A project of the Galen Institute
"Republican Senate Budget Committee analysts reported last week that the Patient Protection and Affordable Care Act (ACA) — a.k.a. ObamaCare — would increase the federal deficit by $131 billion over the period from 2015 to 2024. Drew Hammill, a senior aide to House Minority Leader Nancy Pelosi (D-Calif.), dismissed the report as "complete garbage."
Name-calling is no substitute for analysis. The Senate budget analysts' work is fully transparent. Based on Congressional Budget Office (CBO) data on medical spending and labor market effects, it is quite easy to check out.
In fact, the Senate Budget analysts do not question any of the CBO's assumptions concerning ObamaCare's biggest fiscal problem: massive government spending. The CBO now says that the Medicaid expansion and the new exchange subsidies will cost taxpayers $1.9 trillion by 2024. It will account for more than half the cost-growth in federal health programs by 2023."
"You shouldn't judge the Affordable Care Act based on headlines or by listening to politicians or talking heads. I tried for a while, but only heard wildly conflicting stories that seemed to have little basis in reality.
Instead, you should ask someone who actually deals with the law on a daily basis — a doctor, for instance.
The Physicians Foundation did exactly that in its "2014 Survey of American Physicians," which was released last month. The survey, which reached over 80% of doctors in the U.S. and elicited responses from some 20,000, is doctors' collective report card on the Affordable Care Act's first four years.
The grades aren't good. Only 25% of doctors give it an "A" or a "B" grade. Nearly half ( 46%) give it a "D" or an "F""
"The Physicians Foundation made shockwaves last month when it released its 2014 Survey of America’s Physicians. The survey’s top-line finding: Of the 20,000 doctors surveyed, almost 50 percent stated that Obamacare deserves either a “D” or an “F.” Only a quarter of physicians graded it as either an “A” or a “B.”
Count me among the discontented. Obamacare has harmed too many of my patients.
It has done so by disrupting the doctor-patient relationship and thereby worsening the quality of patients’ care. This is the heart and soul of medicine, as I have learned in in my 33 years as a practicing physician. The doctor-patient relationship is critical for positive health outcomes because it allows both parties to work together to identify and ultimately treat medical problems. Simply put, a relationship of trust and continuity is essential to our professional mission."
"Last fall, millions of Americans breathed a sigh of relief when Obamacare didn't cancel their health care plans. Now they're holding their breath once again.
Hundreds of thousands of Americans will soon receive cancellation letters affecting their 2015 health care plans — and that number may quickly rise into the millions. This wave of cancellations will fall into two categories. The first group hit will be in the individual market, the same group that suffered through at least 6.3 million cancellation letters last year. They will almost certainly be joined by millions of people in the small-employer market, which has 40 million plans and will be under Obamacare's control starting next year."
"Republicans are in a strong position as the midterm election approaches. They are nearly certain to retain control of the House of Representatives in the next Congress and may pick up a few seats to add to their majority. They are also poised to make gains in the Senate, perhaps even adding the six seats necessary to take control of the upper chamber—and maybe more.
The mere possibility of full Republican control of Congress in 2015 is leading some to wonder what Republicans would do if they found themselves in such a position come January."
"Depending on the source, the Affordable Care Act’s fading from the front burner of American political discourse with just weeks to go before the midterm elections is either a lamentable condition or one to celebrate. Analysts on both the left and the right, however, agree that Obamacare is not the pressing issue that the pundits predicted it would be just a few short months ago.
“[T]here is as much ‘good’ news about the PPACA out there for Democrats to point to as there is ‘bad’ news for Republicans to point to so, in some sense, it ends up becoming a wash and neither party can really benefit from the issue,” Christian Science Monitor contributor Doug Mataconis submitted in September in an effort to explain why Obamacare has not proven to be the motivating force many assumed it would be."
"“If we hadn’t taken this on, and [health insurance] premiums had kept growing at the rate they did in the last decade, the average premium for family coverage today would be $1,800 higher than they are. Now, most people don’t notice it, but that’s $1,800 you don’t have to pay out of your pocket or see vanish from your paycheck. That’s like a $1,800 tax cut.”
–President Obama, remarks on the economy, Northwestern University, Oct. 2, 2014
Remember that 2008 campaign promise touted by then-candidate Obama — that his health care law would reduce the cost of premiums by $2,500 by 2014? As we have noted, he was quickly called out by fact checkers for making a dubious claim based on shaky assumptions."
Kansas City Star
"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. 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."
The Weekly Standard
"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.”"