The impact of ObamaCare on doctors and patients, companies inside and outside the health sector, and American workers and taxpayers
Earlier this week, Wisconsin governor and 2016 GOP presidential hopeful Scott Walker released his version of an Obamacare “repeal and replace” plan.
There’s also versions out there from Senator Marco Rubio (R-Florida) and Governor Bobby Jindal (R-La.) There are yet others on Capitol Hill: the Republican Study Committee plan, the plan advanced by House Budget Committee Chairman Tom Price (R-Ga.), and the so-called “Burr-Hatch-Upton” plan. Republicans are often accused of having no alternative to Obamacare, but they actually have many.
An unprecedented House lawsuit against President Obama that was once derided as a certain loser looks stronger now and may soon deliver an early legal round to Republican lawmakers complaining of executive branch overreach.
A federal judge is expected to decide shortly whether to dismiss the suit, but thanks to an amended complaint and a recent Supreme Court ruling, the Republican-backed case has a much better chance of proceeding, attorneys agree.
Two leading Republican presidential candidates, Scott Walker and Marco Rubio, recently released concept papers that promise to provide “all Americans” with government-subsidized access to health insurance. This is a monumental development for both the campaign and for the conservative movement, one that breathes Ronald Reagan’s soul into the Republican nomination fight.
Obamacare health insurance plans limit consumers’ access to physicians and specialists, according to a new report.
Avalere Health, a strategic advisory firm, says average provider networks for plans offered on the health insurance exchanges created by Obamacare have about 34 percent fewer providers than the average commercial plan offered outside the exchange. The new data quantify anecdotal reports saying exchange networks include fewer providers than traditional commercial plans.
Gallup has just released a state-by-state report, concluding Medicaid expansion and establishing a state exchange almost doubled the reduction in uninsured. Of the two, I cannot imagine setting up a state exchange is a big factor, because beneficiaries get the same tax credits in state or federal Obamacare exchanges. Obamacare mostly increased Medicaid dependency.
– See more at: http://healthblog.ncpa.org/gallup-confirms-obamacare-increased-welfare-dependency/#sthash.nipMznZq.dpuf
It’s no secret that health care and insurance are complex. But just how complicated are they to navigate?
Take scheduling a doctor visit to have a rash checked out. Finding out what it will cost requires answering a series of questions: Is the doctor in your insurer’s network? Is the facility? What’s your copay for the visit? If you have a yearly deductible, how much of it have you already fulfilled? If the rash requires a procedure to treat it, will that require seeing a different doctor? If so, is that doctor in your insurer’s network?
It’s now clear that the actual impact of ObamaCare’s individual mandate tax penalty will be far worse than the benign intent that the Obama administration claimed.
“What we’re talking about is a penalty for the few people who will refuse to buy health insurance — even though they can afford it — and who expect the rest of us to pick up the tab for their care,” a September 2009 White House defense of the individual mandate states.
The reality, though, is a bit more complicated. Obamacare hasn’t led to a shift from full-time employment to part-time. But the evidence suggests it has led some employers to limit the hours of workers who were already part-time, effectively giving a pay cut to some of the most vulnerable Americans.
Have employers cut work hours to avoid ObamaCare penalties? There’s no clearer test than the one put forth by the White House Council of Economic Advisers.
The Affordable Care Act employer mandate applies to workers who clock at least 30 hours per week. So if companies were seeking to minimize liability, we’d likely see a drop in the number of workers with hours just above that threshold relative to the number with hours just below it.
Decades later, my dad and I can laugh about this story, but only because he was able to step up and pay for the repair, and I did indeed make good on payday.
But they’re not laughing about this on Capitol Hill. At least five states took federal money to build Obamacare state exchanges, then had to close or abandon the exchanges when they failed to work. And now, as some of the contractors responsible for those failures are being forced to make good, the states want some of that money.
Oregon is right now paying $650 per hour to a law firm with connections to former Gov. John Kitzhaber, who resigned in disgrace partially over the state’s health exchange debacle, to pursue a lawsuit against Oracle its own attorneys say it has little chance of winning. Why? Because Oregon thinks it can get some of those dollars should they start to flow.
Maryland failed so badly at its attempt to establish an exchange that Democrat Anthony Brown, who presided over the project as lieutenant governor under now-presidential candidate Martin O’Malley, lost his bid to become governor in a state that is 2:1 Democrat. But now, Maryland has reached an out-of-court settlement with its contractor that will net $125 million, of which the state is set to receive some proceeds.