CBO’s Alternate Facts About Obamacare

Millions may lose cov­er­age next year if Con­gress does not repeal Oba­macare.

That’s not what this week’s Con­gres­sion­al Bud­get Office (CBO) analy­sis says, but it is real­i­ty. CBO’s esti­mat­ing mod­els seem imper­vi­ous to reality.

In the real world, the Oba­macare exchanges are in cri­sis, mil­lions of unin­sured peo­ple will­ing­ly pay or avoid IRS penal­ties, and con­sumers strug­gle with ris­ing pre­mi­ums and cost-shar­ing require­ments.  Read more on Nation­al Review Online.

What We Know And Don’t Know About Obamacare, Part I

Obamacare's third open enrollment season launched yesterday. Here are six things we know about the program. (Tomorrow: four things we still don't know.) Credit:americanlegislator.org

Oba­macare’s third open enroll­ment sea­son launched yes­ter­day. Here are six things we know about the pro­gram. (Tomor­row: four things we still don’t know.) Credit:americanlegislator.org

Obamacare’s third open enroll­ment sea­son has kicked off, begin­ning the next chap­ter in its tur­bu­lent his­to­ry.  Today’s post dis­cuss­es what we know about Oba­macare.  Tomorrow’s will dis­cuss what we still don’t know.

What We Know

Few­er peo­ple are unin­sured. How many few­er is a mat­ter of dis­pute, but the improve­ment is sub­stan­tial by any mea­sure.  HHS Sec­re­tary Sylvia Bur­well cred­its Oba­macare with reduc­ing the num­ber of unin­sured peo­ple by 17.6 mil­lion since 2010.   And though you’ll like­ly hear this num­ber repeat­ed (and often round­ed up to 18 mil­lion), it’s almost cer­tain­ly exag­ger­at­ed.   Con­tin­ue read­ing →

Obamacare’s Next Chapter

Chief Justice John Roberts ' opinion in King v. Burwell betrayed widely-held misconceptions about health insurance markets.  [Credit: Human Events]

Chief Jus­tice John Roberts ’ opin­ion in King v. Bur­well repeat­ed wide­ly-held mis­con­cep­tions about health insur­ance mar­kets.  Con­ser­v­a­tives should take note. [Cred­it: Human Events]

“The Patient Pro­tec­tion and Afford­able Care Act grew out of a long his­to­ry of failed health insur­ance reform.” Chief Jus­tice John Roberts, in uphold­ing Oba­macare subsidies.

Oba­macare is the newest chap­ter in that long his­to­ry of failed health insur­ance reform.  Con­ser­v­a­tives who hope one day to replace it would do well to learn from its errors and con­ceits. Con­tin­ue read­ing →

How Cutting Jobless Benefits Cut Joblessness

During his December 2013 Hawaiian vacation, President Obama phoned lawmakers, asking them to extend unemployment benefits.  They did not.    Which is a good thing, according to a new study published by NBER. [Credit: Fox News]

Dur­ing his Decem­ber 2013 Hawai­ian vaca­tion, Pres­i­dent Oba­ma phoned law­mak­ers, ask­ing them to extend unem­ploy­ment ben­e­fits. They did not. Which is a good thing, accord­ing to a new study pub­lished by NBER. [Cred­it: Fox News]

A lit­tle more than a year ago, the Pres­i­dent was dis­tressed.  It was a few days after Christ­mas 2013, and extend­ed unem­ploy­ment ben­e­fits for 1.3 mil­lion peo­ple were about to expire.  In a typ­i­cal­ly per­func­to­ry lob­by­ing effort, he called two Sen­a­tors to urge them to move a bill to pre­serve the benefits.

To recov­er from his exer­tions, he and his fam­i­ly then “ven­tured to the white-sand beach at Bel­lows Air Force Sta­tion, which is on the wind­ward side of the island of Oahu and fea­tures turquoise water and a stun­ning view of the Moku­lua Islands,” the Wash­ing­ton Post reported.

That tran­quil scene augured the best year for U.S. employ­ment growth since 1999.   Accord­ing to the Labor Depart­ment, the econ­o­my added more than 3.1 mil­lion jobs in 2014.  The topline unem­ploy­ment rate was 5.6% in Decem­ber, down from 6.7% the pri­or Decem­ber and the low­est rate since June 2008.

And here is the sur­pris­ing major rea­son for the resur­gence in employ­ment: Con­gress spurned the President’s entreaties and let extend­ed unem­ploy­ment ben­e­fits expire. Con­tin­ue read­ing →

What We Know And Don’t Know About Obamacare

The White House spent billions last year on efforts like this to promote Obamacare enrollment. How will they do this year? [Credit: Washington Post]

The White House spent bil­lions last year on efforts like this to pro­mote Oba­macare enroll­ment. How will they do this year? [Cred­it: Wash­ing­ton Post]

If you are a law­ful res­i­dent of the Unit­ed States and you lack health insur­ance today, it’s almost cer­tain­ly your fault.  You can’t blame your employ­er, the gov­ern­ment or the insur­ance com­pa­nies.  It’s on you.

That is the last­ing achieve­ment of Oba­macare, whose sec­ond open enroll­ment peri­od began yes­ter­day. Gone are the days when peo­ple with pre-exist­ing med­ical con­di­tions could not find afford­able cov­er­age.   Whether the ends of this achieve­ment, which are unde­ni­ably good, jus­ti­fy the means its sup­port­ers employed to win its enact­ment remains a mat­ter of con­tro­ver­sy. Con­tin­ue read­ing →

Tolerance, The Amish And Hobby Lobby

Pamela Harris, shown here with her disabled son, prevailed at the Supreme Court this week in her challenge to an Illinois law requiring her to pay union dues.  [Credit: Heartland Institute]

Pamela Har­ris, shown here with her dis­abled son, pre­vailed at the Supreme Court this week in her chal­lenge to an Illi­nois law requir­ing her to pay union dues. [Cred­it: Heart­land Institute]

For a brief time dur­ing the 1980s, I was Direc­tor of Pol­i­cy Devel­op­ment for the Social Secu­ri­ty Admin­is­tra­tion.  The title is more glo­ri­fied than the real­i­ty.  Social Secu­ri­ty is a big and ossi­fied pro­gram that resists “pol­i­cy devel­op­ment.”  Con­gress, ever cog­nizant of the polit­i­cal risks of tam­per­ing with the pro­gram, had been forced by its loom­ing insol­ven­cy to pass a mas­sive law hik­ing pay­roll tax­es and rais­ing the retire­ment age just a few years before.  They were in no mood to enter­tain addi­tion­al legislation.

But my job was to pre­pare options for the Commissioner’s con­sid­er­a­tion, so I met with career staff who had an idea: why not advo­cate for a bill requir­ing self-employed Amish farm­ers to pay social secu­ri­ty tax­es? Con­tin­ue read­ing →

Inequality: What We Earn vs. What We Consume

Is inequality better measured by what we earn or what we spend? The difference is surprising. [Credit: Politic.org]

Is inequal­i­ty bet­ter mea­sured by what we earn or what we spend? The dif­fer­ence is sur­pris­ing. [Cred­it: Politic.org]

Is your stan­dard of liv­ing bet­ter mea­sured by what you earn or by what you buy?

The ques­tion may seem an odd one, but it is crit­i­cal to under­stand­ing the prob­lem of ris­ing inequal­i­ty. Con­tin­ue read­ing →

Obamacare By The Numbers: Medicaid

Obamacare supporters are greatly inflating estimates of the number of previously uninsured people that have gained coverage because of the new law.  Here's sensible look at the numbers. [Credit: CNN/Money]

Oba­macare sup­port­ers are great­ly inflat­ing esti­mates of the num­ber of pre­vi­ous­ly unin­sured peo­ple that have gained cov­er­age because of the new law. Here’s sen­si­ble look at the num­bers. [Cred­it: CNN/Money]

Near­ly 13 mil­lion Amer­i­cans now have health insur­ance thanks to Oba­macare. Tell Repub­li­cans to stop vot­ing to take their cov­er­age away. – Demo­c­ra­t­ic Leg­isla­tive Cam­paign Com­mit­tee peti­tion drive

Hyper­bole over how many peo­ple have pre­sum­ably gained health cov­er­age as the result of Oba­macare won’t sub­side any­time soon. At its cur­rent pace, we seem des­tined to reach the point where the num­ber of peo­ple who are alleged to have gained cov­er­age because of Oba­macare sur­pass­es the num­ber that lacked cov­er­age in the first place. Con­tin­ue read­ing →

Obamacare: Should Taxpayers Take the Risk of Subsidies?

I testified on Obamacare yesterday before the House Oversight and Government Reform Committee.

I tes­ti­fied on Oba­macare yes­ter­day before the House Over­sight and Gov­ern­ment Reform Committee.

I tes­ti­fied yes­ter­day before the House Over­sight and Gov­ern­ment Reform Com­mit­tee on a some­what tech­ni­cal pro­vi­sion of Oba­macare.  The pro­vi­sion estab­lish­es “risk cor­ri­dors,” which lim­it prof­its and loss­es of insur­ers that sell through the exchanges.  Plans that make “excess prof­its” must pay into the risk cor­ri­dor fund; those that suf­fer “excess loss­es” receive mon­ey from that fund.   Con­tin­ue read­ing →

Obamacare’s Comfort Food For The Insurance Industry

The President huddled with health insurance executives last month, part of a White House effort to assure them that the government has their back.  (Credit: LA Times)

The Pres­i­dent hud­dled with health insur­ance exec­u­tives last month, part of a White House effort to assure them that the gov­ern­ment has their back. (Cred­it: LA Times)

The healthcare.gov web­site now works to the Admin­is­tra­tion’s sat­is­fac­tion.  While only 30 per­cent of users could enroll when the site first launched, it’s now up to 80 per­cent.

Frus­trat­ing one in five poten­tial cus­tomers, evi­dent­ly the gold stan­dard for the White House, is viewed less favor­ably by pri­vate insur­ers.  It’s among the rea­sons that the health care law is caus­ing such anx­i­ety in the C‑suites of insur­ance com­pa­nies that are hop­ing to prof­it by sell­ing poli­cies through the exchanges. Which is why White House meet­ings with insur­ance exec­u­tives are hap­pen­ing more fre­quent­ly than Cab­i­net meet­ings. Con­tin­ue read­ing →