The Health Care Choice

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

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

…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.

General Reform

25% of us don’t see doctors because that costs too much.

32% of older millennials (is there such a thing?  Gad) skip the doctor.  13% of Americans don’t have any health coverage plan at all—paying the penalty is more valuable to them.  Half of us don’t think we’ll have affordable health insurance much less Obamacare’s health coverage welfare.

This, together with today’s other post, just illustrates the fact that no single part of our economy—or of our Federal government—can effectively be treated in isolation: not Obamacare alone, not Federal spending alone (especially not by “cutting” through reducing the rate of growth in spending), not taxing alone, not debt handling alone.

They’re a system, and the system as a whole must be reformed, not convenient parts of it.  That’s Systems Management 101.

Losing Health Coverage

The CBO and Progressive-Democrats in Congress loudly claim that millions will lose their health coverage plans under Republican plans to repeal and replace Obamacare.

What the Progressive-Democrats are carefully ignoring (the CBO not so much; they weren’t tasked with comparing the Republican plans and Obamacare) are the real millions that already are losing or are about to lose their health coverage plans because Obamacare is collapsing now.

The nation’s second largest health insurance company, Anthem, will extract itself from the majority of the ObamaCare market in the state of Ohio by 2018, the company announced Tuesday, raising questions about the future of its exchange participation.

And

The decision could leave 20 counties within the state without access to coverage under the Affordable Care Act[.]

Anthem is considering leaving Obamacare altogether in the not-too-distant future.

Anthem handles over a million customers in the health coverage market, now considerably fewer under Obamacare, and perhaps shortly none at all.  Nor is Anthem alone in being unable to continue under Obamacare.  Aetna and Humana will be leaving next year, and those customers will be losing their coverage.

Those people actually, not speculatively, are losing their coverage.