Tag: regulation

Finding out what’s in it: A new poll has found that Obamacare, five years after it was passed, is more unpopular now then ever before.

Which is why the Republicans should do nothing to fix it should the Supreme Court rule against Obamacare subsidies in states with no health exchanges, and instead stick with full repeal followed by specific fixes to the previous laws.

I am even more convinced that full repeal is the right political approach after reading this leftwing reporter’s take on the situation. He thinks the above plan is stupid, knows the Democrats and Obama will never agree to it, but also knows that the public does not blame Obamacare in any way on the Republicans. As he notes,

And one of the reasons why Democrats should not assume that a ruling for the plaintiffs in King will totally backfire on Republicans is the cynical, but powerful, source of leverage that Thune is tapping into here: Democrats passed health care reform, and thus Democrats will get blamed for anything bad that happens to the health care system.

The above poll confirms this. The Republicans had better recognize this if they want to take full political advantage of it.

Finding out what’s in it: Doctors are finding that they better not criticize Obamacare in public or they will face retribution from its bureaucracy.

For physicians in this position, public advocacy against the ACA could be in violation of employment contracts or could be a source for dismissal. Most doctors’ contracts also include a two-year noncompete clause that essentially requires the doctor to move out of town once he or she leaves a specific job. So, running afoul of your employer by criticizing the ACA could result in not just losing your job but also forcing you to leave your hometown.

And that’s not all. Many doctors are also afraid of losing insurance contracts. The vast majority of doctors who are still private-practice owners are dependent on a handful of large insurance contracts for revenue. Speaking out against insurance companies — which were complicit in the ACA’s passage and are some of its primary beneficiaries — can result in cancellation of those contracts.

Finding out what’s in it: More health insurers have now calculated the costs for the first two years of Obamacare and have realized that they need double digit premium increases.

The real political bottom line here, should the Republicans not go squishy and agree to take the blame for something they had no part in, is this:

The consequences of this inevitable failure of the ObamaCare model puts Democrats in a tough spot. They have to decide whether it’s better to have this hit in October 2015 right before the primaries, or try to delay the inevitable and possibly have it hit in 2016 right before the general election. Of course, just because premiums spike upward this year doesn’t mean they won’t escalate sharply in 2016 for the 2017 plans too.

Obamacare was imposed on us by Obama and the Democrats, entirely on their own. All of its problems were caused by them alone. The last thing the Republicans in Congress should do is to help them tinker with Obamacare to try to fix it. Instead, the Republicans should loudly increase their calls for repeal and an effort to start over, from scratch.

Finding out what’s in it: Obamacare has forced doctors to increasingly replace medical care with administrative duties, much of which has been forced on them by the law’s requirement that they switch to electronic records.

The newly elected Barack Obama told the nation in 2009 that “[electronic records just won’t save billions of dollars”—$77 billion a year, promised the administration—“and thousands of jobs, it will save lives.” He then threw a cool $27 billion at going paperless by 2015.

It’s 2015, and what have we achieved? The $27 billion is gone, of course. The $77 billion in savings became a joke. Indeed, reported the Health and Human Services inspector general in 2014, “EHR technology can make it easier to commit fraud,” as in Medicare fraud, the copy-and-paste function allowing the instant filling of vast data fields, facilitating billing inflation.

That’s just the beginning of the losses. Consider the myriad small practices that, facing ruinous transition costs in equipment, software, training and time, have closed shop, gone bankrupt or been swallowed by larger entities. This hardly stays the long arm of the health care police, however. As of Jan. 1, 2015, if you haven’t gone electronic, your Medicare payments will be cut, by 1 percent this year, rising to 3 percent (potentially 5 percent) in subsequent years.

Then there is the toll on doctors’ time and patient care. One study in the American Journal of Emergency Medicine found that emergency-room doctors spend 43 percent of their time entering electronic records information, 28 percent with patients. Another study found that family-practice physicians spend on average 48 minutes a day just entering clinical data.

Forget the numbers. Think just of your own doctor’s visits, of how much less listening, examining, even eye contact goes on, given the need for scrolling, clicking and box checking.

The last point is absolutely true. I have found that with most doctors today, they spend most of my visit working their computer than looking at me. It is very bad medicine, which is why my best doctors refuse to do it. Either they have an assistant do it for them (raising costs of course) or they wait until the visit is over (which of course eats into the time available to see patients).

But who are we to argue with Obama and the Democrats? As well-meaning liberals, they know best and everyone else should just shut up and obey their orders.