Tag Archives: markets

Obamacare Subsidies

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Recall that under Obamacare, health coverage plan providers are required to subsidize low-income Americans (who, under Obamacare, are required to buy the plans regardless of need for the plans on offer or ability to pay the vig for them) for their costs in buying those health coverage plans.  Recall further that the Obama administration paid those plan providers monies to reimburse them for those government-mandated subsidy payouts.  Recall also that Congress never appropriated any funds for the purpose of making those payments to the plan providers.  Finally, recall that a DC District court ruled those payments to the health plan providers illegal—because Congress had not appropriated any funds for the purpose.  Then the Trump administration ceased those payments to the health plan providers.

Oh, the hoo-rah from the Left.  Eighteen Progressive-Democrat-led States sued in Federal court (in San Francisco, California, after judge-shopping to find a suitably malleable court), centering their beef on how stopping the payments would set the Obamacare markets a-roil.  Never mind, now, how cynically irrelevant that plaint is to the actual case before the courts, which is whether the payments are legal, not whether they’re convenient.

Federal judge Vince Chhabria, of the Northern District of California, headquarted in San Fran, wound up ruling against the 18 States.  He also wrote,

And although you wouldn’t know it from reading the states’ papers in this lawsuit, the truth is that most state regulators have devised responses that give millions of lower-income people better health coverage options than they would otherwise have had

And he

cited an October press release by California’s health care marketplace, which said the premiums of nearly four of five consumers will stay the same or decrease after surcharges tied to the lost subsidies are factored in. The judge said dozens of other states also have accounted for the end of the subsidies.

And

One last point on the issue of confusion.  If the states are so concerned that people will be scared away from the exchanges by the thought of higher premiums, perhaps they should stop yelling about higher premiums. With open enrollment just days away, perhaps the states should focus instead on communicating the message that they have devised a response to the CSR payment termination that will prevent harm to the large majority of people while in fact allowing millions of lower-income people to get a better deal on health insurance in 2018.

Oops.  Just another bit of disingenuousity on the part of Progressive-Democrats as they try to keep honest Americans trapped in the Progressive-Democrat welfare cage.

Judge Chhabria’s ruling can be read here.

Health Plan Providers Are Concerned

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These providers, which surprisingly The Wall Street Journal misapprehends as insurers, are bracing for a drop in enrollment in the ongoing health plan provision program “turmoil.”  There’s this key passage in the article at the link:

[M]any firms say they expect to lose consumers who will bear the full brunt of the rate increases—those who aren’t eligible for the health law’s premium subsidies, which help enrollees with annual incomes of less than around $48,000.

Yet it’s the “health law” that exploded health plan costs—premiums and deductibles, especially—by mandating coverage for things citizens don’t need or don’t want and by mandating that many of those coverages be provided at no cost to the plan purchaser.  This has led to a burial of many of those costs into the charges made rather than listing them openly as separate line items on the charge sheet and a parallel creation of the claimed need for the subsidies.

Those costs put a premium on getting rid of Obamacare and replacing it with a private economy program of market oriented, actual health insurance policies sold by private companies not fettered by Federal government diktats.

That, in turn, requires three self-important Republican Senators to get with the program.  Senators John McCain (AZ), Lisa Murkowski (AK), and Susan Collins (ME), especially, need to hear about our dismay with their reticence—and on a national scale.  These worthies are responsible to their State constituencies, to be sure, but the US Senate is a national body; these Senators also have a national constituency to whom they’re responsible, for all that the rest of us don’t vote for them.

The National Association of Realtors Objects

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The NAR is objecting to the current tax reform plan’s essential doubling of the standard deduction to $12,000 for single filers and to $24,000 for married couples.

The Realtors are upset because they say this middle-class tax cut would make fewer taxpayers use the mortgage-interest deduction. The National Association of Realtors trashed the framework in a statement, saying it “would all but nullify the incentive to purchase a home for most, amounting to a de facto tax increase” and ensure “that only the top 5% of Americans have the opportunity to benefit from the mortgage interest deduction.”

This is beyond disingenuous; it’s dishonest.

Doubling the standard deduction to $24,000 leaves an extra $12,000 in that family’s take-home income. That means that that family can accumulate a 20% down payment on a $240,000 home (in well-off Plano, TX, real estate market, that works out to a roughly 2,300-2,600 sq ft, 4-bedroom home) in just four years, instead of forever. That’s a strong incentive to buy a home—and these folks, shorn of the mortgage interest deduction as the NAR bleats, are not in those 5%.  They wouldn’t need the “benefit from the mortgage interest deduction.”

Oh, wait—that family might choose to replace their beater with a new, or a newer used, car that would be cheaper to run instead of buying a house. The family could pay cash for that car, rather than borrow for it, in just two years.

NAR knows all of this.

Health Plan Coverage and Contraception

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The Wall Street Journal has noted that the Trump administration has taken regulatory action to reduce, if not eliminate (the Supreme Court still has to do its job vis-à-vis a Little Sisters of the Poor case, as does Congress legislatively, contra a short handful of Republicans who prefer Obamacare intact over any step toward getting rid of it), the requirement that health plan providers provide contraception to women at no cost to those women coverees and do so regardless of any question of conscience or religious tenet.

Naturally, Progressive-Democrats and the Left generally have their collective panties in a wedgie over that.  However, they carefully ignore certain inconvenient facts.

One inconvenience is the actual cost of contraception—to the user, not the rest of us who must pay for these “free” items.  Contraceptive pills can be had at places like Walmart for $9/mo, vaginal contraceptives are cheaper, condoms (don’t men have a role here, too?) are $6.50 the dozen.  These are not prices that will shatter anyone’s piggy bank.

Contraceptives are used to treat medical conditions, and they can be terribly expensive?  That’s the other inconvenience.  No they aren’t; those aren’t contraceptives.  They’re medications used for treating a medical condition; they happen to have a (if not the) major side effect of being anti-conceiving.  Insurance plans already covered such meds, and Obamacare could have, too, but the Progressive-Democratic Party eschewed that when they rammed through Obamacare.

In the end, there’s no reason anyone should pay for contraceptives other than the users.  Full stop.

Two Health Insurance Markets?

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The Wall Street Journal has misunderstood the situation and the proposal [emphasis added].

President Donald Trump’s executive order on health insurance, the most significant step so far to put his stamp on health policy, is designed to give more options to healthy consumers. It also could divide the insurance market in two.

What Trump is purportedly going to do with his Executive Order is

  • instruct[] federal agencies to loosen rules on health plans that the administration says have driven up premiums and reduced insurance offerings
  • direct the Health and Human Services, Labor, and Treasury Departments to lay the groundwork for the growth of association health plans, coverage that would have fewer mandated benefits than many current plans available to small employers and individuals [and] that wouldn’t be subject to the full range of ACA requirements, such as the mandated package of benefits.
  • departments, in addition, will be told to take steps to expand the availability of short-term medical plans …  allow people to once again buy plans in that category that could last for almost a year.

However, rather than create two health insurance markets, these actions would do no more than begin to create one health insurance market.  There is no extant health insurance market; there is nothing present to become part of “two markets.”  What we have presently is neither insurance nor a market for it.  What we have is a health coverage welfare program that has some (very poor) options from which we’re required to select one for ourselves.

The beginnings of a health insurance market, in addition to being an actual market for health insurance, would, though, lessen the importance of the mandated welfare program—to the benefit of all of us, including those trapped in that welfare program.