Tag: regulation

Finding out what’s in it: This article, mostly about the impending Supreme Court decision on whether individuals in states with no state-run health exchanges can receive federal health insurance subsidies, contained this significant little bit of information about the overall failure of Obamacare:

Sixteen states and the District of Columbia established state-based exchanges. But more than half of these exchanges are already inoperable or are facing budget shortfalls. Even after spending $4 billion in federal grants, the track records of state-based exchanges have been nothing short of calamitous. In fact, at least three state-based exchange efforts — Maryland, Oregon and Massachusetts — are now the subjects of federal investigations.

This astonishing track record bears repeating: Only 16 out of 50 states chose to create state health exchanges, even though the law stated that by not doing the citizens of the remaining 34 states would not get federal subsidies (the whole point of the Supreme Court case). Yet, of those 16 that did create exchanges, more than half have failed to work or have gone over budget, after wasting more than $4 billion in federal funds. On top of that, three are now under investigation.

And obviously, according to many mainstream press reports, if the Supreme Court upholds the actual language of the Obamacare law — written and voted for solely by Democrats — and voids federal subsidies in the remaining 34 states, it must be the Republicans fault. They had the nerve to not agree to this law, and refused to vote for it!

But then, this all fits in with the modern logic of our cultural elites, who also think a man can be a women and a white person black, merely because they say so.

Trying to avoid what’s in it: Faced with the possibility that the Supreme Court could declare that the Obamacare subsidies are illegal in most states, House Republicans have come up with a new bill to revise the law.

In the tentative responses discussed in separate closed-door meetings Wednesday, House GOP leaders said they would continue the subsidies for a year. Then, states could receive federal block grants for the following two years that they could structure into any kind of health care aid they wish. All of the health law’s regulations would end for those states, including popular ones like assuring coverage of children until age 26. In 2017 — when Republicans hope to control the White House — the entire health law would be eliminated.

The law would also immediately repeal the Obamacare tax on medical devices as well as the Obamacare advisory board designed to ration care to save money.

We know already that Obama will veto this plan, which to my mind is a good thing. The only solution that will work to fix Obamacare is to repeal it in toto. Partial fixes, even ones that last only a few years, can only cause more harm and will increase the chances that legislators will chicken out of full repeal when it is finally time to kick in.

Finding out what’s in it: An audit by the inspector general of Health and Human Services (HHS) has found that the agency has no internal system to verify that $2.8 billion in Obamacare subsidies were paid correctly, or even to the right people.

The [inspector general] said the agency did not have a system to “ensure that financial assistance payments were made on behalf of confirmed enrollees and in the correct amounts.” In addition, [HHS] relied too heavily on data from health insurance companies and had no system for state-based exchanges to “submit enrollee eligibility data for financial assistance payments.”

The government does “not plan to perform a timely reconciliation” of the $2.8 billion in subsidies. [emphasis mine]

Not only have they given out billions without proper record-keeping or proper verification, the agency has no intention of fixing the problem. “Ain’t my job, man!”