We waste a lot of money both publicly and privately on stupid things. Unnecessary wars. Shirts we’ll never wear in public. The death penalty. Incarcerating 1% of the population. Exercise equipment we use once.
I’m not worried that we’ll look back and think that our real mistake was spending money saving kids lives. Let’s do healthcare right. Now. And we can figure out optimization and efficiency later.
Obamacare, a blog purporting to “document the truth and consequences of Obamacare,” links to this article by Reason.tv.
I’ve seen a lot of people saying that they don’t believe the CBO’s estimate—but I haven’t seen any explanation of why they don’t believe the estimate. I thought maybe Reason, by virtue of its name, would offer actual reasons. I was disappointed. Here are the claims and why they are worthless:
"Legislative Trickery." The bill doesn’t include the expensive Doc Fix to Medicare. Every year Congress passes a one year fix. The Democrats want to simply pass a permanent one so we can have honest budgets going forward. It wasn’t included in the bill.
So it’s “legislative trickery” to not put something in the bill that wasn’t in the bill. Right. Except … we’re going to pass a temporary measure every year. Passing a permanent one won’t alter the actual deficit at all. If a Doc Fix is passed later this year, it will increase the projected deficit (unless it’s paid for), but it will only do so by removing a budget gimick we’ve used in the past.
"Higher Premiums." Apparently healthcare reform will increase premiums. Massachussets has something like healthcare reform. Massachussetts has high premiums. Post hoc, ergo propter hoc.
Actually, Massachussetts had high premiums before healthcare reform. That’s why it passed healthcare reform.
"Bad Accounting." Apparently the government is bad at accounting. It’s been wrong before. So maybe the government got its numbers wrong. In fact, it probably did.
But it could be wrong in the other direction, couldn’t it? The CBO didn’t include anticipated savings from Comparative Effectiveness Research. It doesn’t make sense to say, “the government is often wrong, therefore the worst possible thing will probably happen.” You need to point out specifically where the government is wrong. What assumptions did the CBO make that you disagree with? Do you have another estimate that you think is more reliable?
If you’re going to claim that Health Care Reform is going to break the budget, you need something to back that up. So far, I’ve seen nothing.
The Republicans hated [the public option] because it’s the first major step towards socialized medicine.
I wouldn’t call it the first step. I would call providing health coverage to the military the first step. Medicare is the second. Medicaid the third. COBRA was probably the 7th or 8th. The (Bush) Medicare prescription drug bill was around the 10th. The public option may be a step down the path toward socialized medicine—but it’s not the first. We took the first step a long time ago.
On a related not, Jeff Miller replied:
The Republicans managed to kill it? Not true. Republicans did not exchange their votes for killing the public option … numerous Democrats did.
Ouch. But fair enough. I was going to credit the Republicans with a political victory. Perhaps it’s wiser to accuse the Democrats of political incompetence.
If he has no income at all, he should be eligible for Medicaid under the new program. It shouldn’t cost him anything if his income puts him below 133% of poverty. For a single person with no children, that is a bit over $13,000 a year. He should be able to get entirely subsidized health insurance.
Under current law, medicaid eligibility varies by state, but usually requires recipients to have children or be in a particularly vulnerable group.
There is nothing inherently wrong about a Senator or Representative, armed with special knowledge about the needs of her or his state, uses that knowledge to negotiate a change in a bill. This whole process has been full of negotiation, compromise, and, yes, deal-making. That’s what politics is. No single person gets to write the whole bill.
The question isn’t whether there are a bunch of “deals.” The question is whether those deals are any good. For instance, Senator Orrin Hatch (R-Utah) tried to amend a bill to give special help to “states whose name begin with the letter U.” That was a bad amendment proposal. The special payments to Nebraska were also a bad plan.
So does Connecticut need extra funding for a hospital? Is that a bad plan? Tennessee’s healthcare system is in sad shape. Is it in appropriate to direct a bit of extra money there? If it is a good idea state owned banks get special treatment, does the fact that North Dakota is the only state with a state owned bank suddenly make it a bad idea?
Some of these provisions might be bad. If so, let’s criticize the specific provision. Otherwise, I don’t think it matters. There is a fairly decent Huffington Post editorial on this topic.