Repeal & Replace: Health Reform Law Turns One

width=130Texas Insider Report: AUSTIN Texas On yesterdays first anniversary of the president signing the health reform bill into law Investors Business Daily featured an editorial coauthored by width=63National Center for Policy Analysis President and CEO John C. Goodman former House speaker Newt Gingrich and James C. Capretta a fellow at the Ethics and Public Policy Center.  It reflects their one-year assessment of the health reform law:
  • Ever-more-costly mandate: The health reform law will force Americans to buy insurance whose premiums will rise at twice the rate of their incomes.
  • Bizarre system of subsidies: Depending on where insurance is bought the subsidies for individuals are radically different a cost factor so large it will force a major reorganization of American business.
  • Perverse incentives for insurers: Health plans will try to attract the healthy and avoid the sick; and after enrollment they will overprovide to the healthy and underprovide to the sick.
  • Perverse incentives for people buying insurance: With small (and maybe unenforced fines) people will have an incentive to wait until they are sick to buy insurance and then drop coverage after their medical bills are paid.
  • Tattered safety net: With 32 million newly insured and more generous coverage for almost everyone else there will be a huge increase in the demand for care; but the legislation has no provisions to increase supply.  The result: increased waiting times at the emergency rooms and in doctors offices -- with those whose plans pay below market being pushed to the rear of the waiting lines.
  • Benefits cuts for seniors: Deep Medicare cuts will make it increasingly hard for seniors to find doctors to treat them and facilities who will admit them.
Source: John C. Goodman Repeal and Replace John Goodmans Health Policy Blog March 23 2011.
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