The case for single payer – Medicare for All
By Jeoffry B. Gordon, M.D., M.P.H.
December 3, 2014
The Patient Protection and Affordable Care Act (ACA) has as its main and overriding purpose the expansion and subsidization of health insurance coverage for many (usually poor and uninsured) Americans who were previously unable to reliably access medical services. Under its auspices, the federal law has provided for health insurance enrollment for 1 million to 3 million additional 19- to 26-year-olds; 6 million new, expanded Medicaid enrollees; and 7.2 million commercial Qualified Health Plan enrollees. Of the latter, about 80 percent qualify for financial subsidy. Taking into account additional factors, e.g. the fact that some of the new enrollees were previously insured, there has been a net gain of about 10 million people who have coverage. Yet even at full expansion, it is estimated that the ACA will not insure another 30 million U.S. residents.
By Jonathan Ingram, Nic Horton and Josh Archambault— Mr. Ingram is Research Director, Mr. Horton Policy Impact Specialist, and Mr. Archambault a Senior Fellow at the Foundation for Government Accountability.
After months of secretly negotiating a backroom deal with the Obama administration, Governor Gary Herbert (R-UT) has finally released (some of) the details of his Obamacare expansion plan. We’ve not hesitated to share our disappointment over Herbert’s recent actions to bring Obamacare to Utah (which has always seemed out of character for him), but we’ve also met with the governor and his chief of staff privately to share our concerns about this welfare program. Sadly, Gov. Herbert continues to move forward with an Obamacare expansion plan that is bad for taxpayers and the truly needy.
Small businesses have turned their backs on the Affordable Care Act, says healthcare expert Grace-Marie Turner, president of the Galen Institute, a public policy research organization.
“They call it the shop exchange [and] the coverage that’s offered through these shop exchanges is really substandard. It’s very expensive,” Turner said Tuesday on “The Steve Malzberg Show” on Newsmax TV.
“As employers try to minimize expenses under the health law, the Obama administration has warned them against paying high-cost workers to leave the company medical plan and buy coverage elsewhere.
Such a move would unlawfully discriminate against employees based on their health status, three federal agencies said in a bulletin issued this month.”
“Please consider Friday’s ‘Obamacare losing streak’ post officially updated. Behold, the ‘Affordable’ Care Act at work. Congratulations, “beneficiaries” (via The Hill):
The average price of the most popular ObamaCare health insurance plans rose 10 percent for 2015, according to a new study of premium figures published Friday by the Department of Health and Human Services (HHS)…Not only are premiums increasing, but if consumers do not pick a different plan, they could pay more due to annual changes in how subsidies are calculated.”
“With round two of Obamacare enrollment here, New York’s policymakers should take stock of where the Empire State is and where it’s heading.
Take the state’s Medicaid program. Post-Obamacare, Medicaid enrollment has grown by over 7 percent to 6.1 million people: nearly 1 in 3 New Yorkers now receive coverage through the joint federal-state insurance program for the poor. New York’s Medicaid spending, among the highest in the country, makes up about 30 percent of the state budget.”
“In the blink of an eye, Obamacare enrollment numbers through August fell from 7.3 million to just under 7 million — a level that dips overall enrollment under 2013 enrollment projections from the Congressional Budget Office. How’d it happen? In short, the administration combined Obamacare medical plan enrollment with dental plan enrollment for those August numbers — while previous reports had kept the two numbers distinct.
Here’s how the Department of Health and Human Services reported enrollments in a report last April. This shows only the last line of enrollments, but the number of plans with data on “metal level” (that is, the quality of the plan), is fairly close to the overall number of enrollments. Underneath, the number of people who got standalone dental coverage. 8 million; 1.1 million.”
“Of all the taxes in ObamaCare, none is more onerous than the whopping 40 percent Cadillac tax on the more generous employer-provided health care plans, which often are union plans.
The now-famous former outside adviser on ObamaCare, Jonathan Gruber of MIT, spoke about the Cadillac tax before an audience at the Pioneer Institute in 2011, saying, “It turns out politically, it’s really hard to get rid of. And the only way we could get rid of it was first by mislabeling it, calling it a tax on insurance plans rather than a tax on people, when we all know it’s a tax on people who hold those insurance plans.””
“Retired Dallas police Sgt. Tom Wafer recently received a call from a commander that “shocked the fool” out of him: The city can’t let him or any of his fellow retirees watch police surveillance camera feeds anymore when the year is over because of an obscure provision of the Affordable Care Act.
City officials say they had to cut Wafer, 74, along with two dozen other retired officers because the health care law put them in a costly bind. The layoffs also affect a few other city agencies but hit the Dallas Police Department hardest.”
“Support for Obamacare has reached a new low.
According to a new Gallup poll, only 37 percent of Americans approve of the president’s signature law, its lowest approval rating ever.
Additionally, 56 percent of Americans disapprove of the law, its highest disapproval rate.”