A project of the Galen Institute

Issue: "Federal Budget/Deficit"

No, the Halbig case isn't going to destroy Obamacare

Ezra Klein, Vox
Tue, 2014-07-22
"The Halbig case could destroy Obamacare . But it won't. The Supreme Court simply isn't going to rip insurance from tens of millions of people in order to teach Congress a lesson about grammar. As Adrianna McIntyre explains, the Halbig case holds that Obamacare's subsidies are illegal in the 36 states where the federal government runs (or partly runs) the exchange. The plaintiffs rely on an unclearly worded sentence in the law to argue that Congress never intended to provide subsidies in federally-run exchanges and so the subsidies that are currently being provided in those 36 states are illegal and need to stop immediately. The point of Obamacare is to subsidize insurance for those who can't afford it This is plainly ridiculous. The point of Obamacare is to subsidize insurance for those who can't afford it.

What We Learned About Obamacare July 8-14, 2014

Natalie Scholl, American Enterprise Institute
Tue, 2014-07-15
"1.) AEI’s Joseph Antos and James Capretta present “A health reform framework: Breaking out of the Medicaid model.” Here’s a peek: The Congressional Budget Office (CBO) projects that about one-third of the additional insurance coverage expected to occur because of the law will come from expansion of the existing, unreformed Medicaid program. The rest of the coverage expansion will come from enrolling millions of people into subsidized insurance offerings on the ACA exchanges — offerings that have strong similarities to Medicaid insurance. Unfortunately, ample evidence demonstrates that this kind of insurance model leaves the poor and lower-income households with inadequate access to health care…. 2.) “Some still lack coverage under health law,” notes The Wall Street Journal: Months after the sign-up deadline, thousands of Americans who purchased health insurance through the Affordable Care Act still don’t have coverage due to problems in enrollment systems.

A Health Reform Framework: Breaking Out Of The Medicaid Model

James Capretta and Joseph Antos
Thu, 2014-07-10
"A primary aim of the Patient Protection and Affordable Care Act (ACA) is to expand insurance coverage, especially among households with lower incomes. The Congressional Budget Office (CBO) projects that about one-third of the additional insurance coverage expected to occur because of the law will come from expansion of the existing, unreformed Medicaid program. The rest of the coverage expansion will come from enrolling millions of people into subsidized insurance offerings on the ACA exchanges — offerings that have strong similarities to Medicaid insurance. Unfortunately, ample evidence demonstrates that this kind of insurance model leaves the poor and lower-income households with inadequate access to health care.

Two Years Ago, The Supreme Court Changed Obamacare. Here's What's Happened Since.

Dan Diamond, Forbes magazine
Mon, 2014-06-30
"Two years ago Saturday, the Supreme Court changed the law that changed an industry. The Court’s June 28, 2012, decision to uphold the Affordable Care Act—by the slender margin of a single vote—did more than allow the law’s ambitious agenda to proceed. It famously altered the law itself, by allowing states to choose whether or not to opt into Obamacare’s Medicaid expansion."

Reid: More Funding Needed To Prevent ObamaCare From Becoming 'Train Wreck'

Alexander Bolton, The Hill
Thu, 2013-05-02

"Senate Majority Leader Harry Reid (D-Nev.) says he shares colleagues’ concerns that the Affordable Care Act could become a 'train wreck' if it’s not implemented properly. Reid warned that people will not be able to choose health insurance plans on government health exchanges if federal authorities lack the resources to set them up and educate the public."

Why Is IPAB M.I.A.?

David Hogberg
The American Spectator
Mon, 2013-04-29

"IPAB is supposed to be composed of 15 members who will each serve six-year terms. They must be nominated by the President and confirmed by the Senate. Since it is nearly May, that leaves only four months to meet the draft proposal deadline. In other words, four months for members to be nominated, for the Senate to hold hearings and confirmation votes, and then for IPAB to put together its proposal."

No Furloughs For ObamaCare Officials

Sam Baker, The Hill
Wed, 2013-04-24

"The office implementing most of President Obama's healthcare law is not furloughing its workers as a result of sequestration, its director said Wednesday. Gary Cohen, director of the Center for Consumer Information and Insurance Oversight, said Wednesday that his office has not cut its workers' hours and pay as a result of the automatic budget cuts that went into effect in March."

Cost Estimates for a PPACA Replacement Plan

James C. Capretta & Douglas Holtz-Eakin, American Action Forum
Thu, 2013-04-18

"Nevertheless, there is merit to continued evaluation of full-scale alternatives to the PPACA. One common defense of the law is that there has been no competing alternative, which is not true. But there is virtue to continuing to develop and refine as many alternatives as may be proposed. Toward that end, this short paper outlines one practical, conservative approach to replacing the law with a market-based reform plan."

Uh-Oh! Building ObamaCare’s Health Exchanges Has Already Cost Double the Expected Amount

Peter Suderman
Reason Magazine
Thu, 2013-04-11

"Here’s another ominous sign for ObamaCare’s future: The Department of Health and Human Services admitted yesterday that setting up the law has cost twice as much as expected so far. And you can't really blame Republican opposition for the overrun: That’s just accounting for the cost of building exchanges in states that said they want to run them."

HHS Seeks Obamacare Funds — But Is Ready To Scramble

Jason Millman & Brett Norman, Politico
Wed, 2013-04-10

"Even when the law was passed three years ago, $1 billion for implementation was thought to be just the start. Getting the massive law up and running was expected to cost 10 times that. And that was before the federal exchange task ballooned as conservative states refused to do much to make the law a success."

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