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Soon your doctor will be required to tell you how much your end-of-life care is going to cost. But please don't call it a "death panel."
Advocates for better end-of-life care expect Medicare to soon announce that it will start paying physicians for having advanced-care planning conversations with patients — reviving the widely misunderstood provision that gave rise to "death panel" fears and nearly sank the Affordable Care Act.
Spin, Politico, spin!
If it looks like a death panel, and it acts like a death panel, well, I'm gonna call it a death panel.
The new policy could be part of an annual Medicare physician payment rule, which could be released any day.
With an aging population and growing public awareness that high-tech interventions are often futile at the end of life, doctors have encouraged private insurers to cover advanced-care conversations. Some state Medicaid programs already do so.
Sorry Grandma, you're not worth it.
Oh, wait, I'm being "hysterical" again.
Such a policy shift would come six years after former vice presidential candidate Sarah Palin's wild charges of "death panels" triggered near-hysteria that bureaucrats might begin to withhold medical care from older Americans. Polls showed that the charges stuck, and the ongoing uproar in the summer of 2009 almost derailed Obamacare. The same fears have shadowed the law ever since.
Gee, I wonder why?
Oh, right, because cutting Medicare / Medicaid reimbursement rates is the one thing Obamacare has been good at doing. Except that doctors voted with their feet, leaving an acute shortage of physicians willing to play by Obamacare's rules.
So what do you do when there aren't enough doctors to go around?
You ration care!
How do you ration care?
By making old people feel guilty for "wasting" the doctor's time. They're just going to die anyway, why prolong their agony?
You've heard the push for assisted suicide — the humane choice! — to supposedly enable suffering patients to die with "dignity."
Now imagine how that'll play out in conjunction with discussions of costs for end-of-life care. Grandma has a duty to die, before she wastes precious resources that could be used for more important stuff like sex-change operations and free birth control.
Sure sounds like a death panel to me.
The greatest wealth transfer ever enacted lives on. Chief Justice John Roberts, a traitor to the Constitution if there ever was one, redefined the English language.
The Supreme Court on Thursday upheld ObamaCare subsidies nationwide, in the second major court victory for President Obama on his signature health care law.
In a 6-3 decision, the court ruled that subsidies are valid even in states that did not set up their own insurance exchanges.
Because "established by the states" actually means "established by the federal government." Really. That's the crux of his, ahem, reasoning.
"Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them," Roberts wrote in the majority opinion. "The Act gives each State the opportunity to establish its own Exchange, but provides that the Federal Government will establish the Exchange if the State does not."
Also, Freedom is Slavery. War is Peace. And, Work Makes You Free.
Roberts tied himself in knots to uphold Obama's legacy, and it's Antonin Scalia's scathing dissent which should become our rallying cry for 2016.
"Having transformed two major parts of the law, the Court today has turned its attention to a third. The Act that Congress passed makes tax credits available only on an 'Exchange established by the State.' This Court, however, concludes that this limitation would prevent the rest of the Act from working as well as hoped. So it rewrites the law to make tax credits available everywhere."
"We should just start calling this law SCOTUScare.""…the cases will publish forever the discouraging truth that the Supreme Court of the United States favors some laws over others, and is prepared to do whatever it takes to uphold and assist its favorites."
A "penalty" is a "tax," except when it's a "penalty" that some people won't actually have to pay. Whatever it takes to keep this abomination limping along, sucking the lifeblood out of the productive class.
So now, having decreed that Obama can force us to purchase a product, and that now and forever he can tax me to subsidize your purchase of it, what's to stop him from expanding the Obamacare model to other liberal shibboleths? Is "The Electric Car Affordability and Environmental Protection Act" beyond the realm of possibility? Imagine a world in which every American must purchase a Chevy Volt, and tax credits are available to ensure we all do our part to Save The Planet. Because that is the world John Roberts lives in.
Words no longer have meaning. Or rather, they mean whatever John Roberts says
they mean. In which case our republic is doomed.
Maybe we should rename it The Unaffordable Care Act. Because the claims experience data is in, the insurers have crunched the numbers, and your premiums are going to go through the roof next year.
Health insurers are proposing to raise Obamacare rates more than in the past — some by more than 70 percent — now that they are finally equipped with all the information they need to price those plans.
Plans wanting to raise rates by at least 10 percent next year posted the proposed increase online Monday, as required by the 2010 healthcare law. Insurers are allowed to raise rates each year, but they must publish significant increases ahead of time.
Insurers have sold plans in the law's new insurance marketplaces for two years in a row. But the difference in 2016 is that for the first time, they have a full year of claims data from enrollees that tells them how high or low to set the price tag.
While plans and rates vary by state, a look at rate increases published Monday on healthcare.gov shows many hovering around 10 to 30 percent in many states.
But there's also a sprinkling of even bigger hikes. Blue Cross wants to raise its most expensive "platinum" plan in Alabama by 71 percent next year. Aetna wants to charge 59 percent more for one of its small group plans in Virginia. Time Insurance Co. is proposing a 64 percent hike for an individual plan in Georgia.
Hey, didn't that Obama fellow promise us savings of $2,500 per year?
Why yes, yes he did. Numerous times, too.
The phrase "lying sack of shit" seems appropriate here.
Because it turns out the people signing up for Obamacare are older and sicker than the Obamabots said they'd be.
Until now, insurers have had to mostly guess at who would enroll in Obamacare plans. If the enrollees tended younger and healthier, they could price plans lower. But if they ended up being older and sicker, prices would need to be higher.
And with year two of Obamacare enrollment concluded, there are more older enrollees than younger ones. Almost half were older than age 44, according to final enrollment data from the Obama administration.
Experts are predicting rates will escalate faster next year than in the two years prior, as insurers take a close look at who is enrolling in Obamacare plans to get a good sense of the overall picture.
But wait, there's more. Bad news, that is. Remember all those mandates for "free" coverages? They cost money too.
The national group representing insurers quickly jumped to their defense Monday when asked about the big increases. Clare Krusing, a spokeswoman for American's Health Insurance Plans, said there are many reasons for the increases — including taxes and fees and the fact that more insurers are phasing out plans that do not comply with Obamacare's rules.
"Premiums cannot be viewed in isolation," Krusing said. "It's critical to look at the individual market dynamics that impact how much consumers pay for their health care coverage and the factors, like provider consolidation and exploding prescription drug prices, that drive up premiums across the country."
So next year, when you can't afford your health insurance, be sure to thank a
Democrat. Because no matter how much you disliked the old system, nothing says
"you're gonna get screwed" quite like the government trying to make it "affordable."
The Hawaii Health Connector has prepared a contingency plan to shut down operations by Sept. 30 after lawmakers failed to pass legislation to keep the state's troubled Obamacare insurance exchange afloat.
"Now that it is clear that the state will not provide sufficient support for the Hawaii Health Connector's operations through fiscal year 2016 (ending June 30, 2016), the Connector can no longer operate in a manner that would cause it to incur additional debts or other obligations for which it is unable to pay," Connector officials said in a report released Friday to the nonprofit's board of directors.
The plan, obtained by the Honolulu Star-Advertiser, states the Connector will cease new enrollments Friday, discontinue outreach services May 31 and transfer its technology to the state by Sept. 30. The Connector's workforce will be completely eliminated by Feb. 28. The exchange has 32 employees, 29 temporary staff and 12 full-time contractors.
"Staff reductions will commence immediately, with the executive director (Jeff Kissel) exiting once the bulk of operational activities end," the report said. "If the state cannot facilitate an orderly transition, the Connector's operations will abruptly end, as the Connector does not have the resources to continue operations."
37,000 people will lose their health insurance, and have to scramble onto the federal exchange if they want coverage.
That's the same federal exchange, if you're keeping score at home, that's likely to be eviscerated by the Supreme Court next month. Oh, but HHS has a contingency plan for that too. Tell the states to set up their own exchanges!
The CEO of HealthCare.gov on Monday said states would not be able to immediately set up their own insurance marketplaces if the Supreme Court rules against ObamaCare this summer.
Kevin Counihan, the director of HealthCare.gov, told an audience at the National Health Insurance Exchange Summit that creating an exchange is a "very, very complex activity" that could not be achieved in just a few months.
"It would not be something that folks could do for this next open enrollment period," he said during a question-and-answer session, referring to the sign-up period that begins in November.
I don't think Hawaii is gonna be ready for that. Which ought to make things,
um, interesting for Dear Leader when he goes back there for another
Sooner or later, everyone will be dependent on the government.
At least that seems to be the trend.
Medicaid, the public health insurance program expanded under the Affordable Care Act, now covers nearly one out of every five New Jersey residents, according to the latest enrollment figures.
More than 420,000 people signed up for insurance since New Jersey allowed more people to into the program, according to Valerie Harr, director of the division of medical assistance and health services for the N.J. Department of Human Services.
About 80,000 of those people already qualified for the program under the old income guidelines - but didn't realize it until they attempted to enroll in Obamacare policies and found they were poor enough to qualify for Medicaid.
All told, 1.7 million New Jersey residents will now have the bulk of their medical expenses covered by Medicaid.
Obamanomics — it's Trickle Up Poverty!
Of course, the Obamabots / Hillarians* consider putting 20 percent of New Jersey on the dole a success. Because they're not paying for it.
But, those of us who are still dumb enough to be working for a living?
*I am open to a better moniker for Hillary's Hypnotized Hordes. Hillaridiots? Hillunatics? Hillemmings? Hillbillies?
Five years since it was shoved down our throats in the dark of night, and despite all the debacles encountered along the way, Obamacare's supporters continue to insist it's "working." Their definition of "working" must be different from mine. Because even if it might have succeeded in forcing people to buy health insurance, those people can't find a doctor who'll take it.
The Affordable Care Act has provided a path for 420,500 low-income New Jersey residents to gain insurance through the Medicaid program, but a new study says the state ranks last in the nation in doctors willing to treat them.
Just 38.7 percent of New Jersey physicians said they accepted new Medicaid patients in 2013 — far below the national average of nearly 69 percent, according to the most recent data available from the U.S. Centers for Disease Control and Prevention. New Jersey is the only state where fewer than half of the doctors accepted new Medicaid patients. California, at 54.2 percent is second-lowest in the nation.
New Jersey also ranked at the bottom in a 2011-12 survey of 8,158 physicians, when 46 percent of primary care doctors said they had planned to take on new Medicaid patients.
Can you guess why?
Obamacare is long on promises, and short on payments.
New Jersey's Medicaid physician reimbursement rates — among the lowest in the country despite the state's high cost of living — have long suppressed doctor participation in the program known as NJ FamilyCare.
Are you surprised by that? Of course you aren't.
Obamabots believe doctors should work for free.
Notice how they don't hold themselves to the same standard.
A report by NJ Advance Media in February detailed the problems people on Medicaid have finding a doctor who will see them. Making the situation even more challenging to patients, an investigation of the insurance company lists of participating providers revealed those lists to be inaccurate or out-of-date.
Bad info from the Obamacare website? Say it ain't so!
Of course it's so. The whole thing is a train wreck.
It's the illusion of health care.
The doctor won't see you now. So, don't get sick.
Can you believe it's been 5 long years since Obamacare went into effect?
Can you believe there are still deluded people out there who like Obamacare?
Not for long. The pain, it is coming.
Half of the households that received subsidies to help pay health insurance premiums last year under the Affordable Care Act will probably have to repay some of that money to the federal government, according to a new analysis by the Kaiser Family Foundation.
Taxpayers generally receive subsidies in advance, with the amount based on their projected household income for the year the insurance policy will be in effect. But they must then reconcile the estimate with their actual income when filing federal taxes. Kaiser estimated that subsidy recipients who underestimated their incomes will owe $794 on average.
There goes your refund. Please make your check payable to
America Ready For Hillary and don't forget to mail it in by April
Speaking of pain, small business is bearing the brunt of Obamacare's onerous record-keeping requirements.
Complying with the health care law is costing small businesses thousands of dollars that they didn't have to spend before the new regulations went into effect.
Brad Mete estimates his staffing company, Affinity Resources, will spend $100,000 this year on record-keeping and filing documents with the government. He's hired two extra staffers and is spending more on services from its human resources provider.
The Affordable Care Act, which as of next Jan. 1 applies to all companies with 50 or more workers, requires owners to track staffers' hours, absences and how much they spend on health insurance. Many small businesses don't have the human resources departments or computer systems that large companies have, making it harder to handle the paperwork. On average, complying with the law costs small businesses more than $15,000 a year, according to a survey released a year ago by the National Business Association.
"It's a horrible hassle," says Mete, managing partner of the Miami-based company.
That's $15,000 the business can't spend on raises, or expansion, or supplies. It's wasted, a lost opportunity really, dragging our economy down.
But don't take my word for it. Listen to Senate Democrats.
A group of Democratic senators is urging the Obama administration to delay a key portion of Obamacare because the results could be "harmful and disruptive."
The letter was signed by Democratic Sens. Claire McCaskill, Heidi Heitkamp, Chris Coons, Joe Manchin, Joe Donnelly and Jon Tester and independent Sen. Angus King, who caucuses with the Democrats.
"We are writing to share our concerns regarding scheduled changes to the definition of the small group market under the Affordable Care Act (ACA)," the senators wrote in the letter, dated March 12.
"Under the law, employers with 51 to 100 employees will be included in the ACA's definition of small group market starting in 2016. Instead of providing stability, we believe expanding the definition will force those historically defined 'large group plans' into the 'small group market,' where they could experience higher premiums, less flexibility, and new barriers to coverage. We therefore encourage you to delay the effective date in the definition change for two years so the market can more smoothly transition to the new rules."
Wait, I thought Obamacare was working swimmingly and all the kinks were worked out! How can these senators say it causes "higher premiums, less flexibility, and new barriers to coverage?"
Because the small group marketplace (aka SHOP) still isn't built, that's why. It's 2 years behind schedule. And I'll know you'll find this hard to believe, but it's actually more of a trainwreck than the original Obamacare web site.
As a guy who's already stuck in the hell that is Obamacare's small business marketplace, let me tell you, it's worse than you can imagine. Choices? Yeah, we have "choices." Between Expensive, Ridiculously Expensive, and Donald Trump Couldn't Afford This Plan. We liked our insurance. We didn't get to keep our insurance. And our employees are not happy. Not one bit.
Just wait until thousands and thousands more hapless schmucks are subjected to the same fate. No wonder these senators are worried, people who are pissed off at Obamacare might not vote for HillBillary. They might even decide to put that Ted Cruz feller into the White House. And then where would progressivism be?
Obamacare, it's so great they have to force you to buy it, and then they have to
keep postponing the really scary parts so they can retain their hold on power.
No wonder it's so popular!
These clowns can't get anything right. Today's Obamacare debacle? 800,000 bogus tax forms.
The White House has some bad news for those ObamaCare-insured taxpayers who prepared for early tax filing — or actually had already filed. That form that they sent out about premiums and subsidies? More than ten percent of them turned out to be wrong, so … you'll have to either wait to calculate your taxes, or have a do-over.
They'll mail corrected forms "soon."
Hey, filing your taxes wasn't painful enough, right?
It's not just the federal exchange, either. The Covered California system issued 100,000 erroneous tax forms, too. The AP has no word on other state exchanges, but it's beginning to look like ObamaCare may snarl tax preparation for weeks.
But don't worry, your health care is in the very best of hands!
Really. You'd think Obama would take a few minutes from playing golf or apologizing to Muslims to make sure his signature legislation isn't screwing over the people he's claiming to help.
Meanwhile, HHS has Hillary's back — if a low-information voter has been living under a rock for the past 5 years she can still sign up for Obamacare even though enrollments are technically "closed" for 2015.
The Obama administration said it would allow people to sign up for plans on HealthCare.gov through April to avoid tax penalties for going uncovered in 2015.
The extension, which adds more than two months to the enrollment period for health coverage this year, was announced by Health and Human Services officials on Friday.
People who pay penalties for going uncovered in 2014 and are still uninsured will be allowed to visit HealthCare.gov until the end of April, said Andy Slavitt, principal deputy administrator at the Centers for Medicare and Medicaid Services, the HHS unit overseeing implementation of the law. They will be able to apply for coverage starting March 15 as long as they attest that they didn't learn about the health law's requirement to carry insurance or pay the fine when they filed their taxes. The site had closed Sunday for most users.
Democrats were in a panic that their voters would get socked with two tax penalties this year, and take it out on Hillary Clinton's presidential ambitions in 2016.
Besides, deadlines are for suckers. Obama's minions just rewrite the law to suit their whims, because, uh, it's good to be king!
It's us peons who have to live with the fallout. Good thing I haven't filed
my taxes yet.
Sometimes I start to think that maybe Democrats do have principles. But then, reality always obviates me of that silly notion.
The official sign-up season for President Barack Obama's health care law may be over, but leading congressional Democrats say millions of Americans facing new tax penalties deserve a second chance.
Three senior House members told The Associated Press that they plan to strongly urge the administration to grant a special sign-up opportunity for uninsured taxpayers who will be facing fines under the law for the first time this year.
The three are Michigan's Sander Levin, the ranking Democrat on the Ways and Means Committee, and Democratic Reps. Jim McDermott of Washington, and Lloyd Doggett of Texas. All worked to help steer Obama's law through rancorous congressional debates from 2009-2010.
So they were for the penalties, until the penalties started biting their key demographic (low-information consumers of government) in the ass.
The lawmakers say they are concerned that many of their constituents will find out about the penalties after it's already too late for them to sign up for coverage, since open enrollment ended Sunday.
That means they could wind up uninsured for another year, only to owe substantially higher fines in 2016. The fines are collected through the income tax system.
This year is the first time ordinary Americans will experience the complicated interactions between the health care law and taxes. Based on congressional analysis, tax preparation giant H&R Block says roughly 4 million uninsured people will pay penalties.
That's 4 million people who'll be less likely to vote for Hillary Clinton.
Whoa, we can't have that! To the ramparts! Fight the penalties!
"Open enrollment period ended before many Americans filed their taxes," the three lawmakers said in a statement. "Without a special enrollment period, many people (who will be paying fines) will not have another opportunity to get health coverage this year."
Wait, you mean President Selfie Stick didn't get his message out to everyone on the DNC's list of likely Hillary voters? It's been 5 years now, just how out of touch are their sycophants?
Apparently, pretty darned out of touch. Because Obamabots are getting blindsided, and they're not liking it, not one bit.
Janice Riddle got a nasty surprise when she filled out her tax return this year.
The Los Angeles resident had applied for Obamacare in late 2013, when she was unemployed. She qualified for a hefty subsidy of $470 a month, leaving her with a monthly premium of $1 for the cheapest plan available.
Riddle landed a job in early 2014 at a life insurance agency, but since her new employer didn't offer health benefits, she kept her Obamacare plan. However, she didn't update her income with the California exchange, which she acknowledges was her mistake.
Now, she has to pay back the entire subsidy, which is forcing her to dip into her savings.
"I was blindsided that the subsidy has to be paid back," said Riddle, adding she didn't even use the coverage, which she had until she qualified for Medicare in October. "I'm in shock…but I have no choice. Do I want to argue with the IRS or the Obama administration?"
Bwahahahaha! Sucks to be you Toots.
Who here thinks Ms. Riddle is going to learn from her mistake?
Yeah, me neither. She'll still vote for the Democrats and their false promises. Because you just can't fix stupid. But you can mock it. Mercilessly.
See WyBlog deride
Progressives far and wide.
What do you do when you realize that millions of low-information voters are going to get hosed by your signature piece of legislation? Well, if you're Barack Obama, you unilaterally decide not to enforce the inconvenient provisions of that law.
So it should come as no surprise that the IRS has "clarified" how they'll recapture excess Obamacare subsidies come April 15th. They won't. Not right away anyway.
If you got health insurance subsidies last year, and you're worried that you got too much in federal tax credits and will be faced with a huge tax bill for repayment, then you can worry a little less: The IRS says that people who are liable for repayment ("clawback") of excess subsidies won't have to pay by April 15.
It's not relieving you of the obligation to repay; it's just saying that you won't be liable for a penalty if you don't repay by the deadline. Interest will continue to accrue, but the interest rates that the IRS charges are actually pretty reasonable (and probably much better than what your credit card company charges). It's the failure-to-pay penalties it layers on top -- half a percentage point a month, with even stiffer penalties for failing to file -- that really make your tax bill add up fast.
Well, isn't that special? Pay your taxes whenever you feel like it! That is, if you're somebody the Democrats are counting on to help put Hillary Clinton in the White House.
As the saying goes, Obama's got more nerve than cheap veal cutlet. This is,
what, the 914th time he's decided he can just ignore the law whenever it
turns out to be politically embarrassing? Underpayment penalties are fine
and dandy when they're incurred by regular schmoes like me. But folks who
bought into the Hope and Change? They gotta be given special dispensations!
They can't feel the pain of their own electoral dysfunction. They might,
gasp!, vote Republican!
Democrats love taxes. They'll tax anything, anyway they can. Their mantra is Pay up, sucka!
But even by their standards, this latest Catch-22 is over the top.
As we all know, if you don't have health insurance, Obama will tax you.
But now, if you DO have health insurance, Andrew Cuomo will tax you.
Gov. Andrew Cuomo's new budget includes a nearly $69 million tax on health-insurance policies to pay for the administrative costs of continuing New York's ObamaCare health exchange, The Post has learned.
The levy is intended to make up for federal funds no longer available to the states as of this year. Adding up to about $25 per person insured under the plan, the cost is almost certainly going to be passed on to consumers.
The tax is being called a bait-and-switch by opponents of Cuomo's decision to start a state-run ObamaCare health exchange in New York. Had he not done so, they argue, there would have been no need for the tax.
"There was no indication that there would be a new tax to pay for this. We had plenty of debate on ObamaCare. I never heard this mentioned," said Assemblyman Steve McLaughlin (R-Troy).
Damned if you do, damned if you don't.
Because Obamacare is so gosh-darned wonderful, right? A bargain at twice the price! Or something.
The important thing is that we pay. And then pay some more.
Nineteen times Dear Leader promised he'd reduce our health insurance premiums by $2,500 per year.
Repeat after me: Barack Obama is a lying sack of shit.
Since Obamacare kicked in, health insurance premiums in New Jersey have risen faster than ever.
Since the passage of the Affordable Care Act in 2010, the cost of premiums in New Jersey each year have risen faster than the national average, according to a study released today by a nonprofit, nonpartisan think tank.
Premiums for New Jersey employer-sponsored health coverage climbed an average of 4.4 percent a year from 2003 through 2010 to $5,153 per single person, according to the study by the Commonwealth Fund. But from 2010 to 2013, the average premium rose 6.4 percent a year, to $6,200.
The spike was even greater for family policies. Pre-Obamacare, premiums rose by 4.7 percent a year, but escalated to a 7.4 percent average jump annually from 2010 to 2013. The total cost of a family policy in New Jersey was $17,396 in 2013.
New Jersey is among 10 states where premiums climbed 6 percent or more each year from 2010 to 2013. Similarly high increases were felt in Alaska, Colorado, Indiana, Maryland, New Hampshire, Ohio, South Dakota, West Virginia, and Wyoming, according to the report.
I'm thinking that 7.4 percent number is a little low. My day job's small group plan's premiums rose an average of 18 percent a year over the same time period. And that's for crappier coverage with higher deductibles and whopping out-of-pocket / coinsurance costs. Pre-Obamacare we had an awesome Aetna plan which really was "affordable." Post-Obamacare our prescription drug copays have trebled, the family max out-of-pocket quadrupled, and the number of doctors in our network went way down. For this we pay premiums that are almost double what they were 6 years ago.
The only person who ever told the truth about Obamacare was Jonathan Gruber.
Oh, but the Obamabots will call him (and me) a liar, and claim Obamacare is "working." 9 million more people are insured! OK, then riddle me this, Batman. The US population is about 320 million. So to allegedly help 2.8% of the people, Obama screwed over the other 97.2%.
Yeah, that's some mighty fine government work alright. No wonder he's the
Best President Evuh.
For two years, Barack Obama pretended to care about Medicaid's low reimbursement rates. He gave doctors a much-needed pay increase, to keep pace with Medicare and private insurance plans. But at the stroke of midnight on January 1st, the party's over.
When federal lawmakers planned the massive expansion of Medicaid as part of the Affordable Care Act, they included a big enticement to physicians — a significant, but temporary, pay increase.
Although the pay increase was not tied to Medicaid expansion, New Jersey accepted the deal. Some 300,000 additional state residents have enrolled in Medicaid in the last year.
Even though the number of patients continues to increase, come Jan. 1, the pay increase will be gone, adding even more stress to overburdened health care providers in the state.
The provision of the health law that boosted Medicaid reimbursement rates to make them equal to Medicare rates expires at the end of the year.
Medicaid reimbursements to New Jersey providers will decline by 53 percent, according to an Urban Institute report. Only four other states — New York, Michigan, California and Rhode Island — will see greater decreases, the report found.
Obama figured, wrongly it turns out, that the states would pick up the tab after he bailed out. And I'm sure his media sycophants will do all they can in the coming days to pin the upcoming Medicaid-accepting-doctor shortage on Chris Christie.
Because the state has had a low reimbursement rate, only about 40 percent of New Jersey physicians accept Medicaid patients — a nationwide low, according to a 2012 Health Affairs study.
In addition, because many feared the boosted payments would end without an extension, few of the state's doctors who hadn't been accepting Medicaid patients joined the program, she said.
"Many doctors in New Jersey didn't trust that it would be a long-lasting parity situation," said Campagnolo, a past president of the Medical Society of New Jersey.
Medical society CEO Lawrence Downs speculated in a Nov. 18 letter to Human Services Commissioner Jennifer Velez that the return to 2012 reimbursement levels could drive physicians out of Medicaid.
"Our concern is that we could have 5,000 less physicians accepting Medicaid in 2015, when payments go back down to one of the lowest in the nation," he wrote. "Thus, continuation of this payment level is crucial for the proper access to care for Medicaid patients."
Doctors don't want to work for peanuts.
Last year, a New Jersey family physician averaged $23.50 for an office visit from a Medicaid-covered patient.
And remember, $23.50 is the increased reimbursement rate. Next year it'll be a paltry $12.45.
I can't imagine any doctor being dumb enough to accept that.
So, all you suckers who believed Obama, voted for him, and signed up for
Medicaid? Yeah, the joke's on you. Here's my advice: Don't get sick.
Even in the most socialist state in the nation, socialism fails.
Vermont Gov. Peter Shumlin is canceling his dream plan to create a single-payer health system in the state, he announced Wednesday.
"I am not going to undermine the hope of achieving critically important health care reforms for this state by pushing prematurely for single payer when it is not the right time for Vermont," Shumlin said in a statement Wednesday. "In my judgment, now is not the right time to ask our legislature to take the step of passing a financing plan for Green Mountain Care."
The problem, of course, is simple. There just isn't enough Other People's Money to pay for it.
The problem is, of course, how to pay for it. Even while plans were moving forward for a 2017 launch of the single-payer system, to be called Green Mountain Care, Shumlin had held off on releasing a plan for how to pay for the system, waiting until his announcement Wednesday.
Tax hikes required to pay for the system would include a 11.5 percent payroll tax as well as an additional income tax ranging all the way up to 9.5 percent. Shumlin admitted that in the current climate, such a precipitous hike would be disastrous for Vermont's economy.
Oops. You know a tax hike is too onerous if a Democrat comes out against it. And then his buddy Obama wouldn't cough up any cash either.
Shumlin's office released a slideshow with more details about financing for the plan which fell through. The state had been anticipating $267 million in federal funding to revamp its system, courtesy of a 2013 Obamacare waiver — but the current estimate has fallen to $106 million. Vermont also overestimated by $150 million in federal Medicaid funding.
The final nail in the coffin? Single Payer won't actually cost less than the current system.
But beyond federal funding, the report also admits that the single-payer system won't save money as Vermont officials had planned. While both previous reports on Green Mountain Care had assumed "hundreds of millions of dollars" in savings in the very first year of operation, Shumlin's office is now admitting that's "not practical to achieve."
There's never a magic unicorn around when you need one.
Let this be a lesson to all you Obamacare lovers. Government meddling in the
free market is never a good thing. Your dreams of a universal
Euroweenie-style Single Payer "upgrade" to Obamacare just met Reality. And,
to almost no one's surprise, Reality won.
Hey Obamabots, what good is "affordable" health insurance if it costs you too much to use it?
In a survey taken in the fall, The Commonwealth Fund, a private, independent health care research organization, found that about 40 percent of adults nationwide who had high-deductible private insurance plans reported delaying care because of the cost.
In another, the Gallup Poll, which annually asks about health care cost and use every November, reported that the percentage of Americans who had insurance and chose not to go to a health care professional for a routine visit or a need because of cost hit an all-time high of 34 percent.
"Last year, many hoped that the opening of the government health care exchanges and the resulting increase in the number of Americans with health insurance would enable more people to seek medical treatment," Gallup said. "But, despite a drop in the uninsured rate, a slightly higher percentage of Americans than in previous years report having put off medical treatment, suggesting that the Affordable Care Act has not immediately affected this measure."
The problem is easy to identify but difficult to solve. Health care is extremely expensive in the U.S., and to keep from busting their budgets, companies that provide coverage to their employees and families increasingly are turning to plans that keep monthly premiums lower by increasing deductibles and charging more for out-of-pocket costs, said Linda Schwimmer, vice president of the New Jersey Health Care Quality Institute.
"More and more of [the cost] is being put on the employee, and because of that, they're reluctant to get the care they need because they're concerned about the cost," she said.
Once again proving that the Affordable Care Act is a total misnomer.
Obamacare will never cut costs. It can't. Not with all of it's mandates and required coverages. So to artificially lower the up-front cost of health insurance it had to hike the back-end copays and deductibles that kick in when we actually go to use it.
The result? Pay through the nose, or go without medical care.
Given the abysmal Obama economy, the choice is clear. Feed your kids, and skip the colonoscopy. To most folks a $4,000 deductible might as well be $400,000. And those $75 prescriptions buy a whole lotta diapers.
The best part is, Obama knew he was hoodwinking us. And he didn't care. That's the real story of Jonathan Gruber.
Gruber's attempt to downplay his role in the ACA is unconvincing, for reasons we suggested here. But the most damming comments by Gruber were not his "glib" words about the American public but his accurate analysis of the Affordable Care Act. For instance, in one of the videos that became controversial, Gruber is taped saying "What the American public cares about is costs. And that's why even though the bill that they made is 90% health insurance coverage and 10% about cost control, all you ever hear people talk about is cost control." That is not glib; regardless of whether you think the law was sold deceptively in the way Gruber suggests, his understanding of the law's focus on coverage over cost is correct. Whether or not Gruber was "the architect" of the law, whether or not his more noxious comment can fairly be associated with the law, he understands the law—and that is damming enough.
They purposefully obfuscated Obamacare's effects. Obama lied, health care died.
Obamacare is "working" dontcha know, except for that pesky affordability thing. Sylvia Burwell came to Newark today, to shill for her boss's signature statutory sensation, and she inadvertantly told the truth.
Burwell acknowledged that affordability is still a high hurdle for many, however. Affordability, whether in the cost of the premium, the deductible, co-payments or co-insurance "is one of the fundamental issues" keeping people from getting health insurance, she said.
"We need to work on putting downward pressure on those costs," Burwell said.
So, a fundamental issue with Obamacare is affordability. Even though its official name is The Affordable Care Act.
Gee, a cynic might think they lied to us about that "affordable" thing.
Obamacare has done nothing to constrain costs. In fact, it has added costs to virtually everyone's health insurance bills for coverages none of us ever wanted or needed. The point is for guys like me to subsidize health care for layabouts, feminuts, and illegal aliens. And with a 2015 premium increase of 28%, I can assure you, I'm subsidizing more than my "fair share."
I'm not alone. I can point you to thousands of people in the same boat. We're paying more money for crappier coverage. Higher deductibles. Shrunken networks. Fewer doctors. Unrenewable prescriptions.
It's deliberate. And if we don't stand up and yell "STOP," it's never gonna end. The Obamunists are determined to redistribute our hard-earned dollars to their voting bloc, because holding on to power is their only goal. The Affordable Care Act was never meant to reduce costs or make health care "affordable." Its only purpose was to create havoc in the health insurance marketplace so that government could step in to regulate our choices.
They're from the government and they're here to help.
Alas, vestiges of freedom linger. Liberty isn't (yet) a dirty word. We are at
a crossroads. Obamacare, or America, must die. We can't have both. The Founding
Fathers chose independence. We must not countenance nullification of their
Fewer Americans than ever like Obamacare.
And more Americans than ever hate Obamacare.
Can I get an "amen?"
As the Affordable Care Act's second open enrollment period begins, 37% of Americans say they approve of the law, one percentage point below the previous low in January. Fifty-six percent disapprove, the high in disapproval by one point.
The more you know…
Americans were slightly more positive than negative about the law around the time of the 2012 election, but they have consistently been more likely to disapprove than approve of the law in all surveys that have been conducted since then. Approval has been in the low 40% or high 30% range after a noticeable dip that occurred in early November 2013. This was shortly after millions of Americans received notices that their current policies were being canceled, which was at odds with President Barack Obama's pledge that those who liked their plans could keep them. The president later said, by way of clarification, that Americans could keep their plans if those plans didn't change after the ACA was passed.
And we now know it was all lies anyway.
Senator Kirsten Gillibrand (D-NY) admitted Sunday to knowing the promises President Obama made about his signature health care plan were false. On ABC's This Week, fill-in host Martha Raddatz asked Gillibrand where she felt misled by Obama, considering the fact that the President said that Americans who wanted to keep their health care plans could do so.
Gillibrand offered a startling revelation:
He should've just been specific. No, we all knew. The whole point of the plan is to cover things people need, like preventive care, birth control, pregnancy. How many women, the minute they get pregnant, might risk their coverage. How many women paid more because of their gender, because they might get pregnant. Those are the reforms.
"We all knew" Obama was lying. But he lied for our own good! And so Sandra Fluke could get free birth control, of course.
Americans don't like it when politicians lie to us. We also don't like it when liberal political hacks call us stupid.
Turns out, we aren't as stupid as they think we are.
They passed the bill. We found out what's in it. And we don't like what we
found. Not one bit. Obamacare is a fraud. The sooner it goes away, the better.
And given that virtually no one approves of it anymore, the path to its repeal
just got a whole lot easier.
It's T minus 5 days and counting for the debut of Healthcare.gov V2.0. On November 15th the second wave of Obamacare signups goes live, and this time HHS officials are confident that they're almost ready. But in case they're not, you can pass the time in our of their snazzy new digital waiting rooms.
With the next time to buy health plans under the Affordable Care Act starting in less than a week, the Obama administration is expressing confidence that HealthCare.gov is no longer the rickety online insurance marketplace that exasperated consumers a year ago.
Behind the scenes, however, federal health officials and government contractors are scrambling, according to confidential documents and federal and outside experts familiar with this work. They have been making contingency plans in case the information technology or other aspects prove less sturdy than the administration predicts. And some preparations are coming down to the wire.
The confidential documents written in recent weeks hint at elaborate backup planning that undercuts the administration's predictions that an improved HealthCare.gov will be able to handle everyone who wants to sign up.
One document from late October, for instance, describes a new system known as "throttling," which will be deployed if the number of people trying to use HealthCare.gov at the same time strains the Web site's enlarged capacity.
This throttling could send groups of people using different parts of the site into separate online "waiting rooms."
The doctor won't see you now. And neither will the website.
Their preparations certainly don't inspire confidence, eh? They know how many enrollees to expect. They've had a year to get it right. And yet, "waiting rooms." No doubt complete with year-old magazines and bad vending machine coffee.
Oh, by the way, they forgot to send you the instructions.
Other confidential CMS documents show that federal health officials drafted contingency plans involving notices for people who have insurance through the exchanges. The notices provide important information, such as whether enrollees appear eligible for federal subsidies for the coming year.
The notices were supposed to be in consumers' hands by Nov. 1. But by the third week of October, a document says, fewer than 1 million of 7.6 million notices were ready to be mailed or e-mailed. Officials considered sending some late to certain groups, sending skimpier notices or reducing the size of ones delivered electronically. In the end, technicians fixed a computer problem, and the notices are going out in batches that are due to arrive by Saturday, when enrollment begins.
Ever notice how the Obamabots never seem to have trouble sending you their fund-raising emails? But critical information on Obamacare? That they can't get straight.
Maybe they'll post the instructions in the waiting rooms.
Just when you thought this week's good news couldn't get any better…
The Supreme Court has snatched the Halbig case out from the clutches of Obama's lefty-packed D.C. Circuit Court of Appeals.
How big a deal is this?
As in, earth-shattering kaboom huge.
The Supreme Court, moving back into the abiding controversy over the Affordable Care Act, agreed early Friday afternoon to decide how far the federal government can extend its program of subsidies to buyers of health insurance. At issue is whether the program of tax credits applies only in the consumer marketplaces set up by sixteen states, and not at federally operated sites in thirty-four states.
Some of this stuff is real inside baseball, but it's important, so bear with me. SCOTUS only intervenes when there are split decisions at the circuit court level. In King v Burwell the Fourth Circuit upheld the subsidies. But at the same time, a three-judge panel of the D.C. Circuit court disagreed.
It was a Category Five ObamaCare tornado in July when a three-judge panel on the D.C. Circuit agreed with conservatives and ruled that the text of the O-Care statute does not allow subsidies for people who bought their policies on the federal exchange, i.e. Healthcare.gov. Only if you bought your policy through an exchange created by a state are you eligible for help from Uncle Sam. That ruling is a nuclear bomb for the White House, obviously, because it would mean that the vast majority of new enrollees in O-Care would suddenly be on the hook for the full cost of their premiums. That would prove too expensive for many of those people, which would mean lots of dropped coverage and total chaos in the insurance industry.
It looked like Obamacare was heading back to the Supreme Court, when six weeks later the full D.C. Circuit decided to rehear the case en banc, throwing the three-judge panel's ruling out the window.
Why would they do that? Because Obama packed the D.C. circuit court with a legion of far-left ideologues guaranteed to rule his way. You can thank Harry Reid nuking the Senate for helping him do that. Normally republicans would have been able to filibuster the most radical nominees, but they were rendered powerless by Reid.
The Halbig challenge to Obamacare was, apparently, dead.
Until today. SCOTUS' action cuts the en banc D.C. circuit out of the loop, sending Obama and Reid's court-packing scheme up in flames, and putting the future of Obamacare very much in doubt.
Because if SCOTUS was going to rule for the subsidies they didn't have to do anything. The D.C. circuit court would do it for them, reversing Halbig and concurring with the Fourth Circuit's King decision. No circuit split means no SCOTUS review, and no SCOTUS review means the subsidies remain intact.
The only reason for SCOTUS to review King is if there's a good chance they will reverse the ruling. Ergo the likelyhood is extremely high that the Supreme Court will enforce the clear wording of the law, and render the subsidies in all but 16 states null and void.
Without those subsidies, Obamacare is dead.
Are you still with me? Because here's where it gets fun.
The GOP won the Senate on Tuesday partly by vigorously campaigning against Obamacare. There is a strong desire among many republicans to repeal the law. But Obama would never sign a repeal bill, right?
So suppose SCOTUS neuters the law, and effectively repeals it for them. Then, instead of sending Obama a repeal, the GOP sends him a replacement, one that perhaps restores subsidies for federal exchange enrollees, but also eliminates all of the law's onerous and questionably-Constitutional provisions, and includes the free-market reforms we've been trying to enact for years.
Does Obama dare veto it?
Stay tuned, this is gonna be good.
Nineteen times Barack Obama promised to lower our health insurance premiums by as much as $2500 per year.
Small businesses continue to see double-digit increases in the cost of employee health care, according to a survey released by a major business group Thursday, which found 87 percent of those polled provide coverage.
The survey by New Jersey Business and Industry Association found that health-care costs rose by 24 percent in the last year for businesses that have between one and 24 employees, and by 16 percent for those with between 25 and 49 workers.
Employers on average paid $7,416 for employee coverage and $11,352 for parent-child coverage, the survey found. They paid $15,600 on average for husband-wife coverage and $19,116 for family coverage, according to the survey.
"Employers are paying more than ever for health benefits," said Christine Stearns, NJBIA's vice president for health and legal affairs. "Eighty-five percent of companies reported their health-care costs went up over last year."
Ayup, my day job is certainly going to pay more than ever for health benefits. A whopping 21 percent more next year, bringing the per employee cost to $8,652 and family coverage to $26,640 a year. I guess that means we're above average, probably in more ways than one.
Obamacare has been an unmitigated disaster for me and the folks I work with,
no doubt about it. Yet there are still die-hard liberals who insist the law
is "working." Delusion runs deep, it seems. Because there is no universe
where these kind of annual premium increases are sustainable for a small
business. Obamacare is going to break our backs. If anyone really believes
that's good for America, please tell me why.