creators.com opinion web
Conservative Opinion General Opinion
Froma Harrop
Froma Harrop
24 May 2012
Bain And Our Screwed-Up Culture

We recently saluted Leslie Sabo for giving his life to save fellow soldiers in Vietnam 40 years ago. Injured … Read More.

22 May 2012
The United States of Gambling

A surprising fact: Gamblers spent more last year at commercial casinos in Indiana than they did at non-Indian … Read More.

17 May 2012
Grief Is Not a Mental Illness

We moderns seem determined to suppress all unhappiness with one exception: grief. The intense sadness … Read More.

So You Thought Health Care Was Fixed …

Share Comment

So you thought health care was fixed. Well, maybe not "fixed," but you assumed that the new law had put us on the path to solving one of America's most pressing problems — spiraling health care costs amid surging numbers of uninsured citizens.

No, no, no, no.

The recent decision by Judge Henry E. Hudson, of a U.S. district court in Virginia, pumps new life into Republican efforts to kill health care reform by draining the program of a means to pay for it. Hudson argued that forcing anyone to buy something — in this case, a private insurance policy — is unconstitutional. (Two other district court judges rejected that interpretation.)

Why is the individual mandate essential? Current law requires hospital emergency rooms to treat all comers. Without the mandate, uninsured people could wait to buy coverage until they're in the ambulance. In 2008, doctors and hospitals delivered $43 billion in "free" care. (Of course, it was not free. Taxpayers and anyone with private coverage picked up those bills.)

Years ago, Massachusetts forbade insurers to discriminate against sick people, but it didn't also insist that everyone obtain coverage. What happened? Premiums jumped. Since it added the mandate in 2006, premiums have fallen 40 percent.

If the mandate goes, so go the parts of the law that stop insurers from rejecting those with pre-existing conditions or canceling policies once the policyholder becomes seriously ill. In an efficient insurance pool, as we've seen in Massachusetts, healthy people must subsidize the sick.

This concept is not foreign to Republicans and has been part of their own past health care proposals. But the new law's inclusion of an individual mandate has suddenly become a big, big problem for them.

Actually, Republicans do not object to expanding government health care as much as they mind paying for it.

They did not set aside a single penny for their 2003 Medicare drug benefit, tacking it all onto the national debt. (A giveaway to insurers and drug companies, the Medicare drug benefit is costing about the same as the Democrats' reform of the entire system.) Former U.S. Comptroller General David Walker called it "the most fiscally irresponsible piece of legislation since the 1960s."

And let's drop the fairy tale that the Grand Old Party's deficit cowboys have been replaced by fiscally conservative new blood. In their book, "Young Guns — a New Generation of Conservative Leaders," Reps. Paul Ryan of Wisconsin, Eric Cantor of Virginia and Kevin McCarthy of California talk piously of fellow Republicans having "lost their way" and pretend they are different.

But when it came time in 2003 to vote on the "most fiscally irresponsible piece of legislation," what did the "young guns" actually do? They voted for it. Ryan said "yea." Cantor said "yea." (McCarthy was not yet elected to Congress.)

This latest legal attack on the health care law doesn't make much sense. The federal government argues that the mandate to buy coverage is indeed constitutional because the fine for not having it would be levied as an income tax.

Meanwhile, it's hard not to laugh at the cries over the "injustice" of forcing people to buy coverage. Working Americans are already forced to buy health coverage — but for others. They can't choose not to pay the Medicare payroll tax. They can't even make a deal with the government, promising, "I will forgo all future Medicare benefits if I can be freed from the Medicare payroll tax."

If the new health care reforms die, America will find no relief from the economic deadweight of spending twice per capita on health care as other rich countries. It would mean another push down the slope of national decline.

To find out more about Froma Harrop, and read features by other Creators Syndicate writers and cartoonists, visit the Creators Syndicate web page at www.creators.com.

COPYRIGHT 2010 THE PROVIDENCE JOURNAL CO.

DISTRIBUTED BY CREATORS.COM


Comments

5 Comments | Post Comment
I never thought health care was fixed. 2,000 page documents and how many waivers granted do not a clear path make. This congress is too anti-citizen to create any solid legislation on our behalf.

The government no longer holds an invisible hand of power. They now use not an open palm but a fist. My fourth grader was told that sticky buns are no longer on the cart because "Obama said they aren't good for you." I think the bun might be slightly less harmful than a rogue government. Who works for whom in this country?

This power in government hands is dangerous. That is all. Only an elitist would desire or condone such power over people.

You want to stop bullying in schools? Then stop bullying in the halls of congress and at the White House. Sticky buns aren't the problem. Rogue government is.




Comment: #1
Posted by: Tom
Thu Dec 16, 2010 4:34 AM
Massachusetts premiums down 40% since 2006 ? You need a fact-checker. I live in MA and my premiums have gone up, even after switching to more restrictive plans each year.

Whether constitutional or not, the individual mandate will not work as hoped. Premiums in MA have gone UP since the individual mandate was enacted, up 12% from 2006-2008 according to Massachusett's Division of Health Care Finance and Policy and more since then. Providers are harder to find, waits for appointments are up, so health care quality has gone down for many.

Anyone with the most basic knowledge of economics knows that increasing the demand for a service will increase the price.

Too bad you, like many liberals, have not the faintest idea of how the real world works when you try to institute your do-gooder aims.
Comment: #2
Posted by: Steve
Thu Dec 16, 2010 11:21 AM
The claim by your columnist Fromma Harrop that Massachusetts premiums have been reduced by 40% because of the individual mandate in Romneycare is a total fabrication. Nor have premiums been favorably affected by the slight increase in the number of insured in Massachusetts. She has positioned herself for some time as an expert on healthcare insurance reform. Was she not aware that twice during 2010 Massachusetts froze the healthcare insurance market? No one in Massachusetts could buy insurance in October 2010 and many of us could not buy it in April 2010. Did she think Deval Patrick and his political appointees did that because premiums were dropping?

I contacted the columnist by email to point out the error to her. I even provided her the source document for the official numbers as provided by the State of Massachusetts. The most relevant numbers can be found on page 22 of the Quarterly Key Indicators Report put out by the Massachusetts Department of Healthcare Policy and Finance.

Her response was that her source was an Ezra Klein column in the Washington Post dated December 17 although she gave Klein no credit in the column released earlier on this site. I think it is a little odd that your columnist simply takes facts from another columnist without checking them. It is even odder that she sees his and others' columns before they appear and cribs from them.

These two columnists and others apparently share their columns among each other widely before they are published because the wording from one to another is very similar. For example, David Leonhardt of the NY Times, writing on the same subject – that the individual mandate lowered Massachusetts healthcare insurance premiums -- said on December 14: “Since the state added a mandate in 2006, more people have signed up, and premiums have dropped an average of 40 percent.” Ms. Harrop wrote almost the same words at the same time: “Since it added the mandate in 2006, premiums have fallen 40 percent.” Is that just co-incidence?

But unfortunately for all of us in Massachusetts, Mr. Leonhardt and Mr. Klein are incorrect as well as Ms. Harrop. However Mr. Klein spent enough to time before releasing his column so that we can easily see why they are all in error. He uses a couple of three-year-old reports written at the time Romneycare went into effect. The reports are talking about premiums for individuals in Massachusetts rather than premiums in general in Massachusetts, which is what Ms. Harrop is talking about. But the reports Mr. Klein uses as a source do not relate to the individual mandate in Massachusetts. All they are reflecting is the fact that beginning in 2007, individuals could buy healthcare insurance at the same rate as small groups. That change in community rating procedures had nothing to do with whether the individual was mandated to buy insurance or not, or how many people signed up to buy it (as Mr. Leonhardt contends). It did not even apply to very many people in Massachusetts, a few thousand out of over 6,000,000 that pay healthcare insurance premiums.

And of course it only applied to that one year. After four years of Romneycare, it is clear to all parties that the Romneycare insurance program is an utter disaster. Doctors are giving up practices. Access to healthcare is much more difficult. Healthcare costs as well as premium costs have gone through the roof. Many cuts have been made in coverage (e.g., illegal immigrants). Co-pays and co-insurance amounts are way up. But also unfortunately for all of us in Massachusetts, in reaction the Patrick administration is planning to double down in 2011 by having the government take over healthcare delivery in the same way it so unsuccessfully took over healthcare insurance.

-- Dennis Byron
Comment: #3
Posted by: Dennis Byron
Sun Dec 19, 2010 1:58 PM
I have one basic problem with the premise of Ms. Harrop's views toward the dastardly Republicans. It seems to me that she is of the belief that government can fix all our problems better than the private sector. I can't think of a single time that is proven to be true. The health care problem could have been fixed with a single page law. Merely funnel all medical claims into a "single payer" system; farm these claims out to the many insurance companies on a fee basis to check the validity of their claims and then resubmit for payment. Instead of the incentive of the insurance companies to deny claims their incentive would be to ferret out "fraud, waste and abuse" which is what the government, in all endeavors is most adept at. What we have now is a monstrosity that no one understands and which will bankrupt the nation in short order. To blame this all on the shoulders of evil Republicans is to be charitable very simple minded. Can anyone remember when government did anything efficiently? I can't and I worked in state government so I saw it all; the politics, the "waste, fraud and abuse." Anything said to cost something multiply it by a factor of at least three times. What private entity could survive this insanity? This, the Republican's fault? Hardly. I may have been born, but not yesterday.
Comment: #4
Posted by: Richard Wendt
Sun Dec 19, 2010 4:04 PM
First of all this is health care insurance reform and has very little to do with providing health care to those most in need. Will probably make it even harder for the poor to get any kind of treatment. Minimum insurance will not provide basic care. Hard to believe that government would embark on a plan before conducting an audit to find out what was causing the high medical costs. Why have these costs (education also) risen at a rate far, far in excess of the cost of living. The current cost for treating the indigent is far cheaper than what has been proposed. Side note: Many seniors are now receiving large premium increases. Guess Joe Wilson was right.
Comment: #5
Posted by: Bill Foster
Tue Dec 21, 2010 11:52 AM
Already have an account? Log in.
New Account  
Your Name:
Your E-mail:
Your Password:
Confirm Your Password:

Please allow a few minutes for your comment to be posted.

Enter the numbers to the right:  
Creators.com comments policy
More
Froma Harrop
May. `12
Su Mo Tu We Th Fr Sa
29 30 1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31 1 2
About the author About the author
Write the author Write the author
Printer friendly format Printer friendly format
Email to friend Email to friend
View by Month
Marc Dion
Marc DionUpdated 28 May 2012
Tom Rosshirt
Tom RosshirtUpdated 26 May 2012
David Sirota
David SirotaUpdated 25 May 2012

27 May 2008 Bad News for GOP Can Be Good News for McCain

14 Dec 2010 Madoff's Saddest Victim

3 Feb 2011 Missing Moderate Republicans