“Health providers dropping Medicare patients is the worst case scenario, especially in light of the flood of baby boomers set to retire and join Medicare. For now, many hospitals are preparing for revenue cuts as best they can. For Memorial Hospital, this means reducing the work force.”
“However, on the whole, large employers
believe PPACA broadens access while failing to make any meaningful changes in the way health
care is delivered by the health care supply chain, and then places the primary burden for paying
for this broadened access on employers and employees.”
“The U.S. Food and Drug Administration estimates that it will take the food service industry 14 million additional hours each year to comply with a new regulation that mandates chain restaurants and vending machine operators label the products they sell with a calorie count in a place visible to the consumer.”
“AARP’s endorsement helped secure passage of President Barack Obama’s health care overhaul. Now the seniors’ lobby is telling its employees their insurance costs will rise partly as a result of the law. In an e-mail to employees, AARP says health care premiums will increase by 8 percent to 13 percent next year because of rapidly rising medical costs.”
“Until the next presidential election, the short-term tactical agenda for the new de facto majority in Congress remains mostly defund, delay, and debunk. Initiatives to reduce or cut off funding for implementation of the next round of ObamaCare need to be targeted narrowly to succeed… Trying to wind back the ObamaCare implementation clock so that it doesn’t get so dark so early is a more promising approach. Congressional appropriations riders could attach new conditions that must be met before proceeding further.”
“In evaluating this new health care legislation, it’s important to consider not only how
the new law impacts the medical system, health care costs, and quality of care provided but
how the law affects businesses, workers, and the general economy. Unfortunately, as this
policy brief details, this law will have a significant negative impact on the business climate,
will discourage business expansion and job creation, and will slow economic growth.”
“The Patient Protection and Affordable Care Act will cause significant harm to an economy already reeling from a significant recession. A new report from Senators Tom Coburn (R-OK) and John Barrasso (R-WY), both physicians, draws attention to just this issue.”
ObamaCare’s new mandates terrify employers. According to benefit consultants, “What we are hearing in our meetings is, ‘We don’t want to be the first one to drop benefits, but we would be the fast second.’ We are hearing that a lot.”
Insurance companies will be forced to comply with new mandates on their administrative spending. This new spending could drive many of them out of business if they have to pay large penalties. “The market is underestimating the impact of minimum MLRs on managed care earnings in 2011 — Unless plans are successful in obtaining the federal income tax adjustment and receive numerous waivers from HHS, our analysis of United’s Golden Rule subsidiary indicates that plans will be forced to pay bigger rebates next year than the market currently anticipates, which means the consensus earnings outlook for next year seems too high.”
Many embattled House Democrats who voted to pass ObamaCare just seven months ago no doubt wish they had listened to the American people rather than to their leadership and said “No!” to the massive health overhaul law.
If a Democrat boasts about voting Yes, it is such a rarity that it makes news. In all but a very few races, support for the law is a huge liability on the campaign trail.
Nervous Democrats are defensively asking voters to give them another chance so they can fix it and get it right this time. It would be something of an understatement to say that most voters are disinclined to do that.
There will be huge political consequences for slamming such a massive change into law – one that will directly affect virtually every American and every corner of the health sector.
Here are the top 10 reasons the health law is unraveling:
- State pushback: State opposition is building and will become more intense next year. About 10 states, led by Mississippi Gov. Haley Barbour, are talking about forming a unified front to oppose the law’s mandates. And up to 25 new governors will be elected on Nov. 2, most facing huge budget pressures and most with no intention of falling into line to implement a law many actively campaigned against.
- Voter rejection: Three states — Oklahoma, Arizona, and Colorado — have ballot initiatives before the voters in November, all repudiating the health law. Passage will give even more impetus to proponents of repeal, following the 71% vote against the law in Missouri in August.
- Lawsuits: There are at least 15 lawsuits against the law, and the two largest moved forward in the last week. Two federal judges have said that there is enough substance to the constitutional questions to allow the challenges to proceed. Arguments were heard in Virginia on Monday and are scheduled for December in Florida. The suits are marching toward the U.S. Supreme Court, likely in 2012-2013.
Backers of the health law are concerned that if the individual mandate is declared unconstitutional, the court will strip out everything that wouldn’t have passed without the mandate. That would surely include insurance “reforms” but possibly hundreds of billions of dollars in insurance subsidies.
- Rising costs: Health insurance costs already are rising as a result of the law, and the pressures will intensify. Boeing is the latest company to tell its 90,000 employees that it plans to increase the price of employee health insurance for its non-union workforce over the next few years in response to rapidly rising insurance costs, at least partly because of the health law.
- Towering deficits: Gov. Philip Bredesen, Democrat of Tennessee, warned in a Wall Street Journal commentary Thursday that the health overhaul law creates strong incentives for employers to drop health coverage. This would dramatically increase the cost for taxpayers, as former Congressional Budget Office Director Doug Holtz-Eakin of American Action Forum has explained. Congress may find it is essential to ask the CBO to recalculate the actual cost of the health overhaul law to protect taxpayers from an even larger wave of red ink.
- Seniors hit hard: Medicare Actuary Rick Foster confirmed that the health overhaul law will result in “less generous benefits packages” for seniors on the popular Medicare Advantage program and that the coverage will cost them more. Foster estimates seniors’ costs will go up by $346 in 2011 and as much as $923 by 2017.
- Millions losing coverage: The Principal Group announced it plans to drop health coverage for 840,000 policyholders; millions of seniors will lose Medicare Advantage plans; child-only policies already are vanishing from the market because of HHS rules; retirees are losing supplemental coverage; and major employers such as AT&T, Caterpillar, John Deere, Verizon, and countless others are considering dropping health benefits over the mid- to long-term.
- Job-killing mandates: The U.S. Chamber of Commerce said that nearly eight in 10 small business leaders expect their costs to increase as a result of the new law. Many are fearful of the impact of new health insurance mandates, and the majority say they will be less likely to hire new employees and more likely to reduce current benefits.
- Searching for the exits: The McDonald’s waiver shows that companies have to be protected against the law to avoid its damage; dozens more waivers have been granted so a million people didn’t lose their mini-med coverage just before the election. The Wall Street Journal asked, “Wouldn’t it be better to write less destructive rules in the first place? Or why not give everyone a waiver from everything?”
- Reduced quality, higher costs: A Wall Street Journal poll last week found that a majority of voters believe the new law will cause them to get lower quality care, pay more in insurance premiums or taxes, or both. A plurality favors repeal, and those who know most about the law favor repeal by more than two to one.
If Republicans capture the House on November 2, expect dozens of hearings to point out the many problems we already are seeing with the law — from driving up costs, to causing millions of people to “lose the coverage they have today,” to massive new deficit spending on new entitlement programs, to budget-busting Medicaid mandates.
As Rep. Paul Ryan (R-WI) said at a briefing about the overhaul law, “This cannot stand!”