Casey Mulligan, a professor of economics at the University of Chicago and author of “Side Effects: The Economic Consequences of the Health Reform,” recently gave a speech in which he essentially explains in easily understood terms how the Affordable Care Act is a tax on full-time work, and a huge downer on our economy.
By Scott Gottlieb Dec. 7, 2014 5:12 p.m. ET
Here’s a dirty little secret about recent attempts to fix ObamaCare. The “reforms,” approved by Senate and House leaders this summer and set to advance in the next Congress, adopt many of the Medicare payment reforms already in the Affordable Care Act. Both favor the consolidation of previously independent doctors into salaried roles inside larger institutions, usually tied to a central hospital, in effect ending independent medical practices.
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.
In the 2014 midterm elections, opposition to the Affordable Care Act — i.e., Obamacare — was a clear political winner. That’s obvious from the election results themselves but also from polling that consistently finds that far more of the electorate disapproves of the law than approves of it.
Luke Hilgemann: A few weeks ago, hardly anyone in America had heard of Jonathan Gruber. Now, the Obamacare architect is a household name.
Gruber became a national sensation earlier this month after videos emerged of him detailing how the “Patient Protection and Affordable Care Act” became law. The short version: Its architects, including Gruber, exploited the legislative process to pass a bill that voters never would have supported had they known what it was. In his words: “Call it the stupidity of the American voter or whatever, but basically that was really, really critical for the thing to pass.”
“Illegal immigrants protected from deportation under President Obama’s executive action will be eligible for Medicare and other benefits once they enter the federal system.
The sweeping White House announcement last week means that up to 5 million people will be considered lawfully present in the United States despite having entered the country illegally.
This status makes them eligible for programs such as Medicare and Social Security if they work and submit payroll taxes that flow to those programs. This fact was noted Tuesday in a report by The Washington Post.”
“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.”
“Just days before the health law’s marketplaces reopened, nearly a quarter of uninsured said they expect to remain without coverage because they did not think it would be affordable, according to a poll released Friday.
That was by far the most common reason given by people who expect to stay uninsured next year, according to the latest tracking poll by the Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.) Forty-one percent of individuals without health insurance said they expected they would remain uninsured, while about half said they plan to get coverage in the coming months.”
“The Obama administration is seeking to clarify rules for the coverage of elective abortion in health insurance exchanges. That is the issue that almost scuttled the Affordable Care Act before it became law.
A complicated compromise that got the final few anti-abortion Democrats to agree to vote for the measure in 2010 required every exchange to include health plans that do not cover abortions except in the cases of rape, incest or a threat to the life of the pregnant woman. Plans that do offer abortion other than in those cases are required to segregate funds and bill for that abortion coverage separately.”
“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.”