November 1, 2015
Presentation by Wendy Edelberg, CBO’s Assistant Director for Macroeconomic Analysis, at the American Enterprise Institute.In May, the Congress adopted a concurrent resolution on the budget for fiscal year 2016. That resolution requires CBO, to the greatest extent practicable, to incorporate macroeconomic effects into its 10-year cost estimates for major legislation that Congressional committees approve. Such estimates must also include, when practicable, a qualitative assessment of the budgetary effects for the following 20 years. Incorporating such macroeconomic feedback into cost estimates is often called dynamic scoring. This presentation describes how CBO will prepare such estimates.
Presentation includes case study of dynamic estimate of repealing the Affordable Care Act.
Source: Dynamic Scoring at CBO | Congressional Budget Office
October 30, 2015
It is time for a fundamentally different approach. Instead of framing reforms with the traditional trade-off, that is, “take away benefits, or raise taxes,” this plan centers on a different paradigm: restoring the appropriate incentives to increase the quality of health care and simultaneously reduce its costs. The six-point plan instills market-based competition, empowers consumers, and reduces the federal government’s authority over health care. It restores the originally intended purpose of health insurance (to protect against the risk of significant and unexpected health care costs), enhances the affordability of twenty-first-century medical care, and ensures continued innovation. Private and federal government health expenditures will conservatively decrease by trillions of dollars during the decade, and access to high quality health care will significantly improve. Perhaps most important, the reforms in this plan reflect the principles held by the American people about what they value and expect from health care in terms of access, choice, and quality.
Source: Restoring Quality Health Care | Hoover Institution
October 29, 2015
These considerations notwithstanding, the ACA is succeeding in expanding coverage and access, with promising indications for population health.1 But challenges remain; the fundamental political question is how — and whether — they’ll be addressed. Though some members of both political parties favor replacing the ACA entirely, that seems unlikely to happen. Liberals who believe a single-payer system is the easiest method of eliminating cracks in our patchwork coverage approach must face the political realities that derailed a single-payer effort in liberal Vermont and have made it so challenging to implement even a centrist national health care reform law. Many conservatives still advocate “repeal and replace,” but the almost-certain backlash against taking coverage away from more than 15 million Americans makes it hard to imagine this rhetoric becoming reality, even if Republicans control Congress and the White House after 2016.
Source: Health Care Reform’s Unfinished Work — Remaining Barriers to Coverage and Access — NEJM
October 27, 2015
But it is possible to predict that the slow death of Obamacare has become more likely. Most obviously, any premium increases within the exchanges can lead potential and current enrollees to direct their healthcare dollars elsewhere, perhaps by doing without any insurance at all or by signing up for Medicaid. Ironically, it will be hard to win these defectors back with advertisement or improvements in plan coverage, because these options are tightly constrained by Obamacare, which by design limits competition only to the choice of various care levels. Ordinary markets allow for innovation on all dimensions of service, and thus have a resilience that is all too lacking in Obamacare.
Source: Is Obamacare Sustainable? | Hoover Institution
October 19, 2015
If Congress establishes this year that it can fully repeal ObamaCare via reconciliation, and the next president is willing, Congress could repeal ObamaCare for good in 2017. To that end, passing a full-repeal bill, forcing President Obama to veto it, and holding override votes, would further delegitimize this illegitimate law and make ObamaCare a central focus of the presidential election.
Source: King v. Burwell helps repeal ObamaCare | TheHill
April 28, 2015
If the Supreme Court decides against the Obama administration in the case, leaders in Congress are indeed determined to pass legislation to protect coverage for an estimated six million people. ObamaCare has so distorted the market for individually-purchased and small group health insurance that Congress has little choice but to throw them a safety net.
via Cleaning Up The ObamaCare Mess.
April 1, 2015
Obamacare has so far functioned as an income transfer program in which middle income people finance Medicaid expansions and health insurance subsidies for the poor and near-poor. Most uninsured middle class people have so far declined to purchase insurance because the coverage isn’t worth the price. Their taxes are subsidizing coverage for others. It seems unfair to hit them with an additional tax for refusing to buy insurance for themselves, especially when that coverage is less valuable than the coverage they are subsidizing for others.
Obamacare’s “pay more, get less” regime has made remaining uninsured an economically rational decision even for millions of people who are eligible for subsidies. Which may explain why the government is underachieving in its efforts to persuade millions of people to buy a product they just don’t think is worth the price.
via Obamacare: Pay More, Get Less | Doug’s Brief Case.