Failure is a matter of perspective. When it comes to Obamacare, one man’s trash is another man’s treasure.
While many on the political right are ready to call the Affordable Care Act a failure and throw parts of it on the scrap heap, the Obama administration is secretly popping the cork on the champagne bottle celebrating its success while figuratively stroking it and calling it, “My Precious”.
How can that be, you ask? How can the President be excited about rising healthcare costs and a website that doesn’t work?
Because Obamacare is doing exactly what it’s supposed to do. Transitioning the United States to a single-payer, government run, Communist inspired, national healthcare system.
Allow me to explain.
In 1965 Medicaid was created through the Social Security Act. It is a state managed, and state and federally funded, program which was meant to provide healthcare to poor. While it was slowly adopted by the states over 20 years, and has been amended a few times, it always remained a tool for those who were the poorest among us, primarily those with children, until now.
In 2007, then Senator Obama campaigned on the promise that he would pass a law in his first term as President that would “transition” the United States into a single payer healthcare system. This transition involved expanding access to Medicaid, Medicare, and CHIP (Children’s Medicaid). Watch the Video Here. No seriously… watch it.
In a totally unrelated coincidence, HR 3590 (a.k.a. The Patient Protection and Affordable Care Act, Obamacare) expanded coverage of Medicaid to cover among other things, for the first time, adults without children (without requiring a waiver), and streamlined the access to coverage between all three (Medicaid, Medicare, and CHIP) by “using a single application and have the (Citizen’s) eligibility determined for all insurance affordability programs through one simple process”, better known as the Obamacare exchanges.
According to the Washington State’s website Obamacare expands Medicaid by:
How does the Affordable Care Act affect eligibility for Medicaid?
- Creates a new Medicaid group – Newly Eligible Individuals age 19 up to 65 who:
- Have income below 138% FPL
- Meet citizenship requirements
- Are not incarcerated
- Are not entitled to Medicare
- Changes to income and deductions for existing Medicaid groups:
- Pregnant Women
- Families (Parents/Caretaker Relatives)
- Modified Adjusted Gross Income (MAGI) methodology used for income calculation is the IRS
- Countable income
- Income deductions
- Additional methods for determining income and deductions
- Household composition – mirrors federal income tax filing rules
- No asset/resource limits
- 12 month certification periods
- Simplified application and renewal process for:
- Children’s Health Insurance Program (CHIP)
- Health Benefit Exchange
According to a pamphlet also issued by Washington State, the Medicaid expansion will cover those who earn from $15,000 all the way up to $54,000 (Depending on the size of the family):
If you watched the video of Senator Obama then you may already know the answer.
According to a book titled: Healthcare Systems in Transition: Canada, as Obama explained in the video, Canada had a similar transition leading into single payer healthcare. Over a 40+ year period Canada gradually adopted a single payer system (based on the Saskatchewan model) by passing laws to expand health coverage under a province and federally funded program (similar to our Medicaid) eventually known as Medicare. With every new law passed, the Canadian Medicare program covered more and more people until eventually every citizen had Medicare coverage and single payer was the norm in all 10 provinces and 3 territories.
As Obama mentioned, Obamacare was designed with the Canadian model mind and was meant as another step forward toward a single payer system here in the United States. It does this (in case you missed it earlier) by expanding Medicaid coverage and streamlining the process for people to gain access to all three Government funded healthcare plans: Medicaid, Medicare, and CHIP. According to an article on CNSNews, at least 43% of insured Americans are expected to be serviced through Medicaid, Medicare, or CHIP in 2014. That percentage doesn’t even include the 20 Million or more who will be eligible for government subsidies through Obamacare. (Coincidentally, Canada’s transition to single payer also included government subsidies so that their citizens could purchase “private” insurance. Beginning to see a trend?) With the continued downturn in the U.S. economy, and as the fine er.., tax for being uninsured grows with inflation after 2016, those numbers who will qualify for government subsidies or a government healthcare plan are without a doubt guaranteed to grow and accelerate the transition.
Obamacare originally mandated that all states had to expand their Medicaid programs. But thanks to a Supreme Court ruling, states no longer have to participate in the Medicaid expansion. While this is a set back for the President’s plan to enroll as many people as possible into a government run/ funded insurance program, the Progressives have received their marching orders and are, as you read this, once again trying to push through Medicaid expansion in the states where it was rejected. Even without all of the states on board with the Medicaid expansion, over 1.5 Million people in 19 states have already been added to the Medicaid rolls through the Obamacare exchanges.
If this isn’t bad enough for you (I’m guessing it is more than enough) it gets worse. It seems the Obama administration wishes to transform Medicaid as well.
Sec 2705 of Obamacare stipulates:
The Secretary of Health and Human Services (referred to in this section as the ‘‘Secretary’’) shall, in coordination with the Center for Medicare and Medicaid Innovation (as established under section 1115A of the Social Security Act, as added by section 3021 of this Act), establish the Medicaid Global Payment System Demonstration Project under which a participating State shall adjust the payments made to an eligible safety net hospital system or network from a fee for service payment structure to a global capitated payment model.
Global Capitation is:
… applicable in a health maintenance organization (HMO) structure. The HMO is paid a specified amount per patient to deliver services over a set period of time.
In other words, a doctor will lose money if he or she has to run a large battery of tests on a patient because they are only given “x” amount of dollars for their care over a certain period of time, no matter what is wrong with them. In theory, Global Capitation will encourage doctors and hospitals to waste less resources while caring for the sick or go broke in the process. Ironically, some might say this system could be considered a form of death panel because Global Capitation encourages a doctor or hospital to do less instead of more when it comes to patient care.
If you add all of this information together with the fact that the additional coverage mandated in Obamacare for private insurance (such as maternity care for men) is driving up private insurance costs and making it unaffordable for most Americans, you can easily erase any doubt in your mind as to where this is all heading; the elimination of private insurance companies.
Now someone out there is probably saying, “But Obamacare will allow the Federal government to assist insurance companies through the Three R’s : Reinsurance, Risk Corridors, and Risk Adjustment. (Read about those here.) So insurance companies aren’t going to go out of business because of Obamacare.”
It is true that Obamacare, in essence, subsidizes insurance companies, but that is only for a limited time. Look, ask yourself if you were President and going to destroy an industry would you tell them you were going to do it or would you tell them that you were going to “help” them? Of course you would tell them you would help but then only for a limited time just so that they don’t put up a fight. See, once Obamacare, combined with the terrible economy, has caused significant enough enrollment in Medicaid, Medicare, and CHIP, all any administration (present or future) has to do is take away the “safety blanket” which was given to insurance companies under Obamacare. With that blanket gone guess what happens? No more private insurance. Because without the government’s assistance selling private healthcare will no longer be profitable so at that point the only healthcare option for Americans will be government run or none (not really none, you’ll have to pay the fine..,err tax for not having any. Hey, someone has to fund the Medicaid expansion right?).
So if you happen to be a lover of Liberty you probably believe that Obamacare is a failure….
But if you are a Marxist loving Communist, like the President, then you probably believe it’s all going according to a Canadian inspired plan, eh?
The main group which was targeted by this current Medicaid expansion in Obamcare are College age young people. Having these young people become accustom to government run / subsidized healthcare now, will make it easier to pass yet another Medicaid expansion in the next 10 years. Progressives are not fools. They understand the concept of youth indoctrination all too well.
Marco Rubio seems to understand that Obamacare is working as it is supposed to.
NY Senator Admits that they knew people wouldn’t be allowed to keep their health insurance plan.