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

“Why do Democrats and Republicans view this law so differently? Ideology plays a big role. Democrats are generally more willing than Republicans to look to government to help address people’s problems.
Demographics shape the debate, too.
If a community has a large concentration of people without health insurance, there is a good chance it is represented by a Democrat in Congress. Of the 50 congressional districts with the most uninsured people, all but nine are represented by Democrats.”

“Remember this categorical assurance from President Obama?
“I will not sign a plan that adds one dime to our deficits.”
This was no casual, throw-away campaign promise. The pledge was made on September 9, 2009 in his health speech before a joint session of Congress. In reality, we have known for years that Obamacare would violate this promise. But champions of Obamacare have repeatedly pointed to the CBO score that purported to show that the law would reduce federal deficits by $143 billion in its first 10 years.[1] They conveniently ignored the fact that less than four weeks before the law even passed, Paul Ryan had deftly exposed all the “gimmicks and smoke-and-mirrors” underlying that calculation.”

“A Gallup survey earlier this month showing that Americans oppose Obamacare by a margin of 53 to 41 percent was the 150th poll listed by Real Clear Politics during President Obama’s second term to find Obamacare unpopular. The number that found it to be popular was zero.
The mainstream media, meanwhile, seemingly operating in an alternative universe, think that Obamacare is here to stay. Politico writes, “Deep down, Republicans who know health care know the truth: Obamacare isn’t about to be repealed. .  .  . [T]hink of the last time a major social program was repealed after three enrollment seasons, with millions of people getting benefits. That’s right—it hasn’t happened.””

“Developments in the last ten days make it more likely that the entire U.S. Court of Appeals for the D.C. Circuit will agree to hear the leading challenge of the Pacific Legal Foundation (PLF) to the Obamacare individual-mandate penalty — and whoever does not prevail at this level will have a compelling case to take to the Supreme Court. An order from the D.C. Circuit last week, instructing the Obama administration to respond to PLF’s petition for rehearing, and an impressive set of amicus briefs supporting PLF’s petition filed yesterday confirm that this is no ordinary litigation.
Readers will recall that Chief Justice John Roberts joined four justices in 2012 to hold that the individual mandate was not authorized by the Commerce Clause or other congressional power, but he sided with four other justices in holding that the penalty for not buying insurance could be read as a tax, pursuant to Congress’s taxing power. No judge below had accepted the tax theory, so the debate over the tax issue in the Supreme Court briefs was truly brief. The Court was careful to write that Congress still had to comply with all constitutional requirements for the exercise of its taxing power, so the initial Obamacare ruling did not purport to end litigation that raised that and other issues.”

“I will be covering Medicaid Health Plans of America’s annual conference in Washington, DC from October 26 to 28. So, I thought I’d prepare for it by reviewing the research on health outcomes for patients on Medicaid. What a tangled web!
According to evidence cited by Forbes opinion editor and Manhattan Institute Senior Fellow Avik Roy, “patients on Medicaid have the worst health outcomes of any insurance program in America – far worse that those with private insurance and, strikingly, no better than those with no insurance at all. “ On March 10, 2011, the Wall Street Journal published a column by Forbes contributor and American Enterprise Institute Resident Fellow Scott Gottlieb, MD, which concluded that “Medicaid coverage is worse than no coverage at all.””

“Since the Affordable Care Act was passed in 2010, 28,476 pages of notices, proposed rules, and finalized rules containing the phrase, “Affordable Care Act” have been written in the Federal Register. This includes 843 notices, 222 proposed rules, and 234 final rules.
Then-Speaker of the House Nancy Pelosi had it right when she famously said, “we have to pass the bill so that you can find out what is in it.”
And unfortunately, there is still more to come.”

“With just one month to go until the start of Obamacare’s second open enrollment period, state and federal officials are being cautiously optimistic about their health exchange websites—assuring the public that there won’t be a repeat of last year’s technological nightmare.Speaking to health reporters last week, Health and Human Services Secretary Sylvia Burwell touted the newly revamped Healthcare.gov as a vast improvement over last year’s website—which was plagued with technical glitches.Related: Millions Wasted on Broken Obamacare State WebsitesBut when asked about how some of state exchanges that had trouble last year are shaping up, Burwell hesitated and said HHS is monitoring them on a state-by-state basis.”

“Insurance consultants were shocked recently to learn that Obama administration rules allow large companies to offer 2015 worker health plans that don’t include hospital benefits. Now the administration is concerned too.
Treasury Department officials are preparing to reverse course on an official calculator that permits plans without hospital coverage to pass the health law’s strictest standard for large employers, said industry lawyers who have spoken to them. These sources expect the administration to disallow such coverage by the end of the year.”

“The producer of a new movie that criticizes Obamacare has reportedly become the latest prominent conservative slapped with an IRS audit.
Logan Clements, producer of “Sick and Sicker: ObamaCare Canadian Style,” announced via press release Tuesday that he is being audited for the first time ever.”

“There are dozens of ways to escape Obamacare’s individual mandate tax — but good luck figuring that out come tax season.
Tens of millions of Americans can avoid the fee if they qualify for exemptions like hardship or living in poverty, but the convoluted process has some experts worried individuals will be tripped up by lost paperwork, the need to verify information with multiple sources and long delays that extend beyond tax season.
“It’s not going to be pretty,” said George Brandes, vice president of health care programs at Jackson Hewitt, a tax prep firm. “Just because you theoretically qualify for hardship, or another exemption, doesn’t mean you’re going to get it.””