More Health Care Follies

Republicans are banking on the failure of the evil Obamacare to restore their political fortunes in 2014 and 2016. But Ramesh Ponnuru warns them they must not be complacent. Oh, it’s going to be a disaster, he says, but perhaps not disastrous enough.

Opponents of Obamacare should plan instead for the likelihood that in its first years of full operation the law will fail in undramatic and unspectacular ways. Premium increases, cost overruns, and the like may keep the law from becoming popular, but they will not prompt the third of the public that supports it to switch sides, or even get its many soft opponents fired up about it. Meanwhile, the administration will spend millions of taxpayer dollars to advertise the law’s benefits. The law’s dogged defenders will explain away all the disappointing developments, and the polls, as the result of continuing opposition in red states. A few conservative lawmakers have speculated that the law will crash so badly that the Democrats will themselves demand repeal in the next couple of years. That is not the way to bet.

Republicans’ confidence that Obamacare will collapse has contributed to their lassitude in coming up with an alternative. It is a perverse complacency. If the program were going to collapse in the next three years, it would be all the more important for Republicans to build the case for a replacement for it. We can be sure that the Left would respond to any such collapse by making the case for a “single payer” program in which the federal government directly provides everyone insurance.

Ponnuru thinks a third of the country supports the health care reform law. A CNN/ORC Poll (they poll orcs?) taken May 17-18, 2013, found that 43 percent of Americans favor the law and 51 percent oppose it. However, only 35 percent oppose it because it is “too liberal.” The remainder of the opponents don’t think it is liberal enough. So it’s really just over a third who see it the way Ponnuru does. But let’s continue.

Jonathan Chait thinks that it’s politically smarter for the Republicans to not put forward an alternative plan, because that would expose what nitwits they are. Well, that’s not how Chait puts it, but that’s basically what he’s saying.

Republicans have wisely decided to attack Obamacare without committing themselves to an alternative because the alternative would be easy to attack. Ponnuru, for instance, suggests changing the tax code and stripping regulations to create “a market in which almost everyone would be able to purchase relatively cheap, renewable insurance policies that protected them from the risk of catastrophic health expenses.” Telling tens of millions of Americans they’ll lose their insurance that covers basic medical expenses and get bare-bones policies with thousands of dollars in deductibles is not a winning play.

Republicans are doing a good job scaring people with highly misleading claims about “rate shock.”

But the vast majority of the public is not going to see any changes under the new law. Even if the Obamacare exchanges collapse, they only bring in people who don’t have Medicare or employer coverage anyway and are already suffering through a dysfunctional individual insurance market. The “shock” is going to be felt by conservatives who are expecting their Randian fantasies of socialist dystopia to come true.

Timothy Egan writes,

The early indications are that most Americans will be pleasantly surprised. Millions of people, shopping and comparing prices on the exchanges set up by the states, are likely to get far better coverage for the same — or less — money than they pay now. The law, as honest conservatives predicted, before they orphaned their own idea, is injecting competition into a market dominated by a few big names. …

…“The surprise is that, for many in the individual market, the premiums will be lower and the benefits so much richer,” said Mike Kreidler, the state insurance commissioner in Washington. “Eventually, I can see the Affordable Care Act being embraced like Medicare, because once people get used to this kind of coverage, it’s going to be a pretty abhorrent thing to try and take it away.”

Egan compares today’s “ossified right” to conservatives who predicted dire things about Social Security and Medicare — before they went into effect. The question is, how long will the Right be able to keep the fear-mongering going once the law goes fully into effect? I expect that next spring we’ll be inundated with all kinds of stories hyping every little glitch. But if the sky does not fall, will the fear-mongering have an impact on the mid-terms in November? We’ll see.

Sorta kinda related — “How Do They Sleep at Night?

10 thoughts on “More Health Care Follies

  1. I don’t have a clue, and I suspect that even after another few centuries of archaeology, we’ll never, ever, find out how many times the Greek’s “Oracle of Delphi” was right, back in the pre-and-post “Hellenistic Period.”

    But I think we all know what our Conservative “‘intellectual’s” record is, regarding prognostication – it’s perfect!
    100%!!!

    Their geek ‘Oracles of Doofi’ have been wrong on every single thing they predict, ever have predicted, and, since their track record is perfect so far, there’s no reason to think they’ll ever get any single thing right. EVER!!!

    From “Trickle-down,” through ‘Clinton’s tax increase will slow down the economy even more;’ to “The Iraq War won’t cost much, and besides, it will pay for itself;” to every single thing Bill Kristol EVER wrote, or said on TV; to saying the most recent stimulus was unnecessary, and it would worsen the economy, and so would every other successful thing President Obama and the Democrats ever did – our Conservative geek “Oracles of Doofi,” have been wrong.

    “All Hail the ‘Oracles of Doofi!’
    Let us know what you’re gambling on in sports, or at the casino’s, so we can make our fortunes, too!

  2. Republicans’ confidence that Obamacare will collapse has contributed to their lassitude in coming up with an alternative.

    No, lassitude is their alternative. It’s like this old Woody Allen joke where he says he’s an atheist and his wife’s agnostic, and they keep arguing over what religion not to bring the kids up in. As long as all the Republicans’ proposals revolve around tax cuts and deregulation, all they’re talking about is the best way to do nothing.

  3. California Passes a Budget that Could be a Federal Template:

    Lawmakers approve a $96.3-billion spending plan that places the state at the leading edge of President Obama’s healthcare overhaul….

    The expansion of health coverage is a core part of the budget.

    The state’s public healthcare program, known as Medi-Cal, is expected to grow by 1 million enrollees and could soon cover roughly one in four Californians. Millions more people will be able to buy insurance through a state-run market.

    Most of the changes will be funded with federal money. The state will pick up $196 million of the $2.1-billion tab for the Medi-Cal growth. The $381.6-million price of the state-run marketplace, called an exchange, will be almost completely funded by Washington.

    Although the federal overhaul still faces opposition in many states, California was an early supporter, and Obama was in San Jose earlier this month to tout the state’s progress. Californians can begin buying health insurance through the exchange in October, and officials plan to enlarge Medi-Cal membership in January.

    Drew Altman, president and chief executive of the Kaiser Family Foundation [a health insurance company], said the success of the federal healthcare law hinges largely on the outcome in California.

    “California is pace-setting, and everyone in health reform is watching very closely,” he said. “It’s hard to imagine its success until it succeeds in California.”

    Many of the healthcare changes are riding on this year’s budget and a series of related bills among those lawmakers are expected to take up Saturday.

    “California really couldn’t move full speed ahead” until the budget passed, said Chris Perrone, a director at the California HealthCare Foundation. “It clears the path to a lot of work that needs to happen.”

    Thank God we have Democrats running California.

  4. I don’t see how rate shock becomes an issue – the regs call for 80% of premiums to go into providing care. If the rates are too high, they’ll be refunded. If not, it’s a (somewhat) fair price for insurance.

    Sure, the youngest people in the individual market will see *some* premium increases. But the vast majority of people still get insurance through work. Even the most stalwart Republican should be realizing there’s not much hope for a sudden disaster to vindicate them.

  5. “Upside down in caves” I thought that too, but yesterday I had to move some rocks in the garden…..

  6. The conservative future telling is meant to scare the witless. It is never meant to be true. It’s a Jedi mind trick. In fact the best way to deal with a conservative is not to talk to them and never to listen to them.

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