“The Affordable Care Act (ACA) is an impediment
to economic growth and federal fiscal balance, threatening
nearly 700,000 jobs and increasing the deficit by nearly
$300 billion in the near term. At a time when too many
Americans remain unemployed and the country faces a
daunting budgetary outlook, alternative approaches to
health care reform would be preferable.”

“While making the case for his health care reform package, President Barack Obama argued that his proposal would make life easier for small-business owners. Unfortunately, now that it is law, Obamacare threatens to undermine a group of small-business owners that, perhaps, is more important than any other to his reform effort – doctors in private practice.”

Health care regulations create new costs to employers when hiring additional staff. ObamaCare’s new rules create strong disincentives for firms to hire low-wage workers or expand their businesses. “With higher-skill jobs, employers can offer the required benefits and pay for them by cutting the wage. But low-wage jobs in the restaurant and retail sectors leave little room for cuts in wages.”

“Rising entitlement spending is already driving the federal budget off a cliff. But Obamacare would add fuel to the fire with the largest entitlement expansion since the 1960s. So it takes a special kind of audacity for Obamacare’s apologists to continue to insist that the new law will cut the projected budget deficits. Evidence clearly shows otherwise.”

“This Essay argues that federal health care reform may induce employers to redesign their health plans to encourage employees who are likely to consume a greater-than-average amount of medical services to opt out of employer-provided coverage and instead acquire coverage on the individual market. Although largely overlooked in public policy debates, this prospect of employer dumping of high-risk employees raises serious concerns about the sustainability of health care reform more generally.”

“Big employers faced with incorporating the first round of health-care changes next month are grappling with how to comply with the long list of new rules. Many companies are hiring consultants to help sort though the mountain of new mandates, which include extending dependent coverage to children up to age 26, and may eventually result in covering more employees. Some are also considering changes to their plans—including pushing costs to workers.”

ObamaCare is filled with perverse incentives and unintended consequences which will lead to declining patient care. “Consumer advocates fear that the health care law could worsen some of the very problems it was meant to solve — by reducing competition, driving up costs and creating incentives for doctors and hospitals to stint on care, in order to retain their cost-saving bonuses.”

“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.”

“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.”

“While hospital leaders admit the economy sparked this problem, it says the Obama Health Care Reform Act gave the hospital a one-two punch. While more people may soon get more health coverage, Obama’s plan cuts reimbursement dollars for hospitals at a time administrators say they could use them most.”