Stanley Feld M.D.,FACP ,MACE
Dear President Obama;
Maybe Obamacare is not such a good idea.
I suspect you will not read this nor have you read my letters to you when you were first elected.
The letters were about how our healthcare system became so dysfunctional and what solutions, that will work, are needed to repair the healthcare system.
Dear President Obama Part 1
Dear President Obama Part 2
Dear President Obama Part 3
Dear President Obama Part 4
Dear President Obama Part 5
Dear President Obama Part 6
Stanley Feld M.D., FACP, MACE
President Obama did not listen to me at all. It looks like his agenda was not to "Repair the Healthcare System." It was to destroy it and replace it with a government control single party payer system.
I continually think about the statement President Obama made to Barney Frank and John Kerry when passing the law. They said the law must have a public option and a single party payer to work.
President Obama told them not to worry about the public option.
Now Obamacare is experiencing objections from the interest groups whose support is needed.
The unions, government workers in congress, the IRS, the healthcare insurance industry, small businesses, large corporations, large fast food businesses, privately insured Americans, Medicare insured seniors, physicians, hospital systems all have objections to the law now.
Many states realized they would get stuck with the bill for the health insurance exchange. Thirty-three states did not want to participate. Many did not want to increase their budget deficits.
All these stakeholders are realizing that President Obama has thrown them under the bus despite his initial promises.
Obamacare does not serve the vested interests of any of these stakeholders.
Some of the stakeholders are going to get special treatment with waivers.
For Obamacare to work, everyone must participate. The mandate was included in the law to force everyone to participate.
The Supreme Court called it a tax to allow the Obamacare law to be constitutional.
A basic insurance principle is that everyone must participate to spread the risk for the insurance industry.
The present system and Obamacare exempts the insurance companies from incurring risk. It also exempts patients from being responsible for their own health and healthcare dollars. When Americans spend their own money the free market works as we have seen in many industries. They support the best product within their means.
The government could support the underprivileged by providing them with their healthcare dollars and teaching them how to use them.
The biggest villains in the healthcare system are the healthcare insurance companies. They take 40% of every healthcare dollar spent by private and public insurers off the top.
The healthcare insurance industry is the administrative service provider for all public employees, public healthcare entitilments and private health insurance plans. The 40% overhead is charged to all. The charge is not transparent.
Obamacare sets the conditions for continued abuse by the healthcare insurance industry.
If young people don’t show up for Obamacare, premiums for everyone else in the exchanges will skyrocket—which, of course, dramatically increases the cost for taxpayers.
Congress and congressional government workers wanted to be exempt from Obamacare because
Nor does it authorize the government to reimburse federal employees who buy health insurance on their own.”
Congress and their aides have the best insurance coverage in the nation. Taxpayers subsidize their healthcare insurance.
Through the years this subsidy has been discussed. Many have objected to the cost of this Congressional benefit.Congress has objected to Obamacare changing the healthcare insurance they have enjoyed. Congress wants to be exempt from Obamacare.
“President Barack Obama privately told Democratic senators he is now personally involved in resolving a heated dispute over how Obamacare treats Capitol Hill aides and lawmakers, according to senators in the meeting.”
Few on Capital Hill objected to President Obama changing the rules of the law himself to protect their benefit.
A question should be asked, “Why should Congress and congressional aides be treated differently than the general population?”
“At issue is whether Obama’s health care law allows the federal government to continue to pay part of the health insurance premiums for members of Congress and thousands of Hill aides when they are nudged onto health exchanges.”
Currently, the government pays nearly 75 percent of these premiums.
The government’s contributions are in jeopardy due to a controversial Republican amendment to Obamacare, which says that by 2014, lawmakers and their staff must be covered by plans “created” by the law or “offered through an exchange.”
President Obama declared, “I'm on it” to clear up Capital Hill’s objections to Obamacare’s effect on Capital Hill’s healthcare insurance.The IRS employees also want to be exempt from Obamacare.
chief Danny Werfel, the head of the agency charged with administering Obamacare
said that he would rather keep his own insurance than get coverage under the
system created by President Barack Obama's single domestic policy
Danny Werfel made this statement before the House Ways and Means Committee,
House Ways and Means Committee Chairman Dave Camp said he has long believed, “every American ought to be exempt from the law, which is why he supports full repeal,”
IRS employees have the responsibility to enforce much of the health insurance law, especially in terms of collecting the taxes and distributing subsidies that finance the whole system.
IRS agents, in addition to collecting taxes will also collect data and apply penalties for those who fail to comply with many of Obamacare’s requirements.
The special favors are coming next. The Obama administration will only create more dysfunction in the healthcare system. President Obama’s published goals are good. However, the law is bad and its execution is worse.
Maybe he ought to consider my Ideal Medical Savings Accounts as a free market solution to our healthcare system’s problems.If you do not like what is going on, please write your senator, congressman and the President and tell them that,
“Maybe Obamacare Is Not Such A Good Idea.”
The opinions expressed in the blog “Repairing The Healthcare System” are, mine and mine alone
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