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Politics

The Trouble with ObamaCare

Counting the problems with the president's health care plan

David Harsanyi | 6.8.2011 12:00 PM

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Democrats will often get irritable when some clingy philistine refers to ObamaCare as "socialized medicine." It's simply not a precise phrase for the Patient Protection and Affordable Care Act. In any event, it's not socialized yet, you ignoramuses! Progress doesn't happen overnight. No worries, though, recent signs portend that ObamaCare will give us the state-run plan we proles deserve.

A new study published in McKinsey Quarterly claims that in 2014, the provisions of ObamaCare will induce 3 in 10 employers to "definitely or probably" stop offering health coverage to their employees. And we can only assume the companies have had the good sense not to read the legislation.

Sure, the president promised we could keep our insurance if we liked it. But why would you want to be mixed up with pitiless corporations that focus on profits, anyway? ObamaCare courageously forces states to implement concocted "exchanges" so that someone much smarter than you can pick participants, regulate prices and keep an eye on things. Sounds like a vigorous marketplace. It's only a wonder that more Americans aren't clamoring for government-run supermarkets, smartphones, and dating exchanges, as well.

You'll also recall that the un-socialized system allowed 20, 30, 40 million (please feel free to come up with any number you'd like; The New York Times won't care) people to go uninsured. Medicare's chief actuary estimated that 400,000 would sign up for these high-risk pools before ObamaCare kicked in. The Congressional Budget Office estimated that the budget would be able to handle 200,000, and others claimed that the program would need eight times the funding to meet demand. This was the driving reason for ObamaCare. But as Megan McArdle of The Atlantic points out, just as with the exchanges, folks have been standoffish, with only about 18,000 people signing up.

Victory, right? The success of a government handout is always measured by how little Americans need to use it, right? Well, judging from the food stamp administration's actions, that would be a big no. What this probably calls out for is more public service announcements or a wider net. Hey, we'll just get some toffee-nosed yacht jockeys to offset the cost.

That's not to say there aren't people out there who really need support. The president has generously handed out nearly 1,400 ObamaCare waivers to the neediest among us. About 20 percent of them have been awarded to an upmarket district in San Francisco that, by pure chance, is represented by Nancy Pelosi. Others, such as the AARP and local unions, had demanded we pass ObamaCare so they could not take part in it immediately.

We'll also soon be hearing more about the lawsuits challenging ObamaCare's individual mandate. Randy Barnett, a professor of constitutional law at Georgetown University Law Center, recently asked, "If Congress can impose this economic mandate on the people, what can't it mandate the people to buy?" Everything and nothing. And that's the beauty of it.

And let's not forget it was Obama, the newfound holy savior of Medicare, who pinned the key cost control component of health care reform on Medicare through his Independent Payment Advisory Board, or what bitter righties call a rationing board.

Rationing boards. Political favors. Lies. Coercion. Broken promises. Precedents that can force us to buy about anything. It might not be socialism, technically speaking. But really, what's not to like?

David Harsanyi is a columnist at The Blaze. Follow him on Twitter @davidharsanyi.

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David Harsanyi is senior editor of The Federalist and the author of the forthcoming First Freedom: A Ride through America's Enduring History with the Gun, From the Revolution to Today.

PoliticsPolicyNanny StateBarack ObamaObamacare
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  1. Rep. John Conyers   14 years ago

    I have reappropriated the term Obamacare!

    Of course if healthy people use the term I will consider it an horrific slur.

    http://dailycaller.com/2011/06.....ompliment/

    1. Rick Hull   14 years ago

      I

  2. Geotpf   14 years ago

    How about calling it "socialized insurance"? Nothing in Obamacare causes private hospitals (for profit or not-for-profit) to be sold to the Federal or local government. The British have "socialized medicine"-most of their hospitals are government owned-that's quite different. (The United States has always had a hybrid system-lots of hospitals have been government owned for decades.)

    1. Observer   14 years ago

      Being picky.

      "Always" is a long time. Are you certain you wish to use that word?

      1. Geotpf   14 years ago

        Fair enough; remove that word and replace with "for many decades". Although I do wonder when the first government-run medical facility was founded in the US.

        1. An Objectivist   14 years ago

          I don't know the answer to your question, but I do remember reading about some research Milton Friedman did which found that government started controlling (if not owning) health care facilities in earnest around 1900, and had been the primary cause in the increases in costs of health care in the country.

    2. Episiarch   14 years ago

      Have you ever been in an NHS hospital for serious injuries? I have. Pray to whatever idiotic thing you believe in that you never have to go through that.

      1. Pro Libertate   14 years ago

        I have this vision of U.S. socialized medicine--if it becomes a complete reality--as involving hospitals that look like the laboratory in Young Frankenstein. With Igor and everything in black and white. But without the advanced medical science.

        1. Episiarch   14 years ago

          Dude, you should have seen their MRI room. It was like a Star Trek (original series) set. The fucking thing looked like it was made of cardboard. Their "computers" were green-screen terminals. We were 8 to room. I had two people die in there while I was there. And the food...just think "Welsh hospital food" and then don't think about it ever again.

          Wrexham Maelor Hospital

          1. SugarFree   14 years ago

            From the picture, it looks like the front entrance to a Motel 8.

            1. Episiarch   14 years ago

              I would rather have been in a Motel 8. The service would have been better.

            2. Otto   14 years ago

              "Oh no! The UK can't afford $8 a day!"

          2. Pro Libertate   14 years ago

            Did they play TOS music while you were there?

            1. Otto   14 years ago

              He didn't hear it, because he was in surgery at the time...

        2. cynical   14 years ago

          Crap. I hope they at least import the Igors from Discworld.

      2. Otto   14 years ago

        I just made an offering of burnt oregano to the Flying Spaghetti Monster.

        1. Episiarch   14 years ago

          Here's two things you can hope the FSM protects you from:

          1. 24 hours on a gurney in the hall, not a room, with a snapped femur before having it set with a titanium rod, with the broken ends grinding together with each breath

          2. Having the limey doctor tell you "I don't know what your American doctor will do, but I wouldn't fix your foot" in reference to my shattered calcaneus, which would have crippled me for life

          And on top of it all, absolute shit for pain killers.

          1. Enjoy Every Sandwich   14 years ago

            I'm sorry you went through that and wouldn't wish it anybody, although my evil self wishes that everybody who thinks that socialized medicine is just sooooo wonderful would have this kind of direct experience. Maybe then they would stop talking out of their asses.

            1. Episiarch   14 years ago

              Fuck anyone who advocates for socialized medicine; let them experience it. It's the only way to drive home how terrible it is.

          2. Otto   14 years ago

            "Your clavicle is sticking out of your skin. Would you favour paracetemol or ibuprofen?"

            1. Episiarch   14 years ago

              You joke, but that's actually pretty much what went down after the femur was set. And their morphine, which I was at least given initially, seemed shittier too, but that may just have been the shock.

              Touching down in LaGuardia, taking the ambulance to the Hospital For Special Surgery, and getting my Vicodin prescription was heaven.

              1. DLM   14 years ago

                And their morphine, which I was at least given initially, seemed shittier too, but that may just have been the shock.

                Well, after the staff cut it and sold it on the street, it probably didn't pack quite the same punch.

          3. Mainer   14 years ago

            How in God's name you shattered your calcaneus, I do NOT want to know. I suspect it is worse than my imagination.

            1. Episiarch   14 years ago

              Don't get hit by a lorry at 60mph while driving a tiny Ford. And then have the engine light on fire. I will give the paramedics and fire department credit, as well as the drivers who came across the accident; they got there fast.

          4. tarran   14 years ago

            SO basically, you got worse care in England then I got in a fucking backwoods health clinic in the Turkish countryside in the 1970's for the same injury.

            Wow!

            1. Episiarch   14 years ago

              Amazing, isn't it? Socialized medicine for everyone! I have also observed firsthand (but not experienced) hospital care in Spain under socialized medicine. Equally nasty.

              1. Standard Liberal Response   14 years ago

                Isolated, anecdotal evidence!

          5. Two Fingers   14 years ago

            There is good scientific evidence (from Canada) that nonoperative treatment of calcaneus fractures is often the same as surgical treatment. This is exactly the type of effectiveness study that the PPACA's IPAB would use to make decisions on what treatments are allowed.

            - your friendly orthopedic surgeon

            1. An Objectivist   14 years ago

              Yes, a socialist state, trying to cut costs, produces a "survey" that leads them to the conclusion that there is no *statistical* benefit to operating, and therefore, in *all* cases they choose not to operate.

              Because it saves money, without regard to the specifics of the individual case, and based on a claims of a non-scientific survey.

              Maybe in this case you're right. I'm not an orthopedic surgeon. But this mechanism for deciding whether to operate is exactly the problem that leads to poor health care.

      3. Ron   14 years ago

        California already has a socialized health system. It's called the state prison and according to the courts people are dying while waiting for help and there only servicing 140,000 people could you imagine the mess if we are ever all a part of the system. Come to think of it the whole country is kind of a prison already since you can't travel without being frisked and the police can enter you cell(house) anytime they like, boy are we screwed.

  3. mr simple   14 years ago

    I like this droll, sarcastic writing style, Harsanyi.

  4. Old Soldier   14 years ago

    "Patient Protection and Affordable Care Act" is perfect. In liberal speak every word means exactly the opposite.

    1. A Serious Man   14 years ago

      Newspeak ftw!

      1. Publius Cato   14 years ago

        Double Plus Good.

    2. cynical   14 years ago

      Dude, it's totally an act.

  5. Otto   14 years ago

    British sitcom Yes, Minister tried to parody the NHS bureaucracy -

    The episode "The Compassionate Society" depicts a hospital with five hundred administrative staff but no doctors, nurses or patients.

    however, they failed -

    Lynn recalls that "after inventing this absurdity, we discovered there were six such hospitals (or very large empty wings of hospitals) exactly as we had described them in our episode."[emphasis added].

    Although if Episiarch's experience was typical, perhaps that's not such a bad thing.

    1. Anonymous Coward   14 years ago

      I have this episode (and all other episodes as Yes, Minister is the single greatest television show in the history of broadcasting. Suck it, Doctor Who.)

      Why doesn't the hospital have patients? Because there are no doctors or nurses? Well, hire some doctors and nurses. Sorry, can't hire and doctors and nurses as we spent all of the money building the hospital and hiring the administrators and auxilliary staff.

      But everything works out in the end thanks to some Cuban refugees.

    2. Zeb   14 years ago

      I think you are right about Yes, Minister. And, while I am a fan, Dr. Who isn't even in the running for second place.

      1. Concerned Citizen   14 years ago

        Watch a season of Trailer Park Boys before making these assertions.

  6. Jeffersonian   14 years ago

    See "The Barbarian Invasions" for a look at the Tim Horton's version of the NHS.

  7. Pablo   14 years ago

    You know, of all the parts of Obamacare that bother me (e.g. all of them), the waiver provision is the worst. If it's such a great law then everyone should have to follow it. If it's causing a lot of problems then repeal the piece of shit (now that we know what's in it). God forbid Congress should actually read a bill before voting on it.

    Amazing that so many waivers are going to Pelosi's district. And that the AARP which pushed so hard for Obamacare now has their own waiver. Why isn't the mainstream media all over this???

    1. Jack and Coke   14 years ago

      "Why isn't the mainstream media all over this???"

      I'll assume this was rhetorical.

    2. Hyena   14 years ago

      Do you have some evidence regarding unapproved waivers? It's entirely too likely that since San Francisco has a lot of insurance companies it also gets a lot of waivers.

      1. Rep. Nancy Pelosi   14 years ago

        It is totally by chance.

  8. R C Warmy   14 years ago

    Nice article, I think in the WSJ, pointing out that, although ObamaCare vests the authority to grant dozens of different kinds of waivers in Sebelius, it actually doesn't give her the authority to grant the ones she has been granting.

    Only problem: No way to enforce it.

  9. Anonymous Coward   14 years ago

    Amazing that so many waivers are going to Pelosi's district. And that the AARP which pushed so hard for Obamacare now has their own waiver.

    Silly Pablo. Obamacare is for the peasants. The nobility need not be concerned by such pettiness as the law.

  10. MyOwnPrivateIdaho   14 years ago

    It was obvious before it passed that Obamacare was a Trojan Horse. All you had to do was listen to him and his cronies before he got into office and take them at their word. Create a situation where employers stop insuring employees and then the government has no choice but to step in and fill the void.

  11. suthenboy   14 years ago

    Ultimately the trojan horse isnt about socialized medicine, but about the absolute destruction of liberty in every form. If you open a door, it is a certainty that they will come through it, no matter how absurd it may seem now.
    The goal here is to dictate every possible economic activity we could engage in. What to buy, when to buy, how much, what not to buy. It is about expanding government powers to unimaginable lengths.

  12. Small CEO   14 years ago

    Would you like to propose a real solution? My husband and I now pay more for our insurance than we do on our mortgage. We may have to quit our business and become wage slaves just for affordable health insurance. How is that freedom?

    1. Two Fingers   14 years ago

      If I have to pay for your insurance, how is that freedom? The real solution is that everyone pays for what they consume, and don't consume what they can't afford. Private donations can be used to prevent 'children starving in the streets', etc.

      1. Give us your poor   14 years ago

        "The real solution is that everyone pays for what they consume, and don't consume what they can't afford."
        So wealth is the only protection against disease, illness or any other God given infliction? That a healthier, more productive society is better for everyone doesn't carry any weight in your equation? Please provide an example of any society IN HISTORY where "private donations" have prevented children starving in the streets.

    2. Reality   14 years ago

      Allow anyone to practice medice and allow any patient to sign a waiver that they can't sue.

      Oh, and don't eat what the FDA tells you. Grains make people fat and give them diabeeeetus.

    3. Citytrekker   14 years ago

      Yes, i'm trying to understand also. Health care costs have gone up dramatically prior to Obamacare for the average middle class worker and business owner - me between both worlds. What is all this talk about Obamacare being destructive to medical treatment and higher costs? Weren't we already there?

  13. Trivial Ends   14 years ago

    So it is okay for greedy doctors to perform unnecessary surgeries?

    1. An Objectivist   14 years ago

      So, you really are still beating your wife?

      All surgeries require patients consent.

      But I love how you think doctors are greedy, and obviously, to your nonfunctioning mind, government could never be greedy, and they couldn't be taking over this system and denying people health care for their own greedy purposes, right? Why, that's absurd!

      A doctor might talk you into unnecessary surgery, but when the government fucks you up the ass, you don't have the choice to say "no".

      1. Trivial Ends   14 years ago

        Where does it say that government funded doctors have the authority to force you into surgery?

    2. Reality   14 years ago

      Tort reform called and once to have a chat.

      1. Reality   14 years ago

        *wants to have a chat as well.

  14. An Objectivist   14 years ago

    Ever notice how the MSM always refers to "obamacare" as "health care reform"?

    Not only is this false, but it is extremely biased.

    An accurate description of obamacare is "health insurance nationalization", but if that's too accurate, at the very least call it "health insurance regulation".

    The latter is accurate and probably palatable to the mouth-breathing socialists in this country.

  15. Matthew   14 years ago

    Interesting discussion. Posters on http://www.whitehousevoice.com are talking about this too.

  16. Abercrombie Paris   14 years ago

    http://www.abercrombiefitchparis.org

    1. Reality   14 years ago

      Fuck you

  17. Abercrombie Paris   14 years ago

    http://www.abercrombiefitchparis.org

  18. Liberal   14 years ago

    Isolated, anecdotal incident. Nothing to see here.

  19. Res Publica Americana   14 years ago

    The hospital I went to in Germany (friend broke his jaw) sucked balls almost as much as Epi's one in England. Socialized medicine was probably on vacation that day, though -- it must have been the evil corporations not paying their taxes.

    1. How about the stats?   14 years ago

      People love to post horror stories about socialised healthcare systems. Unfortunately, they fail to address the statisitics that show the US falling behind year on year in medical outcomes when compared with the rest of the developed world, each & every country of which practises some form of socialised medicine.

      1. Citytrekker   14 years ago

        Yes, pretty much one sided headline bias against Obamacare. I really haven't seen anyone adress the real facts about what has happened to healthcare in the US the past 20 years. Independant voters want the truth, and if vague name calling is all that they can render against Obama, well good luck...

  20. Chaos Punk   14 years ago

    You mean these evil corporations?

    Two things I hate about the whole "evil corporations" thing. I do believe in accountability, but to make the assertion that corporate power is only checked by government, they're missing a huge piece of the logic.

    Corporations exist because people want them to, smaller businesses want them to, investment firms want them to, and workers want them to. If you start selling stupid shit that nobody wants, you're going out of business... you're checked by the people always.

    As far as these "atrocities" in other countries that we can't see... who gives a shit? No seriously, it's not Catepillar's fault that the Israeli government bulldozers people's houses down with the equipment they sell. I fuckin' hate that logic.

    Oh, it's not your fault that you're on drugs, it's the dealers fault.

    It's not your fault that you're fat, it's domino sugar and mcdonald's fault.

    It's not your fault you shot someone, it's smith and wessons' fault.

    the fuk up

    1. Citytrekker   14 years ago

      "Corporations exist because people want them to, smaller businesses want them to, investment firms want them to, and workers want them to. If you start selling stupid shit that nobody wants, you're going out of business... you're checked by the people always."

      But TRUTH is hard to communicate when lobbyists and corporations want to mass produce and sell their goods, or ship jobs to China. Smaller groups of people that know the truth can be squashed by just a few people and a million dollars.

      It's funny that eveyday idiots are the main spokespeople for Corporations. What exactly are you getting for your reduced American Dollar?

  21. David   14 years ago

    The Individual mandate is a real blocade in the whole process and if they really cared for ordinary people who long for a better health care system they wouldn't be defending it so stubbornly.

  22. Pandora UK   14 years ago

    As far as these "atrocities" in other countries that we can't see... who gives a shit? No seriously, it's not Catepillar's fault that the Israeli government bulldozers people's houses down with the equipment they sell. I fuckin' hate that logic.

  23. d deley   14 years ago

    ,
    2 ju dges ruled ppaca UNcons.
    titu.tional = v o i d.
    'its a tax...hurts job growth'
    web: us debts 475 to c $200 trillion
    =t o m, gdp$14t/yr, or 13x gdp

  24. nike air force 1   14 years ago

    is good

  25. goallen   14 years ago

    I am an aspiring architect and I am appalled

  26. Brett   14 years ago

    Having first hand experience with both US and Canadian Health Care, each has its advantages and disadvantages. In the US we were seen quickly by specialists but the bills were significant and not always covered by our health care insurance plan. In Canada, the direct bill was fairly small but taxes are significant as they pay for the very costly "socialized health care" and the wait times to see specialists are often months and sometimes years. There must be a way to design a system using the best of both that is affordable

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