Commentary Magazine


Contentions

Finding Out What Is in ObamaCare

Obama said he is only interested in tweaking ObamaCare. But what if it doesn’t do what it’s supposed to do? What if employers start dumping people from their existing health care, premiums go up, and the cost projections — shockingly! — are proved to have been entirely fraudulent? Well, no never mind as far as the president is concerned. He’s not an evidence man. He didn’t want the generals coming back to tell him more troops were needed in Afghanistan. He doesn’t want to alter his failed approach to the Middle East. And he’s not about to mess with his “historic” achievement.

Obama supporters, and those concerned that there own reputations may be at risk, are rushing forth to defend ObamaCare. However, the facts aren’t on their side. Veronique de Rugy takes issue with former OMB chief Peter Orszag, who declares that it is imperative to keep ObamaCare in order to control health-care costs. But de Rugy says that this is nonsense. Using CBO’s own data, she explains that ObamaCare will leave “the cost curve of federal healthcare spending virtually unchanged over the next 25 years.” In fact, ObamaCare makes things a whole lot worse:

The CBO finds that the effect of the healthcare legislation has been to increase government spending by $3.8 trillion between 2010 and 2020. From 2020 to 2035, federal spending under the two projections [ObamaCare and no ObamaCare] are equal percentages of GDP. If Orszag is arguing that the real cost-containment provisions kick in around 2036, such futuristic projections are simply not worth taking seriously. …

What we can be certain of is that this legislation increases the amount of money taxpayers will be forced by law to pay for health insurance to the tune of $420 billion over the next 10 years. Claims about ObamaCare’s deficit-reduction effects depend on new taxes growing even faster than new spending.

One benefit of the GOP House majority is that there can now be hearings on exactly the impact of ObamaCare. Nancy Pelosi said we’d have to pass it to find out what’s in it. Now we can. James Capretta gives us a peek at what we will find. No “death panels,” the Democrats insist?

But Obamacare does create the Independent Payment Advisory Board, or IPAB. … [T]he fifteen-member IPAB has the authority to implement cost-cutting mechanisms in Medicare without further congressional approval. Indeed, IPAB’s proponents have been quite explicit in their hope that the panel will use government-funded “comparative effectiveness research” as the basis to terminate Medicare reimbursement for items and services deemed not “cost effective” by budget cutters. So, here we have an unelected board of so-called experts with the authority to unilaterally decide that certain treatments should not be funded by Medicare.

Medicare will be just fine, they say? Capretta explains:

But Medicare’s chief actuary — who works for the president of the United States — has stated repeatedly that these cuts are so deep and arbitrary that they will force many hospitals and other institutions to stop seeing Medicare patients. In fact, the cuts in Obamacare would drive Medicare’s payment rates for services below those of Medicaid by 2019, and Medicaid’s network of willing suppliers of care and services is already very constrained. It’s quite clear that pushing Medicare’s rates to such low levels would drastically reduce access to care for many beneficiaries.

But don’t take de Rugy’s and Caparetta’s word for it. Beginning in January, the GOP Congress should explain exactly what is in the bill, how much it’s going to cost, how high the tax hike will be ($700B, most agree), and the short- and long-term impact on Americans’ health care. Will Democrats rush forth to defend their handiwork? Or will the evidence be compelling, and embarrassing? Pelosi’s rump liberal caucus in the House will never abandon ObamaCare, but will the Red State senators? Don’t bet on them going down with the ObamaCare ship. Especially after we find out what is in it.



Join the discussion…

Are you a subscriber? Log in to comment »

Not a subscriber? Join the discussion today, subscribe to Commentary »





Pin It on Pinterest

Shares
Share This

Share This

Share this post with your friends!