December 18, 2013

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Jonah Goldberg says the affordable healthcare act was erected on a foundation of lies.

“Obamacare was sold on a trinity of lies.”

That ornate phrase, more suitable for the Book of Revelations or perhaps the next installment of Game of Thrones, comes from my National Review colleague Rich Lowry. But I like it. Most people know the first deception in the triumvirate of deceit: “If you like your health insurance you can keep it, period.” The second leg in the tripod of deception was “If you like your doctor, you can keep your doctor.”

But the third plank in the triad of disinformation hasn’t gotten much attention: Obamacare will save you, me, and the country a lot of money. This lie took several forms.

First, Obama promised on numerous occasions that the average family of four will save $2,500 a year in premiums. Where did that number come from? Three Harvard economists wrote a memo in 2007 in which they claimed that then-Senator Obama’s health-care plan would reduce national health-care spending by $200 billion. Then, according to the New York Times, the authors “divided [$200 billion] by the country’s population, multiplied for a family of four, and rounded down slightly to a number that was easy to grasp: $2,500.”

In September, the Obama administration’s Centers for Medicare and Medicaid Services used far more rigorous methods to predict that Obamacare would increase national health-care spending by $621 billion. Using Obama’s own math, that would mean — according to Chris Conover, an economist at the American Enterprise Institute and DukeUniversity — each family of four in America will spend an additional $7,450 thanks to Obamacare.

Of course, that methodology is still bogus. But it’s probably closer to the truth. …

 

 

WaPo’s Fact Checker awards the biggest Pinocchio of the Year to the affordable care act lie by the president.

“If you like your health-care plan, you can keep it.”

This memorable promise by President Obama backfired on him when the Affordable Care Act went into effect and millions of Americans started receiving cancellation notices. As we explained, part of the reason for so many cancellations is because of an unusually early (March 23, 2o10) cut-off date for grandfathering plans — and because of tight regulations written by the administration.

 

 

And PolitiFact calls it the “Lie of the Year.” 

It was a catchy political pitch and a chance to calm nerves about his dramatic and complicated plan to bring historic change to America’s health insurance system.

“If you like your health care plan, you can keep it,” President Barack Obama said — many times — of his landmark new law.

But the promise was impossible to keep. …

… The debate about the health care law rages on, but friends and foes of Obamacare have found one slice of common ground: The president’s “you can keep it” claim has been a real hit to his credibility.

 

 

A WaPo news item is a perfect illustration of how the administration hides the truth.

The White House systematically delayed enacting a series of rules on the environment, worker safety and health care to prevent them from becoming points of contention before the 2012 election, according to documents and interviews with current and former administration officials.

Some agency officials were instructed to hold off submitting proposals to the White House for up to a year to ensure that they would not be issued before voters went to the polls, the current and former officials said.

The delays meant that rules were postponed or never issued. The stalled regulations included crucial elements of the Affordable Care Act, what bodies of water deserved federal protection, pollution controls for industrial boilers and limits on dangerous silica exposure in the workplace.

The Obama administration has repeatedly said that any delays until after the election were coincidental and that such decisions were made without regard to politics. But seven current and former administration officials told The Washington Post that the motives behind many of the delays were clearly political, as Obama’s top aides focused on avoiding controversy before his reelection.

The number and scope of delays under Obama went well beyond those of his predecessors, who helped shape rules but did not have the same formalized controls, said current and former officials who spoke on the condition of anonymity because of the sensitivity of the topic. …

 

 

All of that resulted in Chris Cillizza deciding the president had the worst year in Washington. Well deserved, we might add.

When historians write the story of Barack Obama’s presidency, 2013 will be his lost year. It opened with great promise and closed with equally great disappointment. In a year that could have been about building his legacy, the president was instead reduced to salvaging the signature accomplishment of his first term.

The chasm between what was expected and what was delivered was evident in the precipitous drop in Obama’s approval ratings throughout 2013, all the way down to George-W.-Bush-second-term territory. Dashed expectations sent Democrats up for reelection in 2014 fleeing for cover and comforted Republicans still smarting from their party’s 2012 defeat.

Second-term presidencies are tricky. The pace of modern politics and the desire of journalists (scourges!) to always look ahead to the next campaign put a reelected incumbent in a race against irrelevancy from the second he is sworn in again. Scandals tend to creep in or escalate — Watergate, Iran-Contra, Monica Lewinsky — and investigations follow, often drifting far afield. Momentum toward any meaningful achievement fades.

Usually, a president has until the midterm elections of his second term to get big things done; after that, attention moves on to deciding who will next occupy 1600 Pennsylvania Ave. But Obama may not have the luxury of even that truncated timeline. The split control in Congress — Democrats in charge in the Senate, a Republican majority in the House — combined with the tea party’s continued demand for conservative purity from its elected officials and the politicization of just about everything makes it hard to imagine that 2014 will afford Obama any chance to move his agenda through Congress. And his addition of John Podesta, a vocal advocate of taking executive action to end-run lawmakers, to the White House staff suggests that the president has effectively given up trying to work with the Hill.

All of which makes what happened — or more accurately, what didn’t happen — in 2013 that much more dire for Obama’s chances of leaving a lasting legacy on his party, Washington and politics more broadly. …

 

And Michael Boskin doesn’t think 2014 will be any better. Should be fun to watch. 

The White House is claiming that the Healthcare.gov website is mostly fixed, that the millions of Americans whose health plans were canceled thanks to government rules may be able to keep them for another year, and that in any event these people will get better plans through ObamaCare exchanges. Whatever the truth of these assertions, those who expect better days ahead for the Affordable Care Act are in for a rude awakening. The shocks—economic and political—will get much worse next year and beyond. Here’s why:

The “sticker shock” that many buyers of new, ACA-compliant health plans have experienced—with premiums 30% higher, or more, than their previous coverage—has only begun. The costs borne by individuals will be even more obvious next year as more people start having to pay higher deductibles and copays.

If, as many predict, too few healthy young people sign up for insurance that is overpriced in order to subsidize older, sicker people, the insurance market will unravel in a “death spiral” of ever-higher premiums and fewer signups. The government, through taxpayer-funded “risk corridors,” is on the hook for billions of dollars of potential insurance-company losses. This will be about as politically popular as bank bailouts.

The “I can’t keep my doctor” shock will also hit more and more people in coming months. To keep prices to consumers as low as possible—given cost pressures generated by the government’s rules, controls and coverage mandates—insurance companies in many cases are offering plans that have very restrictive networks, with lower-cost providers that exclude some of the best physicians and hospitals.

Next year, millions must choose among unfamiliar physicians and hospitals, or paying more for preferred providers who are not part of their insurance network. Some health outcomes will deteriorate from a less familiar doctor-patient relationship.

More IT failures are likely. …

A very good collection of cartoons today.