It's discouraging that once a Supreme Court rewrites a law for Congress, it's permanent.
Obamacare passed the Senate with a simple majority as a reconcilement bill, claiming it would save, rather than spend money. After a Republican won a Massachusetts special election by campaigning against Obamacare, Democrats no longer had the votes to break a filibuster.
Roberts bent over backwards to make the penalties into taxes to make the bill Constitutional. He did that because in 2012 it was clear that sending it back to Congress for a rewrite would mean the bill would be defeated. Roberts' ruling prevented Congressional elections from having any consequences, and removed the consent of the governed from the bill.
Now Obamacare is the status quo, and it takes 60 Senate votes to get rid of it. The suit asks the Supreme Court to do the right thing and send the bill back to Congress for a rewrite. The WSJ EB says they won't, but the ruling will show the need for more originalist judges.
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A Call for Healing
Showing posts with label Obamacare. Show all posts
Showing posts with label Obamacare. Show all posts
Oct 8, 2020
Supreme Court Ruling Stopped Elections From Having Consequences
Aug 7, 2017
Allow Escape from Obamacare
It's clear that Obamacare can't be repealed, but it doesn't have to be. The Cruz Amendment, to allow insurance companies to sell health insurance that does not comply with any of the Obamacare coverage mandates, is the only logical answer here. Let people escape from Obamacare, and you won't have to repeal it. Obamacare will be abandoned by most sensible health insurance customers except for people in high risk categories. If people can vote on Obamacare with their feet, Obamacare will lose.
This provision could be included in a reconciliation bill if the government loses enough on each person covered by a subsidy. Any person who left Obamacare for lower cost private insurance would save the government money. The Congressional Budget Office (CBO) would have to be leaned on a little bit, but they richly deserve it. The CBO said Obamacare would save the government money. Given how far into a death spiral Obamacare is, that's a big LOL at this point. The Congress needs to pass instructions to the CBO on how to score people who leave the program for less expensive private insurance as part of the bill. The prediction should be based on the rates people paid before Obamacare, adjusted by the cost of living. If the CBO won't follow instructions, fire the top earners in the CBO and get a revised estimate. They serve at the pleasure of the majority party in Congress essentially. It's time to pretend we're ruthless Democrats like Harry Reid and Nancy Pelosi. A provision like this will force Democrats to explain why people can't choose their own coverage, even coverage that doesn't cover pre-existing conditions. The cross subsidy younger healthier people give to sicker older people under Obamacare is something Democrats conceal, because socialism is sold by fraud. Make Democrats explain why Obamacare has to be a government enforced monopoly, why they can't permit any private competition. When the lies about who pays the true costs are exposed, it will be easier to pass a bill. That's the alternative that will work. |
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Jan 8, 2017
Obamacare: A Legacy Unsustainable Death Spiral
Obamacare passed with no Republican votes.
Democrats made all of the false promises. "If you like your doctor, you
can keep your doctor. If you like your plan, you can keep your plan."
There was no way either of those statements could be true under the law that
the Democrats passed. Everybody except Nancy Pelosi knew it. She "had to
pass it to see what's in it." Democrats made all of the enabling regulatory
decisions, like the contraceptive mandate. Democrats own Obamacare.
Obamacare is in a death spiral right now. As
rates go up, fewer, sicker, people sign up, then rates go up more. Obamacare
was designed to be a huge government health subsidy program, but Democrats
claimed that it wouldn't need subsidies. So Marco Rubio made them put it in
writing. One of the funding bills says that there will be no insurance
subsidies from the government. That's why all of the low ball rates have
bankrupted the made-for-Obamacare coop insurance companies.
The penalties for no insurance would have to be almost as high as the cost of the insurance to induce people to buy the insurance.
The program also didn't allow rate
differences by age. This was designed to force younger and healthier people to
subsidize older, sicker people. Unfortunately, the younger and healthier people
are having trouble finding jobs in Obama's crummy economy, so they can't afford
the overpriced insurance.
The Democrats brag that they have a plan.
The Democrats say the Republicans don't have a plan. The problem is that the
Democrats' plan is a gigantic failure, so it's not a real, sustainable
alternative. The Republicans want to use free market mechanisms to lower the
overall costs of healthcare in the economy. The Democrats say that's not a
plan, because the government has no active role. Given how badly the government
has messed up healthcare under the Democrats' Obamacare plan, do you really
want the government to be more involved in any new plan?
One area the federal
government might fix is in the supply of medical care. You do not need to be a
full-fledged MD to see patients with ordinary complaints like sore throats,
runny noses or minor injuries. In the US Military, these functions are handled
by Physicians' Assistants and Nurse Practitioners. Perhaps the new healthcare
plan should establish federal licensing requirements for Medicaid recipients
that would allow them to be seen by Physicians' Assistants and Nurse
Practitioners whether the state licensing laws allow it or not.
Another thing Congress
could do is limit malpractice awards in Medicaid cases to no more than twice
the economic damages. This would lower the cost of delivering healthcare to the
needy. The federal government should also set up high risk pools for people with uninsurable preconditions.
The government could mandate published prices for procedures for both doctors and hospitals. The
statistics should include both the list price and also the average price paid
by private insurance as well as the average price paid by government sponsored
insurance. If the government can force nutritional labeling standards on food
products, it should be able to force published price lists on hospitals and
doctors. The trend away from first dollar health insurance coverage is well
under way. The federal government should take steps to lower built in costs, increase
information available to consumers and encourage price competition.
Dec 24, 2016
Obamacare Death Spiral is Democrats' Plan
Obamacare passed with no Republican votes. Democrats made all of the false promises. "If you like your doctor, you can keep your doctor. If you like your plan, you can keep your plan." There was no way either of those statements could be true under the law that the Democrats passed. Everybody except Nancy Pelosi knew it. She "had to pass it to see what's in it." Democrats made all of the enabling regulatory decisions, like the contraceptive mandate. Democrats own Obamacare.
Obamacare is in a death spiral right now. As rates go up, fewer, sicker, people sign up, then rates go up more. Obamacare was designed to be a huge government health subsidy program, but Democrats claimed that it wouldn't need subsidies. So Marco Rubio made them put it in writing. One of the funding bills says that there will be no insurance subsidies from the government. That's why all of the low ball rates have bankrupted the made-for-Obamacare coop insurance companies.
There is no way an individual insurance market can be sustainable without a prior condition exclusion. Everyone just waits until they are sick to sign up. The penalties for no insurance would have to be almost as high as the cost of the insurance to induce people to buy the insurance.
The program also didn't allow rate differences by age. This was designed to force younger and healthier people to subsidize older, sicker people. Unfortunately, the younger and healthier people are having trouble finding jobs in Obama's crummy economy, so they can't afford the over priced insurance.
The Democrats brag that they have a plan. The Democrats say the Republicans don't have a plan. The problem is that the Democrats' plan is a gigantic failure, so it's not a real, sustainable, alternative. The Republicans want to use free market mechanisms to lower the overall costs of healthcare in the economy. The Democrats say that's not a plan, because the government has no active role. Given how badly the government has messed up healthcare under the Democrats' Obamacare plan, do you really want the government to be more involved in any new plan?
May 17, 2016
Changing Obamacare Takes More Than Winning Elections
Liberals
are fond of saying that if Conservatives don’t like Obamacare, they should win
some elections and change it. The problem
with this liberal advice is that the GOP did win several elections with
Obamacare as a major issue, but political shady deals, rigged court cases
and liberal obstructionism kept those elections from mattering. While Obamacare was being considered, the GOP won
the December 8, 2009 election to fill the Senate seat of Edward Kennedy, who
had died. Republican Scott Brown won the election by promising to
filibuster Obamacare. The result was Democrats lost their 60 vote filibuster proof majority. The Democrats passed a badly flawed bill in the
House later in 2009, to avoid having the Senate vote again on a revised bill,
which the Republicans would have filibustered with their newly added Senator
Brown being enough to stop the bill. The GOP won the Congressional
election in 2010. Obama and the Supreme Court revised Obamacare numerous
times without Congress. The bill was poorly drafted, but Obama wanted to
avoid having to compromise with the Republican House and Republican Senators
ready to filibuster. The GOP won another Congressional Election in 2014,
and took control of the Senate. President Obama's response was to use his
pen and phone trying to legislate without Congressional involvement. In effect, Obama wanted to negate the election results.
So tell
any liberals who say that the GOP needs to win some elections that all
elections are supposed to count, not just presidential elections.
Congress is supposed to legislate, not the Supreme Court and not the
president.
Jun 28, 2015
Amendment Needed to Check Supreme Court
I think it’s become perfectly clear in the last week that
the Supreme Court is abusing its power. It
seems to me that recent decisions of the court are based on what the majority
of the justices want the law to be rather than what the law is. I think that the unchecked power of the
Supreme Court has proven to be a design flaw in the Constitution. To return our
government to the rule of law instead of the rule of nine appointed judges, I
think we need to consider changing the Constitution to check the power of the
Supreme Court. First let me explain why
we need to check the Supreme Court. Then
I’ll take a shot at proposing an amendment which I think will help.
I am in favor of gay marriage. If the court had ruled
that a legal marriage performed in one state must be recognized in all states,
I would have been very happy with the decision. The means Justice Kennedy used
instead have badly damaged the outcome. The Supreme Court made it up in both
the Obamacare case and the gay marriage case. The whole point of having written
laws is that they are predictable. Everyone is supposed to be able to
understand what the law is and live by it. Under current circumstances, Supreme
Court rulings are more like professional football games. On any given case, the
Supreme Court can change the plain meaning of the words in a statute, or the
clear understanding of a Constitutional Amendment when it was ratified.
In
the Obamacare case, the statute language said subsidies would only go to
purchasers who used an "Exchange established by the State.” The Supreme
Court added the words "or the federal government" because too many
states did not set up exchanges. It's clear that the bill was very poorly
drafted. In the bad old days, when Congress was the only legislature, this
would have been a problem only Congress could fix. Instead, the executive and
judicial branches conspired to cut Congress out of the process. This
disenfranchises all of the voters who elected Senators and Representatives in
2010, 2012 and 2014. If the court had ruled that the statute meant what it said
and the stayed its order until 12/31/15 to give Congress and the President time
to fix the mess, that would have been a ruling on what the law is rather than
what 6 justices thought Congress intended the law to be.
In
the gay marriage case, the Supreme Court used the 14th Amendment to rule that
gay marriage was mandated by the Constitution. In 1868, when the 14th Amendment
was passed, homosexual acts were illegal in every state. The state legislators
who voted to ratify the 14th Amendment thought they were ratifying equal rights
regardless of race. When the 14th Amendment was used to invalidate laws against
mixed race marriage, this was exactly what the ratifiers would have expected.
None of them would have expected that gay marriage was what they had ratified.
One way to fix this might
be a Constitutional Amendment permitting a Supreme Court minority opinion to be ratified by
the legislatures of a majority of states within two years of any decision. If
this happens, the minority takes effect instead of the majority ruling. This
would put the brakes on crazy Supreme Court rulings that ignore the plain
language of the Constitution or statutes. It would also give states back some
of the power they have lost to the federal government.
I think that this is reasonable. The minority opinions are
learned legal opinions, so this is not a blank check for the state
legislatures. The mere possibility of opinions being overturned in this fashion
might promote moderation and compromise in Supreme Court Decisions. If
the threat wasn't enough, the remedy would not be easy, but it would be easier
than a specific Constitutional Amendment to overturn a bad Supreme Court
reading of the Constitution. It also would be easier than impeachment to
correct a bad appointment.
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