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.

No, Zeke, You’re Not Paying For My Medicine

Zeke Emanuel is tired of paying for your medicine. [Credit: Maryland Public Radio]

Zeke Emanuel is tired of pay­ing for your med­i­cine. [Cred­it: Mary­land Pub­lic Radio]

Zeke Emanuel is tired of pay­ing for your expen­sive medicine.

Dr. Emanuel, who served in a senior posi­tion at the Office of Man­age­ment and Bud­get where he con­tributed to the recur­ring night­mare known as Oba­macare, recent­ly com­plained in the New York Times [“I Am Pay­ing For Your Expen­sive Med­i­cine”] that his insur­ance rates are high because the med­i­cines you’re tak­ing cost too much. Con­tin­ue read­ing →

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

More than five years after its enactment there still are many questions about whether Obamacare is working. Here are four of them.

More than five years after its enact­ment there still are many ques­tions about whether Oba­macare is work­ing. Here are four of them.

My pre­vi­ous post dis­cussed what we know about Oba­macare as its third open enroll­ment sea­son begins.  Here are four major ques­tions about the future of Oba­macare that remain unanswered.

Can insur­ance com­pa­nies make mon­ey in the exchanges with­out cor­po­rate wel­fare? Oba­macare con­tains some very expen­sive sweet­en­ers to entice insur­ance com­pa­nies to sell through the exchanges. These include risk cor­ri­dor pay­ments and $20 bil­lion over three years in inapt­ly named “rein­sur­ance” pay­ments, mon­ey gov­ern­ment takes from par­tic­i­pants in group health plans and gives to insur­ers that par­tic­i­pate in the exchanges. Both are sched­uled to end in 2017.

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 →

Obamacare And The Daughters of (40% Less) Charity

The President last week professed his love -- appropriately chaste, of course -- for Sister Carol Keehan, president of the Catholic Health Association and tireless Obamacare advocate.  [Credit: Wikipedia]

The Pres­i­dent last week pro­fessed his love — appro­pri­ate and chaste, of course — for Sis­ter Car­ol Kee­han, pres­i­dent of the Catholic Health Asso­ci­a­tion and tire­less Oba­macare advo­cate. [Cred­it: Wikipedia]

I just love nuns gen­er­al­ly.  I’m just say­ing.  – Pres­i­dent Oba­ma, June 9

And nuns just love him too.  At least nuns who run hos­pi­tals seem to.  And with good rea­son: the Pres­i­dent advo­cates poli­cies that enable hos­pi­tals like those oper­at­ed by the Daugh­ters of Char­i­ty to pro­vide less char­i­ty.  Con­tin­ue read­ing →

The GOP’s Gift To Henry Waxman — Part II

Cold War era Congressman Chet Holifield wanted the federal government to finance a network of underground bomb shelters.  His successor, Henry Waxman, wanted the federal government to take over health care. Holifield failed; Waxman is still doing just fine.  [Credit: NY Times]

Cold War era Con­gress­man Chet Holifield want­ed the fed­er­al gov­ern­ment to finance a net­work of under­ground bomb shel­ters. His suc­ces­sor, Hen­ry Wax­man, want­ed the fed­er­al gov­ern­ment to take over health care. Holifield failed; Wax­man did just fine. [Cred­it: NY Times]

Chet Holifield was obsessed with The Bomb.

Dur­ing a 32-year tenure that flow­ered dur­ing the Cold War, the Los Ange­les Con­gress­man sought fed­er­al mon­ey to help Amer­i­cans sur­vive a nuclear war.  He called for “a nation­wide sys­tem of under­ground shel­ters” in which to hud­dle, safe from irra­di­at­ed debris.

Though Holifield achieved suc­cess in oth­er areas – he was known as “Mr. Atom­ic Ener­gy” for his pro­mo­tion of nuclear pow­er — he left Con­gress in 1974 with­out ful­fill­ing his sub­ter­ranean vision. Con­tin­ue read­ing →

The GOP’s Gift To Henry Waxman — Part I

Nancy Pelosi (D-CA) and John Boehner (R-OH) took a bow when the House passed a $141 billion health care bill. But Henry Waxman deserves the credit. [Credit: Politico]

Nan­cy Pelosi (D‑CA) and House Speak­er John Boehn­er (R‑OH) took a bow when the House passed a $141 bil­lion health care bill. But Hen­ry Wax­man deserves the cred­it. [Cred­it: Politico]

“What a way to cel­e­brate a birth­day!”  – House Minor­i­ty Leader Nan­cy Pelosi (D‑CA) after the House passed bipar­ti­san health care legislation

Sor­ry, Nan­cy.  It’s not about you.

The $141 bil­lion health care bill that cleared the House last month and that is expect­ed to win Sen­ate approval next week is a trib­ute from the GOP-con­trolled Con­gress to for­mer Con­gress­man Hen­ry Wax­man, a man who worked tire­less­ly – and with great suc­cess – to expand health care-relat­ed wel­fare spend­ing. Con­tin­ue read­ing →

Obamacare: The More You Pay, The Less You Get

Obamacare enrollment increased this year, but only the poorest among the uninsured have so far signed up. [Credit: Arkansas Times]

Oba­macare enroll­ment increased this year, but only the poor­est among the unin­sured have so far signed up. [Cred­it: Arkansas Times]

Can gov­ern­ment get peo­ple to buy a prod­uct that mil­lions think isn’t worth the price?

That’s the ques­tion that health care ana­lysts are ask­ing as they pore over the results of the Oba­macare open sea­son that con­clud­ed on Feb­ru­ary 15. Con­tin­ue read­ing →

When Dead Men Rule

G.K. Chesterton worried that our predecessors would have too little influence on our politics. But Gene Steuerle says that they have too much. [Credit: christiancompletely blog]

G.K. Chester­ton wor­ried that our ances­tors would have too lit­tle influ­ence on our soci­ety. But a new book by the Urban Insti­tute’s Gene Steuer­le says that they exert too much con­trol over our pol­i­tics. [Cred­it: chris­tian­com­plete­ly blog]

“Tra­di­tion means giv­ing votes to the most obscure of all class­es, our ances­tors.  It is the democ­ra­cy of the dead.” – G.K. Chester­ton

Chester­ton fret­ted that mod­ern democ­ra­cies might show too lit­tle def­er­ence to past gen­er­a­tions.  But accord­ing to the Urban Institute’s Gene Steuer­le, the very oppo­site is true: in Amer­i­can democ­ra­cy, dead men rule. 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 →