If only blinkered denial were a sound guide to policy. Then, Obamacare might be vindicating all the promises made on its behalf during the fevered push for its passage.
Alas, there’s no such place as the Big Rock Candy Mountain, where, as the hobo anthem has it, “the hens lay soft-boiled eggs” and “the handouts grow on bushes.”
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One of the law’s more blatant gimmicks just died after the administration ran smack into the adamantine rules of basic accounting, and one of the law’s central provisions might be overturned by the Supreme Court. The Obama administration’s signature legislative accomplishment is a standing testament to the foolishness of saying and doing anything to pass a bill as complex and sensitive as one remaking the American health-care system.
The expiring budgetary gimmick is the Community Living Assistance Services and Supports, or CLASS, Act. This new entitlement for long-term care was going to collect premiums for five years before paying out benefits. In the highly theoretical bookkeeping of the Congressional Budget Office, this made it a deficit-reduction measure; the program would collect $70 billion over the first ten years of Obamacare, the window for CBO estimates. Thereafter, it would pay out benefits at an unsustainable clip.
Only in Washington could lighting a fuse on an exploding entitlement be considered an act of fiscal rectitude, but the CLASS Act accounted for almost half of the official deficit reduction of Obamacare. Everyone knew it was shameless legerdemain. In 2009, the Democratic chairman of the Senate Budget Committee pronounced the CLASS Act a “Ponzi scheme of the first order.” The actuary for Medicare warned during the drafting of the program, “Thirty-six years of actuarial experience lead me to believe that this program would collapse in short order and require significant federal subsidies to continue.”
The Obama administration persisted anyway. The long-term-care program had been a cherished priority of the late Ted Kennedy, and besides, it helped with the numbers. Obama’s Department of Health and Human Services wrestled to make the program workable before giving up last week. An HHS official with a gift for understatement explained that putting the program on a sound actuarial footing during the next 75 years and implementing it as written were goals in “some tension.”
To work, the CLASS Act needed a mandate. Otherwise, young and healthy people wouldn’t sign up for it, and the cost of premiums would spiral out of control. This is why, more broadly, the individual mandate is so important to Obamacare. Without it, the health-insurance system will experience the same “death spiral” that prospectively doomed the CLASS Act.
As it happens, this indispensable piece of the law is of dubious constitutionality. When the bill passed, the administration and its supporters pooh-poohed constitutional challenges to the individual mandate. Now, the administration itself wants an expedited Supreme Court review and is hoping to squeak by on a 5–4 vote.
The promised wonders of the law are faring poorly. Premiums are up, and the CBO says Obamacare will not control costs over the long run. White House deputy chief of staff Nancy-Ann DeParle insists the president’s assurance that families will see their premiums reduced by $2,500 annually will indeed materialize — around 2019, three years after the end of an Obama second term.
Studies are showing that more employers than anticipated may stop offering their employees insurance, thus increasing costs to the federal government. In this connection, DeParle has added a caveat to the president’s oft-repeated assurance that people can keep the coverage they have. What he really meant, she says, is that people won’t be affirmatively forced out of their plans by government, which has a less reassuring ring.
Malcolm Muggeridge once said, “People do not believe lies because they have to, but because they want to.” It was in this spirit that Democrats wanted to believe in Obamacare. The CLASS Act is the first, but surely not the last, rude collision between their wishfulness and reality.
— Rich Lowry is the editor of National Review. He can be reached via e-mail: comments.lowry@nationalreview.com.
It is anathema that trust has been subordinated to the political pay for play justified by trite sloganeering in the interests of the people. The ‘ creative’ accounting that hides everything off the balance sheets, whether the OMB or Primary Dealer banks to the Fed is an inexcusable fiscal and political legerdemain. A true reckoning of the liabilities that only a lack of candour will suffice, destroys a nation’s value and its trust.
I still wonder whether we could all just pay the fine for not getting insurance (or is it a tax? seems to vary), and then get what insurance we want. Catastrophic, for instance, with a $1000 deductible.
No, the Act disallows HSA's. It's more like $2,700 and $5,500 deductible currently. Obama, NOW, wants it to be considered a tax. But one gets NOTHING for the "penalty" tax.
The Left and their relentless pursuit of their ideology by hocus-pocus and mumbo-jumbo has given me and many other Americans to have a case of the heebie-jeebies. "Pass the bill so we can see what is in it" Pelosi hubris should have had the Left and the Main Stream Media hanging their head in shame. It didn't! Didn't that one event say all that needed to be said to America?? Its simple folks: They are that eager to take America down! Wake Up and Fire Them...
Yawn. Government lies. Why is this such a big surprise to everyone?
You all have not been paying attention, have you?
98% of Congress is going to be re-elected, just like always. If you don't like ObamaCare, get off your behinds and vote against EVERY incumbent. You might just slow our slide into the abyss if you do.
Obamacare is a disaster. It's already showing cracks, as it should. Whenever you increase demand (more insured) while decreasing supply (fewer doctors, fewer drugs, less hospitals) prices will spike. www.cobrahealth.com/Obamacare.html
I recall a big piece of the CBO savings came from Dem's and O's other trickery which tacked on government-run Student Loan Programs. Given that, how much savings can be left for O-care? We need this thing re-scored.
All that needs to be said about the CLASS Act is that it was "a cherished priority of the late Ted Kennedy". If there has ever been a public figure who has been associated with more harebrained, ill-conceived, ruinous big-government programs done in the name of "the little guy", I'm not aware of one. Ted Kennedy was a gigantic disaster of the first order for this country. The soft-pedaling by the media of what a clown he was is to their great shame.
Can the executive branch pick and choose which parts of legislation written by Congress and signed into law by the President because it is now deemed unworkable? Doesn't this have to go back to Congress to vote on repealing that portion of the law? And what about the severability clause that, supposedly, does not allow portion of the law to be severed? Does that only apply to lawsuits or would that be applicable here? Oh wait I forgot, King Obama can do as he pleases.
The Left and their relentless pursuit of their ideology by hocus-pocus and mumbo-jumbo has given me and many other Americans a case of the heebie-jeebies. "Pass the bill so we can see what is in it" Pelosi hubris should have had the Left and the Main Stream Media hanging their head in shame. It didn't! Didn't that one event say all that needed to be said to America?? Its simple folks: They are that eager to take America down! Wake Up and Fire Them...
Democrats hated the CLASS program before Republicans did. The CLASS portion of the Affordable Care Act was written and executed the way all laws of this magnitude should be written. If the study cannot produce the numbers needed to make it work, then don't enact it. That's what was done here, so while there is budgetary hocus-pocus about deficit reduction, everyone is glad this one is gone.
Lowry suggests that "premiums are up", implying the ACA is the cause. No, just private insurance gouging in advance of 2014.
Obama's big mistake was passing a Republican health model and assuming they could live with it. The Republicans hate everything Obama does so while he had a super-majority, he should have enacted a single payer plan and that would have been the ended the argument.
So in other words, Obamacare, the bill that just had to be passed to see what's in it, might do ITSELF in!? Could there be any greater irony..or justice?
We've been identifying you as we've been talking as "'The Great Unraveling' Author" and the punctuation should have been "Author — comma — 'The Great Unraveling.'"
Of course Obamacare is a disaster. But the status quo is a disaster too. What we really need is a totally unregulated, free market in medicine and medical care and medical products. No government licensing of doctors, nurses and workers, no prescriptions necessary to buy the drugs and medicines you choose, no government regulations, FDA, mandates, prohibitions, or medical welfare programs. If left to the efficiencies of the free market, medical care would be as plentiful and cheap and as high quality as flat screen TV's or any other legal product. We really need freedom and free markets. In fact, we need free market anarchism.
Of course Obamacare is a disaster. But the status quo is a disaster too. What we really need is a totally unregulated,
free market in medicine and medical care and medical products. No government licensing of doctors, nurses and workers,
no prescriptions necessary to buy the drugs and medicines you choose, no government regulations, FDA, mandates,
prohibitions, or medical welfare programs. If left to the efficiencies of the free market, medical care would be as
plentiful and cheap and as high quality as flat screen TV's or any other legal product. We really need freedom and
free markets. In fact, we need free market anarchism.