“What if there were a way for even small employers to escape some Affordable Care Act rules blamed for driving up costs? Some see self-insurance for medical care, which is exempt from the law’s taxes, benefit rules and price restrictions taking effect next year, as just such an opportunity… In some circumstances, self-insurance by small businesses with younger employees could cause premiums in the small-group insurance market to rise by 25 percent, according to previous research from the Commonwealth Fund and the Urban Institute.”

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“Democrats are to blame for the failures and problems of a law designed by Democrats, passed by Democrats, and implemented by Democrats. That it is not working now is the fault of the people who said it would work, decided to try making it work, and are now tasked with the responsibility to make it work. They are failing, and the law is failing because of them—not because of Republicans.”

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“As the implementation of the major provisions of Obamacare approaches, it is increasingly clear that no one involved is prepared, and that the unintended consequences of the law’s conflicting objectives will be painfully compounded by a rushed and poorly managed effort to put it into effect.”

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“Want to apply for Obamacare this fall? Start the paperwork now. The Obama Administration quietly released a draft copy of its ‘single streamlined application’ for Obamacare. This is the form that the government will use to certify eligibility for the program’s subsidies. The on-line version of that form requires 60 printed pages to spell out all the queries. (A condensed paper version of the same application fills 21 pages).”

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“If you buy your own health insurance now, you’ll be in for a big change when you sign up for coverage in 2014.
Just over half of the individual plans currently on the market do not meet the standards to be sold next year, when many key provisions of President Obama’s Affordable Care Act kick in, according to a University of Chicago study.”

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“A new fight is brewing over health insurance companies letting millions of Americans renew their current coverage for another year — and thereby avoid changes under the federal healthcare law.”

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“I don’t get the sense that at the time of passage, people had spent a lot of time thinking about the sheer mechanics of how this would all work: how the IT would be built, the rules written, the necessary information assembled. They spent a lot of time staring at the blueprints, not so much thinking about the building materials and the labor.”

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“Millions of people who take advantage of government subsidies to help buy health insurance next year could get stung by surprise tax bills if they don’t accurately project their income… What happens if you or your spouse gets a raise and your family income goes up in 2014? You could end up with a bigger subsidy than you are entitled to. If that happens, the law says you have to pay back at least part of the money when you file your tax return in the spring of 2015.”

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“Unable to meet tight deadlines in the new health care law, the Obama administration is delaying parts of a program intended to provide affordable health insurance to small businesses and their employees — a major selling point for the health care legislation.”

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“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.”

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