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.

Another Refusal to Engage

…rather, another decision by the Progressive-Democrats in Congress to turn their backs and obstruct.  In follow-up to the March meeting between the Congressional Black Caucus and President Donald Trump, Trump invited the CBC to another meeting.  The CBC refused.

CBC Chairman Congressman Cedric Richmond (D, LA) wrote in a letter to Trump that proposals in the president’s budget would “not only devastate the communities that we represent, but also many of the communities that supported your candidacy.”

Richmond listed some of those proposals which include reductions to funding for Pell Grants, repealing and replacing Obamacare, and so on.  Reasonable men can debate the merits of these proposals, and here would have been an excellent opportunity for those who disagree with them to do just that.

But the CBC refused to talk.  Instead, they disparaged the meeting as nothing more than “a social gathering.”  In refusing to debate the questions, all the CBC has left is obstruction.

On the other hand, I could simply rail at the apparent racism inherent in a group of black Congressmen refusing to meet with a white President.  However, I’m not of the Left; I’m a conservative writer, so I won’t engage in the racism of manufacturing a racist beef where no grounds exist.

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.

The Rich Are Out Of Money?

They are in Connecticut, anyway, or at least out of trust in the State’s government regarding their money.  Or the State is out of rich.  Aetna, Inc, one of the giants of health and dental coverage that’s headquartered in Connecticut is looking hard at joining the exodus from the State, having grown tired of being the State’s tax piggy bank.

Governor Dannel Malloy (D) says he’ll match other states’ financial incentives—not exceed—if only Aetna will stay, but as The Wall Street Journal put it, “taxpayer money can’t buy fiscal certainty and a less destructive business climate.”

The result of the Left’s assaults on the wealthy’s pocketbooks?  The Left has shattered its own rice bowl.  The State’s Office of Fiscal Analysis

reduced its two-year revenue forecast by $1.46 billion. Since January the agency has downgraded income-tax revenue for 2017 and 2018 by $1.1 billion (6%). Sales- and corporate-tax revenue are projected to fall by $385 million (9%) and $67 million (7%), respectively, this year. Pension contributions, which have doubled since 2010, will increase by a third over the next two years. The result: a $5.1 billion deficit and three recent credit downgrades.

The remaining rich are bugging out, headed for States that appreciate the jobs—and resulting expanded incomes and revenues for those States—that these guys and their companies bring with them.

[emphasis added] In the past five years 27,400 Connecticut residents…have moved to no-income-tax Florida, and seven of the state’s eight counties have lost population since 2010. Population flight has depressed economic growth—Connecticut’s real GDP has shrunk by 0.1% since 2010—as well as home values and sales-tax revenues.

Hmm….