To: Sully- who wrote (78661 ) 3/25/2010 7:25:37 PM From: Sully- Read Replies (1) | Respond to of 90947 Good luck convincing people Obamacare is no big deal By: Mark Hemingway Commentary Staff Writer 03/25/10 11:36 AM EDT The Democratic strategy for selling health care reform has rather improbably centered around the idea that they can convince the American people that it’s no big deal. And friendly journalists and wonks have lined up to help them make this argument. Well, the “relax it’s no big deal” column may have reached its apotheosis with this column at The Atlantic, “Health Care Reform Isn’t Very Historic.” Let’s see if this allays your fears: <<< The bill is projected to cost $940 billion over the next decade, or a little more than the stimulus package that now costs $862 billion, up from the original price tag of $787 billion. While the programs spend their money at different annual rates, for the sake of illustration, the spending difference between them is a paltry $7.8 billion per year. That hardly puts health care reform in a league of its own when it comes to spending. >>> Oh, Health care reform only costs about as much as the stimulus bill. Phew! I thought it was going to be expensive. But seriously, the stimulus is the new baseline for federal spending? With apologies to the late, great Sen. Moynihan, I think we’re defining profligacy down (or perhaps defining it up, if we’re going to get literal about it). And this again is assuming that the Obamacare only costs $940 billion , considering Democrats shameless attempt to game the Congressional Budget Office by delaying the spending and front-loading the tax increases. Remove the accounting gimmicks and we’re looking at something that costs twice the stimulus bill over ten years. And let’s hope the CBO doesn’t get back to us a year from now and inform us that, like the stimulus bill, the projected cost went up ten percent in the first year. So yeah, other than that, point well taken. Moving on: <<< The majority of the uninsured will soon do what tens of millions of other Americans do: buy private insurance plans. The only difference between these 24 million and the rest who have private insurance is that they will buy the plans with the help of tax credits . (If you buy insurance through your employer, it’s tax-free anyway. And starting in 2018, that begins to change for richer insurance plans.) The practice of Americans paying for private goods and services with government money is not new: millions send their kids to school with vouchers, pay for medical procedures with insurance from Medicare/Medicaid, buy hybrid cars with rebates, and so on. >>> Chill people, it’s only tax credits — just like school vouchers, which the Obama administration killed in the District of Columbia because they care more about teacher’s unions than poor kids; Medicare and Medicaid, a.k.a. bankrupt and bankrupt; and buying hybrid cars — How about that cash for clunkers program! That was smart use of money. Reassured yet? Well, this is sure to do it: <<< The remaining 16 million will be insured through a program that’s anything but new: Medicaid , created in 1965. >>> Well then, they’ve thought of everything. Of course there’s a slight problem, because over half of all specialists in many major metropolitan areas are refusing to take on new Medicaid patients, according to a 2009 survey by Merritt Hawkins and Associates on physician wait times. That’s because Medicaid reimbursement rates aren’t enough for doctors to make money. Now the government could pay doctors more, but that might raise the cost of the Democrats shiny new health care reform legislation. They already worked overtime to kill programs where the government directly funds private insurance with better reimbursement rates — State Children’s Health Insurance Program (S-CHIP) funds were long ago stripped out in favor of dumping kids in Medicaid, right on the heels of Democrats heavily demagoguing Bush administration for years over the issue. Oh and it was nice knowing you, Medicare Advantage! Never mind that one in three Medicare recipients in New York and California are enrolled in the program because subsidized private insurance makes it easier to get a doctor. But “if you like your insurance you can keep it,” right? But there I go, fearmongering again. Take a couple of deep breaths, this Obamacare thing will be all right: <<< Obama’s health care success doesn’t move the federal government into our lives nearly as much as FDR and LBJ’s successes did. >>> When someone points a gun at your face and says, “Relax, I won’t shoot you again — you’re only going to get pistol whipped,” I doubt you’ll find that statement terribly reassuring. Read more at the Washington Examiner: washingtonexaminer.com