamacare in the first place. In fact, the few parts that it repeals or tweaks within a few years will actually intensify the death spiral of Obamacare when mixed with the core regulatory structure, exacerbated by the subsidies that they do keep. And this time, the GOP will own it politically. All of it.

As I say, this is downright stupid. By trying to “fix” this horrible law, all the Republican leadership accomplishes is to poison themselves with it, something Republicans have so far been able to avoid.

The Republicans shouldn’t be passing a different version of Obamacare, they should be trying to repeal it entirely. If the Democrats continue to obstruct, they will then have to face the voters in 2018 in an election that does not favor them to begin with.

We are still finding out what’s in it: Enrollment numbers in Obamacare for 2017 turn out to be far worse than any prediction, resulting in more insurance companies considering an exit.

[T]he nonpartisan Congressional Budget Office predicted last year that 15 million Americans would enroll in Obamacare plans through the various marketplaces in 2017 (down from an initial expectation of approximately 21 million when the law first passed. The Obama administration’s Department of Health and Human Services lowered their 2017 expectations to 13.8 million. But the federal exchange totals are hundreds of thousands of consumers off-pace from last year, which was already sufficiently lackluster as to trigger an exodus of several major insurers. …Charles Gaba, a pro-Obamacare tracker of ACA signups, …estimated that to stay on track with the HHS projections, the federal exchange would need to tally roughly 10.6 million enrollees. The actual number was just 9.2 million.

The whole shebang is collapsing, regardless of what the Republicans in Congress do. Read the article, however, because it also provides some interesting analysis of what Congress is considering.

Finding out what’s in it: Since the imposition of Obamacare a new study now shows that 94% of all new jobs have been part time work.

In their study [Harvard and Princeton economists Lawrence Katz and Alan Krueger] show that from 2005 to 2015, the proportion of Americans workers engaged in what they refer to as “alternative work” soared during the Obama era, from 10.7% in 2005 to 15.8% in 2015. Alternative, or “gig” work is defined as “temporary help agency workers, on-call workers, contract company workers, independent contractors or freelancers”, and is generally unsteady, without a fixed paycheck and with virtually no benefits. The two economists also found that each of the common types of alternative work increased from 2005 to 2015—with the largest changes in the number of independent contractors and workers provided by contract firms, such as janitors that work full-time at a particular office, but are paid by a janitorial services firm.

Krueger, who until 2013 was also the top White House economist serving as chairman of the Council of Economic Advisers under Obama, was “surprised” by the finding. Quoted by quartz, he said “We find that 94% of net job growth in the past decade was in the alternative work category,” said Krueger. “And over 60% was due to the [the rise] of independent contractors, freelancers and contract company workers.” In other words, nearly all of the 10 million jobs created between 2005 and 2015 were not traditional nine-to-five employment.

While the finding is good news for some, such as graphic designers and lawyers who hate going to an office, for whom new technology and Obamacare has made it more appealing to become an independent contractor. But for those seeking a steady administrative assistant office job, the market is grim. It also explains why despite an apparent recovery in the labor market, wage growth has been non-existent, due to the lack of career advancement and salary increase options for this vast cohort which was hired over the past decade. [emphasis in original]

The lack of long term steady full time work with full benefits has especially hit the young badly. They are increasingly being forced to work multiple jobs to pay the bills, all of which lack any kind of benefits.

Obviously, they must keep voting for those Democrats who brought this paradise to them. Obviously!

Link here. In order to get the repeal passed quickly under reconciliation, which requires only a simple majority and was the same procedure the Democrats used to pass the law, the repeal will not cancel the entire law. It will allow it to happen quickly, however.

The plan, then, is to move quickly post-inauguration to pass legislation similar to the one they passed this past January, which was vetoed by Obama. That legislation repealed the law’s major spending provisions — ending the Medicaid expansion and getting rid of the subsidies for individuals to purchase insurance on government-run exchanges. In addition, the repeal bill scrapped the individual and employer mandate penalties, eliminated the law’s taxes and defunded Planned Parenthood. If all goes smoothly, such a bill could reach Trump’s desk in short order, as early as February — or weeks after Inauguration Day. Though it’s possible that this could slip as certain details get ironed out, there is a determination, among leadership in both chambers, to move with speed.

…The thinking is that the previously passed reconciliation bill was already pored over by Senate staffers, who considered many different scenarios. What they ultimately came up with repealed much of the law, had the votes, and passed muster with the parliamentarian. Upsetting this delicate balance by adding or subtracting major elements, the thinking goes, would delay the repeal process, potentially significantly. As for firing the parliamentarian (currently Elizabeth MacDonough) though it’s true that her job is controlled by the majority party, doing so is seen as out of bounds. One senior Senate leadership aide described it as “a total Reid move,” by which the aide meant, it’s the type of strong-armed tactic to game the rules that one would expect from former Senate Majority Leader Harry Reid, that would typically make Republicans apoplectic.

The repeal bill offered here will not change many of the insurance regulations imposed by Obamacare, such as the requirement that insurance companies must accept all customers, even the sick ones. Either Congress will have to revisit this issue later, or we will continue to see the health insurance industry collapse in the coming years.

Finding out what’s in it: With Maryland’s Obamacare co-op closing on December 8, 20 of the original 24 Obamacare co-ops have gone out of business.

With the near-collapse of Maryland’s co-op — called Evergreen Health — at least 989,000 individuals nationwide have lost their health insurance coverage when the nonprofit co-ops stopped selling insurance to customers, according to TheDCNF’s tally. The losses cost taxpayers at least $2.2 billion in upfront federal loans awarded by the Obama administration to 24 nonprofit co-ops under Obamacare. The co-ops were intended to help keep health care costs down by providing non-profit competition with commercial for-profit insurers. The losses do not include statewide costs where the state or local governments were forced to cover doctor and hospital bills that the failed co-ops could not pay from remaining revenues.

In many cases, those losses were substantial. In New York alone, state taxpayers face at least $200 million in costs owed to medical providers that the bankrupt Health Republic co-op could not cover, according to the Albany Business Review.

The remaining four are all barely surviving, and will likely fail themselves in the next few years, even if the Republican leadership goes chicken and delays the repeal of Obamacare while they haggle over what to do to replace it. What they should do is repeal it outright, and let that very weird and forgotten concept of freedom operate freely. I’ve heard it has worked very well in the past, though unfortunately most elected officials today are ignorant of that history.

Finding out what’s in it: The 24 states that have accepted the Obamacare Medicaid expansion are about to have their budgets overwhelmed by the much larger numbers of enrollments in that program than was expected.

Obamacare’s Medicaid expansion makes working-age adults with no kids and no disabilities eligible for a welfare program that was costly and ineffective long before Obamacare. The 24 states with a year or more of data available expected no more than 5.5 million would ever sign up, but their expansion enrollment is already 11.5 million – more than double its projected all-time maximum.

Alaska, Indiana, Louisiana, and Montana have not yet released a year of enrollment data, but have all reported Obamacare expansion enrollment higher than their expected maximums, FGA vice president of research Jonathan Ingram and FGA senior research fellow Nicholas Horton noted. “Medicaid expansion already makes welfare for able-bodied adults a higher priority than services for the nearly 600,000 seniors, children with developmental disabilities, individuals with brain injuries, and other vulnerable individuals currently languishing on waiting lists for needed Medicaid services,” Ingram and Horton wrote. “Mounting overruns will soon exacerbate pressure on policymakers to shift even more money away from the truly needy and towards ObamaCare’s able-bodied adults.”

Obamacare expansion benefits are 100 percent federally funded through the end of the calendar year, which has shielded states from billions of dollars in cost overruns since expansion took effect in January 2014. That will soon change. If Obamacare remains in place, states will be on the hook for five percent of their rapidly rising Medicaid expansion costs starting in January. And if President-elect Donald Trump and Republicans in Congress fulfill campaign promises to repeal Obamacare, federal funding for Medicaid expansion could be cut off in a matter of months.

On this issue, at least, there is precedent for congressional Republicans sticking to their word. Last January, President Obama vetoed an Obamacare repeal bill that would have ended Medicaid expansion.

Even if Obamacare is not repealed, these states still face serious budget problems because the cost of this program is, like everything else in Obamacare, far higher than predicted. If Obamacare is repealed, then these states face bankruptcy.

Finding out what’s in it: The Obama administration today admitted that Obamacare premiums will skyrocket next year as the number of insurance companies available to consumers continues to decrease.

Before taxpayer-provided subsidies, premiums for a midlevel benchmark plan will increase an average of 25 percent across the 39 states served by the federally run online market, according to a report from the Department of Health and Human Services. Some states will see much bigger jumps, others less. Moreover, about 1 in 5 consumers will only have plans from a single insurer to pick from, after major national carriers such as UnitedHealth Group, Humana and Aetna scaled back their roles. “Consumers will be faced this year with not only big premium increases but also with a declining number of insurers participating, and that will lead to a tumultuous open enrollment period,” said Larry Levitt, who tracks the health care law for the nonpartisan Kaiser Family Foundation.

The Democrats wrote this monstrous stupid law. They forced it through Congress without a single Republican vote. Everything that has gone wrong since was predicted then, in 2010, by conservatives. Yet today, the public is still voting for these same Democrats.

We truly are facing the coming of a new dark age.

In related news, all the major hospitals in Chicago, home base for Obama and a Democratic Party stronghold for more than a century, have pulled out of Obamacare.

Finding out what’s in it: More than a million people are losing their health insurance plans this year as insurers increasingly flee Obamacare.

The number above was determined by

At least 1.4 million people in 32 states will lose the Obamacare plan they have now, according to state officials contacted by Bloomberg. That’s largely caused by Aetna Inc., UnitedHealth Group Inc. and some state or regional insurers quitting the law’s markets for individual coverage.

…Nationwide estimates of the number of people losing their current plans are higher. For example, Charles Gaba, who tracks the law at ACASignups.net, estimates that 2 million to 2.5 million people in the U.S. will lose their current plans, compared with 2 million a year ago. Gaba’s estimate is based on insurance company membership data.

For the people losing plans, there are fewer and fewer choices. One estimate by the Kaiser Family Foundation predicts that for at least 19 percent of the people in Obamacare’s individual market next year there will be only one insurer to choose from.

Obviously, the solution is to ask the people that wrote this bad law to fix it. We should all vote Democratic on election day, and help make this disaster even worse!

Finding out what’s in it: Realizing that the next open enrollment period under Obamacare will begin only a week before the election and will present voters with skyrocketing insurance premiums, higher deductables, and fewer choices, Obama met with health insurance execs on Monday to plead for their support.

The two largest insurance carriers, Aetna and UnitedHealth, did not attend, Both have already abandoned most of the Obamacare marketplaces.

The article has a lot of blather about the public relations steps the Obama administration is taking to shore up Obamacare, along with encouraging quotes from some insurance executives. This quote from the article, however, touches on reality, a reality that it appears Obama might finally be discovering. Or to paraphrase Nancy Pelosi’s words, he is finally finding out what’s in it.

But six years after passage of Obama’s signature domestic achievement, the litany of woes afflicting the Obamacare marketplaces is formidable. Enrollment has plateaued at half of what was projected. Three major insurers have largely quit, citing big losses. Double-digit rate hikes are the norm for plans across the country. And roughly one in five Americans may find just one insurer selling plans in their area when they shop for 2017 coverage.

Finding out what’s in it: A new GAO investigation has found that, like its previous reports in 2014 and 2015, it is remarkably easy for fictitious applicants to get approved for both Obamacare and the large subsidizes that go with it.

Our undercover testing for the 2016 coverage year found that the eligibility determination and enrollment processes of the federal and state marketplaces we reviewed remain vulnerable to fraud, as we previously reported for the 2014 and 2015 coverage years. For each of our 15 fictitious applications, the marketplaces approved coverage, including for 6 fictitious applicants who had previously obtained subsidized coverage but did not file the required federal income-tax returns. Although IRS provides information to marketplaces on whether health-care applicants have filed required returns, the federal Marketplace and our selected state marketplace allowed applicants to instead attest that they had filed returns, saying the IRS information was not sufficiently current. The marketplaces we reviewed also relaxed documentation standards or extended deadlines for filing required documentation. After initial approval, all but one of our fictitious enrollees maintained subsidized coverage, even though we sent fictitious documents, or no documents, to resolve application inconsistencies. [emphasis in original]

This report is actually less a condemnation of Obamacare and more a condemnation of the completely incompetent and failed state of the entire federal bureaucracy. They can’t get this job right, but in truth, they pretty much can’t get any job right.

Obviously, we should therefore do what the Democrats propose and give the federal government and its bureaucracy more power and responsibility. That will surely fix things!

Finding out what’s in it: New Jersey’s Obamacare co-op has been taken over by the state and will fold in 2017.

As noted at the link, “that leaves just six of the original 23 Obamacare co-ops in operation next year.”

In other words, Obamacare is steadily going bankrupt, and in the process it is bankrupting the health insurance business. Before the law, it was possible for individuals to buy at a somewhat reasonable price a catastrophic insurance plan that would cover you in case of disaster but required you to pay for most of your routine health care costs. Obamacare outlawed those plans (obviously, someone was lying when he said you could keep your plan if you liked it). The result however is that everyone is forced to buy at very unreasonable prices the equivalent of those same plans, since both premiums and deductibles have risen so much that everyone now has to pay for routine health care costs.

Obviously, this means we should all vote for Hillary Clinton and the Democrats, because they more than anyone else know how to solve the problem they created. Obviously, voting for the Republicans, who predicted this disaster in great detail and with remarkable accuracy, would be a mistake, a clear demonstration of racism or something. And we wouldn’t want to be called racist by Democrats, would we?

Finding out what’s in it: A new poll shows that the number of people directly hurt by Obamacare has continued to rise.

Currently, 29% of Americans say Obamacare has hurt them and their family, up from 26% in May, and the highest Gallup has measured to date. Meanwhile, the percentage who say the ACA has helped their family dropped from 22% to 18%. The bulk of Americans, 51%, continue to say the law has “had no effect.” As more provisions of the law have taken effect over the years, the “no effect” percentage has dropped from the first reading of 70%, in early 2012.

Not surprisingly, support for Obamacare, always low, has shrunk as well. As the article at the link notes,

Wait until the next round of open enrollment starts in eight weeks. The number of people who feel the ObamaCare pain is likely to rise even further, especially in places like Tennessee, Minnesota, and other states where premiums will go up 40% or more over 2016.

The fact that in many regions there will be only one or fewer insurance options will help to underline why people increasingly hate Obamacare. Sadly, every one of these failures was predicted by conservatives back in 2010. The Democrats however were too wise and caring to listen. For them, caring is all that matters, even if it means instituting policies that destroy people’s lives.

Finding out what’s in it: Faced with closure of all of its Obamacare health insurance options, officials in Tennessee have been forced to approve rate increases ranging from 44 to 62 percent.

The rate approvals, while a tough decision, were necessary to ensure that consumers around the state had options when open enrollment begins in November, said Julie Mix McPeak, commissioner of the Tennessee Department of Commerce and Insurance. BlueCross BlueShield of Tennessee is the only insurer to sell statewide and there was the possibility that Cigna and Humana would reduce their footprints or leave the market altogether.

“I would characterize the exchange market in Tennessee as very near collapse … and that all of our efforts are really focused on making sure we have as many writers in the areas as possible, knowing that might be one. I’m doing everything I can to prevent a situation where that turns to zero,” McPeak said to The Tennessean. [emphasis mine]

Anyone with any brains (such as the conservatives who predicted in 2010 that this would happen) can see that with these ungodly increases, it is very unlikely that those same insurance options will survive through next year. Be prepared for the complete collapse of the health insurance industry.

Finding out what’s in it: One of the countries largest health insurance companies, Aetna, announced on Monday that it will stop offering health insurance through Obamacare.

Under Obamacare, Aetna lost $200 million in the second quarter of 2016 alone. Too bad no one predicted this…except for every evil racist homophobic tea party and thoughtful conservative whom the Democrats and Obama preferred slandering instead of listening to what they had to say.

Good thing we are going to vote for those Democrats again. Using their brilliant understanding of economics they will be sure the fix the problem they created!