Conflict of Interest

…or just rank cynicism by a Progressive Know Better government?

President Obama on Wednesday defended his signature health care law in a speech from Boston, saying that people who are losing their insurance plans because of the law should start shopping around for better coverage.

Never mind that these people already had good enough coverage, by definition: it’s the coverage these folks had bought voluntarily.  But President Barack Obama has a solution for all those folks being dumped, willy-nilly, into the market for insurance: shop in his newly opened ObamaMart store.

And

The cancellation notices apply to people whose plans changed after the law was implemented or don’t meet new coverage requirements.  The president said those changes ensure that all Americans are able to get quality coverage.

Never mind that those changes to perfectly fine policies were required in order to meet Obamacare-mandated standards.  Or that those compliance-required changes violated the Obamacare terms for grandfathering so the original policies couldn’t be grandfathered.  But it’s OK; folks who lost their policies can go shop in that newly opened—only by happenstance opened just now, mind you—new store: Obama’s ObamaMart.

And the explicit pitch:

So if you’re getting one of these letters, just shop around in the new marketplace.  That’s what it’s for.

The new marketplace: ObamaMart.

And this: “Only 5% of Americans are in the private insurance market, are getting cancellation notices.”  Only 14 million Americans.  Those 5% are only a small amount of people, according to Juan Williams on last Wednesday’s Special Report with Bret Baier.  But, hey, they can shop around again, so they don’t matter in the larger picture proffered by a Progressive Know Better Government.  They’re unfortunate, but unavoidable, collateral damage in getting the government’s store up and running.  For the greater good.

And for the good of ObamaMart.

The Judiciary Gets Another One Right–Almost

Brothers Gilardi, owners of Freshway Foods and Freshway Logistics in Sidney, OH, objected on religious grounds to being required by Obamacare to provide insurance coverage that includes coverage for “contraceptive methods, sterilization procedures,” and so on.  A lower court had sided with the government, but the DC Circuit ruled, muchly but not completely, in favor of the Gilardis.

The majority opinion, written by Judge Janice Rogers Brown, held that the birth control mandate

trammels the right of free exercise—a right that lies at the core of our constitutional liberties—as protected by the Religious Freedom Restoration Act[]

She also wrote that the contraceptive mandate forced the Gilardis into a

Hobson’s choice: they can either abide by the sacred tenets of their faith, pay a penalty of over $14 million, and cripple the companies they have spent a lifetime building, or they become complicit in a grave moral wrong.

but then she applied this only to the Gilardis themselves.  That’s the almost part of the ruling.

Unfortunately, Brown held against the Gilardis as this applies to their businesses (the downside of her ruling):

While we decline the Freshway companies’ invitation to accept Townley’s ipse dixit that closely held corporations can vindicate the rights of their owners, we understand the impulse.  The free exercise protection—a core bulwark of freedom—should not be expunged by a label.  But for now, we have no basis for concluding a secular organization can exercise religion.

But this makes no sense.  If a corporation is person enough to freely engage in political speech (vis., Citizens United), how can it not be person enough to have a conscience from which to speak—and to act?

In a concurring dissent (because he agreed with the majority opinion as it applied to the Gilardis but disagreed with that opinion as it applied to the Gilardis’ businesses), Judge A Raymond Randolph wrote

Why limit the free-exercise right to religious organizations when many business corporations adhere to religious dogma?  If non-religious organizations do not have free-exercise rights, why do non-religious natural persons (atheists, for example) possess them?

More, what is free exercise, if it is not the exercise by entities and individuals not formally…blessed…by government as Official Religious Organizations?

Judge Harry T Edwards’ dissent is even harder to understand.  He wrote, in all seriousness, that legislative restrictions may trump religious exercise.  How does that work, exactly?  It sounds like he’s saying legislative restrictions trump the supreme Law of the Land.

Edwards went on, suggesting

Allowing religious exemptions to for-profit, secular corporations would undermine the universal coverage scheme: if the Gilardis’ companies were exempted from covering contraception, another corporation’s owners might just as well seek a religious exemption from covering certain preventative vaccines.  A Christian Scientist, whose religion has historically opposed conventional medical treatment, might claim that his corporation is entitled to a religious exemption from covering all medical care except healers who treat medical ailments with prayer.

Well, yeah.  And?  The vaccines may be entirely sound medicine—indeed, contraception and sterilization are entirely sound medicine, for those whose religious beliefs permit such.  It seems, though, that Edwards has both misunderstood the Free Exercise Claus and rejected Chief Justice Howard Taft’s sound advice:

The good sought in unconstitutional legislation is an insidious feature because it leads citizens and legislators of good purpose to promote it without thought of the serious breach it will make in the ark of our covenant….

Edwards then wrote in all seriousness

The mandate does not require the Gilardis to encourage Freshway’s employees to use contraceptives any more directly than they do by authorizing Freshway to pay wages….

That wasn’t the question, though.  The question was whether the employer should be required to violate its conscience by offering coverage that covers the contraceptives, not whether the employer should encourage employees to use them.

Then, in the very next sentence, he wrote

[T]he Gilardis remain free to express publicly their disapproval of contraceptive products.

This is just cynical.  I can think of no other reason for this claim in this context.  If a man publicly expresses his disapproval of a sin and then commits that sin, he’s still a sinner—and a hypocrite, even if pushed into sin by the Federal government.

The DC Circuit opinion can be found here.

Delay the Individual Mandate?

Kate Rogers, of Fox Business, had some thoughts.

Delaying the sign-up deadline would give the government more time to work out the kinks on healthcare.gov and allow users to become more familiar with the site and find the best plan that fits their needs, experts say.

But would it give sufficient time for the rest of the problems with implementation data reporting to insurers, payments for claims, etc to be worked out?  Time to work out the “kinks” in the law itself?

On the don’t delay side, she has this:

“As an economist, I can assume that the people with the most expensive health-care needs: the oldest and sickest, would be spending thousands out of pocket on health care and are the ones with the most demand for the product,” [Devon Herrick, National Center for Policy Analysis Senior Analyst] says.  “Younger people, if they get a break or are told they can wait three months, they may do that.  You can’t run a risk pool with the sickest people jumping in on day one, and the healthiest on day 90.”

Why would the healthiest jump in at all, though?  This is a bad bet for them.  Further, under what moral system can a government compel them to jump in?

In the end, the Individual Mandate needs to be delayed, if only to balance the Employer Mandate delay—but both of those need to be delayed only as stepping stones to getting rid of Obamacare and replacing it with a proper, market- and patient/doctor-oriented reform.

Obamacare Sign-up Rates

Despite HHS’ refusal to provide any figures about Obamacare policy purchase rates—they’re still routinely touting Healthcare.gov visit rates and account creation rates as though those numbers mean anything—some information is trickling out.  The Daily Caller has some of those data.

Here are some of the cancellation numbers:

  • Insurance carrier Florida Blue cancelled 300,000 policies—80% of Florida’s individual coverage policies
  • California’s Kaiser Permanente canceled 160,000 plans—half of its insurance plans in the state
  • Blue Shield of California sent 119,000 notices in mid-September alone
  • Insurance Highmark in Pittsburgh plan to cancel 20% of their total plans
  • Independence Blue Cross in Philadelphia plan to cancel 45% of their total plans
  • 800,000 plans in New Jersey will be cancelled by the start of 2014

This compares with Obamacare sign-ups—anecdotal data to be sure, since the Obamacare administration, as I noted above, refuses to provide any figures at all:

  • South Dakota reported that 23 people enrolled in the exchanges
  • North Dakota enrolled 20
  • Alaska has enrolled 7

The Daily Mail reported two weeks ago that, from its own sources, all of 51,000 Americans had signed up in the first week (since then, the government has really clamped down on leaks about its numbers).  If we optimistically double that rate as Healthcare.gov starts to get its software…kinks…worked out, we get an additional 250,000 actually signed up by now.  Even quadrupling that first week rate—to 460,000 by now—leaves the sign-ups far short of the cancellations, with more cancellations yet to come.

Hmm….

“I’m Not Pulling the Cat’s Tail”

President Barack Obama had this to say, through his Press Secretary Jay Carney, about the Obama lie that “if you like your insurance, you can keep your insurance.  Period.”

Insurers pulled those plans away from them.  The law [Obamacare] could not order insurers not to cancel that plan.

His…spokeswoman…Valerie Jarrett had much the same thing to say.

Never mind that those plans no longer were legal under Obamacare and that Obama knew it.

“I’m just hanging on to the tail.  The cat’s doing the pulling.”