Monday, December 29, 2014

Hitting ObamaCare on the Head without Redundancies

If you have a nail to hit, hit it on the head.

David Lambuth, The Golden Book on Writing

I sent a prospective book to a book agent. He said the book was too full of redundancies to accept. Would I please say what I think about ObamaCare without repeating myself? And would I please do it without insulting anybody politically. As Mark Twain said, “Reader, suppose you were an idiot or a member of Congress, but I repeat myself.”

OK, here goes.

1. GOP will seek to defund, delay, reverse, or repeal the medical innovation tax and elements of individual and employer mandates.

2. The Supreme Court will rule that federal exchange subsidies are unconstitutional, and chaos will ensue.

3. GOP will present an alternative plan before the Supreme Court rules and will vote in boh Houses of Congress to repeal ObamaCare through the reconciliation process, which Obama will veto.

4. Middle class revolt is upon us, as shown by midterm results at all levels of federal, state, and local governments because of rising costs, plan cancellations, and loss of health plan choice along with desire for smaller government and lower taxes.

5. Fatal ObamaCare flaws include – broken promises on choice of doctors and plans, unilateral executive actions, one-size-fits-all mindset, clash with American free enterprise cultural values, anger secondary to health law passage without single GOP vote and aggravation of doctor shortages.

6. Bewildering complexity of law affecting different people differently at different times while promoting redistribution of income and equality of outcomes and uncertainties engendered by federal control at odds with states’ desires for flexibility will turn voters off.

7. Physicians will respond by retiring early, working for hospitals and large integrated systems, going into specialties, and entering direct pay concierge practices without 3rd party involvement and by not accepting or seeing fewer Medicare, Medicaid, and health exchange patients.

8. The public will respond by seeking alternative care, including alternative care practitioners. getting care at retail outlets and clinics, going without health plans, delay, delaying care, or treating themselves, or getting direct care with concierge physicians and surgeons.

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