Prescription for Disaster

Maine: Moving in the Right Direction

Friday, July 22, 2011

Tarren Bradgon (formerly of the Maine Heritage Policy Center) writes for the Heritage Foundation how the state of Maine is moving towards real market-based reforms to expand coverage and lower costs.  Read his commentary: here.

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC.


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Way & Means Committee's ObamaCare Year in Review

Wednesday, March 23, 2011
Marking the one-year anniversary of ObamaCare becoming law, the majority staff at the House Ways & Means Committee issued a summary of the bad effects ObamaCare has had over the past year.  Their summary is similar to one put together by AHEC staff earlier this month and published at A Line of Sight.

The Ways and Means (WAM) summary contained the following:
  • March 2010: Higher Costs for Employers, Fewer Jobs for Workers & States Revolt
  • April 2010: Higher Health Care Spending & Seniors’ Health Care in Jeopardy
  • May 2010: Myth of Small Business Credit Dispelled as Employers & More States Join the Repeal Effort
  • June 2010: White House Admits You Can’t Keep What You Have and Like
  • July 2010: Entire States Seek to Be Exempt from the Democrats’ Health Care Overhaul, Americans Begin Paying Higher Taxes, & Individuals Start Losing Their Health Insurance
  • August 2010: Seniors Learn They Will Lose Retiree Prescription Drug Coverage
  • September 2010: Employers Forced to Get a Waiver or Cancel Insurance
  • October 2010: Workers Forced to Pay Higher Health Care Costs
  • November 2010: American People Back GOP Pledge to Repeal 
  • December 2010: Law Declared Unconstitutional
  • January 2011: Law Again Declared Unconstitutional and Insurance Companies Stop Offering Coverage
  • February 2011: Administration Admits to Budget Gimmicks & CBO Says Law Will Mean Fewer Jobs 
  • March 2011: While Employers Struggle, Unions & State Governments Get Help; Waivers Total More than 1,000
Details of the WAM analysis can be found here.
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Sen. Enzi Issues Statement About One Year Anniversary of ObamaCare

Thursday, March 17, 2011
Yesterday, Senator Mike Enzi (WY) issued the following press release on the implementation for ObamaCare:

One Year Anniversary Of Health Reform Full Of Empty Promises; Less Choice, Higher Costs, New Taxes, Enzi Says

Wednesday, March 16, 2011

Washington, D.C. – Marking the one-year anniversary of the most sweeping health care legislation that the federal government has ever produced, Senator Mike Enzi (R-Wyo.), Ranking Member of the Senate Health, Education, Labor and Pensions (HELP) Committee, today said reform is turning out to be an empty promise that threatens jobs, small businesses and the financial security of families across the country.

“This new law is driving up health insurance premiums, forcing people to change their health plans and killing jobs,” Enzi said. “Americans were promised ‘If you like what you have you can keep it,’ but that is turning out to be nothing but an empty promise.”

During a press conference today, with Senators from the HELP and Finance Committees, Enzi focused on a string of disappointments resulting from the bill, including:
  • $500 billion in Medicare cuts and $500 billion in tax increases.
  • Unrivaled expansion of the federal government’s involvement in the lives of everyday Americans. 
  • Dramatic increases in health insurance premiums, including a 59 percent increase announced by the not-for-profit California insurer, Blue Shield, for some of their individual market plans.
  • Costly changes in tax laws, such as the 1099 form requirement, which, on top of higher health insurance premiums, will force employers to eliminate jobs and reduce wages.
“When the Administration’s own estimates say 80 percent of small businesses will lose their current insurance plans and be forced to purchase more expensive plans, it is clear this is not the right prescription for health reform,” Enzi said. “Congress needs to pursue a step-by-step, bipartisan approach to health reform that will reduce costs, expand coverage and allow our economy to expand. This law will not help us reach that goal – not ever.”

Enzi promised to focus on ways to eliminate provisions in the new law that will increase choice in health care while decreasing health care costs. “We must make health care more affordable, both for consumers and the federal taxpayer,” he said.

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Further Proof that ObamaCare is Bad Medicine

Sunday, March 13, 2011
Nearly 33 million people have Flex Savings Accounts with which they can use pre-tax dollars to pay for out-of-pocket medical costs.  Millions more have an HSA or an HRA.  These accounts empower consumers who are put in charge of their own healthcare dollars.  ObamaCare restricts the use of these plans by eliminating consumers' ability to use their HSA, FSA or HRA to purchase over-the-counter drugs and then to double the tax penalty for improper usage.

The Wall Street Journal recently reported that consumers have found a way to get around ObamaCare but it is leading to incredible inefficiency and waste in the healthcare system. Patients are now visiting their doctor before going to the local drug store in the hopes that the doctor will write a prescription for things like aspirin, diaper rash cream, and cough medicine.  Things consumers could, before ObamaCare, previously use their HSA or FSA to purchase.  This change in behavior is perfectly predictable and demonstrates that the HSA/FSA changes are further proof that ObamaCare is bad medicine.

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AHEC's March Newsletter Details How ObamaCare will Place the Burden of Reform on the Backs of Young Adults

Wednesday, March 09, 2011
Today, AHEC released its March Newsletter which is focused on how ObamaCare places the cost burden of "reform" on the backs of hard-working, young adults between the ages of 20 and 34.  The newsletter details what impact various policies contained in ObamaCare will have on young adults, including:

   (1) The individual mandate - how it forces young adults to subsidize other people's health insurance,
   (2) Treating 19 to 25 year olds as a dependent "child" of their parents - and its subsidizing impact,  
   (3) Changes to HSAs - how ObamaCare makes consumer-centered policies less attractive,
   (4) ObamaCare's new tax burden - a burden that will be born by young workers and young families, and 
   (5) Exchange subsidies - how these will create perversive incentives and wage disparity. 

Each of these provisions will have a negative affect on many young adults.  You can find the newsletter here.


Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC.

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One Year After ObamaCare: AHEC's Primer for Policymakers

Wednesday, March 09, 2011
As America nears the one-year anniversary of ObamaCare becoming law, AHEC has released a new document entitled: "A Policymaker's Primer on ObamaCare: The Myths, the Costs and a Practical Guide to Defunding the Government Takeover of Healthcare in the 112th Congress."

The following is the Primer's Abstract:

On March 23, 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act, which is commonly referred to as ObamaCare. This law includes a series of provisions that will have a dramatic impact on America’s healthcare system, including: (1) increased taxes and compliance burdens imposed on small businesses; (2) changes to HSAs that make them less useful to individual consumers and increased fines for non-qualified distributions; (3) deep cuts to Medicare Advantage, the free-market portion of Medicare; (4) a significant expansion of Medicaid, which will threaten state budgets; and (5) an unprecedented use of the Constitution’s commerce clause to justify the imposition of an individual mandate requiring individuals to carry health insurance or face serious tax penalties. Supporters of the law have made a series of promises about this law, including that it will reduce costs and expand access to insurance. Opponents of the law, however, note that these promises have proven false, and that the law will actually increase insurance costs, increase federal budget deficits, and damage the U.S. economy. In response to the clearly negative impact the law will have on businesses, individual consumers, and America as a whole, this primer concludes that it is necessary to repeal ObamaCare and recommends a course of action for state and local policymakers to achieve that objective.


The document is available on AHEC's website here and can also be found in the Policy & Analysis area of AHEC's website.

Be sure to follow AHEC on Twitter @TheAHEC and at Facebook.com/TheAHEC.

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New HHS Proposed Regs - Further Proof of Federal Takeover for Healthcare

Tuesday, March 08, 2011
Yesterday, the Department of Health & Human Services (HHS) announced the proposal of new regulations that will be imposed on insurance companies.  As AHEC has previously detailed, these regulations will be costly and add an additional, and duplicative, layer of bureaucracy on the health insurance industry related to the review of insurance premium increases.  

Section 2794 of ObamaCare requires the Secretary of HHS to work "in conjunction with States" to establish a review process. In one of the documents released by HHS yesterday, the department said that: "HHS has interpreted the 'in conjunction with the States' section to mean that HHS will make a determination regarding which States operate 'an effective rate review program.'"

Despite the clear statutory language suggesting a federal-state partnership in the area of rate reviews, HHS has engaged in a naked power grab to force a one size fits all rate review process on the states.  Further evidence of this power grab can be found in subsequent statements by HHS, including that HHS will adopt a state's finding "only if the State has an effective review process" approved by HHS.  Where that is not the case, "HHS will conduct [its own] reviews of rates." 

What HHS is saying is this: "if the states do it the federal way, we will accept it, but if the states don't do it the federal way the states will accept the federal way."  That doesn't sound like an equal partnership between the feds and the states - it sounds more like the Secretary is the boss of the states.

This move by HHS is further evidence that the states should not apply for, or accept, any ObamaCare grant money. Section 2794 included a grant program for the states to further information sharing with HHS.  Now that the federal camel's nose is under the tent, the Secretary is engaging in a bait and switch to force states to accept federal preeminence over traditional state regulatory authority, furthering the federal government's takeover of healthcare.    


Documentation from HHS can be Found Here:
1. Instructions.pdf
2. Worksheet Part I.pdf
3. Worksheet Part II.pdf
4. Rate Summary Form.pdf
5. Statement Part A.PDF
6. Consumer Disclosure Template.pdf
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ObamaCare's Benefit Mandates: Bad for Everyone

Friday, January 21, 2011

The Heritage Foundation has a new analysis that details many of the consequences that will befall consumers as a result of many of the ObamaCare benefit mandates.  Mandates are bad, bad stuff.

That analysis can be found here.


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Eliminating Government Health Care

Friday, January 21, 2011

Over at National Review Online, Scott W. Atlas makes a really sound argument for eliminating government health insurance altogether:

Constitutional questions aside, a whole host of concerns about specific impacts of the PPACA underlie the opposition to it, including the fact that the law fails to control costs as calculated by the government itself. The major objections to Obamacare rest on four of its fundamental features, all of which represent a marked shift of authority and control of health-care decisions to the government: 1) mandating insurance coverage while eliminating insurance options such as high-deductible plans with health savings accounts (HSAs), which people increasingly prefer; 2) shifting millions more into already unsustainable public health-insurance programs; 3) directly or indirectly limiting access to technology by reducing payments for specialty medical care and limiting patient-driven options on available care; and 4) significantly increasing taxes to pay for the plan. While stopping short of the overt single-payer system openly desired by our president and many Democratic congressional leaders, the PPACA inarguably moves dramatically toward many of those same endpoints.



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U.S. Chamber Against ObamaCare

Thursday, January 20, 2011

Tom Donohue, president of the U.S. Chamber of Commerce, spoke about his organization's opposition to ObamaCare last Tuesday. In the Politico he is quoted as saying the Chamber strongly advocates for health care reform, but that it's time "to go back to the drawing board" as it relates to the new health care legislation. The debate this week in the House over H.R. 2 he saw as "an opportunity for everyone to take a fresh look at health care reform and to replace unworkable approaches with more efficient and effective measures that will lower costs, expand access and improve quality.

In addition to the litany of regulatory concerns associated with the controversial legislation, the U.S. Chamber is particularly worried by the 200 waivers already granted exempting people from the legislation; the employer mandate; the requirement that insurers spend certain amounts on health care; and changes to health savings accounts and 1099 form filing minimums.


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