I have predicted Obamacare will fail ever since its passage. Proponents of Obamacare believe Obamacare is America’s last hope for meaningful healthcare reform with affordable care for all.
They now admit there are some problems with Obamacare but little tweaks will fix it.
Obamacare is not America’s last chance for healthcare reform. Obamacare is a series of regulations pasted on to an already dysfunctional healthcare system. It is destined to collapse on it own weight and regulations. There are over 20,000 new regulations to date with thousands coming each week as we get closer to January 1,2014.
It will provide freedom of choice and enhance the patient physician relationship. It will be a system that is patient centered as opposed to Obamacare being government and outcome centered.
An outcome centered healthcare system puts the government and the healthcare insurance industry in control of medical care decisions. It will control access to care and result in rationing medical care.
The passage of Obamacare was a political farce.
The bill was slipped through the Senate just before dawn three Christmas eves ago with only one Republican vote in both houses of congress. Obamacare is not a bipartisan act.
Nancy Pelosi told the American public and congress that we would not know what is in it until we pass it.
We have been told that most of congress has not read the act completely.
The new entitlement’s start-up date is October 2013. The implementation date is January 1,2014. No one is ready for either date.
“The size and complexity of the Affordable Care Act meant that its implementation was never going to easy. But behind the scenes, even states that support or might support the Affordable Care Act are frustrated about the Health and Human Services Department's special combination of rigidity and ineptitude.”
Individual state governments have tried to get a clear idea of how Obamacare would work in practice with the health insurance exchange.
The states are terrified of the economic burden the health exchanges could impose on their deficit-ridden states.
The Supreme Court has given the states a choice of signing on whereas there was not a choice in the original bill.
Some states felt they could not turn down the health insurance exchange because the Obama administration was offering them too much money,
The Obama administration is starting to make preliminary deals with states that have rejected the health insurance exchanges at this point.
The administration is giving Ohio and Arkansas more money to pay for health insurance for people earning up to 133% above the poverty level. (Income of $14,400 a year). This deal nowhere as creative as the Indiana Health Plan and will cover many fewer people.
This offer will not cover people who really need insurance.The preliminary deals with Arkansas and Ohio will be more costly that deals with other states. It is questionable whether the Obama administration has the authority to spend the additional money.
As new regulations keep being produced none of the real hard operational questions are being answered.
A regulation usually requires 60 days of public comment. The Obama administration has unilaterally shortened public comment to 30 days. The shortened public comment period for new regulations can be challenged by the states and congress.
There are other problems that states are having with Medicaid and Obamacare. Many feel that HHS is treating states not as partners but as serfs to the federal government.
The central government is building a data hub to determine who is eligible for Medicaid and Obamacare health insurance exchanges. This new federal bureaucracy will dispense insurance subsidies and police the market.
Many states want to cut their administrative costs to balance their budget. They are combining the application process for Medicaid, food stamps, cash assistance and other antipoverty programs into one agency.
HHS's privacy rules say the hub can only be used for Obamacare. HHS will force states to become less efficient by having a free standing bureaucracy for Obamacare and has flatly refused to consider participating states’ requests for combining all the agencies under one roof.
Twenty-four (24) states have still refused to participate as of May 15th. The Obama administration will have to run a federal exchange in those states.
HHS has not revealed how it will handle these exchanges. The agency running the federal exchange won't reveal how it will operate.
The irony is that many of the states would participate if HHS gave them more flexibility to manage their own programs and control costs.“At a House Energy and Commerce hearing on Thursday, Obamacare point man Gary Cohen all but took the Fifth on how he'll deal with this and other challenges.”
It seem as if it is going to be a vast undertaking that can not possible be in place in October or operational on January 1st, 2014.
Chris Christie (N.J.) and Bill Halsam (Tenn) wanted to participate but now feel the health insurance exchange in not a sane or rational marketplace. The costs and risks were too high.
“This is all-or-nothing political gambit is meant to put the governors of states not participating in a bad political spot at home if they don’t participate.”
“At this point, the total administrative burden on the federal government has massively increased. Yet neither the federal government nor the states have the human or financial resources to discharge these tasks in a timely fashion, making it highly unlikely that these exchanges will be up and running by January 1, 2014.”
The list of Democratic Senators includes Chuck Schumer, Dick Durbin and Patty Murray. Either they believe it or the lobbyists got to them.
The medical device industry has received little guidance about how to comply with the tax. This has caused significant uncertainty and confusion for medical device businesses.
These are some of the problems Obamacare is facing.
President Obama is unfazed. In the face of criticism from Democrats about his incompetent implementation of Obamacare, he is going on the road to spin some misinformation and make it look like Obamacare is great and his critics are political.
President Obama co-opted Mother’s Day in his latest campaign to sell Obamacare that begins now and will last until the 2014.
President Obama kicked off another campaign-style effort to get people to sign up for the so-called Affordable Care Act.
He said, “Precisely because there’re been so much misinformation, sometimes people may not have a sense of what the law actually does.
He continued, “We’re going to need everybody out there to make sure they get the right information.”
“Don’t just read a blog or some commentary from some pundit that has a political agenda. Make sure you know what the actual facts.”
Don’t let people confuse you. Don’t let them run the okeydokey on you. Don’t be bamboozled.”
Doesn’t this sound like his political campaign of 2012?
President Obama seems to have forgotten that a lot of misinformation about Obamacare results from his statements.
Wasn’t he was the guy that said, “If you like you doctor you will be able to keep your doctor and if you like your healthcare plan you can keep your healthcare plan.”
None of this is true including free choice, affordable healthcare insurance, and free access to care.
I wonder when Americans are going to get tired of President Obama’s misinformation and false promises.
The opinions expressed in the blog “Repairing The Healthcare System” are, mine and mine alone
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