“But Sebelius’ answer suggests another explanation: the Democratic opposition to catastrophic plans was not strategic, or vengeful, but entirely heartfelt. The Secretary of Health and Human Services genuinely believes that health insurance should do more than just, well, protect your ability to keep paying the mortgage. Unfortunately, “more” is very expensive and inefficient.”

“As the Affordable Care Act (ACA) celebrates its third anniversary, the law has already imposed $21 billion in private-sector burdens, $9.8 billion in unfunded state liabilities, and 111 million paperwork burden hours. When the American Action Forum (AAF) reviewed the law’s regulatory impact last year, the ACA had imposed a combined cost of $12.4 billion and 50 million hours, meaning in the last year the administration has more than doubled the cost of implementation and added 21 million compliance hours.”

“The problem is that the benefits in question are neither ‘free’ nor likely to produce valuable savings. ObamaCare’s rules eliminated individual cost-sharing for a number of preventive services, but, as the administration admitted a few months after the law passed, at the cost of higher insurance premiums on average. It’s like a gym that suddenly makes all the drinks and snacks at its café ‘free’—but raises the price of membership.”

“The IRS said it did not need to go through that assessment because only large employers — defined as businesses that employ 50 or more people — are required under the healthcare law to either provide workers with health insurance or pay a fine. But Sargeant and his assistant chief counsel, Dillon Taylor, said the act of a small business assessing whether or not it should comply with the regulation — and the paperwork it must keep in case it does — impose a heavy burden.”

“Writing a new menu labeling law ‘has gotten extremely thorny,’ says the head of the Food and Drug Administration, as the agency tries to figure out who should be covered by it. The 2010 health care law charged the FDA with requiring chain restaurants and other establishments that serve food to put calorie counts on menus and in vending machines.”

“The Obama team’s few remaining economic moderates – the ones who have a lot of experience in healthcare — all seem to be sitting out the details of Obamacare implementation and issuance of the law’s many regulations.”

“A GOP subcommittee chairman railed against the medical-loss ratio (MLR) in President Obama’s healthcare law Wednesday for increasing fraud in the private sector. In committee, Rep. Joe Pitts (Pa.) said that most anti-fraud efforts are categorized as ‘administrative’ expenses and thus limited to 20 percent of a plan’s spending under the MLR.”

“For instance, the Obama team unilaterally decided to phase-in the guaranteed issue requirements of child-only policies, even though the law required this provision to be fully implemented by the fall of 2010. The administration delayed and then limited the W-2 reporting provisions for employers. These are just two examples.”

“Private employers who have religious objections to the requirement are offered no relief, and religious employers that are not houses of worship, like Wheaton College or your local Catholic hospital, are still required to provide employees with health insurance the gives them access to abortive and contraceptive drugs despite their conscientious objections.”

“We’ve already seen many of America’s biggest companies respond to the new law by laying off employees, putting them on part-time, or raising prices. But those are short-term solutions. Ultimately, these corporations will have to innovate and restructure to thrive in the era of ObamaCare. If small businesses follow their lead, they may even gain an advantage over their big competitors.”