Let’s test ObamaCare ‘replacements’ against reality

Tom PriceRepublicans in Washington are rummaging through their legislative closets, trying to find discarded ideas that can pass as an alternative to Obamacare. One of those ideas is the Empowering Patients First Act, sponsored by U.S. Tom Price of Roswell.

Let’s take a look at four of its primary components:

1.) Allow the sale of health insurance across state lines.

According to Price, such a step would create more competition, and “when insurance companies compete for your business, you’ll get a better product at a better price.”

Would it work? The market has given us its answer, and the answer is no. In 2011, Georgia passed a law making it the second state in the country to allow the sale of health insurance by out-of-state companies. Conservatives at the time were ecstatic. “We think this is great progress in allowing more freedom in health insurance purchasing in Georgia,” said Kelly McCutchen, president of the conservative Georgia Public Policy Foundation.

Four years later, how many policies have been sold to Georgians by out-of-state companies? Zero. Not a single one. Other states have had the same experience, and the reason is obvious. If you’re an Alabama company, you need to negotiate agreements with Georgia health-care providers before you can sell policies in Georgia. And there’s just not enough money in it to justify the hassle.

2.) Dramatically limit medical malpractice suits.

Traditionally, malpractice law has been a state responsibility, with lawsuits handled in state courts under state law. Price and his colleagues propose to strip states of that power with a federal law much like that passed in Texas back in 2003. The theory is that lower malpractice costs for doctors will make health insurance more affordable, and will also encourage more doctors to enter the business.

Did that happen in Texas? Again, no. A dozen years after it passed “model malpractice reform,” Texas has the highest rate of uninsured citizens of any state in the country. It ranks 42nd in the number of physicians per capita and 46th in primary-care physicians per capita. There is no evidence that malpractice “reform” makes health care more accessible or affordable.

3.) Replace Obamacare’s coverage for those with pre-existing conditions by putting them in high-risk insurance pools, with government offering subsidies to bring down costs to consumers.

Prior to Obamacare, many states had high-risk pools of their own. Did they work? No. It turns out that people with pre-existing conditions are very expensive to cover, and states found high-risk pools impossible to fund adequately. The failure of such pools is what helped drive creation of Obamacare in the first place. And House Republicans have already made it clear that they think high-risk pools are too expensive to fund at the federal level.

4.) Replace Obamacare subsidies with refundable tax credits.

Could it work? Yes, this one is actually a decent idea. But to make it work, congressional Republicans would still have to OK tens of billions of dollars a year in health insurance subsidies, and they simply will not do so. That’s why Price’s plan has gone nowhere in the six years since he introduced it, and why it is going nowhere still.

Reader Comments 0

1577 comments
straker
straker

kayaker - "she is his shadow"


And, she's a MUSLIM, gasp!!!!!!!!!!!!

Visual_Cortex
Visual_Cortex

Hey, Blah-by-3, LT's question to you is a valid one. I'll repost it here.


I think this is the craziest thing I've read all day. The exact opposite is what is going on. 

What specifically did Merkel say today that sounded to you like her calling on Obama to grow a pair? 


Care to enlighten us what that might have been, that she said?

LeninTime
LeninTime

Oh, there you are, @blah blah blah 

Care to explain what you meant in saying this: 

"Obama is weak and doing nothing to help the situation.  Merkle asked him twice today to grow a pair.  Guess she should have asked Michelle" ? 

Are you aware of the subtext of the threat of wider war in Europe that was hanging over Merkel's talks with Obama on the situation in Ukraine? 

kayaker71
kayaker71

@LeninTime @blah blah blah You can bet that Valerie Jarrett was at his side throughout the whole thing.  She is his shadow, his constant adviser and also his pair of b





























































































































































8

kayaker71
kayaker71

Please..... no more stories about Bobbi Christina Brown, Kanye West and Brian Williams.  Enough, already!!!

blah blah blah
blah blah blah

Shades of LBJ's handling of Vietnam War.  Pentagon criticizing Susan Rice for micromanaging ISIS war from the State Department.  First she's caught lying red-handed to the American people (multiple times) then Obama in his great wisdom puts her in charge of military strategy of an active war.  That's like using a plumper to fix an electrical problem.  Why the micromanaging, let the experts do their job...  Is it because the ISIS policy is nonexistent?? 

Another amateur move by Obama.

Great leadership there Mr President, NOT...


KUTGF
KUTGF

@blah blah blah  And like the Vietnam War and Nixon, our RWers sure do like to be traitors to keep a war going for their own gain. 

KUTGF
KUTGF

@blah blah blah @KUTGF  Sure look up Nixon FBI tapes :D  You might want to learn some history rather than hysterics. 

DownInAlbany
DownInAlbany

@kayaker71 @blah blah blah "I don’t want to put the cart before the horse. We don’t have a strategy yet," Obama said in response to questions about whether he was considering expanding the airstrikes he has ordered against ISIL in Iraq to target the terrorist group's "safe haven" in Syria.

“We don’t have a strategy yet” to deal with ISIS jihadists.

That’s what President Obama announced to the world, including the terrorist army inflicting genocide on Christians in Iraq and Syria.

The worst part is, President Obama does have a strategy.  He’s had one from the day he took office.  Apologize for America, appease the radical Muslim world, and ignore the threat posed by jihad.

straker
straker

Cherokee - "did td finally deliver his strongly worded letter to AJC management"


Are they still rolling on the floor with laughter?

Cherokee51
Cherokee51

Nothing new from Jay today?

Did td finally deliver his strongly worded letter to AJC management? 

LeninTime
LeninTime

@CherokeeCounty

Well, give the guy a break. It's not like there's anything that urgent going on in the world.

Doggone_GA
Doggone_GA

@LeninTime @CherokeeCounty Because EVERYONE leaps out of bed, fully informed and having no need whatsoever to GET informed before writing about the world's events...right?

Not

Visual_Cortex
Visual_Cortex

@Orange14


They ought to call that stupid thing the "monsters-under-the-bed-clock."


Also, this.

http://www.npr.org/blogs/money/2011/04/15/135423586/when-the-u-s-paid-off-the-entire-national-debt-and-why-it-didnt-last


On Jan. 8, 1835, all the big political names in Washington gathered to celebrate what President Andrew Jackson had just accomplished. A senator rose to make the big announcement: "Gentlemen ... the national debt ... is PAID."

That was the one time in U.S. history when the country was debt free. It lasted exactly one year.

By 1837, the country would be in panic and headed into a massive depression.

Visual_Cortex
Visual_Cortex

@DownInAlbany @Orange14 

... I don't want that to read like I thought working to keep tax cuts in place for the wealthiest Americans as we went off to mobilize against this supposedly existential threat to our national security in Iraq was an especially good idea; but I don't think Bush was unpatriotic for having done so.

Doggone_GA
Doggone_GA

@Visual_Cortex @DownInAlbany @Orange14 I agree it wasn't unpatriotic...but I would, and will, say it was stupid.  But in this case I blame Congress more than Bush.  It was pretty much a given he would sign it, but if they'd had the courage and sense to not send it to him...there would have been nothing to sign.

Visual_Cortex
Visual_Cortex

When we DFHs say that conservatives really do go to bat against their own interests, we're really, really not kidding.

Few cases are quite as clear-cut as those folks who've become pawns in the latest King v. Burwell case before the SCOTUS that the right wing have ginned up against the PPACA.


http://www.motherjones.com/politics/2015/02/king-burwell-supreme-court-obamacare


For the King plaintiffs a victory will mean they will end up with the right either to pay more for their health coverage or to go uninsured—and Americans receiving subsidized insurance in 34 states could lose their premium subsidies and, likely, their insurance coverage.

[...]

At 56, Luck is the youngest of the plaintiffs. Like King, she doesn't care much for Obama. On her Facebook page, she has called him the "anti-Christ," voiced her belief that Obama came to power because "he got his Muslim people to vote for him," and noted her refusal to acknowledge his legitimacy as president. "Ohhhhh hell no i wouldn't admit he was our president," she wrote in one Facebook comment. She has warned her Facebook followers that Obamacare will cost people "77,000 dollars a year."

Along with her anti-Obama sentiments, Luck's Facebook page makes clear that she has experienced some serious health problems—she's reported several trips to the hospital—and suggests she badly needs health coverage. Obamacare offers her a good deal in that department. Luck's estimated household income for 2014 was $45,000. According to government filings, the cheapest plan available to her on the exchange cost $332 per month—not cheap because she's a smoker, but also a better deal than the $428 catastrophic coverage available to her (at the time the lawsuit was filed) without the subsidy. Even so, the Affordable Care Act does not force her to buy a plan or pay a fine, for the same reason that King is exempt—the cost of subsidized insurance is more than 8 percent of her income.

LilBarryBailout
LilBarryBailout

Let's test Obozocare against reality.

Like plan, keep plan?  A flat out lie.

Insurance premiums down by $2500 per family?  Another flat out lie.

No more uninsured?  There are still tens of millions of them.

Enforced personal responsibility?  Except for the loser Democrats who can't pay, just like always.

fatleo
fatleo

I took time yesterday afternoon to see Selma before it disappears from the theatres. Good movie. People posting to this blog should take time to see it.  Makes one wonder how people can be so hateful.  The comments I read here still point to a basic us vs. them mentality.  Boil the premise down to the basics and understand we are all Americans. Why hurt your fellow brother or sister - reach out with help instead.

LilBarryBailout
LilBarryBailout

@fatleo

Tell us how you have "reached out with help".  How much did you donate to health care charities last year?

If you can't be honest with us, at least be honest with yourself.

Visual_Cortex
Visual_Cortex

@fatleo

The comments I read here still point to a basic us vs. them mentality. 

Well keep in mind, what you read here isn't even remotely representative of the public at large.

Visual_Cortex
Visual_Cortex

@LilBarryBailout @fatleo


How much income have you hidden from Uncle Sam, resulting in how much uncollected tax revenue? 

If you can't be honest with us, at least be honest with yourself.


alexander2
alexander2

@Visual_Cortex No, What you read from Gota, visual and several of the far right bloggers is not remotely representative,, Oh wait : I'll reference "mother Jones"....

alexander2
alexander2

@Visual_Cortex "what you read here appears to refernce the entire blog, if you meant  just fatleo, your writing is too snarky for me...I stand by what I wrote--you do not represent the public at large , you are a Bookman syncophant, plain and simple .

fatleo
fatleo

@LilBarryBailout - I did more volunteer work last year than the average adult does in ten  I am not rich.  I don't have much of a bank balance at the end of each month but I always seem to stretch what I have and make do.  Honestly, I really don't know how you sleep at night with your always "me" attitude.   ......   Gotta go - I volunteered to pick up 14 dogs from a kill shelter at noon today and transport them 165 miles to a rescue shelter that all will be adopted from.  BTW - try and share today - it goes further than hate.

Visual_Cortex
Visual_Cortex

@alexander2 @Visual_Cortex

I never claimed to represent the public at large.

If you want to think of me as a "Bookman syncophant" that's your priviledge, although there've been plenty of times I've taken issue with his positions.

(It's possible that word does not mean what you think it means.)

Visual_Cortex
Visual_Cortex

@alexander2

Oh, one other thing. I gather that you think that Jay is somehow out of touch, himself, with the public at large? that his views are hard-left, outside of the mainstream?

We get that a lot, is why I ask, and yet I've never heard anyone identify any significant position's Jay's taken that don't have a pretty solid support of at least, oh, 35-40% of Americans, at least from the issue polling I've seen.

alexander2
alexander2

@Visual_Cortex Again , read what I write, not what you want to read, your comments suggest otherwisw. As for syncophant, I know it's meaning which is no great shakes.you are one , you and Gots ( although you, not as extreme), then again gota is in it's own private idaho...

Visual_Cortex
Visual_Cortex

@alexander2 @Visual_Cortex

Well if coming to our blog-host's defense against those who smear him and behave rudely, in a manner which I would never, myself, subject readers to at (say) Kyle's blog makes me a "syncophant", that's a label I can live with.


again gota is in it's own private idaho...

Gotalife gets a fair amount of scolding from both sides, actually. Sometimes he has something insightful to share, but obviously he needs to back down the harshness and occasional outright bigotry.

LilBarryBailout
LilBarryBailout

Let's test Obozocare replacements against reality

---------

Reality?

Obozocare is designed to shield moochers from the reality that products and services can't just be taken, they have to be paid for by someone.

Moochers know nothing of reality.  And they vote Democrat.

sneakpeakintoeducation
sneakpeakintoeducation

@LilBarryBailout


I knew someone who sounded just like you,complaining about all the moochers who take, take take. Then he had a stroke, couldn't work and provide for his family, ended up on medicare, food stamps and kids got free school lunch. Now who is the taker? Any society that cannot help those in need is a baseless society lacking in moral fiber. Your MO is more like I'm all right Jack. And if you really care so much about the takers, look at the billions that the largest corporations mooch off our our government . Start there.


sneakpeakintoeducation
sneakpeakintoeducation

@LilBarryBailout @sneakpeakintoeducation  Oh, so you are a mind reader since you can answer for me. You don't know anything about me or my philanthropy. With regards to our healthcare system, we pay for the health care companies to get rich, very rich. Are you aware that 35% of our monthly payments goes to marketing and not to healthcare. That's a big chunk of change each month. I would much rather pay into a single healthcare system and take the healthcare companies out of the equation. We do not have world class health system, unless you have limitless amounts of money to pay the doctor's bills. Approx 50% of people who declare bankruptcy do so because of medical bills. There is something terribly wrong with our very non-transparent and inefficient healthcare system. What you fail to understand is that a healthy citizenship is good for everyone!!