Supporters of Obamacare often attempt to reassure themselves by claiming that opponents of the law are ignorant and demagogic. The PPACA Pack, on the other hand, is enlightened, cerebral, and compassionate.
In reality, however, Democrats are the ones who speak most demagogically about health care. Like when the Democratic National Committee says that “insurance companies … overcharge for insurance just to boost their profits and CEO bonuses.” Indeed, the DNC went so far as to claim that Obamacare “frees Americans from the fear of insurance companies raising premiums by double digits with no recourse or accountability.” Kathleen Sebelius and the DNC would have you believe that Obamacare prevents rate hikes by cracking down on those demonic, profit-hungry insurance companies, and that repealing the law would allow insurers to once again run amok.
So, then, how to explain the news this month that Blue Shield of California was “seeking cumulative hikes of as much as 59% for tens of thousands of customers” this year? Wasn’t PPACA supposed to stop these supposedly abusive practices?
Unfortunately not. Blue Shield has stated that the new rates “meet the federal requirement that 80 percent of premiums are spent on healthcare expenses,” putting paid to the nonsensical argument that marketing expenses and CEO bonuses are driving premium increases. As Blue Shield detailed in a lengthy statement, the rate hikes correlate directly to increases in the cost of health care, including 4 percent “to cover the costs of enhanced benefits required under healthcare reform.” Despite these increases, Blue Shield expects to lose $10-20 million in 2010 and $20-30 million in 2011 on their individual plans.
New California insurance commissioner Dave Jones, in his first act in office, fired off a letter to Blue Shield, calling on the insurer to suspend its rate hike. “I wish to satisfy myself that all the pending proposed increases have been thoroughly and excessively reviewed.”
But Blue Shield of California is a not-for-profit entity “that has long advocated for universal coverage,” and the company was not cowed by Jones’ posturing. Instead, Blue Shield CEO Bruce Bodaken said the company would have its increases reviewed by an independent actuarial consultant, promising to refund Blue Shield’s policyholders with interest if the company had calculated its rate increases incorrectly.
But neither independent consultants nor press releases from politicians can change the basic facts of health costs. As Jordan Rau recently chronicled in an insightful piece for Kaiser Health News, hospitals are taking advantage of their monopoly status to charge more for their services, and insurers have no choice but to pass those increases onto their policyholders, or they would go out of business.
Indeed, Obamacare is guaranteed to increase, not decrease, underlying health costs. The law subsidizes excessive health spending, and imposes costly mandates on insurance plans that drive costs upward. Those who are genuinely concerned about rising health costs must start by repealing that law.
UPDATE: If you’re a fan of Xtranormal, you’ll enjoy this take-down of the Left’s view of health insurance:
— Avik Roy is an equity research analyst at Monness, Crespi, Hardt & Co. inNew York City. He blogs on health-care issues atThe Apothecary.
Our insurance rates didn't actually increase this year. Not directly. But our deductibles were raised and we paid more for medical care and for prescription drugs as a result in 2010. At least we haven't lost our health-care plan. Yet.
If you want to see rate increases, wait until the ban on denials of coverage for pre-existing conditions kicks in. Faced with a choice between monthly premiums of $500 to $1500 and a 2.5% payroll tax penalty for going bare (e.g., $150/mo on income of $6,000/mo), all reasonably healthy people will go bare. If the risk pool consists solely of people who are in claims-making status, an insured's premiums will drift upwards until they are equal to the insured's medical expenses.
Our rates went up, our deductibles & our prescriptions increased...and my husband made $6000 less than the $9000 less he made last year...but, you're right, at least he has a job...for now.
This points out the real problem with making health care "affordable" (as if the government ever made anything affordable). You reduce the disincentive to go to the doctor by making it cheap or free, and you increase demand. Demand increases, but supply does not increase. Supply only increases if there is a profit to be made. With Medicare and Medicaid underpaying hospitals charge more to the insureds there is less incentive to sell more healthcare. The hospitals are not seeing the profit that they should. Screw around with supply and demand and this is the sort of mess we get.
You think all of this is fun, wait until January 1, 2014. When that ball drops in New York everyone's premiums and healthcare costs are going to go in the opposite direction.
Mark my words: The minute that clock changes from 11:59pm December 31, 2013 to Midnight January 1, 2014 Obamacare will drop into the red like a cemented mafioso thrown into the Hudson.
I dated Bruce Bodaken the CEO of Blue Shield of CA and I can tell you he lives like a "Movie Star", we would go on lavish trips all over. For example Hawaii first class resorts and always paid by Blue Shield, has anyone gone to his office or home? I think Californians would be amazed if they knew how much this guys spends on his shoes (he is a major shoe hound) I think he had over $250,000 invested in handmade shoes, and we would stay in lavish places all over California ie. pebble beach, la jolla, la quinta.
Mr. Roy,
Our insurance premiums haven't increased, nor has our coverage been reduced. This is silly. You may address these items by those terms, but we prefer the terms "enhancement" or my personal favorite, "feature."
It's all about the language, understand?
You call it fraud, we call it advanced economics, etc, etc.
Let me assure you, your liberal friends in congress not only know much better than you, but we have YOUR best interests in mind! *wink wink*
Now please ignore that man you spy behind the curtain.
Mr. Roy thanks for the work. Regardless of what BHO says or does, we need only remember one phrase lest the fools be fooled again, "when you spread the wealth around it's good for everybody."..."centrist"???!!! What a complete joke.
We have private tag agencies here in Oklahoma for auto registration and drivers licenses. The level of service is unbearably bad. Man, do I miss the California DMV. (I'm completely serious.)
When you have a middleman (insurance industry) trying also to make a living along with the medical provider you're going to pay more....and as users drop their coverage the ones left are going to pay more to keep the income stream constant....my perspective...it would be better to set up a coverage plan with the medical provider (hospital) and eliminate the middleman.
Please, do not be fooled. Golden Rule, A United Healthcare Company went up on my health insurance. I was paying 436.00 a month. I received a letter of the changes, however they also mentioned if I wanted a lower rate, I could raise my deductible. How is the Obamacare affordable, when I have to raise my deductible $2000.00 more dollars just to pay what I was paying before. That not affordable. The insurance company are just getting what they were getting before, by saying that you can just raise your deductibles to afford the insurance. You can clearly see that some of them are not for the people, they are for the large companies, and for themselves, who can afford to pay or don't have to pay for healthcare. Can we ever get someone in office that really care, about the people and for our military. I'm tired of the same old things. What happened to change. They don't care about the people. They just take,take & take. There ought to be a class action suit against the insurance companies, who raise our insurance because of the changes. How do you make health care affordable when you go up on the individual insurance. We are relatively healthy people, but had to raise our deductible to keep our heads above water. This does not make any sense.
Our insurance rates didn't actually increase this year. Not directly. But our deductibles were raised and we paid more for medical care and for prescription drugs as a result in 2010. At least we haven't lost our health-care plan. Yet.
Reply to this commentLinkReport AbuseIf you want to see rate increases, wait until the ban on denials of coverage for pre-existing conditions kicks in. Faced with a choice between monthly premiums of $500 to $1500 and a 2.5% payroll tax penalty for going bare (e.g., $150/mo on income of $6,000/mo), all reasonably healthy people will go bare. If the risk pool consists solely of people who are in claims-making status, an insured's premiums will drift upwards until they are equal to the insured's medical expenses.
Reply to this commentLinkReport AbuseOur rates went up, our deductibles & our prescriptions increased...and my husband made $6000 less than the $9000 less he made last year...but, you're right, at least he has a job...for now.
Reply to this commentLinkReport AbuseThis points out the real problem with making health care "affordable" (as if the government ever made anything affordable). You reduce the disincentive to go to the doctor by making it cheap or free, and you increase demand. Demand increases, but supply does not increase. Supply only increases if there is a profit to be made. With Medicare and Medicaid underpaying hospitals charge more to the insureds there is less incentive to sell more healthcare. The hospitals are not seeing the profit that they should. Screw around with supply and demand and this is the sort of mess we get.
Reply to this commentLinkReport AbuseYou think all of this is fun, wait until January 1, 2014. When that ball drops in New York everyone's premiums and healthcare costs are going to go in the opposite direction.
Mark my words: The minute that clock changes from 11:59pm December 31, 2013 to Midnight January 1, 2014 Obamacare will drop into the red like a cemented mafioso thrown into the Hudson.
Reply to this commentLinkReport AbuseI dated Bruce Bodaken the CEO of Blue Shield of CA and I can tell you he lives like a "Movie Star", we would go on lavish trips all over. For example Hawaii first class resorts and always paid by Blue Shield, has anyone gone to his office or home? I think Californians would be amazed if they knew how much this guys spends on his shoes (he is a major shoe hound) I think he had over $250,000 invested in handmade shoes, and we would stay in lavish places all over California ie. pebble beach, la jolla, la quinta.
Reply to this commentLinkReport AbuseMr. Roy,
Our insurance premiums haven't increased, nor has our coverage been reduced. This is silly. You may address these items by those terms, but we prefer the terms "enhancement" or my personal favorite, "feature."
It's all about the language, understand?
You call it fraud, we call it advanced economics, etc, etc.
Let me assure you, your liberal friends in congress not only know much better than you, but we have YOUR best interests in mind! *wink wink*
Now please ignore that man you spy behind the curtain.
Reply to this commentLinkReport AbuseMr. Roy thanks for the work. Regardless of what BHO says or does, we need only remember one phrase lest the fools be fooled again, "when you spread the wealth around it's good for everybody."..."centrist"???!!! What a complete joke.
Reply to this commentLinkReport AbuseWe have private tag agencies here in Oklahoma for auto registration and drivers licenses. The level of service is unbearably bad. Man, do I miss the California DMV. (I'm completely serious.)
Reply to this commentLinkReport AbuseWhen you have a middleman (insurance industry) trying also to make a living along with the medical provider you're going to pay more....and as users drop their coverage the ones left are going to pay more to keep the income stream constant....my perspective...it would be better to set up a coverage plan with the medical provider (hospital) and eliminate the middleman.
Reply to this commentLinkReport AbuseWhy should it be "excessively reviewed?" That's a silly statement from the insurance commissioner. But I'm glad to see the old Monkey has a job.
I love the zebra rug in the video. The man with the beard is pro-second amendment.
Reply to this commentLinkReport AbuseThat video was kinda lame, not really that funny, the arguments were not fully articulated.
Reply to this commentLinkReport AbusePlease, do not be fooled. Golden Rule, A United Healthcare Company went up on my health insurance. I was paying 436.00 a month. I received a letter of the changes, however they also mentioned if I wanted a lower rate, I could raise my deductible. How is the Obamacare affordable, when I have to raise my deductible $2000.00 more dollars just to pay what I was paying before. That not affordable. The insurance company are just getting what they were getting before, by saying that you can just raise your deductibles to afford the insurance. You can clearly see that some of them are not for the people, they are for the large companies, and for themselves, who can afford to pay or don't have to pay for healthcare. Can we ever get someone in office that really care, about the people and for our military. I'm tired of the same old things. What happened to change. They don't care about the people. They just take,take & take. There ought to be a class action suit against the insurance companies, who raise our insurance because of the changes. How do you make health care affordable when you go up on the individual insurance. We are relatively healthy people, but had to raise our deductible to keep our heads above water. This does not make any sense.
Reply to this commentLinkReport Abuse