UPDATE – Partial Repeal is the Wrong Way to Go

The Truth Squad has talked it over and decided we should go out of business the minute a repeal bill is signed.  Our role in all this has been to bring you all the bad news about Obamacare every day so you could keep the pressure on.  That role is coming to an end but, until then, we’ll keep giving you ammunition to fight this very bad law.  That includes Medicaid expansion, which few people pay attention to, but is yet another massive Obamacare train wreck unfolding before our eyes.

We will also speak up when we see policy going in the wrong direction, and that’s what I will do tonight.

President-elect Trump has signaled that he may propose keeping guaranteed issue for people with preexisting conditions and the Obamacare slacker mandate allowing ‘adult children’ to stay on their parents’ plan to age 26.  This is in line with his previous statements, and consistent with Republican replacement proposals.

While these are the most popular parts of Obamacare, keeping them would be a very bad idea for several reasons:

  • The retention of coverage mandates prevents the return of true catastrophic insurance, a common sense solution to rising insurance costs.  If this happens, the movement for nullification of federal law to legalize catastrophic insurance will continue.
  • Further, the retention keeps the federal government in the business of regulating insurance, a business it first entered in Obamacare with disastrous results.
  • What insurance company is going to write a policy covering preexisting conditions all on its own? Keeping guaranteed issue would require subsidies and mandates, just like Obamacare.  Several previous Republican and think tank proposals are built around a ‘universal tax credit’ which would amount to a subsidy, a federal guarantee that would continue to fuel the government-healthcare industrial complex, distort market pricing, and push costs up.  Wrong direction.  If a subsidy of preexisting conditions is desired, state high-risk pools – of the kind that existed in some 35 states before Obamacare – would be a much better way to go.
  • The individual mandate was added to Obamacare to convince insurers they would be receiving millions of government-guaranteed customers to spread the cost of preexisting conditions among a pool large enough to handle it.  The individual mandate or some coercive substitute would have to stay if guaranteed issue is preserved.
  • Guaranteed issue – an idea that failed in several states and is blowing up before our very eyes in Obamacare – would set up Trump’s new system for all the problems of Obamacare – adverse selection and the potential for an insurance death spiral.

Things are starting to look like Congress and the new administration will pretend to repeal Obamacare, only to bring most of it back under another name.  Such rebranding efforts have taken place in several states that purported to ‘get rid of Common Core’ in the education space.

Keeping guaranteed issue would be a mistake. We don’t like the way things are shaping up.  Full repeal is still the way to go, in our book.

Links

Partial Repeal Won’t Work #7 – preexisting conditions attracts sick, insurers compete not to offer best coverage
http://www.nationalreview.com/article/442190/obamacare-pre-existing-conditions-provisions-repeal-health-care-laws-worst-component

Partial Repeal Won’t Work #6 – separate insurance for health status possible solution
http://www.washingtonexaminer.com/why-trump-cant-simply-repeal-all-of-obamacare-but-keep-ban-on-pre-existing-conditions/article/2607448
http://0363930.netsolhost.com/WordPress/2014/08/24/bring-back-true-catastrophic-insurance/

Partial Repeal Won’t Work #5 – insurers warn guaranteed issue w/o a mandate leads to ins death spiral
http://thehill.com/policy/healthcare/305997-insurers-brace-for-obamacare-upheaval

Partial Repeal Won’t Work #4 – penalties to substitute for individual mandate don’t look so great
http://khn.org/news/despite-anger-at-health-laws-mandate-gop-plans-could-also-have-penalties/

Partial Repeal Won’t Work #3 – keeping preexisting conditions requires keeping individual mandate
http://www.latimes.com/business/lazarus/la-fi-lazarus-obamacare-trump-20161111-story.html

Partial Repeal Won’t Work #2 – guaranteed issue blew up in states that tried it, just like Obamacare
http://www.nytimes.com/2016/11/15/upshot/why-keeping-only-the-popular-parts-of-obamacare-wont-work.html?_r=0

Partial Repeal Won’t Work #1 – guaranteed issue would require subsidies and mandates, just like Obamacare. 
http://0363930.netsolhost.com/WordPress/2016/11/14/keep-guaranteed-issue-are-you-kidding/

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Top Tweets – Don’t Think for a Minute the Torrent of Bad News About Obamacare Has Stopped

Join us on Twitter most weekdays at 8 and 10 a.m. ET.
Don’t miss:
– #SinglePayer Monday most Mondays 10 a.m. ET
– #FreeMarketFriday most Fridays 10 a.m. ET

Our 10,000th tweet:
Our 10,000th tweet. Name us one single other law that has had 10,000 things go wrong with it.

Don’t think for a minute that the torrent of bad news about Obamacare has stopped.  Here’s the latest:

Study: Obamacare premium increases worse than government admits
http://freebeacon.com/issues/study-obamacare-premiums-increase-27/

#GeniusMasterminds screw up again: 2015 risk corridor claims by losers 60 times greater than what winners made.
http://www.forbes.com/sites/theapothecary/2016/11/21/new-data-shows-2015-was-a-financial-bloodbath-for-obamacare-insurers/#315d3f745062

ACA small biz chaos; expensive tracking software to monitor taxes, wages and hours; fear messing up
http://www.americanthinker.com/articles/2016/11/obamacare_the_destroyer_how_it_has_hurt_small_business.html

ACA 29-er Club: less loyalty in the workforce, higher turnover, and poorer morale. Forced to get 2nd job.
http://www.americanthinker.com/articles/2016/11/obamacare_the_destroyer_how_it_has_hurt_small_business.html

Ageist ACA disincentivizes hiring older workers
http://www.americanthinker.com/articles/2016/11/obamacare_the_destroyer_how_it_has_hurt_small_business.html

New study confirms ER visits INCREASE not decrease after Medicaid expansion
http://www.lakelandtimes.com/main.asp?SectionID=9&SubSectionID=9&ArticleID=32472

New York misused up to $150 million in fed money in setting up state exchange.
http://www.nbcnewyork.com/news/local/New-YOrk-Was-Overpaid-For-Obamacare-Health-Exchange-Setup-402450125.html

Enrollers running into resistance: “If it’s going to be dismantled, why sign up?” http://californiahealthline.org/news/electing-to-opt-out-of-obamacare/?utm_campaign=KHN%3A+First+Edition&utm_source=hs_email&utm_medium=email&utm_content=37787896&_hsenc=p2ANqtz-90qvZvIVRfSi5dOENRB4G5U34P5sk51u6aGtevjVA3lMmBayAA70jgsx29HJDlN0eATDm4Ilo6ZD3YY-ec946hKVdzF8LSQClWxJeS9SIZqSprUts&_hsmi=37787896

Obamacare a masterpiece of failed central planning. #StupidGovernment #GeniusMasterminds
http://dailysignal.com/2016/11/04/obamacare-revealed-as-masterpiece-of-governments-failed-central-planning/

“Our nation has wasted eight years with this vain and costly experiment in statist coercion.”
http://www.americanthinker.com/articles/2016/11/obamacare_the_destroyer_how_it_has_hurt_small_business.html

 

2 + 2 = what again?

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Top Tweets – Medicaid Expansion Train Wreck

Join us on Twitter most weekdays at 8 and 10 a.m. ET.
Don’t miss:
– #SinglePayer Monday most Mondays 10 a.m. ET
– #FreeMarketFriday most Fridays 10 a.m. ET

Medicaid expansion wishful thinking blows up; enrollment more than double what was expected.
http://www.foxnews.com/politics/2016/11/16/report-medicaid-enrollment-costs-swell-under-obamacare-expansion.html

Medicaid expansion explosions: CA 322%, NY 276%, NV 140%, CO 139% more enrollees than predicted
http://opportunitylives.com/report-obamacare-thrusting-millions-onto-medicaid/

Oops, Medicaid expansion to cost $376 million more than expected in Louisiana this year
http://www.americanpress.com/2016-11-09-Medicaid-expansion

South Dakota Governor abandons possible Medicaid expansion after meeting with Pence
http://rapidcityjournal.com/news/local/governor-ditches-medicaid-expansion-after-mike-pence-meeting/article_8820aa32-7a62-587b-8cf8-a6a42a49358d.html

“The effort to expand Medicaid in Georgia just died.”  Good riddance!
http://politics.blog.ajc.com/2016/11/09/tuesdays-fallout-ralph-reed-regains-lost-mojo-and-a-ga-fight-for-medicaid-expansion-just-vanished/

States refusing Medicaid expansion vindicated for resisting force, bribes of ‘free’ money, Washington arm-twisting
http://journalrecord.com/2016/11/17/free-market-friday-policymaking-vindication-opinion/

New study confirms ER visits INCREASE not decrease after Medicaid expansion
http://www.lakelandtimes.com/main.asp?SectionID=9&SubSectionID=9&ArticleID=32472

Feds still allergic to Medicaid expansion work requirements; New Hampshire plan latest denied
http://www.dailyprogress.com/feds-reject-work-requirement-in-nh-medicaid-expansion-plan/article_d6d9d1e1-0682-5846-b565-d2ade54bbabe.html

“Florida looks to cover housing services under Medicaid” #MissionCreep #WrongDirection
http://www.modernhealthcare.com/article/20161116/NEWS/161119940/florida-looks-to-cover-housing-services-under-medicaid

Human cost of Medicaid fraud: gangrenous toes, freeze to death, die emaciated & covered in excrement
http://khn.org/news/seniors-suffer-amid-widespread-fraud-by-medicaid-caretakers/

Debt-fueled Medicaid expansion – No T-bill Left Behind!


 

 

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Keep Guaranteed Issue – Are You Kidding?

Obamacare is Dead, Long Live Obamacare!

President-elect Trump has signaled that he may propose keeping guaranteed issue for people with preexisting conditions and the Obamacare provision allowing ‘adult children’ to stay on their parents’ plan to age 26.  This is in line with his previous statements and, also, existing Republican replacement proposals.

While these are the most popular parts of Obamacare, keeping them would be a very bad idea – very bad – for several reasons:

  • The retention of coverage mandates prevents the return of true catastrophic insurance, a common sense solution to rising insurance costs.  If this happens, the movement for nullification of federal law to legalize catastrophic insurance will continue.
  • Further, the retention keeps the federal government in the business of regulating insurance, a business it first entered in Obamacare with disastrous results.
  • What insurance company is going to write a policy covering preexisting conditions on its own? Keeping guaranteed issue would require subsidies and mandates, just like Obamacare.  Some type of subsidy would be required.  Several previous Republican and think tank proposals are built around a ‘universal tax credit’ which would amount to a subsidy, a federal guarantee that would continue to fuel the government-healthcare industrial complex, distort market pricing, and push costs up.  Wrong direction.  If a subsidy of preexisting conditions is desired, state high-risk pools – of the kind that existed in some 35 states before Obamacare – would be a much better way to go.
  • The individual mandate was added to Obamacare to convince insurers they would be receiving millions of government-guaranteed customers to spread the cost of preexisting conditions among a pool large enough to handle it.  The individual mandate or some coercive substitute would have to stay if guaranteed issue is preserved.
  • Guaranteed issue – an idea that failed in several states and is blowing up before our very eyes in Obamacare – would set up Trump’s new system for all the problems of Obamacare – adverse selection and the potential for an insurance death spiral.
  • Further, we are concerned that Trump’s proposal to block-grant Medicaid to the states will fold in the costly and disastrous Medicaid expansion under Obamacare.  Seven out of 10 people subsidized by Obamacare have come in through Medicaid expansion.  Trump’s interview on ’60 Minutes’ a year or so ago indicated he wanted to ‘take care of everybody’.  Trump is not a conservative on this issue; more social spending doesn’t bother him in the least.  His remarks on that occasion gave hope to the single-payer crowd.

Things are starting to look like the new government will ‘repeal’ Obamacare pro forma, only to bring most of it back under another name.  Such rebranding efforts have taken place in several states that purported to ‘get rid of Common Core’ in the education arena.

Who’s kidding who?  We don’t like the way things are shaping up.

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It’s a New Ballgame for Obamacare

We Tea Partiers can congratulate ourselves. Three of our issues were prominent in the 2016 presidential campaign – immigration, voter fraud and, of course, Obamacare.

Where does Obamacare go from here? Commentary after the election has ranged all the way from ‘Trump will defund it on day one’ to ‘he can’t repeal all of it’ to ‘he will institute single-payer to replace it.’  Trump himself said after the election he might leave the most popular parts of Obamacare in place – maintaining guaranteed issue to people with preexisting conditions and allowing ‘adult children’ (I love that term) to remain on their parents’ plan to age 26.  I hope he doesn’t settle on guaranteed issue. State high risk pools – of the kind that existed in 35 states before Obamacare – are a much better answer to preexisting conditions.

My crystal ball is in the shop, so I don’t know where all this will shake out, but I do know that we can’t slack off.  We have to remain vigilant and keep pushing for total repeal – whether that’s with your lawmakers, your contacts inside the Trump camp, or your neighbor over the back fence.

Three of our tweets caught fire recently.  Twitter is a good little laboratory for testing messages.

In third place: ACA squeezing middle class –  QUOTE  ”They aren’t getting subsidies and these deductibles are hard to afford.” ENDQUOTE   I think this tweet was popular because of the reference to the middle class.

In second place: 1.4 million betrayed Americans receiving cancellation notices now. “You can keep your plan” – HASHTAG #LIARS.  This message, built around plans getting cancelled, was much more popular than any of the tweets we had about premium increases.

And the winner is: Chief Justice Roberts said it was up to the people to repeal Obamacare. The people have spoken. Politicians, DO YOUR JOB!  I’m guessing the reference to Chief Justice Roberts did the trick.  Who isn’t still angry at his turning himself into a pretzel to uphold Obamacare. Chief Justice – ‘It IS a tax, it is NOT a tax’ – Roberts will live in infamy.  No one will remember anything else about his entire career.

Finally, the Truth Squad’s second-in-command <INSERT NAME AND TEA PARTY HERE> came up with a funny meme about Obamacare being Miracle-Gro for government. I’ll include it in the wrap-up.

Links

Trump said he might leave preexisting condition and parent coverage to age 26 in place.
https://morningconsult.com/alert/report-trump-consider-leaving-parts-obamacare-place/

ACA squeezing middle class – “They aren’t getting subsidies and these deductibles are hard to afford.”
http://townhall.com/tipsheet/mattvespa/2016/11/05/cnn-obamacare-unaffordable-for-the-middle-class-n2241895

1.4 million betrayed Americans receiving cancellation notices now. “You can keep your plan” – #LIARS
http://www.newsmax.com/Politics/Tillis-Obamacare-GOP-address/2016/10/22/id/754841/

Chief Justice Roberts said it was up to the people to repeal Obamacare. The people have spoken. Politicians, DO YOUR JOB!

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The Beat Goes On (Top Tweets)

Commentary after Trump’s election has ranged all the way from ‘he will defund it on day one’ to ‘he can’t repeal all of it’ to ‘he will institute single-payer to replace it.’ Meanwhile, the beat goes on – and we do mean ‘beat’. Obamacare continues to beat people up, starting with a new phenomenon – the OBAMACARE SECOND MORTGAGE:

#RealPeopleRealPain – couple has to take out second mortgage to afford Obamacare
http://www.forbes.com/sites/scottgottlieb/2016/11/07/a-personal-tail-of-obamacare-woe-one-patients-story/#221d4dff2d08

ACA squeezing middle class – “They aren’t getting subsidies and these deductibles are hard to afford.”
http://townhall.com/tipsheet/mattvespa/2016/11/05/cnn-obamacare-unaffordable-for-the-middle-class-n2241895

ACA ‘only’ whacks a handful of people, Mr. Prez? Half don’t get subsidies. That’s millions. #SelectiveCompassion
http://www.politico.com/agenda/story/2016/11/obamas-new-obamacare-talking-point-debunked-000228

‘My deductible went from $2,500 to $6,650.’ #ThanksObamacare (can’t fix that with a subsidy)
http://www.breitbart.com/big-government/2016/11/05/obamacare-victims-revolt-dont-kind-money/

Payment denials by insurers way up under Obamacare
http://thehill.com/blogs/congress-blog/healthcare/304284-obamacare-fails-to-uphold-the-hippocratic-oath-to-do-no-harm

Obamacare is killing quality – more procedures being shunted to “lower level of care”
http://thehill.com/blogs/congress-blog/healthcare/304284-obamacare-fails-to-uphold-the-hippocratic-oath-to-do-no-harm

More indications Obamacare is killing independent doctor practices
http://www.crainsnewyork.com/article/20161106/HEALTH_CARE/161109925/independent-doctors-are-under-pressure-from-obamacare-and-a-consolidating-industry-with-many-facing-difficult-choices-on-how-to-proceed-with-their-private-practices-or-even-to-join-a-medical-system

“Better Off Poor: How Obamacare Punishes Hard Work” (subsidy cliff)
http://www.valuewalk.com/2016/11/obamacare-crash/

Louisiana: another state where supposed “savings” from Medicaid expansion a crock; budget hole getting worse
http://www.theadvocate.com/baton_rouge/opinion/jeff_sadow/article_88accabe-a144-11e6-b821-fb59335fd852.html

Aetna CEO: Obamacare will make premiums go up again next year unless something is done.
http://www.cnbc.com/2016/11/10/aetnas-mark-bertolini-on-the-future-of-health-care-at-nyts-dealbook-conference.html

OK, GOP, time to make good on your promises to repeal Obamacare. Republican House, Senate, and President. NO MORE EXCUSES!

 

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Obamacare Now Boasting About Targeting Young People with Substandard Policies

Comment:  Obamacare is now selling “substandard” plans to young people in New York, and it’s one of their most popular plans.  But we were told not terribly long ago that Obamacare was needed precisely to eliminate these “substandard” plans.

Join us on a brief trip down memory lane and listen to the President disparage the stripped-down “substandard” plans sold by “bad-apple insurers” he said we needed the UnAffordable Act to eliminate.

“One of the things health reform was designed to do was to help not only the uninsured, but also the underinsured.  And there are a number of Americans –- fewer than 5 percent of Americans -– who’ve got cut-rate plans that don’t offer real financial protection in the event of a serious illness or an accident.  Remember, before the Affordable Care Act, these bad-apple insurers had free rein every single year to limit the care that you received, or use minor preexisting conditions to jack up your premiums or bill you into bankruptcy.  So a lot of people thought they were buying coverage, and it turned out not to be so good.

[...] But ever since the law was passed, if insurers decided to downgrade or cancel these substandard plans, what we said under the law is you’ve got to replace them with quality, comprehensive coverage  – because that, too, was a central premise of the Affordable Care Act from the very beginning.”

–President Barack Obama, Oct. 30, 2013

“Amid sustained controversy over the cost of Obamacare plans throughout the country, New York is aggressively promoting a stripped-down, low-cost version that officials credit with reducing expenses for the state.”

“Tailored to low-income New Yorkers who earn too much to qualify for Medicaid, the “Essential Plan” comes with premiums of $20 per month or less.”

“The plan proves especially popular among New Yorkers ages 27 to 35 who want low premiums and have minimal expenses, said Leslie Moran, vice president of the New York Health Plan Association. Her group represents 29 insurers, most of which participate in New York’s heath insurance exchange.”

New York promotes ‘stripped-down’ health insurance
By Joe Mahoney CNHI State Reporter,  Nov. 6, 2016

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Obamacare HURTS People (Top Tweets)

Join us on Twitter most weekdays at 8 and 10 a.m. ET.
Don’t miss:
– #SinglePayer Monday most Mondays 10 a.m. ET
– #FreeMarketFriday most Fridays 10 a.m. ET

If you support Obamacare, you’re deliberately trying to hurt people. Here’s proof:

50 million Americans hurt by Obamacare price increases
http://www.forbes.com/sites/theapothecary/2016/10/27/the-5-lamest-excuses-for-obamacares-22-premium-hike/#4a4b36596189

Rates have increased 116% cumulatively since ACA, more than double the pre-Obamacare rate.
http://www.forbes.com/sites/theapothecary/2016/10/27/the-5-lamest-excuses-for-obamacares-22-premium-hike/#4a4b36596189

Anger growing over price hikes; photos of new bills being posted on social media
http://circa.com/scitech/health/obamacare-open-enrollment-has-begun

Number of counties down to one insurer doubles to 1,000
https://www.washingtonpost.com/local/some-face-fewer-choices-or-none-under-affordable-care-act/2016/10/28/c931e89c-9ce6-11e6-b552-b1f85e484086_story.html

Obamacare is a poor value; hi deductibles keep people from using their plans. “I’m not happy”
http://www.bloomberg.com/politics/articles/2016-11-04/some-find-care-unaffordable-even-with-obamacare-coverage

12 restaurant brands have gone bankrupt b/c of Obamacare. More money for premiums = less for pizza
http://www.foxbusiness.com/markets/2016/11/02/obamacare-is-bankrupting-restaurants-ceo-warns.html

“After Subsidies, Many Young Singles Will Pay at Least $2,484 a Year in Obamacare Premiums”
http://freebeacon.com/issues/subsidies-many-young-singles-will-pay-least-2484-year-obamacare-premiums/?utm_source=Freedom+Mail&utm_campaign=7eab572993-EMAIL_CAMPAIGN_2016_11_02&utm_medium=email&utm_term=0_b5e6e0e9ea-7eab572993-45628225

Alaska Medicaid expansion starting to suck the money out of other state services; courts and UAlaska hit
http://www.newsminer.com/opinion/community_perspectives/no-room-for-medicaid-expansion-in-alaska/article_00d3d31c-9c7b-11e6-801f-7312d6a1f8dd.html

IL Medicaid expansion cutting access for most vulnerable; disabled wait-listed b/c of perverse funding incentives
https://www.illinoispolicy.org/illinois-medicaid-expansion-enrollment-continues-to-climb-putting-vulnerable-at-risk/

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An Obamacare Guide to 2016 ELECTION FRAUD

Comment: Election-integrity activist Catherine Engelbrecht explains how Obamacare — which registered 12.7 million voters last year alone based on self-attestations — has made one of the greatest mass-election frauds in human history possible IN THIS 2016 PRESIDENTIAL ELECTION:

PARTIAL TRANSCRIPT

“Is election fraud a real problem? Yes.

How bad is it? Well, we have over eight hundred convictions listed in our online election-crimes database.  But that number doesn’t begin to scratch the surface because for every case of fraud that’s actually run through the multi-year gauntlet of litigation that’s generally necessary to get a conviction, another hundred cases were never prosecuted at all.

So what about the stats that are being broadcast about the 1.8 million dead people that are on the rolls or the double-registrations, and the 1-in-8 files being wrong? Is that true?

Yes! It’s all true.  Those numbers were released in study from Pew Center on the States way back in 2012.

Gosh that’s old, what’s changed since then? It’s gotten worse.

So, if election fraud is such a big threat, why is it so hard to find fraudsters?

Aha! Now we are getting to the real crux of the problem. The reason election fraud is hard to quantify is become the fraud has become institutionalized.

What do I mean by that? Well I’m glad you asked!

Let me give you a real-world example using Obamacare. Obamacare registered 12.7 million people just during their last enrollment period, just last year. All enrollee information is based only on self-attestation. What that means is, when a voter’s registration is completed in the Obamacare app, the info is piped directly to the enrollee’s home state–no check for citizenship, or for anything else for that matter.

We regularly offer non-citizens opportunities to register to vote as part and parcel of other social services that Obamacare made them eligible for. And the resulting impact is that millions of illegal aliens could be voting in the upcoming election. And, given our current process, we would be powerless to stop it.

How can that be? Well, because if states try to determine the citizenship status of people in their voter-rolls, they’re sued by the federal government. If states try to implement common-sense voter identification efforts, they’re sued by the federal government.

In fact, in eighteen states right now you can ask for no type of identification at all at the polls. That’s insanity.

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REBELLION–Over Half of Physicians Won’t Take New Obamacare Patients

Comment: Patients aren’t the only ones dissatisfied with national socialized medicine–podiatrists are voting with their feet!

The number of physicians who say they’re accepting health insurance plans offered on Obamacare’s federal and state marketplaces has plummeted nearly 20 percentage points, creating yet another crack in the president’s rapidly buckling health care law.”

“According to a recent survey by SERMO, a social network for physicians, about 57 percent of doctors said they won’t be taking new patients insured by the plans next year. That’s down about four percentage points from last year, when 61 percent of physicians said the same, Forbes reported Monday.”

“But a similar survey conducted by the Medical Group Management Association back in 2014 showed that at the time, 76.5 percent of physicians said their practice were accepting insurance plans offered on the state and federal marketplaces.”

Physicians’ Participation in Obamacare Plummets 20 Percent
Brittany M. Hughes, October 31, 2016

Posted in Declining Quality of Care, Designed to Fail, Government Takeover, Perversities, Uncategorized | Tagged , , , , | Comments Off