Showing posts with label Obamacare. Show all posts
Showing posts with label Obamacare. Show all posts

Wednesday, October 30, 2019

“The Point’s Demon-Guarded”

     Remember this famous proto-prog anthem?

     Kansas was a trailblazing band in its day. The titans of Glass Hammer hold their music in high regard. Forty-two years have passed since “Point Of Know Return” was first recorded, and it remains striking and compelling far beyond the greater part of the popular music that’s followed.

     A point of no return is always “demon-guarded.” That’s why there’s “no return:” the demons forbid it. (Ever tried arguing with a demon? A word of advice: don’t bother.) In politics and public policy the demons are especially fierce:

  1. They look human (some actually claim to be human);
  2. They wield terrifying weapons (e.g., fines, imprisonment, seizures);
  3. They can induce you to become dependent upon their demoniac emissions.

     For my money, condition #3 is the worst of the lot. If a policy can induce dependency in the populace, such that the people cannot imagine ever going back to its pre-enactment conditions, they’re in for the proverbial world of hurt.

     That’s the sort of condition politicians avid for increased power over you will strive with all their evil ingenuity to create.


     I’ve been sitting on this article for a while:

     While the Democrats continue their impeachment pantomime war dance in the mirror-clad corner in order to keep up their spirits, Senator Chuck Schumer (D-N.Y.) is ginning up a much more fateful danse macabre on health care. He has promised to force a vote this week on various Trump Administration directives that have injected flexibility into Obamacare. As The Hill reports, “Senate Democrats plan to force vulnerable Republicans to vote on legislation that would overturn a controversial Trump administration directive on ObamaCare.”

     The idea is that Democrats can force besieged lawmakers such as Susan Collins (R-Maine) and Martha McSally (R-Arizona) to take a stand and make an unpopular vote on the issue that voters consistently identify as the most important: health care.

     President Trump and the genuine Republicans in the Senate have struggled to undo ObamaCare. (“Genuine Republicans” is meant to omit the late John McCain, who, unless he repented most fervently before his passing, is surely burning in Hell for voting to protect that obscenity.) They’ve chipped away at it with some measures, including the “1332 waivers” mentioned later in the article. But the Democrats are determined to preserve it. Why? Because government control of medical care is a point of no return: a measure that induces popular dependency upon the State. No nation that has enacted it has ever managed to repeal it. It quite literally gives the State the power of life and death over every man under its sway.

     Admittedly, ObamaCare – strictly speaking, the Patient Protection and Affordable Care Act of 2010 – doesn’t go all the way. Doctors and nurses are still private citizens rather than involuntary employees of the State. Medical products are still made and vended by private companies. And citizens can still buy their own medical insurance. But it narrows the gap between the previous, largely free-market system for acquiring medical care and the Democrats’ ideal, in which the State stands between the patient and the provider in all things, including payment for services.

     ObamaCare achieves that narrowing by fastening D.C.’s claws upon the method by which most major medical expenses are defrayed: through insurance. The PPACA sets stringent rules upon what a legally permissible insurance policy must cover, under what circumstances, and subject to what limitations. It came close to giving an unelected, unreviewable bureaucracy the final word on what procedures an insurance policy is required to finance. (Remember the debate over “death panels?”) And it caused patients’ out-of-pocket expenses, both for premiums and for medical care, to shoot upward.

     But it also created an iron triangle: a subsector inside the Department of Health and Human Services, a cartel of major medical insurance providers, and a significant community of beneficiaries who could not previously afford medical insurance. And of course the Democrats purely love it.

     In fact, they want to go much, much further:

     I’m with Bernie on ‘Medicare for all.’ And let me tell you why. I spent a big chunk of my life studying why families go broke. And one of the number one reasons is the cost of health care, medical bills. And that’s not just for people who don’t have insurance. It’s for people who have insurance.

     “Look at the business model of an insurance company. It’s to bring in as many dollars as they can in premiums and to pay out as few dollars as possible for your health care. That leaves families with rising premiums, rising co-pays, and fighting with insurance companies to try to get the health care that their doctors say that they and their children need. ‘Medicare for all’ solves that problem.

     “And I understand. There are a lot of politicians who say, ‘oh, it’s just not possible, we just can’t do it, have a lot of political reasons for this.’ What they’re really telling you is they just won’t fight for it. Well, health care is a basic human right, and I will fight for basic human rights.”

     That’s the Dishonorable Elizabeth Warren speaking. She’s currently a front-runner for the Democrats’ presidential nomination. And she’s not alone in her advocacy of government-controlled medical care.


     To the extent that the 2016 elections were about Supreme Court justices, the 2020 elections will be about medical care. The United States is an aging nation. Our national fertility rate has slipped below the ZPG level, which means the population is growing slowly older every year. That causes the subjects of medical care, its availability, and its affordability to become steadily more important.

     The Democrats want you to fear that you won’t be able to afford the care required to keep you alive without the supervision of the Omnipotent State. They want to persuade you that without D.C.’s close control of all things medicine-related, you’ll be left without medical care, whether because you can’t afford insurance, or because the insurance company will arbitrarily deny you coverage for your treatment.

     A lot of Americans have already bought into ObamaCare. Some of them probably believe that without it they’d be uninsured, and therefore helpless.

     The insurance companies that have labored to conform their offerings to the PPACA’a dictates have resisted the idea of going back. There’d be a lot of work involved. And they’d have to offer policies customers would purchase voluntarily. Unthinkable.

     And the bureaucrats in HHS can be counted on to favor it – and to vote Democrat next year.

     Be afraid.

Wednesday, March 22, 2017

The Political Chimera Of 2017

     The most curious aspect of our current situation in federal politics is one that’s hardly been discussed, much less explored in depth. The issue in controversy is the Republican Party’s stated intention to “repeal and replace ObamaCare,” the 2700 page legislative monstrosity that’s hashed medical insurance in these United States into an unpalatable mess.

     It’s been opined by many a pundit that among the reasons Mitt Romney was defeated in 2012 was his inability to campaign against ObamaCare, since he’d imposed a similar sort of medical-insurance fascism on Massachusetts during his term as governor. This, of course, is unfalsifiable, as the “experiment” can’t be repeated in a controlled fashion. However, it’s plausible, especially in light of the smashing victory of a presidential candidate who did campaign against ObamaCare: Donald Trump. At any rate, Trump made the repeal of ObamaCare a major platform plank. As he’s a man who expects to keep his promises, and who believes the public expects the same, Trump has made that outcome an early-first-term goal.

     Enter the Republican caucus in Congress. When we’ve spoken with disdain of “Establishment Republicans” these past few years, these are the specimens we’ve had in mind. The repeal-and-replace mission has caused them no small amount of agony. At this point it’s doubtful that any bill that reaches the floor of the House of Representatives or the Senate will much resemble what the millions who elected Trump had hoped for.

     Why? The GOP now controls both the White House and Capitol Hill. With Trump in the Oval Office they no longer need to fear a veto. Senatorial filibusters have already been largely eliminated; the vestiges of that procedural rule are likely to fall very soon. The Supreme Court is unlikely to obstruct the process. So what’s the problem?

     This deserves careful treatment, so grab a fresh cup of coffee while I limber up.


     Any watcher of American politics will be aware that neither Republicans nor Democrats exhibit much fidelity to their campaign rhetoric. Both camps are aware of the general tenor of the electorate at any moment; they spend huge sums striving to make sure of it. And both camps will tell the voters what they think the voters want to hear, regardless of what they really intend once safely ensconced in office.

     Donald Trump has upset the applecart by making it plain through his actions that he intends to keep his campaign promises. This has upset many of Capitol Hill’s veterans, to say nothing of the political strategists and kingmakers in the GOP. The major point here is one that is taken as axiomatic by those persons: that once an entitlement is created, it cannot be taken away.

     That was the defensive redoubt of Social Security for many years. “They paid into it. They expect it. If we take it away, they’ll crucify us!” And indeed, there was some logic to it, as Social Security is nominally funded by a specific payroll tax. An American who believes he’s paid for something will not look favorably upon a politician who proposes to take it away. The same is true of Medicare, albeit to a weaker degree.

     I have no doubt that some voters would be displeased by the repeal of ObamaCare...but who are they? Did they vote for Trump or any other Republican now in a federal office? Would they be likely to do so in some future election? Is there some prospect of a benefit from pleasing such voters that would outweigh the displeasure of those who did support Trump and the Republicans in Congress?

     I can’t see it, myself. Moreover, we normally expect those we send to Congress to be reasonably intelligent. Granted that there are no Certified Galactic Intellects there, it’s not excessive to expect them to see what’s visible to the rest of us, and to answer easily answered questions...easily.

     But perhaps the political context isn’t as clear to those federal Republicans as it seems to me.


     In Robert Pirsig’s landmark Zen and the Art of Motorcycle Maintenance, his alter ego Phaedrus is both inspired and confounded by a simple mantra: The more you look, the more you see. Rather than go into detail about how this was at first a stumbling block for Phaedrus, I’ll simply commend the book to those who haven’t yet read it. (For “extra credit,” determine why Phaedrus need not have been intellectually stymied, and what fault of logic led to his early troubles.)

     What I have in mind this morning is the inverse of that mantra, to wit: The less you look, the less you see. He who refuses to look past a certain predetermined horizon simply won’t see what lies beyond it. That can sometimes be fatal. One such case, sadly, is the reliance of politicians on the reports of pollsters and other public-opinion flacksters.

     The public-opinion “expert” has an agenda of his own. As with all of us, fulfilling that agenda will be higher in priority than anything else he might consider doing, including accurately and completely informing those who purchase his services. Indeed, the “expert’s” need to retain his clientele practically demands that he inculcate in them the assumption that his “expertise” is all they need – that they need not look beyond his reports.

     There is, of course, a spot of negative feedback available here. Ask Alf Landon. But in the near term, if the “expert” can persuade his politician client that the “expert’s” surveys and reports are all the politician needs to formulate his posture, it will serve the “expert’s” agenda.

     I have no doubt that many an “expert” has told his clients that his surveys indicate that the ObamaCare entitlement – i.e., the subsidies that go to some for the purchase of the insurance it mandates – is as untouchable as Social Security ever was. After all, no one has ever succeeded in repealing an entitlement. But then, no Congress has ever tried.


     Finally, among the major inhibitors of conservative action by Congress we must never neglect the baleful power of the media. The major media are completely and irretrievably “in the tank” for the Democrats and their version of social fascism. They will never, ever approve of a Republican initiative that reduces to any degree the power or the intrusiveness of the federal government. They put their considerable megaphones to the denigration of Republicans and the ideas of limited government with absolute predictability.

     The media get too much credit for just about everything. In particular, Republicans give the media too much credit for knowing the pulse of the American electorate. Every newspaper in America predicted the victory of Hillary Clinton. Despite her barely veiled promises to be a “third Obama term,” Republicans standing for office were virtually unanimous about their willingness to work with her and their uneasiness about Trump. They believed that the media and the pollsters it hired could see something they could not.

     This is not a complete picture, of course. There are some Republicans who live for good press. John McCain comes to mind. That habit cost McCain heavily in 2008, yet it seems not to have taught him anything. Perhaps some old dogs can’t learn, after all. However, he’s an exceptional case. Most Republicans are aware that the press – especially its most powerful barons –would prefer to see them reduced to the status of the Whigs. Yet they accept the accuracy of what the press writes about them and the popular opinion of them even so.


     Anyone can be wrong. Indeed, only by being wrong does anyone ever learn something new. But through this particular species of wrongness, the craven Republican caucuses on Capitol Hill are treading dangerously close to stamping a repealable entitlement with a Republican Seal of Approval. Perhaps the following graphic, shamelessly stolen from A Nod To The Gods, would enlighten them somewhat:

     “There are none so blind as those that will not see.” And of course, “The less you look, the less you see.” Verbum sat sapienti.

Tuesday, June 30, 2015

The SCOTUS Goes Rogue



There will be much written about the Supreme Court of the United States (SCOTUS) most recent King v. Burwell decision regarding the Orwellian named, “Patient Protection and Affordable Care Act.”  Derisively named “Obamacare” by its critics, it was aptly renamed “SCOTUS-care” by Samuel Alito who wrote a stinging dissent to the bizarre and lawless decision by the six partisan lawmakers in black robes masquerading as Supreme Court justices.  



The reason for the exact wording that the 6-3 majority deliberately chose to ignore was plainly disclosed by Jonathan Gruber in many of his arrogant lectures.  The subsidy (“free money”) was to only be available to those who "enrolled…through an Exchange established by the State..."  Some 34 states, primarily led by Republican Governors, chose not to establish State exchanges.  The left intentionally crafted the bill to incentivize states to create exchanges and punish those who didn’t.   


On January 18, 2012, Gruber, an economist who was paid millions of dollars as a consultant on the ACA, said, "What's important to remember politically about this is if you're a state and you don't set up an exchange, that means your citizens don’t get their tax credits."  On January 10, 2012, Gruber said, "... if your governor doesn’t set up an exchange, you're losing hundreds of millions of dollars of tax credits to be delivered to your citizens."  It was by design and codified in the law.


As the number of illegal invaders and ignorant Americans in our country rise faster than the temperature of a swine flu patient, the cost of health care will correspondingly explode.  As Ronald Reagan is often quoted as saying, “If you want more of something, subsidize it; if you want less of something, tax it.”  Only Obama, Pelosi, Reid and the other lying liberals could come up with a plan that manages to get the worst of both worlds -- subsidies creating inflation of prices and taxes to make less low-cost care available.   Not to mention, the less you earn/work, the greater your subsidy – a completely perverse incentive.


Some of the increased taxes to pay for this disaster include: “higher Medicare taxes, new annual fees on health insurance providers, fees on manufacturers and importers of brand-name pharmaceutical drugs and certain medical devices, limits on tax deductions of medical expenses, a new 40% excise tax on "Cadillac" insurance policies, and of course a 10% federal sales tax on indoor tanning services (or as Obama calls it, “the white privilege-tax”).


While it’s true it costs money to buy snake oil, and smart people usually have money, smart people don’t usually fall for the snake oil salesman’s pitch.  Stupid people, who might otherwise fall for the snake oil salesman‘s pitch, normally don’t have the disposable income for snake oil, or if they do, it’s not a lot of money; hence, the price of snake oil stays low.  But now, thanks to Obama/SCOTUS-care, the price of snake oil is about to explode, and those with money are about to fork out the money to buy it for those without. 


This is markedly different from the Georgia lottery. The lottery serves largely as a tax on the ignorant.  In the case of this government scheme, the state lures the uninformed and ignorant in to spend money they don’t have a lot of in the hopes of winning millions that they almost assuredly won’t.  The profits from this immoral but legal scam are then transferred to the children of the smart in the form of Hope Scholarships so that the cost of college tuition can continue to explode.  Easy-to-get student loans are similarly fueling runaway college costs.  The colleges know all-too-well that the parents are getting this “free” money, so they jack-up their prices accordingly.

If you thought health care or college is expensive now, just wait until it’s free.  Like the “cash for clunkers” program, Obamacare uses other people’s money to co-opt partakers into participating in the destruction of something that was actually working fine for many.  Like the lottery example above, the car dealer knows you got cash for your “clunker”, and you can bet he’ll get “his share” of that money.  The net result of cash for clunkers: a shortage of used cars for consumers that needed them and the complete destruction of those thousands of serviceable vehicles. 
 
The true destructive nature of Obamacare is yet to be fully realized.  Before you know it, the Supreme Court will rule two men can marry each other.  Truly, words have no meaning anymore.


This article was also appears in the 1 JUL 2015 Upson Beacon