Prescription for Disaster

CBO "Re-Scores" ObamaCare and it Will Cost Nearly $1 Trillion More Over the Next 10 Years

Thursday, March 15, 2012
The Congressional Budget Office has produced an updated estimate of the cost of ObamaCare. This "score" shows ObamaCare will cost much, much more than originally projected just 2 years ago. Here are what many are saying about the new budget analysis:

House Ways & Means Committee:

"When the Democrats' health care bill was signed into law, the nonpartisan Congressional Budget Office (CBO) estimated that it would increase spending on Medicaid and taxpayer-funded health insurance subsidies by $938 billion between 2010 and 2019. However, as Republicans repeatedly pointed out, this actually hid the true costs of the health care law, because the Medicaid expansion and health insurance exchange subsidies are not scheduled to begin until 2014, five years into CBO's mandated 10-year budget window.  Today, CBO released updated information which predicts the Democrats' health care overhaul will actually cost nearly $1.8 trillion between 2012 and 2022, CBO's new budget window. Once the Medicaid expansion and exchange subsidies are fully in place, the Democrats' health care law is certain to top more than $2 trillion. Americans were right to be concerned that the country cannot afford the Democrats' risky experiment – it can't."

Sen. Mike Enzi (WY), Ranking Member Senate HELP Committee:

“This new estimate shows that the health care law is rapidly increasing Medicaid spending, because it is forcing many more Americans into this mismanaged, government run health program. The CBO analysis is one more example of the President breaking his promise that Americans can keep their insurance if they like it. According to CBO, 4 million fewer people will have access to employer health insurance under this new law.”

Sen. Orrin Hatch (UT), Ranking Member Senate Finance Committee:

“This analysis exposes more of the real costs of the President’s unconstitutional, deeply-flawed health spending law. According to CBO, the costs to taxpayers may be an astonishing $2.13 trillion through 2022 alone. While President Obama promised that ‘If you like what you have, you can keep it,’ CBO found that as many as 20 million could lose their employer-sponsored health benefits and 49 million more Americans could become dependent on government-sponsored health care. This law keeps getting worse and worse; it needs to be repealed."

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Sen. Hatch Comments on Need for Medicaid Flexibility for the States

Wednesday, November 30, 2011
Senator Orrin Hatch (R-UT), ranking member of the Senate Finance Committeee, weighed in on a report from the National Governor's Association about the burden that Medicaid, and its expansion under ObamaCare, imposes on the states. From his November 29, 2011 Press Release:

"[T]he National Governors Association’s (NGA) Fiscal Survey of the States demonstrates why repealing the Medicaid Maintenance of Effort requirement, first imposed in the stimulus package and again in the $2.6 trillion health spending law, and modernizing the Medicaid programs is essential to allowing states effectively manage their Medicaid programs." 

"The report released today found that state budget deficits cumulatively amount to at least $365 billion over the next five years and that Medicaid enrollment is up by 17.7 percent with this joint federal-state program making up the largest portion of state budgets. The NGA also found, "spending on Medicaid is expected to consume an increasing share of state budgets and grow much more rapidly than state revenue growth, resulting in slow or no growth in education, transportation or public safety.

Reports about Medicaid can be found: here (from the RGA) and here (from Members of Congress). 


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Government May Have Concealed the True Costs of ObamaCare

Thursday, November 17, 2011

According to this article, the federal government may have intentionally hidden the true cost of the public. Read more here.

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4.5 Million Have Lost Health Insurance Since ObamaCare Became Law

Saturday, November 12, 2011

According to a new Weekly Standard article, 4.5 million Americans have lost their health care insurance since ObamaCare became law. This has occurred despite the President's promise that if you like your health insurance you can keep it.

As the article points out, the Congressional Budget Office had predicted that nearly 6 million more Americans would have health insurance in 2011 than in 2010 - including 3 million more people as a result of ObamaCare. So the Washington beancounters are off by a net total of 10.5 million people.

Read the full Weekly Standard article here.

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ObamaCare's Bombshell: Law Will Deny Many Americans Access to Affordable Insurance

Friday, October 28, 2011

Testimony this week before a House subcommittee revealed that ObamaCare's exchange subsidies will not be made available to many Americans. The Washington Examiner reported that Richard Burkhauser, a Cornell University economics professor, testified that under ObamaCare: (1) employers are required to provide insurance to their employees or pay a fine (tax); (2) the employer mandate does not require employers to provide coverage to their employee's dependents; and (3) that if one family member has employer-provided coverage the whole household becomes ineligible for subsidies offered through the state-based exchanges. What does this mean for a low income worker who has employer provided coverage? They will have to buy insurance on the individual market to insure their family.  Thanks to the increase in premiums that are a result of ObamaCare, the cost for insurance could cost a family of four making $28,000 per year as much as 43% of their income.  ObamaCare does not make the American families concerns over insurance costs better, in a lot of cases it will make those concerns worse.

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Its Official, Obama Administration Shelves CLASS Act

Monday, October 17, 2011

The Obama Administration is finally publicly admitting what critics of ObamaCare have known about the CLASS Act (the new long-term care entitlement program created in ObamaCare) prior to ObamaCare passing Congress - that the program was completely unsustainable.

On October 14, 2011, HHS Secretary Kathleen Sebelius notified Congress that the there was no "viable path forward for CLASS implementation at this time." She also indicated that the program would be suspended indefinitely.

The Congressional Budget Office had originally advised Congress that the CLASS Act would increase federal revenue by $86 billion from 2012 to 2021 (critics correctly called this a budget gimmick in ObamaCare because this provision would collect revenue in the short term while the major costs of the CLASS Act would occur in the out years).  With the suspension of the CLASS Act, ObamaCare will lose that "revenue" that helped give ObamaCare the appearance that the law was budget neutral.  

This comes on the heals of Congress repealing ObamaCare's 1099 reporting provision that was also supposed to produce $17 billion in revenue over 10 years.  As a result, ObamaCare has lost $103 billion in revenue over the past 18 months and the law is not even scheduled to take effect for another 27 months. This shows that the financial footing of ObamaCare will not be budget neutral and makes it even more imperative that Congress repeal the law.

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Another Insurance Mandate

Wednesday, August 10, 2011
Last week, Senator Thune published a great op-ed in The Washington Times, detailing the absurdity of the sheer size and scope of the federal government now that ObamaCare is the law of the land.

Docs4Patient Care has great commentary on Sen. Thune's op-ed, which can be found here.



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Enzi Introduces Bill to Close ObamaCare Loophole Giving Wealthy Medicaid Benefits

Wednesday, July 20, 2011

Senator Mike Enzi (R-WY) has introduced a bill to close one of ObamaCare's loopholes that allows early retirees with high incomes to enroll in Medicaid at the expense of federal and state loopholes.  Enzi has introduced a bill to close that loophole - according to Enzi's press release, his bill will save the taxpayers $13 billion.

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Former OMB Head Orszag on Med-Mal Reform

Monday, June 27, 2011
On June 24, 2011, CQ's HealthBeat News reports on recent statements by Obama Administration OMB head Peter Orszag. Orszag left the Administration and now is a VP at Citibank and has published a new article in Foreign Affairs magazine about ObamaCare.

In the article he suggests that the "biggest substantive shortcoming" of ObamaCare was its lack of medical liability reform. Orszag suggests that med-mal reform should have taken the form of providing "safe harbor for doctors who follow evidence-based guidelines" in treating patients.  This of course ignores the reality of medical practice. Guidelines are just that - guidelines.  In some cases, they may be the best course of action and in other cases not.  To suggest that doctors follow a bureaucratically developed timeline and course of treatment as the only way to avoid a malpractice claim would not serve patients well.  Once again, Orszag gets its wrong.

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Senator Johnson (WI) on the Impact of ObamaCare

Sunday, June 19, 2011
Senator Ron Johnson (R-WI) and former CBO Director Douglas Holtz-Eakin have a new op-ed published in The Washington Post on June 17, 2011 that details how ObamaCare will lead to lower quality of care and runaway costs.  You can read the op-ed here.

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