Saturday, August 23, 2014

Are You Ready For Some Obamacare?


As the NFL season gets ready to descend upon us, I can almost hear the yelp of "Are you ready for some football?"  Unfortunately for the White House and Democrats on the campaign trail though, they should be worried about Obamacare and based on their silence on the issue I am guessing they are.  So are you ready for Obamacare...because it is about to get fun?

(1) You realize that premiums, which have already started going north, are headed for big bumps in 2015.  You get to see them come September 1 when open enrollments begin for folks.  Part of the original political plan to re-elect the President in 2012 was to have all the Obamacare goodies show up early and delay the pain, but the pain starts this year and keeps getting good through 2018 when Cadillac healthcare plans start getting taxed.  Hard.

According to Price-Waterhouse-Coopers, Arkansas, Iowa, North Carolina, Tennessee, and Virginia are all on pace for premium increases between ten and fifteen percent.  Louisiana may be on pace for twenty percent hikes.  I am guessing these will not be good tidings for US Senate candidates in Arkansas, Iowa, or North Carolina.

Premiums will likely go up even further given many of the participants who signed up for coverage, are not paying for it.  The system does not work when healthy young people do not sign up and pay for their coverage.  Maybe they are figuring out that Mr. Obama sold the proverbial pipe dream.

(2) From a practical perspective, not that Mr. Obama is Mr. Practical, he just doesn't get it.  Mr. Obama likes to blame President Bush for a number of issues, but does nothing to correct them.  The economy was bad when Obama was first inaugurated, but he has had the opportunity to correct that.  Instead he has gone out of his way with legislation like Obamacare to discourage employers from employing people.  If you want an improving economy, you do that by helping people get jobs that match their skill set, not by raising the cost of job creation which is exactly what Obamacare does.


(3)  Obamacare supporters keep crying every time a court strikes down requirements that do not allow conscience objections when people who do not want to pay for abortion are forced to...there seems to be no connection between the idea that if you want me out of your body, don't ask me to pay for your body.

In the meantime, Mr. Obama and Company have shown that they have zero understanding that we elected him President, not Emperor, and because of that have zero interest in paying for others' abortions, limiting the size of our sodas, or his wife's inability to allow school bake sales.  Obamacare is one more example of an administration run amok gleeful with its own happy juice of how great they are.

(4) The constitutional law professor we elected should be in for an interesting Supreme Court term, if not this year, then next, as the question of state exchanges gets worked out.  The fact is you had to pass the bill to see what was in it as then Speaker Nancy Pelosi famously quipped.  Unfortunately, the bill was passed and then created by a group of teenagers apparently who either did not understand combinations of equal protection laws, the implications to the tax code, or how healthcare really works.

(5) Finally, returning to Mr. Obama's practicality issue - he missed the boat on keeping your doctor.  You will remember his famous promise that if you like your doctor, you can keep your doctor.  Meanwhile, because of Obamacare regulations, networks have not gotten bigger, but smaller.  In New Hampshire, Anthem Blue Cross Blue Shield, the only participant in the marketplace gutted ten of the state's twenty-six hospitals from its coverage.  Two in five of you are probably out of luck when it comes to local care if you live in New Hampshire.

So as football season starts, so does the political football season.  This one should be pretty rough and tumble, but on this one, the Xs and Os were designed by the President so while we as a nation lose it is because of the game plan designed by the coach.

Anthem Blue Cross and Blue Shield
hat ever happened to Obamacare -- the unpopular healthcare bill that was to be the Republicans big weapon as they battled for control of the Senate this fall?   For sure, the Affordable Care Act has been pushed to the sidelines by the chaos in Iraq, Russia’s invasion of Ukraine, the surge in Central American minors across our border, the Veterans Administration scandal, the pestilential virus rampaging across the computers of the federal government, and so much more…
Now, the GOP should circle back. There are nine Senate seats described as “toss-ups” by Real Clear Politics, and Obamacare could move the needle in some of those races. The ACA is still a political stink bomb, with Kaiser Family Foundation polling showing only 37 percent of the country views the law favorably – one of its lowest ratings since it passed in 2010.  Some 53 percent of Americans have an unfavorable opinion of the ACA - up a shocking 8 points since June.
Related: Insurers Say Obama’s ‘Fix’ Is Driving Up Premiums
Democrats understandably have neglected to highlight Obamacare on their campaign sites. Instead, for example, North Carolina’s Kay Hagan implores visitors to “Take a Stand Against the Koch Brothers,” which must confuse the uninitiated. Bruce Braley, running in Iowa, focuses on veterans’ issues and the farm bill. Nary a word on Mr. Obama’s legacy issue.
IG: Obamacare’s Medical Device Tax Not Bringing In...
According to a federal report issued Tuesday, Obamacare’s controversial medical device tax isn’t bringing in nearly as much cash as expected. The Treasury inspector general for tax administration found that the...
Several GOP campaign sites go light on Obamacare too. Thom Tillis in North Carolina broadcasts Kay Hagan’s close ties to President Obama, while David Perdue in Georgia emphasizes his business background. Joni Ernst, running neck in neck for the Iowa seat, brags on her front page, “I grew up castrating hogs on an Iowa farm, so in Washington I’ll know how to cut pork.” Some local color.
Other Republicans are following the expected playbook. Scott Brown, campaigning for the New Hampshire seat held by Jeanne Shaheen, goes all in against Obamacare. Ditto Republican Cory Gardner, running an uphill battle against Mark Udall in Colorado, who notes that 335,000 Coloradans lost their policies because of the ACA.
Bill Cassidy, with a light lead against Mary Landrieu in Louisiana, charges that Obamacare is causing that state’s premiums to rise. But Cassidy lists it fifth of five issues, after amnesty, purportedly “illegal” travel expenditures and other missteps by the incumbent.
While local issues vary, Republicans should double down, and remind voters how much they dislike the ACA. Why?
Related: So Far, Obamacare’s Hospital Reform Isn’t Working
1. Big premium hikes are slated for 2015. Because the country erupted in outrage over the millions of policies cancelled under Obamacare, which made a lie of the president’s vow, “If you like your insurance you can keep it,” the White House reversed course and allowed people to maintain existing coverage. As a result, the Obamacare exchanges were starved of the healthier people needed to pay for the sick and poor previously without insurance. Insurers are now planning to raise premiums.
According to PwC Health Research Institute, the average premium increase request for 2105 in North Carolina is 10.8 percent; in Iowa the hike is 11.5 percent. Many in Louisiana are looking at almost a 20 percent increase, and in Arkansas nearly 12 percent. That’s big, unpleasant news for Democrats.
2. Critics claim the Obama administration is fudging the ACA enrollment numbers. The White House trumpeted that 8 million Americans had signed up for Obamacare, but that total has been shrinking. Aetna, one of the program’s biggest players, reports that of their 720,000 enrollees, only about 600,000 are paying for their coverage, a number they expect will drop to about 500,000 by year-end. Other insurers indicate fall-off as well.
3. People are angry about the narrower choices of doctors and hospitals available to them.  In New Hampshire, Anthem Blue Cross and Blue Shield was the sole insurer participating in the marketplace; it eliminated 10 of the state’s 26 hospitals from its network. According to Politico, such is the uproar about shrinking choices that “since the beginning of 2013, more than 70 bills have been introduced in 22 states to clarify the network rules, according to the National Conference of State Legislatures.” In California, more than one group has sued Anthem Blue Cross, charging that the insurer misrepresented the scope of its doctor network.
Related: Up to 300,000 Could Lose Obamacare on Federal Exchange
4. The ACA was constructed incompetently. The U.S. Court of Appeals for the D.C. Circuit recently ruled illegal the federal subsidies paid to Obamacare enrollees in states that have not set up their own exchanges -- a stark reminder of how badly the healthcare bill was implemented. This and other unintended consequences are excellent arguments for significantly overhauling the ACA – an undertaking that might be possible under a Republican Senate but that has little or no hope otherwise.
5. Obamacare highlights the president’s imperial tendencies. Mr. Obama has single-handedly changed the ACA some 24 times, delaying important provisions such as the employer and individual mandates. The president has rigged the rollout of the ACA to political advantage, putting off the most painful aspects of the bill and front-loading the goodies. Republicans should remind voters we have yet to encounter, for instance, the 40 percent Cadillac tax, which has been pushed back until 2018, but which is expected to raise as much as $214 billion by 2023.
6. Obamacare undermines job creation. The ACA has been the most important of a number of White House policies that have discouraged job creation at a time when the country is struggling to put people back to work. At last tally, there were 92 million adult Americans who are not working (like stay-at-home moms), are unemployed, retired or disabled. The workforce participation rate is at a decades-long low. This is unsustainable, and Obamacare is not helping. Companies have limited their hiring and also the number of hours their employers work because of the bill and have faced increased uncertainty. Meanwhile, because of the ACA, Americans no longer need to work to get health benefits – maybe a good thing for individuals, but not for a country whose safety net must be funded by an ever-greater workforce.
In short, there’s still meat on the bones of the Obamacare carcass; Republicans running for office should get out their knives and forks.
- See more at: http://www.thefiscaltimes.com/Columns/2014/08/20/6-Reasons-Obamacare-Can-Win-Senate-GOP#sthash.9It4kWMD.dpuf
at ever happened to Obamacare -- the unpopular healthcare bill that was to be the Republicans big weapon as they battled for control of the Senate this fall?   For sure, the Affordable Care Act has been pushed to the sidelines by the chaos in Iraq, Russia’s invasion of Ukraine, the surge in Central American minors across our border, the Veterans Administration scandal, the pestilential virus rampaging across the computers of the federal government, and so much more…
Now, the GOP should circle back. There are nine Senate seats described as “toss-ups” by Real Clear Politics, and Obamacare could move the needle in some of those races. The ACA is still a political stink bomb, with Kaiser Family Foundation polling showing only 37 percent of the country views the law favorably – one of its lowest ratings since it passed in 2010.  Some 53 percent of Americans have an unfavorable opinion of the ACA - up a shocking 8 points since June.
Related: Insurers Say Obama’s ‘Fix’ Is Driving Up Premiums
Democrats understandably have neglected to highlight Obamacare on their campaign sites. Instead, for example, North Carolina’s Kay Hagan implores visitors to “Take a Stand Against the Koch Brothers,” which must confuse the uninitiated. Bruce Braley, running in Iowa, focuses on veterans’ issues and the farm bill. Nary a word on Mr. Obama’s legacy issue.
IG: Obamacare’s Medical Device Tax Not Bringing In...
According to a federal report issued Tuesday, Obamacare’s controversial medical device tax isn’t bringing in nearly as much cash as expected. The Treasury inspector general for tax administration found that the...
Several GOP campaign sites go light on Obamacare too. Thom Tillis in North Carolina broadcasts Kay Hagan’s close ties to President Obama, while David Perdue in Georgia emphasizes his business background. Joni Ernst, running neck in neck for the Iowa seat, brags on her front page, “I grew up castrating hogs on an Iowa farm, so in Washington I’ll know how to cut pork.” Some local color.
Other Republicans are following the expected playbook. Scott Brown, campaigning for the New Hampshire seat held by Jeanne Shaheen, goes all in against Obamacare. Ditto Republican Cory Gardner, running an uphill battle against Mark Udall in Colorado, who notes that 335,000 Coloradans lost their policies because of the ACA.
Bill Cassidy, with a light lead against Mary Landrieu in Louisiana, charges that Obamacare is causing that state’s premiums to rise. But Cassidy lists it fifth of five issues, after amnesty, purportedly “illegal” travel expenditures and other missteps by the incumbent.
While local issues vary, Republicans should double down, and remind voters how much they dislike the ACA. Why?
Related: So Far, Obamacare’s Hospital Reform Isn’t Working
1. Big premium hikes are slated for 2015. Because the country erupted in outrage over the millions of policies cancelled under Obamacare, which made a lie of the president’s vow, “If you like your insurance you can keep it,” the White House reversed course and allowed people to maintain existing coverage. As a result, the Obamacare exchanges were starved of the healthier people needed to pay for the sick and poor previously without insurance. Insurers are now planning to raise premiums.
According to PwC Health Research Institute, the average premium increase request for 2105 in North Carolina is 10.8 percent; in Iowa the hike is 11.5 percent. Many in Louisiana are looking at almost a 20 percent increase, and in Arkansas nearly 12 percent. That’s big, unpleasant news for Democrats.
2. Critics claim the Obama administration is fudging the ACA enrollment numbers. The White House trumpeted that 8 million Americans had signed up for Obamacare, but that total has been shrinking. Aetna, one of the program’s biggest players, reports that of their 720,000 enrollees, only about 600,000 are paying for their coverage, a number they expect will drop to about 500,000 by year-end. Other insurers indicate fall-off as well.
3. People are angry about the narrower choices of doctors and hospitals available to them.  In New Hampshire, Anthem Blue Cross and Blue Shield was the sole insurer participating in the marketplace; it eliminated 10 of the state’s 26 hospitals from its network. According to Politico, such is the uproar about shrinking choices that “since the beginning of 2013, more than 70 bills have been introduced in 22 states to clarify the network rules, according to the National Conference of State Legislatures.” In California, more than one group has sued Anthem Blue Cross, charging that the insurer misrepresented the scope of its doctor network.
Related: Up to 300,000 Could Lose Obamacare on Federal Exchange
4. The ACA was constructed incompetently. The U.S. Court of Appeals for the D.C. Circuit recently ruled illegal the federal subsidies paid to Obamacare enrollees in states that have not set up their own exchanges -- a stark reminder of how badly the healthcare bill was implemented. This and other unintended consequences are excellent arguments for significantly overhauling the ACA – an undertaking that might be possible under a Republican Senate but that has little or no hope otherwise.
5. Obamacare highlights the president’s imperial tendencies. Mr. Obama has single-handedly changed the ACA some 24 times, delaying important provisions such as the employer and individual mandates. The president has rigged the rollout of the ACA to political advantage, putting off the most painful aspects of the bill and front-loading the goodies. Republicans should remind voters we have yet to encounter, for instance, the 40 percent Cadillac tax, which has been pushed back until 2018, but which is expected to raise as much as $214 billion by 2023.
6. Obamacare undermines job creation. The ACA has been the most important of a number of White House policies that have discouraged job creation at a time when the country is struggling to put people back to work. At last tally, there were 92 million adult Americans who are not working (like stay-at-home moms), are unemployed, retired or disabled. The workforce participation rate is at a decades-long low. This is unsustainable, and Obamacare is not helping. Companies have limited their hiring and also the number of hours their employers work because of the bill and have faced increased uncertainty. Meanwhile, because of the ACA, Americans no longer need to work to get health benefits – maybe a good thing for individuals, but not for a country whose safety net must be funded by an ever-greater workforce.
In short, there’s still meat on the bones of the Obamacare carcass; Republicans running for office should get out their knives and forks.
- See more at: http://www.thefiscaltimes.com/Columns/2014/08/20/6-Reasons-Obamacare-Can-Win-Senate-GOP#sthash.9It4kWMD.dpuf, N




at ever happened to Obamacare -- the unpopular healthcare bill that was to be the Republicans big weapon as they battled for control of the Senate this fall?   For sure, the Affordable Care Act has been pushed to the sidelines by the chaos in Iraq, Russia’s invasion of Ukraine, the surge in Central American minors across our border, the Veterans Administration scandal, the pestilential virus rampaging across the computers of the federal government, and so much more…
Now, the GOP should circle back. There are nine Senate seats described as “toss-ups” by Real Clear Politics, and Obamacare could move the needle in some of those races. The ACA is still a political stink bomb, with Kaiser Family Foundation polling showing only 37 percent of the country views the law favorably – one of its lowest ratings since it passed in 2010.  Some 53 percent of Americans have an unfavorable opinion of the ACA - up a shocking 8 points since June.
Related: Insurers Say Obama’s ‘Fix’ Is Driving Up Premiums
Democrats understandably have neglected to highlight Obamacare on their campaign sites. Instead, for example, North Carolina’s Kay Hagan implores visitors to “Take a Stand Against the Koch Brothers,” which must confuse the uninitiated. Bruce Braley, running in Iowa, focuses on veterans’ issues and the farm bill. Nary a word on Mr. Obama’s legacy issue.
IG: Obamacare’s Medical Device Tax Not Bringing In...
According to a federal report issued Tuesday, Obamacare’s controversial medical device tax isn’t bringing in nearly as much cash as expected. The Treasury inspector general for tax administration found that the...
Several GOP campaign sites go light on Obamacare too. Thom Tillis in North Carolina broadcasts Kay Hagan’s close ties to President Obama, while David Perdue in Georgia emphasizes his business background. Joni Ernst, running neck in neck for the Iowa seat, brags on her front page, “I grew up castrating hogs on an Iowa farm, so in Washington I’ll know how to cut pork.” Some local color.
Other Republicans are following the expected playbook. Scott Brown, campaigning for the New Hampshire seat held by Jeanne Shaheen, goes all in against Obamacare. Ditto Republican Cory Gardner, running an uphill battle against Mark Udall in Colorado, who notes that 335,000 Coloradans lost their policies because of the ACA.
Bill Cassidy, with a light lead against Mary Landrieu in Louisiana, charges that Obamacare is causing that state’s premiums to rise. But Cassidy lists it fifth of five issues, after amnesty, purportedly “illegal” travel expenditures and other missteps by the incumbent.
While local issues vary, Republicans should double down, and remind voters how much they dislike the ACA. Why?
Related: So Far, Obamacare’s Hospital Reform Isn’t Working
1. Big premium hikes are slated for 2015. Because the country erupted in outrage over the millions of policies cancelled under Obamacare, which made a lie of the president’s vow, “If you like your insurance you can keep it,” the White House reversed course and allowed people to maintain existing coverage. As a result, the Obamacare exchanges were starved of the healthier people needed to pay for the sick and poor previously without insurance. Insurers are now planning to raise premiums.
According to PwC Health Research Institute, the average premium increase request for 2105 in North Carolina is 10.8 percent; in Iowa the hike is 11.5 percent. Many in Louisiana are looking at almost a 20 percent increase, and in Arkansas nearly 12 percent. That’s big, unpleasant news for Democrats.
2. Critics claim the Obama administration is fudging the ACA enrollment numbers. The White House trumpeted that 8 million Americans had signed up for Obamacare, but that total has been shrinking. Aetna, one of the program’s biggest players, reports that of their 720,000 enrollees, only about 600,000 are paying for their coverage, a number they expect will drop to about 500,000 by year-end. Other insurers indicate fall-off as well.
3. People are angry about the narrower choices of doctors and hospitals available to them.  In New Hampshire, Anthem Blue Cross and Blue Shield was the sole insurer participating in the marketplace; it eliminated 10 of the state’s 26 hospitals from its network. According to Politico, such is the uproar about shrinking choices that “since the beginning of 2013, more than 70 bills have been introduced in 22 states to clarify the network rules, according to the National Conference of State Legislatures.” In California, more than one group has sued Anthem Blue Cross, charging that the insurer misrepresented the scope of its doctor network.
Related: Up to 300,000 Could Lose Obamacare on Federal Exchange
4. The ACA was constructed incompetently. The U.S. Court of Appeals for the D.C. Circuit recently ruled illegal the federal subsidies paid to Obamacare enrollees in states that have not set up their own exchanges -- a stark reminder of how badly the healthcare bill was implemented. This and other unintended consequences are excellent arguments for significantly overhauling the ACA – an undertaking that might be possible under a Republican Senate but that has little or no hope otherwise.
5. Obamacare highlights the president’s imperial tendencies. Mr. Obama has single-handedly changed the ACA some 24 times, delaying important provisions such as the employer and individual mandates. The president has rigged the rollout of the ACA to political advantage, putting off the most painful aspects of the bill and front-loading the goodies. Republicans should remind voters we have yet to encounter, for instance, the 40 percent Cadillac tax, which has been pushed back until 2018, but which is expected to raise as much as $214 billion by 2023.
6. Obamacare undermines job creation. The ACA has been the most important of a number of White House policies that have discouraged job creation at a time when the country is struggling to put people back to work. At last tally, there were 92 million adult Americans who are not working (like stay-at-home moms), are unemployed, retired or disabled. The workforce participation rate is at a decades-long low. This is unsustainable, and Obamacare is not helping. Companies have limited their hiring and also the number of hours their employers work because of the bill and have faced increased uncertainty. Meanwhile, because of the ACA, Americans no longer need to work to get health benefits – maybe a good thing for individuals, but not for a country whose safety net must be funded by an ever-greater workforce.
In short, there’s still meat on the bones of the Obamacare carcass; Republicans running for office should get out their knives and forks.
- See more at: http://www.thefiscaltimes.com/Columns/2014/08/20/6-Reasons-Obamacare-Can-Win-Senate-GOP#sthash.9It4kWMD.dp



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