Category Archives: Healthcare

Is Michael Cannon of the Cato Institute right about states blocking Obamacare, factchecker says he is wrong.

November 29, 2012 – 7:32 am

Cato’s Michael F. Cannon Discusses ObamaCare’s Individual Mandate

Is Michael Cannon of the Cato Institute right about states blocking Obamacare, factchecker says he is wrong.

I Have Been False*

Posted by Michael F. Cannon

*According to PolitiFact.

In an unconscious parody of everything that’s wrong with the “fact-checker” movement in journalism, PolitiFact Georgia (a project of the Atlanta Journal-Constitution) has rated false my claim that operating an ObamaCare Exchange would violate Georgia law. (For some of the “fact-checker” genre’s greatest worst hits, see Ben Domenech’s top 10 list.)

PolitiFact’s analysis is one-sided. It confuses opinions with facts. It was written with “no particular policy domain knowledge.” It therefore not only reaches the wrong result — it analyzes a claim I did not make and never would make.

PolitiFact began by saying that it was fact-checking the following claim, which I made in a November 9 opinion piece at National Review Online:

[O]perating an Obamacare exchange would be illegal in 14 states. Alabama, Arizona, Georgia, Idaho, Indiana, Kansas, Louisiana, Missouri, Montana, Ohio, Oklahoma, Tennessee, Utah, and Virginia have enacted either statutes or constitutional amendments (or both) forbidding state employees to participate in an essential exchange function: implementing Obamacare’s individual and employer mandates.

Lest anyone think I meant it would be illegal for the federal government to operate Exchanges in those states, the context and the text (“forbidding state employees”) of that opinion piece make it clear I was discussing whether states should establish Exchanges. Unfortunately, the context was lost on PolitiFact readers, because PolitiFact provided neither a citation nor a link to the opinion piece it was fact-checking.

In Georgia’s case, the relevant statute is that state’s version of the “Health Care Freedom Act” (GA. CODE ANN. § 31-1-11), enacted in 2010. It reads:

To preserve the freedom of citizens of this state to provide for their health care: No law or rule or regulation shall compel, directly or indirectly, any person, employer, or health care provider to participate in any health care system.

The statute defines “compel” as including “‘penalties or fines.”

PolitiFact notes that I cited that provision to “an Atlanta Journal-Constitution health reporter [Carrie Teegardin] via email.” Thus PolitiFact presumably had access to the rest of my November 9 email to Teegardin, in which I explained why that provision precludes Georgia from establishing an ObamaCare Exchange:

Determining eligibility for and distributing ObamaCare’s “premium assistance tax credits” is a key function of an Exchange. Those tax credits trigger penalties against employers (under the employer mandate) and residents (under the individual mandate).

Indeed, there are many ways Exchanges assist the federal government in the enforcement of those mandates. State-run Exchanges must report to the IRS on which residents have dropped their coverage and when (Section 1311(d)(4)(I)). State-run Exchanges must notify employers when one of their employees receives a tax credit  (Section 1411(e)(4)(B)(iii)). That very notification triggers penalties against the employer (Section 1513/I.R.C. Section 4980H(a)). State-run Exchanges must collect all the information the federal government needs to determine eligibility for tax credits and deliver it to the federal government (Section 1401/I.R.C. Section 36B(f)(3)) – a crucial component of enforcing both the individual and employer mandates. The  Secretary can require state-run Exchanges to verify that information for the federal government (Section 1411(d)), and state-run Exchanges must resolve any inconsistencies between the information provided by applicants and official records (Section 1411(e)). If a state-run Exchange can’t resolve an inconsistency between the application and the official records within a certain time period, it has to notify residents that they will be penalized under the individual mandate (Section 1411(e)(4)(B)(iv)). State-run Exchanges must maintain an appeals process for individuals and employers who believe they were wrongly assessed penalties (Section 1411(f)).

My email to Teegardin continued:

Ergo, if Georgia establishes an Exchange, then a Georgia law and state employees would be indirectly compelling employers and residents to participate in a health care system.

In other words, the activities required of an ObamaCare Exchange are exactly the sorts of things that the Health Care Freedom Acts in Georgia and 13 other states exist to prohibit those states’ employees from doing. In a November 15 opinion piece Atlanta Journal-Constitution, no less, I reiterated that same point: legislatures and voters in those 14 states have enacted state laws that make it illegal (and in some cases unconstitutional) for state employees to operate an ObamaCare Exchange.

Rather than evaluate that claim, PolitiFact asked a handful of Georgia scholars about something completely different: whether Georgia’s Health Care Freedom Act prevents the federal government from creating an Exchange for Georgia, or otherwise trumps federal law. It’s difficult to see how anyone who had read my two opinion pieces, much less my email to Teegardin, could think I was saying anything of the sort. Of course such a claim would be false; that’s why I never made it. (ObamaCare does itself give each state the power to stop the federal government from running an Exchange within its borders. But that’s a topic for another day.)

Then again, I could have set them straight. PolitiFact contacted me for help with this “fact-check.” I politely refused, citing my ongoing boycott of their organization. One might say my refusal to assist with this “fact-check” means I have no right to complain.

Another way of looking at it is that this episode validates my boycott. Consider how they responded to my refusal to help: Cannon won’t speak to us because he says we’re not reputable. Should we try to find someone else who might argue his side? Nah. PolitiFact could have proven me wrong by conducting a thorough analysis. Off the top of my head, I can think of seven other experts they might have consulted. A simple online search would have produced two attorneys who have threatened to sue the State of Arizona under the Health Care Freedom Amendment to its Constitution if state officials establish an Exchange. Instead, PolitiFact considered a discussion of my email auto-signature – “Tyrannis delenda est” — more worthy of inclusion in their “fact-check” than another expert who would take up my side.

My boycott of PolitiFact hasn’t succeeded in bringing about the desired behavior change. But if they keep this up, I don’t see how I can fail.

Related posts:

Can states stop Obamacare from becoming law in their states?

Sen. Max Baucus admits the PPACA conditions tax credits on state compliance Published on Sep 21, 2012 by Michael F. Cannon I really don’t know the answer to this question and would love it if someone would enlighten me. This article below from the Cato Institute makes the case that States can stop Obamacare from […]

Obamacare going to happen?

What is going to happen with Obamacare? November 18, 2012, 5:53 p.m. ET Capretta and Levin: Why ObamaCare Is Still No Sure Thing The majority of state governors are Republicans, and they have the power to disarm the health-care law. By JAMES C. CAPRETTA AND YUVAL LEVIN Champions of ObamaCare want Americans to believe that […]

Open letter to President Obama (Part 168.2)

  President Obama c/o The White House 1600 Pennsylvania Avenue NW Washington, DC 20500 Dear Mr. President, I know that you receive 20,000 letters a day and that you actually read 10 of them every day. I really do respect you for trying to get a pulse on what is going on out here. Obamacare […]

Obamacare going down no matter who wins?

It seems that Obamacare is going to go down according to this article below: GOP Vows to Keep Fighting IRS’s Illegal ObamaCare Taxes if Obama Wins Posted by Michael F. Cannon Roll Call reports that if President Obama wins re-election, House and Senate Republicans will hold votes on rescinding his illegal IRS rule that unlawfully […]

 

By Everette Hatcher III | Also posted in Cato Institute | Comments (0)

Can states stop Obamacare from becoming law in their states?

November 21, 2012 – 7:40 am

Sen. Max Baucus admits the PPACA conditions tax credits on state compliance

Published on Sep 21, 2012 by

I really don’t know the answer to this question and would love it if someone would enlighten me. This article below from the Cato Institute makes the case that States can stop Obamacare from becoming law in their states.

Why ‘Obamacare’s Critics Refuse to Give Up’

Posted by Michael F. Cannon

Jonathan Adler and I have a paper titled, “Taxation Without Representation: The Illegal IRS Rule to Expand Tax Credits Under the PPACA.” Our central claims are:

  1. The Patient Protection and Affordable Care Act explicitly restricts its “premium-assistance tax credits” (and thus the “cost-sharing subsidies” and employer- and individual-mandate penalties those tax credits trigger) to health insurance “exchanges” established by states;
  2. The IRS has no authority to offer those entitlements or impose those taxes in states that opt not to create Exchanges; and
  3. The IRS’s ongoing attempt to impose those taxes and issue those entitlements through Exchanges established by the federal government is contrary to congressional intent and the clear language of the Act.

Over at The New Republic’s blog The Plank, my friend Jonathan Cohn says this is “preposterous“:

No sentient being following the health care debate could argue, in good faith, that Obamacare’s architects intended for the federal government to set up exchanges without subsidies. It would completely subvert the law’s intent.

It appears my friend does not know the statute, the legislative history, or what Congress’ intent was.

Cohn writes that the statute is “a little fuzzy” on this issue. Quite the contrary: the statute is crystal clear. It explicitly and laboriously restricts tax credits to those who buy health insurance in Exchanges “established by the State under section 1311.” There is no parallel language – none whatsoever – granting eligibility through Exchanges established by the federal government (section 1321). The tax-credit eligibility rules are so tightly worded, they seem designed to prevent precisely what the IRS is trying to do.

ObamaCare supporters just know that can’t be right. It must have been an oversight. Congress could not have written the law that way. It doesn’t make any sense. Those provisions must take effect in federal Exchanges for the law to work. Why would Congress give states the power to blow the whole thing up??

The answer is that Congress didn’t have any choice. Congress intended for ObamaCare to work this way because this was the only way that ObamaCare could become law.

  • The Senate bill had to have state-run Exchanges in order to win the essential votes of moderate Democrats. Without state-run Exchanges, it would not have passed.
  • In order to have state-run Exchanges, the bill needed some way to encourage states to create them without “commandeering” the states. In early 2009, well before House and Senate Democrats introduced their bills, an influential law professor named Timothy Jost advised congressional Democrats of one way to get around the commandeering problem: “Congress could invite state participation…by offering tax subsidies for insurance only in states that complied with federal requirements…”. Both the Finance bill and the HELP bill made premium assistance conditional on state compliance. Senate Democrats settled on the Finance language, which passed without a vote to spare. (Emphasis added.)
  • The Finance Committee had even more reason to condition tax credits on state compliance: it doesn’t have direct jurisdiction over health insurance. Conditioning the tax credits on state compliance was the only way the Committee could even consider legislation directing states to establish Exchanges. Committee chairman Max Baucus admitted this during mark-up.
  • Then something funny happened. Massachusetts voters sent Republican Scott Brown to the Senate, partly due to his pledge to prevent any compromise between the House and Senate bills from passing the Senate. With no other options, House Democrats swallowed hard and passed Senate bill. (They made limited amendments through the reconciliation process. These amendments did not touch the tax-credit eligibility rules, and indeed strengthen the case against the IRS.)

A law limiting tax credits to state-created Exchanges, therefore, is exactly what Congress intended, because Congress had no other choice. On the day Scott Brown took office, any and all other approaches to Exchanges ceased to embody congressional intent. If Congress had intended for some other approach to become law, there would be no law. What made it all palatable was that it never occurred to ObamaCare supporters that states would refuse to comply. The New York Times reports, “Mr. Obama and lawmakers assumed that every state would set up its own exchange.”

Oops.

The only preposterous parts of this debate are the legal theories that the IRS and its defenders have offered to support the Obama administration’s unlawful attempt to create entitlements and impose taxes that Congress clearly and intentionally did not authorize. (But don’t take my word for it. Read the statute. Read our paper. Read this, and this. Watch this video and our debate with Jost. Click on our links to all the stuff the IRS and Treasury and Jost have written.) I wonder if Cohn would tolerate such lawlessness from a Republican administration.

Cohn further claims the many states that are refusing to create Exchanges are “totally sticking it to their own citizens” and people who encourage them “are essentially calling upon states to block their citizens from receiving federal tax breaks, worth as much as several thousand dollars per person. Aren’t conservatives and libertarians supposed to be the party that likes giving tax money back to the people?” Seriously?

  • Fourteen states have enacted statutes or constitutional amendments — often by referendum, often by huge margins — that prohibit state employees from directly or indirectly participating in an essential Exchange function: implementing employer or individual mandates. In those instances, the voters have spoken.
  • Only 22 percent of the budgetary impact of these credits and subsidies is actual tax reduction, and the employer- and individual-mandate penalties triggered by those tax “credits” wipe out most of that. The other 78 percent is new deficit spending. So what we’re really talking about here is $700 billion of new deficit spending.
  • When states refuse to establish Exchanges, they block that new spending, which reduces the deficit and the overall burden of government.
  • In addition, those states exempt their employers from the employer mandate (a tax of $2,000 per worker) and exempt millions of taxpayers from the individual mandate (a tax of $2,085 on families of four earning as little as $24,000).

Who’s for tax cuts now?

Here’s what I think is really bothering Cohn and other ObamaCare supporters. The purpose of those credits and subsidies is to shift the cost of ObamaCare’s community-rating price controls and individual mandate to taxpayers, so that consumers don’t notice them. When states prevent such cost-shifting, they’re not increasing the cost of ObamaCare — they’re revealing it.

And that’s what worries Cohn. If the full cost of ObamaCare appears in people’s health insurance premiums, people will rise up and demand that Congress get rid of it. Cohn isn’t worried about states “sticking it to their citizens.” He’s worried about states sticking it to ObamaCare.

The title of Cohn’s blog post is, “Obamacare’s Critics Refuse to Give Up.” At least we can agree on that much.

By Everette Hatcher III | Also posted in Cato Institute | Comments (0)

Obamacare going to happen?

November 20, 2012 – 10:18 am

What is going to happen with Obamacare?

  • November 18, 2012, 5:53 p.m. ET

Capretta and Levin: Why ObamaCare Is Still No Sure Thing

The majority of state governors are Republicans, and they have the power to disarm the health-care law.

By JAMES C. CAPRETTA
AND YUVAL LEVIN

Champions of ObamaCare want Americans to believe that the president’s re-election ended the battle over the law. It did no such thing. The Patient Protection and Affordable Care Act won’t be fully repealed while Barack Obama is in office, but the administration is heavily dependent on the states for its implementation.

Republicans will hold 30 governorships starting in January, and at last week’s meeting of the Republican Governors Association they made it clear that they remain highly critical of the health law. Some Republican governors—including incoming RGA Chairman Bobby Jindal of Louisiana, Ohio’s John Kasich, Wisconsin’s Scott Walker and Maine’s Paul LePage—have already said they won’t do the federal government’s bidding. Several Democratic governors, including Missouri’s Jay Nixon and West Virginia’s Earl Ray Tomblin, have also expressed serious concerns.

Talk of the law’s inevitability is intended to pressure these governors into implementing it on the administration’s behalf. But states still have two key choices to make that together will put them in the driver’s seat: whether to create state health-insurance exchanges, and whether to expand Medicaid. They should say “no” to both.

At its core, ObamaCare is a massive entitlement expansion. Between vastly increased Medicaid eligibility and new premium subsidies, it is expected to bring 30 million more people onto the federal government’s entitlement rolls. The law anticipates that the states will take on the burden of implementing the expansions, but states can opt out of both.

Running the exchanges would be an administrative nightmare for states, requiring a complicated set of rules, mandates, databases and interfaces to establish eligibility, funnel subsidies, and facilitate purchases. All of this would have to take place under broad and often incoherent statutory requirements and federal regulations that have yet to be written.

Associated PressThey are on opposite sides of ObamaCare, but President Obama and Louisiana Gov. Bobby Jindal met in September in LaPlace, La., for a briefing regarding Hurricane Isaac.

The exchanges would create unsustainable pressures on each state’s insurance market, treating similarly situated people differently by providing far greater subsidies for those in the exchanges than those in employer plans—yielding perverse incentives that distort consumer and employer decisions and increase costs.

States would endure all this simply to become functionaries of the federal government. The idea that creating state exchanges would give states control over their insurance markets is a fantasy. The states would be enforcing a federal law and federal regulations, with very little room for independent judgment.

Governors know this. A group of them has already indicated that they will not build the exchanges, and several more seemed ready to opt out as the administration’s deadline for state decisions approached on Nov. 16. Predictably, Health and Human Services Secretary Kathleen Sebelius tried to head them off by extending the deadline to Dec. 14. She will try to use the extra month to twist governors’ arms. They should resist.

By declining to build exchanges, the states would pass the burden and costs of the exchanges to the administration that sought this law. And it is far from clear that the administration could operate the exchanges on its own.

Congress didn’t allocate money for administering federal exchanges, and the law as written seems to prohibit federally run exchanges from providing subsidies to individuals. The administration insists that it can provide those subsidies anyway. But if the courts read the plain words of the statute, then federal exchanges couldn’t really function.

Thus states that refuse to create their own exchanges would effectively be repealing a large part of the law—sparing their citizens from the job-killing employer mandate and from assaults on their religious liberty. In some cases people would even be spared from the individual mandate to buy coverage, since in the absence of exchange subsidies more families would qualify for exemptions from the mandate.

The Medicaid expansion, meanwhile, would throw millions of additional Americans into a system that is already bankrupting state governments and increasing costs in the private-insurance market. Medicaid’s payments for services are so low that many existing beneficiaries have trouble finding physicians and other health-care providers who will accept them as patients. Enrolling more people without reform will push the system to the point of collapse.

In refusing the Medicaid expansion, governors should notify Washington that doing so means freeing themselves of ObamaCare’s “Maintenance of Effort” requirements. These would prohibit states participating in the Medicaid expansion from reforming their Medicaid systems to reduce costs.

Instead of following the Obama administration’s plan, states should seek real reform. For example, they should demand that Washington transform the federal portion of Medicaid for non-disabled and non-elderly beneficiaries into a uniform block grant, with state discretion over eligibility and benefits. The goal should be to turn Medicaid into a premium-assistance program rather than government-run insurance. Medicaid could then be used to help people enroll in mainstream insurance plans. This is the way to help the low-income uninsured get the same kind of coverage as other Americans.

President Obama won re-election and Democrats maintained control of the Senate this month, but the states hold the future of ObamaCare in their hands. Knowing the harm the law would do to their citizens, to the economy and to American health care, governors should refuse to become its enablers.

Mr. Capretta is a fellow at the Ethics and Public Policy Center and a visiting fellow at the American Enterprise Institute. Mr. Levin is a fellow at the EPPC and editor of National Affairs.

A version of this article appeared November 18, 2012, on page A19 in the U.S. edition of The Wall Street Journal, with the headline: Why ObamaCare Is Still No Sure Thing.

By Everette Hatcher III | Comments (0)

Open letter to President Obama (Part 168.2)

November 9, 2012 – 7:03 am

 

President Obama c/o The White House
1600 Pennsylvania Avenue NW
Washington, DC 20500

Dear Mr. President,

I know that you receive 20,000 letters a day and that you actually read 10 of them every day. I really do respect you for trying to get a pulse on what is going on out here.

Obamacare would be a huge tax if ever became law.

I’ve often complained that government-created third-party payer is the main problem with America’s healthcare system, and I was making that point well before Obamacare was imposed upon the country.

Simply stated, people won’t be smart consumers and providers won’t compete to keep costs low when the vast majority of expenses are paid for either by government programs or by insurance companies.

That’s why I want to see reforms to Medicare and Medicaid, not only to save money for taxpayers, but also because that’s one of the steps that is needed if we want market forces to bring down the cost of healthcare.

And I want to see a flat tax, not only for the pro-growth impact of lower tax rates, but also because it gets rid of the internal revenue code’s healthcare exclusion, thus ending the distortion that encourages over-insurance.

With all that in mind, I’m obviously a big fan of this new video from the Center for Freedom and Prosperity.

__________

Third-Party Payer is the Biggest Economic Problem With America’s Health Care System

Published on Jul 10, 2012 by

This mini-documentary from the Center for Freedom and Prosperity Foundation explains that “third-party payer” is the main problem with America’s health care system. This is why undoing Obamacare, while desirable, is just a small first step if we want to reduce costs and boost efficiency

_____________–

Narrated by Julie Borowski from FreedomWorks, the video explains that third-party payer has been a growing problem for decades and that it would have required fixing even if the Supreme Court hadn’t botched the Obamacare decision.

And now that we’re stuck with Obamacare, at least temporarily, it’s more important than ever to deal with this underlying problem.

P.S. This new video expands upon the analysis provided in a previous CF&P video.

P.P.S. Setting aside the debate about whether it’s right or wrong, the abortion market also is an interesting case study of how prices don’t rise when consumers pay out of pocket.

P.P.P.S. Government-created third-party payer also is screwing up the market for higher education.

___________

Thank you so much for your time. I know how valuable it is. I also appreciate the fine family that you have and your commitment as a father and a husband.

Sincerely,

Everette Hatcher III, 13900 Cottontail Lane, Alexander, AR 72002, ph 501-920-5733, lowcostsqueegees@yahoo.com

By Everette Hatcher III | Also posted in Cato Institute, President Obama | Comments (0)

Obamacare going down no matter who wins?

November 5, 2012 – 6:33 am

It seems that Obamacare is going to go down according to this article below:

GOP Vows to Keep Fighting IRS’s Illegal ObamaCare Taxes if Obama Wins

Posted by Michael F. Cannon

Roll Call reports that if President Obama wins re-election, House and Senate Republicans will hold votes on rescinding his illegal IRS rule that unlawfully taxes employers and individuals in the 30 or so states that do not create their own health insurance exchanges:

House Republicans are opening a new front in their drive to derail the 2010 health care overhaul, using an expedited legislative procedure to upend targeted parts of the law…

Republican leaders are preparing to launch the effort during the post-election session that begins Nov. 13.

The resolution backed by Rep. Darrell Issa, the California Republican who heads the Oversight and Government Reform Committee, and Rep. Scott DesJarlais, a Tennessee Republican and the measure’s chief sponsor, is meant to nullify the upcoming IRS rule authorizing the distribution of subsidies through tax credits in every state, even the 35 that have not yet established state health care exchanges…

House leaders plan to bring the resolution to a vote during the lame-duck session if Obama wins re-election but will lay the groundwork for using the budget reconciliation process to strike parts of the law instead if former Massachusetts Gov. Mitt Romney wins, Republican aides said.

The resolution aimed at the IRS rule is the first in a series of Republican initiatives intended to block parts of heath care law if Obama is given a second term, a senior Senate Republican aide said.

“If Obama wins, you will see more of them. If Romney wins, you will see fewer,” said the Senate Republican aide, who added that even if such resolutions ultimately fail, they could require Democrats to cast votes that could pose re-election problems in 2014.

I don’t see why they wouldn’t hold the vote regardless of the outcome of the election. President RomneyCare would probably need some reminding that his own party is serious about repealing ObamaCare.

Jonathan Adler and I first called attention to the IRS’s ploy here, and we’ve been hammering away at it here, here, here, here, here, and here. If you really want to nerd out, read our forthcoming Health Matrix article, ”Taxation Without Representation: The Illegal IRS Rule to Expand Tax Credits Under the PPACA.” Oklahoma’s attorney general has filed a lawsuit challenging the IRS’s illegal ObamaCare taxes.

John Goodman says stopping the IRS’s illegal ObamaCare taxes could deal “a fatal blow to ObamaCare.”

By Everette Hatcher III | Comments (0)

The real truth about Obamacare can be seen on the www.thedailyhatch.org

November 4, 2012 – 12:15 am

Michael Cannon on Medicare and Healthcare

You want to know the real truth about Obamacare then check out these videos and articles linked below:

American people do not want Obamacare and the regulations that go with it

In this article below you will see that the American people do not want Obamacare but yet it is being crammed down their throats and all the regulations that go with that too. Sickening Regulation by Michael D. Tanner Michael Tanner is a senior fellow at the Cato Institute and author of Leviathan on the […]

Arkansas Times praises good results of Obamacare

Gerard Matthews wrote on March 21, 2012 in the Arkansas Times: Children cannot be denied coverage because of a pre-existing condition. Young people can stay on their parents’ health insurance plan until they are 26 years old. Preventive services, which will ultimately help control health care costs, have been added to some plans at no […]

Brummett is arguing over the chairs on the Titanic as Obamacare will surely bankrupt state

Michael Cannon on Medicare and Healthcare In his article, “Medicaid and the consequences,” Arkansas Democrat-Gazette, March 20, 2012, (paywall), Brummett admits, “Medicaid will break the bank of state government if we don’t do something.” However, he never gets around to saying that Obamacare is going to ruin the state financially. It will expand this failing […]

If the Democrats want to back Obamacare then let them go down with the ship

On March 19, 2012 Jason Tolbert pointed out that the Democrats in Little Rock were using Obama’s talking points concerning Obamacare, but it appears to me that they go down with the ship according to the mood in the country. Take a look at this fine article from the Cato Institute. In this article below […]

Setting Biden Straight on Obamacare’s Anti-Conscience Mandate

Setting Biden Straight on Obamacare’s Anti-Conscience Mandate Uploaded by HeritageFoundation on Mar 3, 2012 Vice President Biden didn’t get the story quite straight. As the Obama Administration reels from the backlash for Obamacare’s anti-conscience mandate that forces religious employers to provide coverage and pay for abortion-inducing drugs, Biden yesterday set out to convince America that […]

Obama’s affordable lightbulb

It seems that government was in control of the desert then we would have a shortage of sand as Milton Friedman used to quip. You Keep Using the Word ‘Affordable.’ I Do Not Think It Means What You Think It Means. Posted by Michael F. Cannon The federal government gave a $10 million “affordability” prize […]

Brummett misses the boat on Obamacare again

Uploaded by HarrysRetroArchive on Aug 7, 2010 The stooges join the “Women Haters” club and vow to have nothing to do with the fair sex. Larry marries a girl anyway and attempts to hide the fact from Moe and Curly as they take a train trip. Director: Archie Gottler Cast: Marjorie White, A.R. Haysel, Monte […]

Brantley is wrong about Republicans losing debate on Obamacare and conscience

Religious Liberty: Obamacare’s First Casualty Uploaded by HeritageFoundation on Feb 22, 2012 http://blog.heritage.org/2012/02/22/morning-bell-religious-liberty-under-attack/ | The controversy over the Obama Administration’s anti-conscience mandate and the fight for religious liberty only serves to highlight the inherent flaws in Obamacare. This conflict is a natural result of the centralization laid out under Obamacare and will only continue until […]

“War on Women?”

Religious Liberty: Obamacare’s First Casualty Uploaded by HeritageFoundation on Feb 22, 2012 http://blog.heritage.org/2012/02/22/morning-bell-religious-liberty-under-attack/ | The controversy over the Obama Administration’s anti-conscience mandate and the fight for religious liberty only serves to highlight the inherent flaws in Obamacare. This conflict is a natural result of the centralization laid out under Obamacare and will only continue until […]

Is anything “free?”: According to Obama there is

Somebody will pay. You can bet on that. Obama’s Political Prophylactic Posted by Roger Pilon “White House compromise still guarantees contraceptive coverage for women,” reads theWashington Post headline coming out of President Obama’s press conference this afternoon. Trying to tamp down the escalating political storm his administration created three weeks ago when it ruled that, under Obamacare, employers with […]

Single-Payer healthcare system work? (Free Market response, Part 2)

_____________________________________________________ I would like to respond the idea of a single payer healthcare system by quoting from David Hogberg’s article “Free Market Cure – The Myths of Single-Payer Health Care.” He notes: A single-payer health care system is one in which a single-entity — the government — collects almost all of the revenue for and pays almost all of […]

 

By Everette Hatcher III | Also posted in President Obama | Comments (0)

Dan Mitchell of the Cato Institute takes on entitlement reform

October 31, 2012 – 12:47 am

It is the elephant in the room that nobody wants to talk about. Here Dan Mitchell takes it on.

Most people have a vague understanding that America has a huge long-run fiscal problem.

They’re right, though they probably don’t realize the seriousness of that looming crisis.

Here’s what you need to know: America’s fiscal crisis is actually a spending crisis, and that spending crisis is driven by entitlements.

More specifically, the vast majority of the problem is the result of Medicaid, Medicare, and Social Security, programs that are poorly designed and unsustainable.

America needs to fix these programs…or eventually become another Greece.

Fortunately, all of the problems can be solved, as these three videos demonstrate.

The first video explains how to fix Medicaid.

Promote Federalism and Replicate the Success of Welfare Reform with Medicaid Block Grants

Uploaded by on Jun 26, 2011

The Medicaid program imposes high costs while generating poor results. This Center for Freedom and Prosperity Foundation video explains how block grants, such as the one proposed by Congressman Paul Ryan, will save money and improve healthcare by giving states the freedom to innovate and compete.

The second video shows how to fix Medicare.

Saving Medicare: Free Market Reforms Are Better than Bureaucratic Rationing

Uploaded by on May 17, 2011

This Center for Freedom and Prosperity Foundation video explains how a “premium-support” plan would solve Medicare’s fiscal crisis and improve the overall healthcare system. This voucher-based system also would protect seniors from bureaucratic rationing. http://www.freedomandprosperity.org

And the final video shows how to fix Social Security.

Saving Social Security with Personal Retirement Accounts

Uploaded by on Jan 10, 2011

There are two crises facing Social Security. First the program has a gigantic unfunded liability, largely thanks to demographics. Second, the program is a very bad deal for younger workers, making them pay record amounts of tax in exchange for comparatively meager benefits. This video explains how personal accounts can solve both problems, and also notes that nations as varied as Australia, Chile, Sweden, and Hong Kong have implemented this pro-growth reform. www.freedomandprosperity.org

_______________________

Regular readers know I’m fairly gloomy about the future of liberty, but this is one area where there is a glimmer of hope.

The Chairman of the House Budget Committee actually put together a plan that addresses the two biggest problems (Medicare and Medicaid) and the House of Representatives actually adopted the proposal.

The Senate didn’t act, of course, and Obama would veto any good legislation anyhow, so I don’t want to be crazy optimistic. Depending on how things play out politically in the next six years, I’ll say there’s actually a 20 percent chance to save America.

By Everette Hatcher III | Also posted in Cato Institute, President Obama, Social Security, spending out of control, Taxes | Tagged | Comments (0)

The real truth about Obamacare can be seen on the www.thedailyhatch.org

October 4, 2012 – 12:14 am

Michael Cannon on Medicare and Healthcare

You want to know the real truth about Obamacare then check out these videos and articles linked below:

American people do not want Obamacare and the regulations that go with it

In this article below you will see that the American people do not want Obamacare but yet it is being crammed down their throats and all the regulations that go with that too. Sickening Regulation by Michael D. Tanner Michael Tanner is a senior fellow at the Cato Institute and author of Leviathan on the […]

Arkansas Times praises good results of Obamacare

Gerard Matthews wrote on March 21, 2012 in the Arkansas Times: Children cannot be denied coverage because of a pre-existing condition. Young people can stay on their parents’ health insurance plan until they are 26 years old. Preventive services, which will ultimately help control health care costs, have been added to some plans at no […]

Brummett is arguing over the chairs on the Titanic as Obamacare will surely bankrupt state

Michael Cannon on Medicare and Healthcare In his article, “Medicaid and the consequences,” Arkansas Democrat-Gazette, March 20, 2012, (paywall), Brummett admits, “Medicaid will break the bank of state government if we don’t do something.” However, he never gets around to saying that Obamacare is going to ruin the state financially. It will expand this failing […]

If the Democrats want to back Obamacare then let them go down with the ship

On March 19, 2012 Jason Tolbert pointed out that the Democrats in Little Rock were using Obama’s talking points concerning Obamacare, but it appears to me that they go down with the ship according to the mood in the country. Take a look at this fine article from the Cato Institute. In this article below […]

Setting Biden Straight on Obamacare’s Anti-Conscience Mandate

Setting Biden Straight on Obamacare’s Anti-Conscience Mandate Uploaded by HeritageFoundation on Mar 3, 2012 Vice President Biden didn’t get the story quite straight. As the Obama Administration reels from the backlash for Obamacare’s anti-conscience mandate that forces religious employers to provide coverage and pay for abortion-inducing drugs, Biden yesterday set out to convince America that […]

Obama’s affordable lightbulb

It seems that government was in control of the desert then we would have a shortage of sand as Milton Friedman used to quip. You Keep Using the Word ‘Affordable.’ I Do Not Think It Means What You Think It Means. Posted by Michael F. Cannon The federal government gave a $10 million “affordability” prize […]

Brummett misses the boat on Obamacare again

Uploaded by HarrysRetroArchive on Aug 7, 2010 The stooges join the “Women Haters” club and vow to have nothing to do with the fair sex. Larry marries a girl anyway and attempts to hide the fact from Moe and Curly as they take a train trip. Director: Archie Gottler Cast: Marjorie White, A.R. Haysel, Monte […]

Brantley is wrong about Republicans losing debate on Obamacare and conscience

Religious Liberty: Obamacare’s First Casualty Uploaded by HeritageFoundation on Feb 22, 2012 http://blog.heritage.org/2012/02/22/morning-bell-religious-liberty-under-attack/ | The controversy over the Obama Administration’s anti-conscience mandate and the fight for religious liberty only serves to highlight the inherent flaws in Obamacare. This conflict is a natural result of the centralization laid out under Obamacare and will only continue until […]

“War on Women?”

Religious Liberty: Obamacare’s First Casualty Uploaded by HeritageFoundation on Feb 22, 2012 http://blog.heritage.org/2012/02/22/morning-bell-religious-liberty-under-attack/ | The controversy over the Obama Administration’s anti-conscience mandate and the fight for religious liberty only serves to highlight the inherent flaws in Obamacare. This conflict is a natural result of the centralization laid out under Obamacare and will only continue until […]

Is anything “free?”: According to Obama there is

Somebody will pay. You can bet on that. Obama’s Political Prophylactic Posted by Roger Pilon “White House compromise still guarantees contraceptive coverage for women,” reads theWashington Post headline coming out of President Obama’s press conference this afternoon. Trying to tamp down the escalating political storm his administration created three weeks ago when it ruled that, under Obamacare, employers with […]

Single-Payer healthcare system work? (Free Market response, Part 2)

_____________________________________________________ I would like to respond the idea of a single payer healthcare system by quoting from David Hogberg’s article “Free Market Cure – The Myths of Single-Payer Health Care.” He notes: A single-payer health care system is one in which a single-entity — the government — collects almost all of the revenue for and pays almost all of […]

 

By Everette Hatcher III | Also posted in President Obama | Comments (0)

The primary cause of higher hospital care and education costs in the USA is?

September 20, 2012 – 6:14 am

Is Washington Bankrupting America?

Uploaded by on Apr 20, 2010

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————————-
According to a recent poll, 74 percent of likely voters are extremely or very concerned about the current level of government spending. And 58 percent think the level of spending is unsustainable.

Is the public right? Is Washington bankrupting America? Some facts from the video:

Spending per household has risen over 40 percent in the last 10 years and is set to do so again in the next 10 pushing debt (and interest on the debt) to unprecedented levels. But that’s just a result of PAST spending…

Our government owes $106 trillion in FUTURE spending commitments – that cannot be paid for.

We can solve it, but politicians will have to make tough choices. Increasing taxes can’t do the trick ($106 trillion is equivalent to taking all of the taxable income from every American nine times over), nor is it fair to saddle taxpayers with a problem created by government irresponsibility.

We need real spending reform. Merely returning to the spending per household levels of the 1990s would balance the budget in three years.

____________

David Boaz has rightly noted:

The fact that “the price of hospital care and higher education” has risen much faster than the cost of other goods is not an exogenous variable. Why do those costs rise so much faster? Because the government purchases them, reducing or eliminating the normal effects of supply, demand, and competition.

The Cost of Government

Posted by David Boaz

In today’s Washington Post Lawrence Summers demonstrates with mathematics that you can’t shrink the federal government — as long as (he doesn’t say) you don’t change the tasks you assign to it. True enough, if the government is still going to engage in “sustained deployments” of our military across the globe, and provide retirement income and health care to tens of millions of people, then the size of government isn’t going to shrink. But surely those are the issues we should be debating.

Michael Cannon below notes another key point in Summers’s argument:

[I]ncreases in the price of what the federal government buys relative to what the private sector buys will inevitably raise the cost of state involvement in the economy. Since the early 1980s the price of hospital care and higher education has risen fivefold relative to the price of cars and clothing, and more than a hundredfold relative to the price of televisions.

I would elaborate on Michael’s response. The fact that “the price of hospital care and higher education” has risen much faster than the cost of other goods is not an exogenous variable. Why do those costs rise so much faster? Because the government purchases them, reducing or eliminating the normal effects of supply, demand, and competition. I wrote about this in a 1994 article reprinted in my book The Politics of Freedom responding to an argument made by the economist William Baumol and the scholar-statesman Daniel Patrick Moynihan:

Moynihan identifies a number of services afflicted with Baumol’s disease: “The services in question, which I call The Stagnant Services, included, most notably, health care, education, legal services, welfare programs for the poor, postal service, police protection, sanitation services, repair services . . . and others.” He points out that many of those are provided by government and posits that “activities with cost disease migrate to the public sector.”

But maybe he has it backwards. Maybe activities that migrate to the public sector become afflicted with cost disease. The conservative magazine National Review, which, surprisingly, seems to accept Moynihan’s thesis, has inadvertently supplied us with some evidence on this point.

Ed Rubinstein, National Review‘s economic analyst, writes, “For more than three decades health-care spending has grown faster than national income. . . . The trend in health-care costs is no different from that of other services.” He cites education and auto repair as examples. However, the numbers Rubinstein provides don’t support his–or Moynihan’s–point. Look at the accompanying figure.

The cost of auto repair, a service provided almost entirely in the private sector, has barely outpaced inflation. The cost of medical care increased twice as fast as inflation. Government’s share of medical spending increased from 33 percent in 1960, when the chart begins, to 53 percent in 1990. Meanwhile, the cost of education, almost entirely provided by government, increased three times as fast as inflation–despite the constant complaints about underfunded schools.

The lesson is clear: Services provided by government are afflicted with Baumol’s disease in spades. Services provided in the private sector, where people spend their own money, are much less likely to soar in cost.

Medical care is a good area in which to test this theory because over the past 30 years it has been paid for in three different ways: out-of-pocket spending by consumers; insurance payments, mostly provided by employers; and government payments. As out-of-pocket spending declines in importance, medical inflation heats up. And private-sector spending on medical care rose only 1.3 percent a year between 1960 and 1990, while government spending rose more than three times as fast–4.3 percent a year.

When services are provided privately, and consumers can decide whether to purchase them, or choose another provider, or do without, there’s a powerful incentive to improve productivity and keep costs down. Stagnant productivity in government-run services reflects not so much Baumol’s disease as what we might call Clinton’s disease, the notion—even now, in 1994—that government can provide services more efficiently and cost-effectively than can the marketplace.

Now, I think Larry Summers knows this. He knows that when consumers don’t face full costs for services, they tend to consume more of them without worrying about the cost. So he knows that these costs could come down, if only we moved these services into the market, or at least found ways to get consumers directly concerned with costs. He should rethink his claims about the inevitability of more expensive government. These realities are in fact choices, decisions that voters and taxpayers can change.

By Everette Hatcher III | Also posted in Current Events | Tagged | Comments (0)

The real truth about Obamacare can be seen on the www.thedailyhatch.org

September 4, 2012 – 12:13 am

Michael Cannon on Medicare and Healthcare

You want to know the real truth about Obamacare then check out these videos and articles linked below:

American people do not want Obamacare and the regulations that go with it

In this article below you will see that the American people do not want Obamacare but yet it is being crammed down their throats and all the regulations that go with that too. Sickening Regulation by Michael D. Tanner Michael Tanner is a senior fellow at the Cato Institute and author of Leviathan on the […]

Arkansas Times praises good results of Obamacare

Gerard Matthews wrote on March 21, 2012 in the Arkansas Times: Children cannot be denied coverage because of a pre-existing condition. Young people can stay on their parents’ health insurance plan until they are 26 years old. Preventive services, which will ultimately help control health care costs, have been added to some plans at no […]

Brummett is arguing over the chairs on the Titanic as Obamacare will surely bankrupt state

Michael Cannon on Medicare and Healthcare In his article, “Medicaid and the consequences,” Arkansas Democrat-Gazette, March 20, 2012, (paywall), Brummett admits, “Medicaid will break the bank of state government if we don’t do something.” However, he never gets around to saying that Obamacare is going to ruin the state financially. It will expand this failing […]

If the Democrats want to back Obamacare then let them go down with the ship

On March 19, 2012 Jason Tolbert pointed out that the Democrats in Little Rock were using Obama’s talking points concerning Obamacare, but it appears to me that they go down with the ship according to the mood in the country. Take a look at this fine article from the Cato Institute. In this article below […]

Setting Biden Straight on Obamacare’s Anti-Conscience Mandate

Setting Biden Straight on Obamacare’s Anti-Conscience Mandate Uploaded by HeritageFoundation on Mar 3, 2012 Vice President Biden didn’t get the story quite straight. As the Obama Administration reels from the backlash for Obamacare’s anti-conscience mandate that forces religious employers to provide coverage and pay for abortion-inducing drugs, Biden yesterday set out to convince America that […]

Obama’s affordable lightbulb

It seems that government was in control of the desert then we would have a shortage of sand as Milton Friedman used to quip. You Keep Using the Word ‘Affordable.’ I Do Not Think It Means What You Think It Means. Posted by Michael F. Cannon The federal government gave a $10 million “affordability” prize […]

Brummett misses the boat on Obamacare again

Uploaded by HarrysRetroArchive on Aug 7, 2010 The stooges join the “Women Haters” club and vow to have nothing to do with the fair sex. Larry marries a girl anyway and attempts to hide the fact from Moe and Curly as they take a train trip. Director: Archie Gottler Cast: Marjorie White, A.R. Haysel, Monte […]

Brantley is wrong about Republicans losing debate on Obamacare and conscience

Religious Liberty: Obamacare’s First Casualty Uploaded by HeritageFoundation on Feb 22, 2012 http://blog.heritage.org/2012/02/22/morning-bell-religious-liberty-under-attack/ | The controversy over the Obama Administration’s anti-conscience mandate and the fight for religious liberty only serves to highlight the inherent flaws in Obamacare. This conflict is a natural result of the centralization laid out under Obamacare and will only continue until […]

“War on Women?”

Religious Liberty: Obamacare’s First Casualty Uploaded by HeritageFoundation on Feb 22, 2012 http://blog.heritage.org/2012/02/22/morning-bell-religious-liberty-under-attack/ | The controversy over the Obama Administration’s anti-conscience mandate and the fight for religious liberty only serves to highlight the inherent flaws in Obamacare. This conflict is a natural result of the centralization laid out under Obamacare and will only continue until […]

Is anything “free?”: According to Obama there is

Somebody will pay. You can bet on that. Obama’s Political Prophylactic Posted by Roger Pilon “White House compromise still guarantees contraceptive coverage for women,” reads theWashington Post headline coming out of President Obama’s press conference this afternoon. Trying to tamp down the escalating political storm his administration created three weeks ago when it ruled that, under Obamacare, employers with […]

Single-Payer healthcare system work? (Free Market response, Part 2)

_____________________________________________________ I would like to respond the idea of a single payer healthcare system by quoting from David Hogberg’s article “Free Market Cure – The Myths of Single-Payer Health Care.” He notes: A single-payer health care system is one in which a single-entity — the government — collects almost all of the revenue for and pays almost all of […]

 

By Everette Hatcher III | Also posted in President Obama | Comments (0)