The Economics Of Replacing Obamacare: The Good, The Bad, and The Ugly

June 12, 2014

Capretta’s tax on employer provided health insurance in practice turns out to apply to the top 35% of employer health plans, as reflected in the bill proposed by Senators Coburn R-OK, Burr R-NC and Hatch R-UT. That is a tax assessed against the covered workers, which means roughly 35% of workers not necessarily wealthier than middle income could be expected to bear that tax.Moreover, about 97% of voters have health insurance. So the plan is to raise taxes on about 35% of those who vote, to help finance insurance for those who don’t vote. Unions will be more worried about this new tax on their workers than about losing employer provided health insurance for their workers.

via The Economics Of Replacing Obamacare: The Good, The Bad, and The Ugly.


John Goodman Knows Wehbycare Won’t Work | National Review Online

June 12, 2014

John Goodman, until recently the president of the National Center for Policy Analysis, has a post at Forbes attempting to defend Dr. Monica Wehby’s proposed “fixes” to Obamacare from my charge that her plan won’t work. In the process, though, it becomes clear that what he’s really saying is that Wehby’s plan would need substantial changes to work — which is to say, he agrees with me that as presented it won’t. The Wehby campaign nonetheless promoted Goodman’s article on her twitter account.

via John Goodman Knows Wehbycare Won’t Work | National Review Online.


Obamacare supporters won’t fix their own mess | TheHill

June 11, 2014

The bad news for Democrats trying to ride the “fix it” wave is that their actions betray their words.  The Senate has refused to allow even committee consideration of about 40 House-passed bills fixing the worst elements of the law.  The Senate has passed zero health care bills of its own. Even the handful of Democratic senators who have introduced “fix it” bills have exerted no pressure on their party’s leadership to schedule floor consideration.  And their most specific proposal—adding a “copper plan” with an identical benefit package and network to existing Obamacare plans but with even higher deductibles—shows a lack of understanding of the problems millions of Americans are suffering.

via Obamacare supporters won’t fix their own mess | TheHill.


Obamacare’s employer mandate is under attack from both sides. Will it survive? – The Washington Post

June 10, 2014

Critics of the health care law, including many business owners, have long bemoaned a provision that requires employers to provide health coverage to their workers.Now, some of the law’s supporters are starting to call for the rule’s elimination, too.“Repeal of the employer mandate might, in fact, not be such a bad idea,” Timothy Jost, a law professor at Washington and Lee University and vocal supporter of the Affordable Care Act, wrote this week in a column for Health Affairs.

via Obamacare’s employer mandate is under attack from both sides. Will it survive? – The Washington Post.


How to Pay for Only the Health Care You Want – NYTimes.com

June 10, 2014

It doesn’t have to be this way. If plans could compete on the basis of the therapies they cover, consumers could decide what they wish to pay for. This sounds complicated, but it need not be.Health plans could define themselves at least in part by the value of technologies they cover, an idea proposed by Professor Russell Korobkin of the U.C.L.A. School of Law. For example, a bronze plan could cover hospitalizations and visits to doctors for emergencies and accidents; genetic diseases; and prescription drugs that keep people out of hospitals. A silver plan could cover what bronze plans do but also include treatments a large majority of physicians find useful. A gold plan could be more inclusive still, adding coverage, for instance, for every cancer therapy shown to improve patient outcomes no matter the cost as long as it was delivered at a leading cancer center. Finally, a platinum plan could cover experimental and unproven cancer therapies, including, for example, that proton beam.

via How to Pay for Only the Health Care You Want – NYTimes.com.


What Libertarians Should Learn From the Abolitionists – Murray N. Rothbard – Mises Daily

June 4, 2014

From a strictly strategic point of view, it is also true that if the adherents of the “pure” goal do not state that goal and hold it aloft, no one will do so, and the goal therefore will never be attained. Furthermore, since most people and most politicians will hold to the “middle” of whatever “road” may be offered them, the “extremist,” by constantly raising the ante, and by holding the pure or “extreme” goal aloft, will move the extremes further over, and will therefore pull the “middle” further over in his extreme direction. Hence, raising the ante by pulling the middle further in his direction will, in the ordinary pulling and hauling of the political process, accomplish more for that goal, even in the day-by-day short run, than any opportunistic surrender of the ultimate principle.

via What Libertarians Should Learn From the Abolitionists – Murray N. Rothbard – Mises Daily.


2014 Hewitt Health Care Lecture Keynote Speaker: Tom Miller – YouTube

May 15, 2014

Tom Miller is a resident fellow at the American Enterprise Institute (AEI). He spoke at the Pioneer Institute’s 2014 Hewitt Health Care Lecture: “What Just Happened and What’s Ahead for the Affordable Care Act,” May 6, 2014.

via 2014 Hewitt Health Care Lecture Keynote Speaker: Tom Miller – YouTube.

Q&A session

Uwe Reinhardt lecture


The Most Popular Republican Talking Point On Health Care Is Wrong

May 14, 2014

Serious health reform packages have been introduced by, among others, Congressmen Phil Roe (R-TN), Tom Price (R-GA), and Paul Broun (R-GA). All three are physicians, and I think all three would describe themselves as “strict constructionists.”

In their respective state-lines bills, which incidentally run to nearly 30 pages, all use basically the same language: they authorize private insurance companies to offer contracts in any state, so long as they inform their out-of-state customers that the contract will be governed by the laws of the company’s home state (the “primary” state) and not those of the customer’s state (the “secondary” state). Pretty simple.

But where does Congress get the power to do this? The Commerce Clause? Insurance is a contract, not commerce. It’s certainly not commerce in the sense of “physical exchange of goods.” If it is commerce, it’s intrastate (remember Geico of Virginia). And while, yes, the New Deal Supreme Court decided that insurance is interstate commerce, and also redefined such commerce to include virtually all human activity, that doesn’t mean Congress must exercise such an expansive power.

And yet the doctors’ bills all do. They’re all based on a Rooseveltian, New Deal reading of the Commerce Clause, the same reading that every self-respecting originalist and five sitting members of the Supreme Court reject when it comes to Obamacare.

via The Most Popular Republican Talking Point On Health Care Is Wrong.


New Paper Suggests Scrapping The Health Law’s Employer Mandate – Kaiser Health News

May 12, 2014

The paper, published by the Urban Institute, makes the case that this requirement will not lead to more people getting coverage because those firms that don’t provide it will likely opt for the penalty. Meanwhile, news outlets also report on how the health law has become an earnings’ report scapegoat as well as how premium calculations are causing small businesses confusion.

via New Paper Suggests Scrapping The Health Law’s Employer Mandate – Kaiser Health News.


Obamacare Myth-Making | The Weekly Standard

May 9, 2014

Fifth, the left assures us Obamacare cannot be repealed. This is particularly rich, considering all the provisions the administration itself has effectively repealed when it found them inconvenient.

Irony aside, Obamacare’s future is still very much in doubt. Whereas Medicare and Social Security were designed to benefit everybody sooner or later, Obamacare creates vast classes of winners and losers. It is to the losers that many of the suspensions are directed. But the losers will eventually have to suffer the harm that Obamacare is set to deliver. And that creates the political space for repeal.

Imagine Republicans win the presidency and a congressional majority in 2016. Does anybody doubt they will go after Obamacare with every tool available? If they do, parts of the law will surely survive, but the finished product will be so different from what exists now that Democrats will bemoan Obamacare’s “repeal.”

via Obamacare Myth-Making | The Weekly Standard.


Follow

Get every new post delivered to your Inbox.

Join 638 other followers