The New York Times reports:
Seeking to appease disgruntled governors, President Obama plans to announce on Monday that he supports amending the 2010 health care law to allow states to opt out of its most burdensome requirements three years earlier than currently permitted.
So the president is finally acknowledging that Obamacare is unworkable and will impose enormous burdens on the states. Or is he?
A closer look shows that the president is not lifting the burdensome requirements Obamacare imposes on states. All he’s doing is proposing to move up, from 2017 to 2014, the date when states can apply for federal permission to impose a different but equivalently or more coercive plan to expand health-insurance coverage. Here’s what the Times says about the legislation Obama will reportedly endorse, which was introduced by Sens. Ron Wyden (D., Ore.) and Scott Brown (R., Mass.):
The legislation would allow states to opt out earlier from various requirements if they could demonstrate that other methods would allow them to cover as many people, with insurance that is as comprehensive and affordable, as provided by the new law. The changes also must not increase the federal deficit.
If states can meet those standards, they can ask to circumvent minimum benefit levels, structural requirements for insurance exchanges and the mandates that most individuals obtain coverage and that employers provide it. Washington would then help finance a state’s individualized health care system with federal money that would otherwise be spent there on insurance subsidies and tax credits.
So states can “opt out” of Obamacare’s individual mandate if they cover as many people, with as many benefits and as many government subsidies, as Obamacare would. The Times quotes “administration officials” on how states might do that:
The administration officials said the so-called state innovation waivers in the Wyden-Brown bill might allow a state to experiment with ways to entice people to obtain insurance rather than requiring them to buy policies. It also might allow interested states to establish a single-payer system in which the government is the sole insurer. Gov. Peter Shumlin, a newly elected Democrat in Vermont, is pursuing such a proposal.
No such state plan can make a dent in the federal laws that are fueling the relentless growth in the cost of health care (see Medicare, the federal tax treatment of health care, etc.). Therefore, the only way that states could cover as many people as Obamacare does is by using Obamacare’s tactic of forcing people to buy exorbitantly costly health insurance. And if they’re not going to use an individual mandate, the only remaining option is a single-payer health-care system.
President Obama’s move is not about giving states more flexibility. It’s about moving the nation even faster toward his ideal of a Canadian- or British-style single-payer health-care system.
By the way the developer of the Vermont proposal is none other than William Hsaio. This is the fellow who gave us us Medicare's physician payment price controls. Oh, pardon me, RBRVS. I'm sure he has already calculated what medical procedures in Vermont are worth. One of theses days they may actually have to consider teaching microeconomics to the faculty at the Harvard School of Public Health.
Reply to this commentLinkReport AbuseThe Left is nothing if not crafty.
Reply to this commentLinkReport AbuseSpeeding up the opt out of a declared unConstitutional program?
God help America!
Reply to this commentLinkReport AbuseSure, now that it's ruled unconstitutional, let's pretend that its inevitable and offer the states a few crumbs for implementing it anyway.
Reply to this commentLinkReport AbuseMaster of understatement - Rick Perry for calling the president's approach "Disappointing"!
The states are in revolt already, and if the Supreme Court does not strike Obamacare down in toto, nullification laws will surely follow. We the People demand that the sovereign states protect their citizens from Federal overreach.
Governor Perry, I share your disappointment in this “approach” but I would remind you that it is not “The Presidents” approach it is Scott Brown’s approach that the President is exploiting.
Brown, a pro abortion, pro homosexual rights, pro New Start, and now Pro Dodd Financial Reform, now endorses a measure that ultimately leaves the monster alive thus undermining repeal efforts.
We can opt out of ObamaCare as-long-as we have insert-your-governors-nameCare; and as-long-as its as bad as ObamaCare; thanks.
Is a Rebublican who is working against you worse than a Democrat working against you? Yes.
We must stop voting for people because they are "better" then the other guy. They are not.
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