Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Thursday, December 13, 2012

The Problem with the Patient Protection and Affordable Care Act is that Nobody Can Afford It




Obamacare is officially known as the Patient Protection and Affordable Care Act. Unfortunately, patients are not protected and nobody can afford it. When the Democrats passed Obamacare they were sufficiently astute to NOT implement its most egregious horrors until after the 2012 election and for darn good reasons. The real problem with the US government controlled healthcare system is that it's unaffordable at any price. 

Aetna CEO Sees Obama Health Law Doubling Some Premiums Bloomberg
Health insurance premiums may as much as double for some small businesses and individual buyers in the U.S. when the Affordable Care Act’s major provisions start in 2014, Aetna Inc. (AET)’s chief executive officer said.

While subsidies in the law will shield some people, other consumers who make too much for assistance are in for “premium rate shock,” Mark Bertolini, who runs the third-biggest U.S. health-insurance company, told analysts yesterday at a conference in New York. The prospect has spurred discussion of having Congress delay or phase in parts of the law, he said.

“We’ve shared it all with the people in Washington and I think it’s a big concern,” the CEO said. “We’re going to see some markets go up as much as as 100 percent.”
This is no isolated concern and the New York Times reported on this issue and disclosed that health insurance premiums will soar under Obamacare.

Ambiguity in Health Law Could Make Family Coverage Too Costly for Many
In 2011, according to an annual survey by the Kaiser Family Foundation, premiums for employer-sponsored health insurance averaged $5,430 a year for single coverage and $15,070 for family coverage. The employee’s share of the premium averaged $920 for individual coverage and more than four times as much, $4,130, for family coverage.

Under the I.R.S. proposal, such costs would be deemed affordable for a family making $35,000 a year, even though the family would have to spend 12 percent of its income for full coverage under the employer’s plan.
Over $15,000 a year for family health insurance coverage is very high, especially for middle class wage earners, and that's before Obamacare kicks in and vastly drives up healthcare costs even further.  It was recently reported that Blue Cross of California was seeking 20% rate hikes, here.

How do US healthcare costs stack up with healthcare spending in other industrialized nations?  We spend a whole lot more money on healthcare and by a huge margin.



Not only are US healthcare cost much, much higher than healthcare costs in other industrialized nations, they are expected to climb in the US.

Health Care Costs To Reach Nearly One-Fifth Of GDP By 2021

Why is the US healthcare system such an expensive disaster?

ObamaCare’s Crony Capitalism and Crooked Concealment
It was inevitable that a behemoth law such as ObamaCare, the result of much political wrangling and lobbying, would lead to crony capitalism. What was not inevitable, however, was that the cronyism — and a subsequent coverup — would occur so quickly; but that is the accusation leveled against the Obama administration and a major healthcare corporation by Jeffrey H. Anderson in the December 10 issue of the Weekly Standard.

ObamaCare requires that each state set up an insurance exchange where individuals can choose from a variety of health plans by January 1, 2014. A state may opt out of creating its own exchange, at which point the federal government will step in and create one for it. As of now, 17 states plus the District of Columbia have indicated that they will establish their own exchanges, and about the same number have balked.

That has put the Department of Health and Human Services (HHS) in a bind. It now has to set up exchanges for each of the recalcitrant states (plus any that subsequently refuse to play ball), which it was clearly not anticipating; and it must do so by October 1, 2013, when open enrollment begins. HHS is, not surprisingly, behind schedule — one reason for the coverup Anderson alleges in a report based on previously published accounts and information from an anonymous “insurance industry insider.”
The real healthcare disaster in America is that America really doesn't have health insurance. The definition of insurance is as follows (here):
Insurance is a form of risk management primarily used to hedge against the risk of a contingent, uncertain loss. Insurance is defined as the equitable transfer of the risk of a loss, from one entity to another, in exchange for payment. An insurer, or insurance carrier, is a company selling the insurance; the insured, or policyholder, is the person or entity buying the insurance policy. The amount to be charged for a certain amount of insurance coverage is called the premium. Risk management, the practice of appraising and controlling risk, has evolved as a discrete field of study and practice.

The transaction involves the insured assuming a guaranteed and known relatively small loss in the form of payment to the insurer in exchange for the insurer's promise to compensate (indemnify) the insured in the case of a financial (personal) loss. The insured receives a contract, called the insurance policy, which details the conditions and circumstances under which the insured will be financially compensated.
By definition, insurance is a voluntary contract and coercion should never a factor, otherwise it's not insurance but government force and taxation. Folks voluntarily choose to purchase insurance for various purposes to mitigate against unforseeable catastrophic events like an automobile accident or the house burning down. Decades ago before government intervened in the healthcare business, America had a low cost world class medical system because folks only bought medical insurance for catastrophic medical events such as a major illness requiring large but unexpected medical expenses. All other routine medical expenses, such as doctor visits and perscriptions, were paid for out of pocket.

As Americans are about to learn, nothing is free.  Obamacare was designed accomplish 3 things.

1.  Force folks to pay for mandated healthcare services that they wouldn't voluntarily choose to pay for in a free market if they actually had the option to buy  REAL insurance at free market prices.

2. Create a healthcare system so expensive that more folks will be forced into government run healthcare programs.  It's nothing more a backdoor single payer government run healthcare system.

3. Mandate a slew of new taxes, here, to create new tax revenues for the government, revenues that may never be spend on healthcare.

Obamacare will hit the poor and middle class the hardest.  The middle class who can afford healthcare will be paying higher healthcare costs in the way of new and higher taxes, and government mandated insurance costs to subsidize the socialized healthcare system and the poor will be paying taxes to cover at least a portion of all their free healthcare.

More Middle-Class Americans Hit by Obamacare Tax
Of the 30 million Americans whom Obamacare leaves uninsured and without affordable insurance options, 6 million will have to pay the penalty, an increased estimate from 2010.....

Despite claims made by Obamacare’s advocates that the law will help middle- and low-income Americans, CBO’s table reveals that the distribution of the tax falls heavily on those making less than 400 percent of the federal poverty level (FPL)—meaning the majority of this new tax falls on the very people the law was supposed to help. For instance, a family of four making about $24,600 per year, the projected FPL in 2016, could be subject to this egregious tax penalty.

Regardless of whether or not these 6 million Americans want health coverage, they are going to pay a hefty tax and still won’t have it. Moreover, the individual mandate tax is only one of Obamacare’s 18 new or increased taxes and penalties that will cost Americans $836 billion over the next 10 years.
According to website of the White House, here, federal revenues and expenditures are as follows but the government doesn't even seem to know how much it collects and spends as evidenced by the figures being estimates.

Year      Receipts     Spending
2011     $2,174        $3,819   Estimated
2012     $2,626          3,729   Estimated
2013     $3,033          3,771   Estimated
2014     $3,333          3,977   Estimated

It's clearly evident that the government government is anticipating a windfall in Obamacare tax receipts and collections.  Meanwhile, the IRS is beefing up its staff to collect all these new taxes.

NOT A TAX: IRS TO HIRE THOUSANDS OF NEW AGENTS TO ENFORCE OBAMACARE
How many, exactly? Numbers range from 2,700 to 16,500:
The IRS says it is well on its way to gearing up for the new law but has offered little information about its long-term budget and staffing needs, generating complaints from Republican lawmakers and concern from government watchdogs.
The IRS is expected to spend $881 million on the law from 2010 through 2013, hiring more than 2,700 new workers and upgrading its computer systems. But the IRS has not made public information about its spending plans in the following years, when the bulk of the health care law takes effect.
Not surprisingly, the US has the most expensive healthcare system in the world and by a wide margin. Moreover, the US healthcare system ranks 37th in performance and quality.

U.S. health care: Highest in the world in cost, 37th in performance. This system has already been declared guilty.
The health care system in the U.S. is 40% more expensive per capita than the next most expensive OECD developed countries

As a country, approximately 18.2% of our GDP is devoted to healthcare spending. Switzerland and France (#2 and #3) spend respectively 12.3% of 12.0% of their GDP for health care. The U.S. spends the second greatest amount of GDP for health care among all members of the United Nations, topped only by East Timor.

For its money, the U.S. obtains health outcomes that are near the bottom of the OECD rankings, and, in fact, rival some of the outcomes of Third World countries.
Americans seem to overpay for everything because our entire economic system is based on corporatism, oligarchy, fascism, statism, socialism, political corruption and rent seeking cronyism.   Meanwhile, Americans will happily cling to their delusion that healthcare is free.

Indeed.

What the hell are we paying for?  God only knows but whatever it is, it's hugely expensive and there is definitely no bang for the buck.  The health of the American people are the first victims.

Wednesday, December 12, 2012

The Republicans and the Democrats Are Both Responsible for Obamacare as Worker's Hours are Cut.

 

Republicans keep clinging to the delusion that Obamacare is socialism and a 100% Democrat initiative. It's not. Obamacare was first proposed by Republicans.

Something for Conservatives to Think About: Obamacare Really Was a Republican Initiative
Obamacare really was hatched by the Heritage Foundation in the late 1980's, supported by Republicans during the 1990's, tested in Massachusetts by a Republican governor and finally passed as Obamacare. Newt Gingrich got rich promoting the healthcare mandate. Despite campaigning against Obamacare, Gingrich was one of the godfathers of the healthcare mandate.
What precisely did the Republicans and Democrats unleash?

ObamaCare’s Crony Capitalism and Crooked Concealment
It was inevitable that a behemoth law such as ObamaCare, the result of much political wrangling and lobbying, would lead to crony capitalism. What was not inevitable, however, was that the cronyism — and a subsequent coverup — would occur so quickly; but that is the accusation leveled against the Obama administration and a major healthcare corporation by Jeffrey H. Anderson in the December 10 issue of the Weekly Standard.
ObamaCare requires that each state set up an insurance exchange where individuals can choose from a variety of health plans by January 1, 2014. A state may opt out of creating its own exchange, at which point the federal government will step in and create one for it. As of now, 17 states plus the District of Columbia have indicated that they will establish their own exchanges, and about the same number have balked.
That has put the Department of Health and Human Services (HHS) in a bind. It now has to set up exchanges for each of the recalcitrant states (plus any that subsequently refuse to play ball), which it was clearly not anticipating; and it must do so by October 1, 2013, when open enrollment begins. HHS is, not surprisingly, behind schedule — one reason for the coverup Anderson alleges in a report based on previously published accounts and information from an anonymous “insurance industry insider.”
The implementation of Obamacare is already taking its toll on the economy as worker hours are cut.

Cause and effect: Americans who voted for Obama now seeing weekly job hours slashed below 30 as Obamacare kicks in
It is the ultimate example of how you reap what you sow: Huge numbers of American workers who voted for Obama are now seeing their own jobs slashed below 30 hours a week as employers desperately try to avoid "Obamacare bankruptcy."
Obamacare mandates for businesses only apply to those working 30 hours a week or more, and while many businesses do not want to cut workers' hours, they are being forced to in order to stay afloat. This necessary action is causing businesses to lose money and become less competitive while at the same time destroying American jobs.
Some businesses are also slashing job positions in an effort to get below the 50-employee threshold above which Obamacare mandates kick in. So across the country, we're not only seeing workers lose hours thanks to Obamacare; we're also seeing workers losing their jobs.
But the Obama administration will announce these results to be a huge "job creation success!" because workers must now find two part-time jobs that usually pay less than the one full-time job they used to have. The raw job numbers, however, will be spun by the White House into a victory pronouncement of "twice as many jobs exist now!"
The ravages of central planning and statism never end. It's Shock and Awe economic destruction.

Wednesday, August 15, 2012

The Unaffordable Affordable Care Act



When the Democrats passed Obamacare, officially known as the Affordable Care Act, they were sufficiently astute to NOT implement most of this horror until after the 2012 election and for darn good reasons. Nobody can afford Obama's 'affordable' heath care.

Even the New York Times has chirped in on this issue.

Ambiguity in Health Law Could Make Family Coverage Too Costly for Many
The new health care law is known as the Affordable Care Act. But Democrats in Congress and advocates for low-income people say coverage may be unaffordable for millions of Americans because of a cramped reading of the law by the administration and by the Internal Revenue Service in particular....

Under the law, most Americans will be required to have health insurance starting in 2014. Low- and middle-income people can get tax credits and other subsidies to help pay their premiums, unless they have access to affordable coverage from an employer.

The law specifies that employer-sponsored insurance is not affordable if a worker’s share of the premium is more than 9.5 percent of the worker’s household income. The I.R.S. says this calculation should be based solely on the cost of individual coverage for the employee, what the worker would pay for “self-only coverage.”

Critics say the administration should also take account of the costs of covering a spouse and children because family coverage typically costs much more.

In 2011, according to an annual survey by the Kaiser Family Foundation, premiums for employer-sponsored health insurance averaged $5,430 a year for single coverage and $15,070 for family coverage. The employee’s share of the premium averaged $920 for individual coverage and more than four times as much, $4,130, for family coverage.

Under the I.R.S. proposal, such costs would be deemed affordable for a family making $35,000 a year, even though the family would have to spend 12 percent of its income for full coverage under the employer’s plan.

The debate over the meaning of affordable pits the Obama administration against its usual allies. Many people who support the new law said the proposed rules could leave millions of people in the lower middle class uninsured and frustrate the intent of Congress, which was to expand coverage.
The Democrats understand full well that they will take a hit and incur the wrath of its base when the reality surfaces that a low income working class family is forced to shell out 12% of its income  for government mandated 'affordable' health insurance.

Of course, the Democratic solution to the the world's most expensive healthcare system is to raise taxes and provide 'free' but very expensive healthcare.  However, the big problem with the US healthcare system is that it's unaffordable at any price.

America spends more on heathcare than any nation on the planet and by a wide margin.

U.S. healthcare costs the most but isn't the best: Report

Health Care Costs To Reach Nearly One-Fifth Of GDP By 2021







Clearly, the US healthcare system isn't working for us. It's hugely expensive, grossly inefficient, bureaucrat heavy and doesn't even deliver basic quality healthcare.

Such is the legacy of a nation that once proudly boasted of the world's finest healthcare system but that was long before the government got involved.

For more on the healthcare issue, see:

The Absurdity of US Healthcare and OMG, the Hysteria over SCOTUS upholding the Obamacare Tax! Under What Circumstances Would This Government Hating Libertarian Reluctantly Support a Single Payer Healthcare System?