Plain Talk
about ObamaCare: What Works and Doesn’t Work
A tale
should be judicious, clear, succinct;
The
language plain, and incidents well link’ed;
Tell that
as new what every body knows,
And, new
and old, hasten to close.
William
Cowper (1731-1800), Conversation
When it comes to ObamaCare: some things work for some; other
things don’t work for most.
Why doesn’t someone say it loud and clear. ObamaCare works
for some of the people some of the time, but it doesn’t work for most of the
people most of the time.
And, as
President Franklin Delano Roosevelt said, “The American people are perfectly
capable of judging a political party that works both sides of the street.” In
the end, the majority of the people will
decide what’s workable and what’s not.
ObamaCare works for:
· Young
adults under 26 covered under their parents’ plan.
· The insured and the subsidized underinsured
who receive subsidies.
· Medicaid
and Medicare recipients who can find a doctor who will accept them.
· Individuals
who seek to receive free preventive tests with no copays.
· Seniors
who fall into the doughnut hole and who cannot afford prescription drugs beyond
a certain limit.
· People
with pre-existing conditions applying for health plans.
ObamaCare doesn’t work or works
poorly for:
· People
who like their doctor and health plan.
· Politicians
in red states who want to be re-elected.
· Voters
who were promised their health premiums would fall.
· Anyone seeking to enroll in a federally-sanctioned
health exchange plans who cannot fathom healthcare.gov.
· Hispanics who do not comprehend the Spanglish in the
federal website.
· The
young and healthy and underemployed or unemployed who are being asked to
support the health costs of the older and sicker
· Government-employed
or contracted Information technology nerds who built healthcare.gov.
· Health
plan holders being cancelled because their plans do not comply with ObamaCare
compliance rules.
· Employers
who want to grow their enterprise but cannot afford to hire more full-time
workers.
· Businesses
who hesitate to plan the future because
of the uncertainties of ObamaCare survival.
· Entrepreneurial,
innovative companies who do not expand
because of a 2.3% excise tax on their profits.
· Almost
anybody who is still trying to understand what in in the four year-old 2700 page Patient Protection
and Affordable Care to see what it portends for them.
· Insurance
companies faced with making a profit on
standardized comprehensive essential benefits for all and last minute change in ObamaCare rules.
· Patients
who must see doctors for critical conditions when neither they nor their
doctors know whether they are insured or not.
I close with this comment from John C. Goodman in today's Wall Street Journal:
"At some point, politicians of both parties will realize that we can do
better than this. That will require a real market for health insurance
with premiums that reflect real risks. There is a role for government in
helping people with severe health problems. That is why risk pools
exist. What we didn't need was to destroy the market for the many in
order to give aid to the few."
Tweet: With ObamaCare, some things are working for some of the
people some of the time and not for most
of the people most of the time
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