Old 07-22-2013, 03:48 PM   #1
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Default The Economics of Obamacare

The Affordable Care Act as a single payer system is going to, if not already, have detrimental effects on the economy. Business owners and the insurance industry will be forced to adjust accordingly to the new regulations, even if the consequences are negative. The expansion of government distorts free markets and results in unintended consequences. Some of these unintended consequences include new and higher taxes, unemployment, stunting economic growth and an underestimation of costs by the federal government.

The Affordable Care Act is a form of wealth redistribution in which tax payers will be forced to fund those who cannot afford health insurance, namely the poor. However, a single payer system is actually not affordable on a national scale. According to the Bureau of Labor Statistics in 2008, the average household of 2.5 people made a pretax income of $63,563. After paying for taxes, food, housing, clothing, and transportation the average household had $16,529 left over. The average expenditure for health care was $19,612. Therefore, a system in which everyone is charged the same for health insurance would result in an average loss of $3,083.

One of the most controversial taxes that impacts all Americans is the Individual Mandate Tax, which requires that everyone purchase health insurance or pay a fine. Individuals not wanting to purchase health insurance will be faced with a $695 per year base tax or 2.5 percent of income (Bearden). Couples face a $1,360 per year base tax while families face a $2,085 per year base tax by 2016 (Bearden). The mandate is a fundamental rejection of a free society and distorts the consumer’s ability to choose. Individuals should be able to refuse government provided insurance without paying a penalty.

Another tax that will hurt the middle class is the cap on the tax free flexible spending accounts or employer-provided health insurance. The cap limits the amount of pre-tax dollars that can be deposited into this account to $2,500 a year (Bearden). One use for these funds is to fund children with special needs to receive special needs education. This type of education can cost up to $14,000 a year and the ability to use pre-tax dollars has helped many middle-class families fund a child’s special needs education (Bonelli). A similar tax is the Health Savings Account Withdrawal Tax Hike. Withdrawals from this account for non-medical purposes will be taxed at an increased 20 percent instead of 10 percent (Bearden). Other tax advantaged accounts, such as the Investment Retirement Account, still hold a 10 percent withdrawal tax for unrelated purposes (Bonelli).

The “Cadillac Tax” as an excise tax on comprehensive health insurance plans, which are high value plans that provide extensive coverage and are fully or largely paid by employers. Beginning in 2018, employers of such plans will face a 40 percent excise tax on employer-paid premiums for individual plans costing more than $10,200 and family plans costing more than $27,500 (Bonelli).

Employers who have more than 50 employees are subject to the Employer Mandate Tax beginning in 2014. These companies have three options regarding the tax, all resulting in negative outcomes. If these companies do not provide insurance, then they are subject to open-ended penalties when at least one of their employees receives an insurance tax credit or a government subsidy in place of insurance (Schiff). If the company does provide insurance but fails to cover 60 percent of employee health expenses or if premiums are greater than 9.5 percent of an employee’s family income, the company will be penalized (Schiff). The final option is to lay off enough workers so that less than 50 employees are employed and the mandate no longer applies. Additionally, small businesses with less than 50 employees are incentivized not to hire additional workers, thus halting a business’s ability to grow and expand.

As a result, the Affordable Care Act hurts the same people it is intended to help. Those without employer-provided insurance may be out of a job because their employer cannot afford to either provide insurance or pay the penalties. The former employee is forced to either find a new job, which will be difficult provided the regulations, or collect unemployment and apply for state provided health insurance, increasing the welfare state. Everyone loses in this situation because the employer cannot expand his business. The worker no longer has a job and must live off of the tax payers. The expansion of the welfare state either means an increase in taxes to fund the program or cuts in spending from other programs. With politicians currently disagreeing on how to reduce the debt, there is little to no faith that the federal government can successfully manage finances, let alone a universal health care system.

The federal government has underestimated the costs of providing a universal health plan. Already, establishing Obama’s health care state exchange programs has cost twice the expected amount. According to the Health and Human Services Department, the estimated costs on grants to create the new state exchange insurance programs was $2 billion in 2012 (Suderman). Recent budget documents released in April 2013 suggest that the HHS will spend $4.4 billion (Suderman). Further, the department is asking Congress for an additional $1.5 billion to establish federally funded exchanges in states that do not have their own (Suderman)! If Congress denies the request, the department will have to find another way of coming up with the money or be forced to scale down the operation, though the department has no answer yet. State insurance regulators suspect market disruption and price increases once the programs are implemented, thus further breaking down the economy (Suderman).

Other major issues with the Affordable Care Act include price subsidies, which will increase health costs and distort the insurance market. Medicare and medicaid are prime examples of price subsidizing that play large roles in the rising costs of health care. The law of supply and demand states that when the demand increases, prices increase. The government offers a lower-than-market price for health care, therefore the demand for these programs increase, resulting in higher prices for overall care. Ultimately, price-fixing does not reflect genuine risk and decreases the ability of insurance companies to control average payouts (Berdine).

The Affordable Care Act forces insurance companies to accept anyone that wants to be covered, distorting the insurance company’s ability to “pool” its clients’ risk (Berdine). Companies are forced to include high-risk and low-risk clients in the same pool, increasing premiums on low-risk clients while decreasing premiums on high-risk clients. This motivates low-risk people to drop their insurance coverage. Because insurance companies cannot deny anyone coverage, these low-risk people can purchase insurance again when they are in need. This is like a driver purchasing car insurance after an accident and receiving payments for the damage. For these reasons, there is a strong urge for a deregulated healthcare industry. Insurance agencies must have the freedom to offer any type of contract that includes or excludes any risk. They must also be allowed to discriminate among groups of individuals so they can place clients in the right pools, resulting in lower market prices on average.

A Libertarian Economics Student on the Obamacare Arizona Mess & AZ Medicaid Expansion, Part 2:

Pro Liberty, Free Market, and Responsible Healthcare Reform

The first step in health care reform is to understand the fundamentals of what the right to health care actually means. The Founding Fathers believed in the right to life, as in the individual’s right to take action that best serves his life or that allows the individual to pursue happiness. Individuals are morally obligated to respect others to be free from force and the cooperation of other individuals must be voluntary. An individual has no right to violate another individual’s rights or to initiate force against another individual.

In a modern and division-of-labor society, trade – the right to free exchange and the right to the freedom of contract – is essential to the right to life (Reisman). Individuals exercise their right to life through mutual cooperation and mutually benefiting one another. The idea of voluntary cooperation through free exchange and freedom of contract is vital in rationally understanding the rights to things, such as medical care. One’s right to things can only be acquired through free trade from those who are voluntarily willing to provide them (Reisman).

For example, no one has a right to a house, but one has a right to purchase a house or the materials necessary to build a house. An individual’s rights are violated when one could afford to purchase or build a house, but is forcibly prevented from doing so through regulations such as zoning laws and protective tariffs on construction material imports (Reisman). These regulations may artificially increase the price of housing and may prevent an individual from acquiring the house from individuals willing to provide. An individual’s rights are violated only when force by an outside institution, such as the government, prevents the individual from participating in a cooperative and voluntary act of trade.

The concept of individual rights can be applied to medical care in the same way. Individuals do not have a right to medical care itself but a right to voluntarily purchase medical care from a willing provider. An individual’s right to health care is violated only when an outside force prevents the willing individual or seller of medical care to not participate in voluntary trade. Legislation and regulations that artificially raise the price of medical care, making it more difficult than it otherwise would be for individuals to acquire and sell medical care services, is a violation of an individual’s rights. These rational concepts and understanding of an individual’s rights portrayed in the Constitution by the Founding Fathers of the United States is vital when analyzing health care reform.

A common misconception about Medicare is that it is a healthcare provider, however, Medicare only guarantees payments for medical services in certain conditions and does not actually provide any health services. Therefore, Medicare is not an insurance but is rather a mechanism used to socialize elderly healthcare costs to the younger, working class (Berdine). Medicare is a prime example of what is known as a “Ponzi Scheme.” The US Securities and Exchange Commission describes a Ponzi Scheme as “an investment fraud that involves the payment of purported returns to existing investors from funds contributed by new investors.” The new investors that contribute funds into the Medicare program are the young, working class. Organizers of Ponzi Schemes claim to generate high returns with little or no risk and require a constant flow of money. The promised return on the investment for Medicare is that health care will be paid for after retirement at the age of 65. Ponzi Schemes fail when it becomes too difficult to acquire new investors or when a large number of existing investors want their money back. The problem with Medicare is that funds are running out. There is not enough revenue from the younger working class to fund the elderly.

The best way to finance medical care for the elderly is for young and healthy people to save money for the future. Just like people save money to afford comfortable living after retirement, they must also save for medical care on their own rather than relying on a failing government program. This option is available by acquiring a Health Savings Account through employer provided insurance, which allows employees to set aside a certain amount of money each year for medical purposes, just as a retirement plan sets aside a decided amount each year. However, restrictions on the Affordable Care Act limit deposits in HSAs to $2500 a year, which violates an individual’s right to voluntarily save more money for the future and must be repealed.

1. Limit insurance to insurable conditions and eliminate all regulatory barriers to the provision of health insurance;

The moral hazard problem in health care can be attributed to third party reimbursement plans such as insurance and Medicare. These plans have shifted payment responsibility from the patient to the insurers, where patients expect to receive all care and the insurers cover costs. If patients were more responsible for payments, then patients would be more selective on how and when to utilize medical care.

Pre-existing conditions may seem unfair, but are necessary for insurance companies to remain in existence and to pool clients’ risks accurately. No one would expect a car insurance company to insure and pay for damages after someone has been in an accident. If this were the case, insurance companies would become bankrupt. The same logic can be applied to the health insurance industry. An insurance company that offers services for chronic conditions, such as leukemia, would not charge the same price to someone who already has leukemia as to the general population. The government’s force of requiring insurers to cover pre-existing conditions is cost socialization rather than insurance (Berdine). Finally, conditions for chronic and rare diseases can be insured cheaply in a free market environment because effective policies would be long-term or life long, where insurance companies receive small payments for a long time from a large population. Mild illnesses, such as check-ups, colonoscopy screenings, and morning sicknesses must be paid out of pocket. These types of conditions are uninsurable because there are no risks, making it impossible for insurers to pool a client’s risk and come up with premium prices for the conditions (Berdine).

2. Eliminate the barriers to the production and delivery of healthcare, including licensing restrictions;

Licensing exists to provide standards within the industry. A common misconception is that standards and credentialing cannot exist without licensing. However, a free market provides this service through rating agencies and certification boards, where quality standards would be decided by the consumer rather than the provider (Berdine). Getting rid of licensure would not change a hospitals credentialing process because hospitals would still require recommendations and proof of training.

Further, the mere nature of licensing excludes a population from the market who otherwise would be willing providers, which deprives consumers of the services these providers would be willing to provide (Reisman). This violates an individuals right to medical care and allows monopolies for those individuals the government grants licenses. This results in making medical care less available and more expensive by depleting competition, thus hurting the poor who cannot afford increasing prices.

3. Eliminate the barriers to the production and delivery of medicines and medical technology, including patents; and

“A patent is a government-granted monopoly on production,” and makes those who have patents free of competition limitations and provides them the ability to sell products at higher than market prices (Boyapati). The process to get a drug patented also delays the introduction of new drugs. Additionally, the drug approval process required for patent protection can be done more efficiently on the free market. Just as doctors would be examined through approval ratings and credentialing processes, the free market would do the same to provide information on a new drug’s safety and efficacy.

4. Eliminate the socialization of healthcare costs and the subsidies for being sick.

Subsidies lead to an increase in the demand for a service, resulting in an overall price increase for that service. This interfere’s with the free market’s price signals, which are set by voluntary exchanges between consumers and producers. Price signals allow consumers and producers to understand what behaviors are profitable for change (Berdine). Subsidies interfere with this behavioral process because people will always spend more money if it is not theirs to spend.

Health Care is a scarce economic resource and must be treated as such. The most efficient and effective way of allocating scarce resources is through the free market. The current US health care system is not a free market, even though much of its issues are falsely attributed to free market conditions, calling for more regulations. Reform and logic calls for moving in the opposite direction, however, in which the market must be free to self adjust and remain innovative so that these tough issues can be solved efficiently.

AJ Ward

Sources:

Bearden, Carl. “Ready for the 10 Tax Increases in Obamacare?” United for Missouri, 2010. Web. 13 Apr. 2013.
Berdine, Gilbert. “The Economics of US Healthcare.” Ludwig Von Mises Institute, 3 Aug. 2011. Web. 13 Apr. 2013.
Bonelli, Robert A. “Obamacare: Seven New Taxes on Citizens Earning Less Than $250,000.” Breitbart News Network, 29 June 2012. Web. 13 Apr. 2013.
Schiff, Peter. “Peter Schiff: Affordable Care Act Will Backfire.” Peter Schiff: Affordable Care Act Will Backfire. Capitalism Magazine, 11 Sept. 2012. Web. 13 Apr. 2013.
Suderman, Peter. “Uh-Oh! Building ObamaCare’s Health Exchanges Has Already Cost Double the Expected Amount.” Reason.com, 11 Apr. 2013. Web. 13 Apr. 2013.
Reisman, George. “The Real Right to Medical Care Versus Socialized Medicine.” The Ludwig Von Mises Institute, 6 Aug. 2009. Web. 13 Apr. 2013.
Boyapati, Vijay. “What’s Really Wrong with the Healthcare Industry.” The Ludwig Von Mises Institute, 26 May 2010. Web. 13 Apr. 2013. june 21st

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Old 07-22-2013, 03:53 PM   #2
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You might not know what the real problem with healthcare prices is, so I'll tell you that it is government involvement in the industry at ANY level.

The problem is that government wants to control every aspect of our lives, and this one is a biggy.

They won't give up that power because they are JOG.
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Old 07-23-2013, 08:43 AM   #3
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Should call it nigger-care. Now every filthy nigger in this country will breed like the filthy animals they are and the working class willl have to contribute more towards paying for it. When is it going to be enough?
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Old 10-01-2013, 10:13 PM   #4
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For Obamacare to work, the Head Nigger In Charge needs to convince the 18-29 age group to buy into the health exchanges. According to the latest Gallup poll, not likely to happen.

25% of Uninsured Say Plan to Stay That Way

Quote:

Statistics worsened in the important 18 to 29 age bracket. Sixty-nine percent of the youth demographic were unaware they were required to get health insurance by January 1, 2014. This is the age group that Obama is hoping will foot the bill for the rest of America.

In other bad news for Obamacare, 62 percent said they were "not too familiar" or "not at all familiar" with the Obamacare exchanges being set up by the federal and state governments.

Such unfamiliarity grew among those currently uninsured today. Among the uninsured 72 percent said that are not familiar with the exchanges Obama is setting up.

Gallup also found that knowledge of all aspects of Obamacare was quite low for those in the youth demographic.

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Old 10-02-2013, 04:56 AM   #5
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Default 18 Yr old not on Calif Exchange

Quote: Originally Posted by Smoky View Post

For Obamacare to work, the Head Nigger In Charge needs to convince the 18-29 age group to buy into the health exchanges. According to the latest Gallup poll, not likely to happen.

25% of Uninsured Say Plan to Stay That Way

I agree with you and Thanks Fred for starting this thread and great POST !

Just for the hell of it I created an account in the California Exchanged to see the pricing and options from different companies and found out that that 18 years of age is not an option for selection. Is any other state this way as well ?

Below is what Happen when I clicked to see options available. I will try tomorrow to see what the options are and if the system crashes again.

Mr. Lee of Covered California (ACA) said about 1,200 people joined the exchange today and 4% were bailing from system without signing up. Sounds more like ObamaCare Lies to me !

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Old 10-02-2013, 10:39 AM   #6
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Quote: Originally Posted by Smoky View Post

For Obamacare to work, the Head Nigger In Charge needs to convince the 18-29 age group to buy into the health exchanges. According to the latest Gallup poll, not likely to happen.

25% of Uninsured Say Plan to Stay That Way

Listening to NPR on the way home from work yesterday, they were interviewing people who were signing up. Every one of them, every last one, was someone who needed treatment for something ASAP.

Like everything else with the HNIC, this is just another artifice to take from those who produce and work, and give to those who don't.
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Old 10-02-2013, 05:36 PM   #7
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5 Reasons Obamacare Won't Save You



3 Reasons Obamacare is Not Apple


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Old 10-03-2013, 12:34 AM   #8
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Obamacare calculator for niggers in Washington D.C.:
https://dchealthlink.com/calculator

Obamacare calculator for primarily Whites in Kentucky:
https://kyenroll.ky.gov/PreScreening...dualCalculator
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Old 10-03-2013, 12:59 AM   #9
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The niggers and the spics (along with every demented liberal) will be squealing like pigs inside a month. The idiots had no clue what they were asking for.

THERE IS NO FREE LUNCH!!!
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Old 10-03-2013, 01:07 AM   #10
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