Tag Archives: health care

The Cruz Amendment

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Senator Ted Cruz (R, TX) has a provision in the latest Senate health bill that’s on offer, one that would allow sellers of actual health insurance to sell non-Obamacare compliant policies on the condition that they also sold Obamacare compliant plans on the ObamaMart.  The idea, and it’s a sound one, is that those plans, better tailored their customers’ needs, would soon have commensurately lower premiums, deductibles, and copays and thereby be more affordable.

Health plan sellers don’t like it, though.

While this setup could offer healthy people less expensive policies, insurers and actuaries say it would likely prove dysfunctional over time, pushing up rates and reducing offerings for people buying the compliant plans.

That’s a market decision, though; nothing in the provision or in the overall bill would require the plan sellers offer fewer compliant plans or at higher premiums.

Aside from that, those non-compliant plans would be better tailored—market forces would require it—have fewer items covered that a plan purchaser doesn’t want or need—market forces would push plan sellers to stop forcing contraceptive coverage on men and geriatrics or prostate cancer coverage onto women—and they would, as advertised, have much lower premiums, smaller deductibles, and lower copays.

They would also attract customers, low income and others, from those ObamaMart plans into the non-compliant market because those better tailored and cheaper plans would better suit their needs, too.

Maybe the health care coverage welfare plan providers—sorry, the health insurance companies—don’t want the noise of competition; maybe they prefer the steady, safe income of government subsidies in the form of customers trapped in their protected monopoly in the health “insurance” industry.  Maybe that’s why so many of these companies are leaving ObamaMarts, leaving folks with few plan choices or no plans to buy at all—because the industry as Obamacare has changed it is so sound.

On the other hand, the Progressive-Democrats in Congress should jump on this provision with both feet.  Obamacare plans are terrific, they insist.  Surely, in their wonderfulness, these plans would win resoundingly in the competition of the market place.  Especially with so many of those plans still subsidized through other provisions in the bill.  Wouldn’t they?

On Whose Side Is He?

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Senator Rand Paul (R, KY) has said he will not vote for the latest Senate effort at beginning the repeal and replace process of Obamacare.  He claims he can’t tell the difference between this offer and the Obamacare that exists because, in part, it leaves some of the Obamacare taxes in place.

Never mind that a critical difference between the offer and Obamacare is that the offer does repeal some of the Obamacare taxes.

The offer isn’t a perfect bill, but it represents progress, and it’s not a final answer—and I know of no one, other than a few Senators, perhaps, who are arguing that it is; that there will be, can be, no possibility of coming back next year to make more progress and coming back in the next Congress to make yet more in each of those two years.

Furthermore, there aren’t enough votes to get all of the Obamacare taxes passed in this bill.  And, at least some Obamacare taxes must be repealed in order to be able to effect significant tax code reform.

Finally, the only politically possible alternative to passing a bill that repeals only some of the Obamacare taxes is to preserve the status quo and all of the Obamacare taxes.

Paul knows all of this, of course; he’s just virtue signaling.

I have to ask, then: on whose side is he?

The Health Care Choice

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The Wall Street Journal has the right of it, and it’s a stark one for the Republican Party and for us Americans.  The House and the Senate bills for getting rid of Obamacare and replacing it with something better are far from perfect, but they are significant improvements over the Obamacare assault on Americans’ access to health care, and on individual liberty and responsibility.  Further, the House plan has always been billed as the first part of a three-part effort at complete repeal and replacement; it’s never been claimed to be a final answer.  And the Senate bill on offer is not one, either.  Senate Republicans are well aware of this.

However, posturing Republican Senators from both the Conservative (or so they claim) and the middle regions of the party, no better than the openly kickback-demanding Progressive-Democrats of 2009 Congress infamy, are standing in the way of any progress at all.

Here’s the choice, then, with which these persons are faced: doing the deal and passing an improvement over the disaster that is Obamacare, with its growing loss of access even to health coverage plans, much less actual health care, and coming back next year for further improvement, or inflicting the continued failure of Obamacare on Americans foolish enough to have trusted these guys.

Here’s the collateral damage from failure that would be inevitable from making the wrong choice and the avoidance of which was a major motivation for electing Donald Trump: loss of control of the Senate to the Progressive-Democratic Party, and with that, loss of the Supreme Court for generations, if not permanently.  Justices Anthony Kennedy, Ruth Bader Ginsburg, and Stephen Breyer all are likely to retire in the next three years.  Justice Clarence Thomas may well, also.  The Progressive-Democrats will block conservative, textualist Justice nominations, for whom the Constitution actually matters as the supreme Law of the Land, and will get confirmed—one way or another—three (or four) Justices in the Ginsburg (“the Constitution is a living document that lives through judicial rulings rather than Art V”) or Thurgood Marshall (“I rule and let the law catch up”) mold.  This would be an even worse disaster to our Republic and to our liberty than continuance of Obamacare, which only threatens our fiscal weal.

Medicaid-Receiving Companies Object to the Senate Bill

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The Senate is proposing an overhaul of Obamacare and an improvement to the health coverage providing industry, and one of those improvements is a rollback of the Obamacare expansion of Medicaid and an eventual capping of Federal funds transfers to the States’ Medicaid programs.  There are objections to this.

The primary objections are from insurers and hospitals, et al., who get a significant fraction of their income from the guarantees of Medicaid payments; they don’t want to have to compete in the open market.  They prefer the supposed safety of that guaranteed income, paltry though it is, especially compared to the income available from a free market, and they don’t care what that “safety” costs those who must pay for it.

The States themselves, for instance, in addition to financing their own Medicaid programs, are required to contribute to other States’ Medicaid programs through those Federal tax transfers, and by extension they’re forced to contribute to other States’ spending decisions generally.

Let Medicaid be the State-run program it was intended to be. Keeping the monies that would otherwise be transferred to other States would both leave more money for funding a State’s own program and force each State to become more fiscally responsible, instead of exercising a claim on other States’ money.  That fiscal responsibility also will contribute to the rising prosperity of freer market.

And let the health care providers and coverage providers compete for income from that much larger market.

Obstructionism

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…for the sake of obstructionism.  And now the Progressive-Democrats in the Senate are getting blatant about it.  They don’t want to help reform the health care coverage disaster of the last eight years, so to block Republican and Conservative efforts at reform, these Progressive-Democrats have decided to block everything in the Senate.  Here’s Senator Chris Murphy (D, CT) o the overall attitude:

What more could we do—hold Republican Senators by the arms to stop them from getting to the chamber?  I think we’ll use every tool at our disposal.

Senate Minority Leader Chuck Schumer (D, NY) even arranged to force cancelation of all committee meetings last Monday, regardless of the subject or purpose of those meetings.  No business was allowed to be conducted—all to block health care coverage reform.

Meanwhile, these Progressive-Democrats are ignoring the millions of Americans who are about to lose all coverage as coverage provider after coverage provider leave the Obamacare markets and withdraw from the ObamaMarts in the States.  Iowa, for instance, is about to lose all providers of individual plans—every single one of them—and no Iowa citizen will have access to market coverage.

This blanket obstructionism while the health coverage industry burns stinks, it’s damaging to Americans who need or want health care insurance, and it’s destructive of our democracy.