Commentary Magazine


We’re Still Talking About ObamaCare Because Obama Designed It That Way

A reliable indicator of the troubled start to the age of ObamaCare is how much President Obama complains about the attention paid to his signature achievement. He is proud of it, supposedly, and thinks Democrats should be as well. Yet, puzzlingly, he’d really wish people would stop talking about it.

There are many reasons for this. To know ObamaCare is to despise ObamaCare, so to talk about ObamaCare is usually to criticize ObamaCare. Additionally, the president has been selectively implementing the health-care reform law as well as adding regulations to it, and he’d prefer the lawlessness and inherent cronyism of ObamaCare not be exposed to too much sunlight.

But complaining about people talking about ObamaCare is hypocritical for another reason: this is precisely how the president designed it. I don’t just mean his embracing of the ObamaCare moniker. Here’s the president in his own words, displaying the bitterness and resentment that has come to define his rhetoric:

Appearing at a Democratic Congressional Campaign Committee event at a Potomac, Maryland, residence on Monday evening, the president said he wanted a national conversation between the two parties on the efficacy of government programs.

“But that’s not the debate that’s taking place right now,” Obama said. “The debate we’re having right now is about, what, Benghazi? Obamacare? And it becomes this endless loop. It’s not serious. It’s not speaking to the real concerns that people have.”

Americans, of course, still disagree. Here’s the takeaway from Gallup’s latest polling, with a particularly revealing phrasing:

American voters have a clearly differentiated sense of which issues will or will not be important to their vote for Congress this year. They give economy-related issues, including the distribution of income and wealth, along with the Affordable Care Act, above-average importance. Hot-button issues such as immigration and global warming, and issues that have been much in the news recently, such as foreign affairs and immigration, have below-average importance.

Not health care, but ObamaCare specifically–a change Conn Carroll noticed and pointed out on Twitter this morning. Indeed, in the poll, there is no result for health care, only ObamaCare. The category is called “The Affordable Care Act, also known as ‘Obamacare’.”

As strange as it may sound, this makes a fair amount of sense–but Democrats should be the last ones complaining about it. That’s because the whole point of ObamaCare was to upend the entire health-care system, regardless of the fact that Democrats had to lie about it repeatedly and brazenly in order to get the bill passed. We’re long since passed the point where liberals can claim this is not government control of the insurance market and not be laughed out of the room.

ObamaCare’s coverage expansion rested on two pillars. The first was an explicit government program, Medicaid. It’s a failed and expensive program that in many cases is actually worse for the patient than having no insurance at all. It’s insurance, in other words, but often not really health care. The second pillar was to kick millions of Americans off their insurance policies and mandate by law that they buy a new policy. This aspect of ObamaCare is not designed to insure the uninsured. It’s designed to enable the government to control the health-insurance market by greatly restricting legal health-care plans, raising the prices for those the government thinks can pay and offering subsidies to those who can’t. Those who are permitted to keep their insurance plans will see their access to doctors restricted under ObamaCare and their premiums, in many cases, skyrocket.

It’s a scam, sure, but it’s a government scam. In reality, this means that even those who don’t buy insurance from the government will have their insurance impacted by the government in all sorts of ways. It becomes nearly impossible to avoid ObamaCare, even if you don’t depend directly on the federal government for your insurance under ObamaCare.

This was always the point, and it’s one of the great many reasons the law was so ill-conceived and had to be sold on false advertising. One of the central claims of ObamaCare’s backers was, as Sarah Kliff and Ezra Klein hilariously asserted in January: “Here’s the biggest thing to know about Obamacare: Most people will never notice it.”

No one who understood the law or the basics of the health-care sector could possibly have written such a thing with a straight face. And the crafters of ObamaCare certainly didn’t plan it that way–however it was sold. So it’s not terribly surprising that Gallup has incorporated the reality of ObamaCare into its polling instead of relying on the administration’s propaganda. And it shouldn’t be surprising to the president that, now that the law has been passed, Americans are finding out what’s in it.

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