The impact of ObamaCare on doctors and patients, companies inside and outside the health sector, and American workers and taxpayers

“Using data on household income and health insurance coverage maintained by the Census Bureau and McKinsey estimates on previously uninsured households enrolled through the Health Insurance Marketplace, the American Action Forum was able to construct state-level estimates of individual mandate payments. After accounting for exemptions, AAF estimates that 5.2 million people will be subject to the individual mandate penalty for being uninsured in 2014 and will pay a total of $5.8 billion in additional taxes. The AAF estimates include the exemptions for unauthorized immigrants, households that do not file income taxes, households that earn less than 138 percent of the federal poverty level, and households that cannot purchase a Bronze plan with 8 percent of household income, but do not attempt to project how many households may apply for one of the many hardship exemptions.”

“Ohio Gov. John Kasich, the Republican governor and possible 2016 contender, had a dust-up this week when the Associated Press reported pro-Obamacare comments he made. In reality, he subsequently said, he was only praising the Medicaid expansion — which he’s trying to argue is totally separate.
I’ve already written about why this is a dishonest distinction, but his office has decided to dig in further. In a statement released on Twitter on Tuesday, his press department attempted to trick conservatives by using several cynical strategies often employed by Republicans trying to explain their big government policies.”

“The vast majority of Americans gaining health coverage under Obamacare actually qualified for Medicaid because of loosened eligibility —and that’s what boosted enrollment among those previously uninsured, according to a new report from The Heritage Foundation.
The Obama administration has boasted that the Affordable Care Act, popularly known as Obamacare, would allow those previously uninsured to purchase quality, affordable health care.
“The inescapable conclusion is that, when it comes to covering the uninsured, Obamacare so far is an expansion of Medicaid,” Heritage Foundation health policy experts Edmund F. Haislmaier and Drew Gonshorowski write in a research paper scheduled for release today.”

“Much of the ACA’s tax effect resembles unemployment insurance: both encourage layoffs and discourage people from returning to work. The ACA’s overall impact on employment, however, will arguably be larger than that of any single piece of legislation since World War II.
•The ACA’s employment taxes create strong incentives to work less. The health subsidies’ structure will put millions in a position in which working part time (29 hours or fewer, as defined by the ACA) will yield more disposable income than working their normal full-time schedule.
•The reduction in weekly employment due to these ACA disincentives is estimated to be about 3 percent, or about 4 million fewer full-time-equivalent workers. This is the aggregate result of the law’s employment disincentives, and is nearly double the impact most recently estimated by the Congressional Budget Office.
•Nearly half of American workers will be affected by at least one of the ACA’s employment taxes—and this does not account for the indirect effect on others as the labor market adjusts.
•The ACA will push more women than men into part-time work. Because a greater percentage of women work just above 30 hours per week, it is women who will be more likely to drop to part-time work as defined by the ACA.”

“In last night’s U.S. Senate debate in New Hampshire between incumbent Jeanne Shaheen (D.) and challenger Scott Brown (R.), Shaheen uttered a flat-out, bald-faced lie: that Obamacare doesn’t cut Medicare spending to pay for its expansion of coverage to the uninsured. It’s a talking point that a number of Democratic Senate candidates—and their enablers in the lefty blogosphere—have been clinging to. And it’s embarrassingly dishonest.”

“Knowing the way our political press works, it’s easy to predict that Barack Obama’s presidency is just about over. Journalists will soon treat him as the lamest of lame ducks, and suggest nothing consequential will happen in the last two years of his presidency. Instead, they’ll obsess over who will come next.
So the timing is perfect for Rolling Stone magazine to reassert itself as Obama’s most shameless house organ. They’ve published a 4,000-word tribute by liberal New York Times columnist Paul Krugman insisting that “Obama has emerged as one of the most consequential and, yes, successful presidents in American history.””

“One year in, the new small-business insurance marketplaces born out of the new federal health-care law have fallen short of their promise in nearly every state, both in terms of functionality and enrollment. However, many are scheduled to see some important updates heading into year two — ones that health officials say should make them much more useful and appealing to small employers and their workers.
In the nation’s capital, for example, officials are preparing to roll out the third major update to the District of Columbia’s health-care marketplace, which already houses one of the country’s most robust small-business exchanges, often called SHOP (Small Business Health Options Program) exchanges. District small businesses have already been able to shop for and select plans online — an option that was delayed by at least a year in most states.”

“State officials have given up on trying to salvage a portion of the troubled Cover Oregon technology project, essentially abandoning all hope of getting any lasting benefit from the $240 million paid Oracle America on the health insurance exchange and related work.
Instead, Oregon will look to use successful technology built by another state, and is trying to determine which one.”

“Last spring, John* purchased health insurance through the Washington State healthcare exchange. He was surprised when, last month, he received an email from the exchange at the address he’d provided when he signed up. The email was entitled, “Voter Registration Information.”
It read, in part:
“ARE YOU REGISTERED TO VOTE? If you would like to register to vote or
update your information, visit the Washington Secretary of State
website at https://weiapplets.sos.wa.gov/myvote?Org=confidHBE&language=en”
“I did think it was an effort to [register voters] for the Democrat party,” says John, a union member for the better part of four decades.
He wasn’t the only healthcare exchange customer to get the voter registration email.”

“In the final Kaiser Health Tracking Poll before the 2014 midterm elections in November, the Affordable Care Act (ACA) continues to be just one of several issues on voters’ minds. Less than 1 in 10 registered voters (8 percent) identify the ACA as the most important issue to their vote, ranking 5th behind the economy (16 percent), dissatisfaction with government (12 percent), education (10 percent) and the situation in Iraq and Syria (9 percent). The ACA ranks 4th for Democrats, Republicans, and independents alike. Just over half of voters say they’re tired of hearing Congressional candidates talk about the ACA and wish they would move on to other issues, while 44 percent say they want candidates to continue the discussion. Meanwhile, as campaigns make their final appeal to voters, 6 in 10 report seeing political advertising related to the ACA, with more saying they have seen mostly negative advertising about the ACA rather than mostly positive.”