11 Biggest Problems with
Obamacare, by
Aaron Bandler, 1/5/17
One of the main focuses of
President-elect Donald Trump and the GOP Congress will be repealing Obamacare –
although the GOP is already starting to
cave on that. If they
do in fact cave, the grassroots will be furious and the GOP will be squandering
a golden opportunity to do something that is a political and policy winner.
Here are the 11 biggest problems with
Obamacare.
1. Premiums are skyrocketing. Earlier in 2016, the Obama
administration admitted that Obamacare's premiums would
increase by an average of 25 percent,
but attempted to spin it by suggesting that most people wouldn't feel the
increase because of higher subsidies to help offset the costs. However, former
Treasury Department and Office of Management and Budget staffer J.T. Young noted in RealClearMarkets that this
defense ignores the cost to the taxpayer as well as the fact that subsidies are
indicative of a bad economic model: Successful
economic endeavors do not need subsidies. Producers create a product consumers
want to buy and realize a competitive rate of profit. Both sides gain and
willingly enter into a transaction. Absent that mutually beneficial
relationship, there is no market. ObamaCare
shows what occurs when government tries to enforce a market. By applying
subsidies to one or both sides of the economic equation, its enforced market
cannot exist without continued government subsidies in the short-term, and
becomes unsustainable in the long-term as politics compounds subsidies'
distortion. There's also the fact that there are
millions of people on the Obamacare exchanges who won't qualify for the
subsidies and will be economically pinched by the skyrocketing premiums. In many parts of the country, the
premium increases are worse than the Obama administration lets on, as states
like Georgia and Minnesota are projected to have premium increases of 33
percent and 30 percent, respectively.
2. Deductibles are also increasing. According to CNBC, Obamacare's deductibles are set to
increase by an average of 17 percent for all silver plans and an average
of six percent for bronze plans. For the latter, the increase is slated to
be a whopping 21 percent for those who don't qualify for the subsidies. Deductibles, of course, are the threshold people
need to pay under their insurance plans before they share the costs with their
insurance companies, so higher deductibles in addition to higher premiums both
are major squeezes on consumers.
3. There are a lack of insurance options under Obamacare. Seven states have only one insurer
providing insurance through Obamacare due to the fact that major insurers
like Blue Cross Blue Shield, United Healthcare and Aetna are all leaving the exchangesbecause of unsustainability. As a
result, there has been less competition throughout the Obamacare exchanges,
contributing to the rise of premiums and deductibles and less consumer choice.
4. The co-ops are failing. There were 23 co-ops created under Obamacare and at least 15 of them have gone
under as
a result of Obamacare's risk adjustment program that compelled insurers with
healthy customers to redistribute wealth towards those with sicker customers.
That's over $1.5 billion in taxpayer dollars down the drain.
5. Obamacare's Medicaid expansion is a burden for states. Thirty-two states were
suckered into expand Medicaid under Obamacare, but the costs have been
higher than expected – a whopping 49 percent higher, to be exact. The higher
costs are due to the higher than expected enrollment numbers for Medicaid, as
over 11.5 million have signed up for Medicaid in 24 states that only
expected 5.5 million signups. "States that expanded Medicaid will
either have to boost health costs, raise taxes or cut spending to cover this
ObamaCare 'freebie,'" the editors of Investor's Business Daily wrote. "Given that Medicaid is
already swamping state budgets, this will not be good news." This is especially true given that over
the years, states will be left with higher and higher Medicaid bills as the
federal government won't pay as much for it, and in doing so will drain state
budgets.
6. Obamacare is resulting in higher wait times at the
emergency room. Another
one of the side effects of the Medicaid expansion is that waiting times have
increased because fewer and fewer doctors are accepting Medicaid to avoid
dealing with the program's bureaucracy for less than satisfactory compensation,
forcing Medicaid patients to the emergency room to obtain a doctor. Without an
increase in doctors to offset the surge in demand due to
Obamacare's mandates and Medicaid expansion, longer wait times in the
emergency room are the unfortunate consequence.
7. Obamacare is also resulting in a shortage of primary
doctors. A report from the Association of American Medical
Colleges found that America faces a shortfall of 61,700 to 94,700 doctors over
the next ten years, as less medical residents plan on
entering the field of primary care.
Doctors have struggled to keep up with the higher demand, as 81 percent of
physicians surveyed by The Physicians Foundation in 2012 were "over-extended or at
full capacity" in terms of their ability to seek new patients – a real
problem when new doctors are not entering the field. Obamacare seems to
be a deterrent to new doctors entering the field; 46 percent of doctors
who have delt with the monstrous law rated it as a "D" or an
"F."
8. The number of Americans without insurance is set to skyrocket. As the Daily Wire explains here, the nonpartisan Congressional Budget
Office estimates that the number of uninsured will increase to 26-28
million over the next ten years as more employers opt to stop offering
insurance plans.
9. Obamacare is worsening America's debt problem. According to National Interest, "the single fastest-growing
sector of federal spending is healthcare," and it's going to result in trillion-dollar deficits in seven years' time. The nonpartisan Congressional Budget Office warned that the debt could be as high as
$30 trillion by 2030, with Obamacare being one of the driving factors behind
that increase.
10. Obamacare's Independent Advisory Board (IPAB), more popularly known
as the "death panels," is still on the books. People seem to have forgotten about IPAB. The House of Representatives
actually passed a bill to repeal it in 2015, but it is still law and could go
into effect, creating a 15-member panel of experts that rations Medicare
through price controls and determining the type of care that Medicare pays for.
Whatever IPAB recommends becomes law if Congress cannot garner a two-thirds
majority vote to override it. Even worse, none of IPAB's 15-member panel can be fired by the president, and if the appointments are never
made, then the Department of Health and Human Services assumes the panel's
power – an alarming centralization of power. There is only a brief window in 2017 when IPAB can be repealed, and if it's
not, then in 2020 the panel's edicts will be law, even if Congress attempts
overrides them.
11. The Obama administration is illegally using funds to hide Obamacare's
losses. Per
the Daily Wire: The
administration used billions of dollars that were supposed to be used for the
U.S. Treasury and instead sent them to insurers, a move that both the
Congressional Research Service and the Government Accountability Office have
ruled illegal. Naturally, the Obama administration is looking to tap into
other federal funds to pay off insurers to cover their losses, reflecting the
dire state of Obamacare.
Comments
Most of
our citizens are healthy. Most healthy
citizens can refuse to buy health insurance, so we should expect the uninsured
percentage to be about 40%. Those healthy citizens who want catastrophic
coverage should be able to get individual major medical insurance for about
$200 per month. They can also set up a
medical savings account.
Insurance
companies and the FDA need to reign in pharma price gouging and providers will
need to let patients know their costs before patients agree to have
treatment.
Obamacare
needs to be repealed in full to remove all regulations now imposed on
providers. Malpractice insurance costs
should also be reduced by eliminating all “pain and suffering” charges. Patients are not like automobile
transmissions, they are not all alike.
So, the myth that medicine isn’t guess-work is a lie. A lot of medicine is trial and error. Medical errors need to be punished by State
Medical Associations who can pull licenses, suspend licenses and order
training.
Norb
Leahy, Dunwoody GA Tea Party Leader
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