e21 Staff Editorial, e21: Economic Policies for the 21st Century
"Absent the mandate, ObamaCare will not function as intended because the program’s coverage guarantee and expansion is financed, in part, through cross-subsidies generated by mandating that individuals purchase insurance policies that cost several times more than their expected insurance claims. Defenders of ObamaCare rationalize these compulsory transfers as inherent to “insurance,” which they erroneously present as a system where low-risk policyholders are expected to overpay for their coverage to reduce the cost of the policies for those with predictably high claims."
Kathryn Nix, The Heritage Foundation
"One element of the Patient Protection and Affordable Care Act (PPACA) is the advancement of 'comparative effectiveness research' (CER). Intended to compare available treatment options, CER can benefit patients if used for informational purposes only, but it could also be harmful in practice. The expansion of the Medicare bureaucracy under the PPACA will allow the use of CER for more government micromanagement of personal medical decision making—hurting patients, doctors, and the practice of medicine."
Karen E. Joynt, M.D., M.P.H., & Ashish K. Jha, M.D., M.P.H., The New England Journal of Medicine
"As part of the Affordable Care Act (ACA), Congress directed the Centers for Medicare and Medicaid Services (CMS) to penalize hospitals with 'worse than expected' 30-day readmission rates. This part of the law has stimulated hospitals, professional societies, and independent organizations to invest substantial resources in finding and implementing solutions for the 'readmissions problem.' Although a focus on readmissions may have good face validity, we believe that policymakers' emphasis on 30-day readmissions is misguided, for three reasons."
Charles Blahous, e21: Economic Policies for the 21st Century
"The ACA unambiguously worsens federal finances. As the accompanying graph shows, under a variety of possible assumptions (all based on the analyses of CBO and CMS), our annual deficits will be much larger because of the ACA than they would have been under prior law."
Avik Roy, The Manhattan Institute
"The Patient Protection and Affordable Care Act (PPACA) is designed to extend health-insurance coverage to tens of millions of uninsured Americans. Rarely is it mentioned, however, that Medicaid, the government-run health-insurance program for the poor, will provide more than half of that new coverage under the law. The PPACA assigns Medicaid this central role, despite long-standing concerns about Medicaid’s costs and the quality of its care."
Richard A. Epstein & David A. Hyman, The Manhattan Institute
"In time, high taxes, large subsidies, and extensive mandatory contractual terms in tandem could well drive most private plans out of business... Where and when the tipping point comes, no one can say in advance, and perhaps some tenacious and well-run private plans may ultimately survive. But in the end, our gloomy prediction is that in the absence of a major change in course, a regulatory cascade will first force some plans to fail, after which other private plans will topple like tenpins."
Nina Owcharenko & Kathryn Nix, The Heritage Foundation
"On its second anniversary, Obamacare remains unpopular. The provisions currently in effect have fallen short of expectations and disrupted the market, causing even greater uncertainty for the future. Overall, Obamacare has increased government control of Americans’ health care choices and limited consumer choice. The recent controversy over the preventive care benefit mandates are a good indication of things to come. The fundamental structure of Obamacare is based on centralizing the financing, delivery, and management of health care, and is completely incompatible with patient-centered, market-based reforms."
Diana Furchtgott-Roth, The Manhattan Institute
"When government requires firms to offer benefits, employers will generally prefer to hire part-time workers, who will not be subject to the penalty. Even though the Affordable Care Act counts part-time workers by aggregating their hours to determine the size of a firm, part-time workers are not subject to the $2,000 penalty. Hence, there will be fewer opportunities open for full-time work. Many workers who prefer to work full-time will have an even harder time finding jobs.
In January 2012 over 8 million people were working part-time because they could not find full-time jobs. The new health care law would exacerbate this problem."
James C. Capretta, Senate Budget Committee Testimony
"During the debate over the health care law, it was often argued that the added federal cost of the coverage provisions would be more than offset by other tax hikes and spending cuts. Indeed, it was suggested that the new law would actually reduce the longterm budget deficit. But this perspective rests critically on how one accounts for the Medicare taxes
and cuts that were enacted in the law, and specifically the taxes and cuts that were assigned to the Medicare Hospital Insurance (HI) trust fund."
Sam Batkins & Michael Ramlet, American Action Forum
"President Obama campaigned on the commitment of having the most open and transparent administration
in history. Unfortunately, like President Obama’s campaign promise to lower health insurance premiums by $2,500 per family, this commitment quickly fell victim to the Patient Protection and Affordable Care Act (PPACA). This white paper explains the regulatory process for legal and transparent rulemaking, how the Obama administration has abused its power to avoid this process in implementing the PPACA, and how this lack of transparency hides the unworkable policies and true cost of the healthcare reform law."