Guest Post: Real Danger Of “Obamacare”: Insurance Company Takeover Of Health Care

Tyler Durden's picture

Via Nomi Prins of NomiPrins.com,

Election rhetoric shuns the big picture in favor of the bigger platitude. Now that The Show is over, we are left with the equivalent of a Sunday morning hangover following a binge of promises and lies. We leave the theatre of political spectacle on steroids for the real world of unstable economy, a globally and publicly subsidized financial sector, and increased costs of living on everything from food to education to health-care; outpacing declining median incomes. The average cost for health insurance for a family is $15,745 per year vs. a median income of $50,502, or about half post-tax take-home pay.

“Obamacare” is the name commonly used for the Patient Protection and Affordable Care Act (PPACA) of 2010. The very moniker is indicative of how name-and-image-centric our world has become; Medicare was never called “Johnsoncare” when President Johnson signed it into law in 1965 and Johnson was not exactly a man of small-personality. At any rate, Obamacare or the PPACA ranks as one of the most misrepresented issues from the campaign, by both sides of the ever-slimming aisle.

The Tea-Party Conservative types get it embarrassingly wrong when they call it a “government takeover of health care.” Likewise, Progressive Obama-supporters are deluded in accepting it as the most sweeping healthcare reform since Medicare. (Side note: I wish the word ‘sweeping’ could be retired from politics until it actually means -sweeping.)

Here’s why. The PPACA does nothing to restructure the health insurance industry, anymore than the Dodd-Frank Act restructures the banking industry. This means everything else it attempts to do, positive or negative, will be vastly overshadowed by an industry accelerating to morph itself into a acquisition machine in order to circumvent anything that even smells like a restriction, including laws that exist and ones to come.

How? By doing the same thing energy and telecom companies did after they were deregulated in 1996, and that banks did after they were summarily deregulated (after moving that way for decades) in 1999. They are merging, consolidating, eliminating competitors, and controlling their domain. They are manufacturing power.

Investment bankers are roaming the world to exploit this hot new opportunity. That’s one reason insurance companies don’t even call themselves that anymore. Now, they are ‘managed health care’ companies. Call yourself a managed health care company, and you can buy everything from other insurance companies to hospitals to clinics to doctors. The more consolidation, the more fees bankers rake in, and the more premiums and medical reimbursements and health care procedures, each company can control.

The result of 1996 energy deregulation was a glut of crime-spawned bankruptcies like Enron. Likewise WorldCom led a pack of telecom degenerates in the production of tens of billions of dollars worth of accounting fraud. The final repeal of Glass-Steagall ignited a merge-fest of investment and commercial banks, their linkages ensuring that taxpayers, whose deposits have been protected since the New Deal, provide a safety-net upon which they can mint toxic assets loosely based on over-leveraged home mortgages, and engage in risky, speculative activity; big banks don’t go bankrupt when they fabricate values or lose big on stupid bets, they get federally subsidized in all sorts of ways.

You know who else is similarly too big to fail? The insurance industry. UnitedHealth Group, the nation’s largest health insurer covers 50% of the insurable population in over 30 states. Blue Cross-Blue Shield, covers 100 million people through a constellation of 38 sub-companies. They, and other insurance companies are growing in breadth. When companies consolidate, the result is less transparency, less competition, and more possibility for fraud and shady behavior. Every. Single. Time.

Obamacare and Accounting Fraud

By January 2014, the PPACA will require insurance companies to list their prices on competitive exchanges. In Obama-theory, this is supposed to reduce premiums via competition. But what if, say, only three companies control nearly all of the premiums? Consider the fact that it costs the same $3 to extract your money from a Chase, Bank of America or Citigroup ATM (if you don’t get it directly from the firm you bank at.) They constitute a monopoly that defies anti-trust inspection (thank you, Department of Justice.) What incentive would any of them have to charge less? None. That’s why they don’t.

Managed Health Care companies don’t just administer private, but government health insurance policies as well. The http://www.healthcare.gov website says that under the PPACA, the life of the Medicare Trust Fund will be extended to 2024 as a result of reducing waste, fraud, abuse, and slowing cost growth. President Obama promised to reduce Medicare fraud 50% by 2012 according to the site – but if he did, he forgot to mention it during the campaign period. 

To supposedly combat price hikes, the PPACA calls for a new Rate Review program, wherein insurance companies must justify premium hikes of more than 10% to a state or federal review program. Given that banks aren’t supposed to hold more than 10% of the nation’s deposits in any one institution, and three do, this isn’t a comforting constraint.

While it is positive that the PPACA requires coverage of people with pre-existing conditions and prohibits lifetime caps, it can’t control what people pay for insurance, because it doesn’t limit actual premiums, which have risen 13% on average since the Act was passed.

The medical cost ratio limitation the PPACA instills; that 80% of premiums must be used for medical care in the case of individuals and small groups, and 85% in the case of large groups) to supposedly ensure companies operate on a more efficient premium in vs. premium out basis, is a joke. Its punch line is accounting manipulation.  Call everything a medical cost; even buying another company, and the ratio is meaningless.

WellPoint got the Joke

WellPoint got that joke immediately. The largest for-profit “managed health care” company in the Blue Cross and Blue Shield Association, it began trading publicly on December 1, 2004. Depending on the state, it operates under Blue Cross and Blue Shield, Blue Cross or Anthem. 

After the PPACA was passed, in March 2010, WellPoint allegedly reclassified certain administrative costs as medical care costs in order to meet the law’s new medical loss ratio requirements (which requires insurers spend at least 80% or 85% of premiums on health care services, depending on the type of plan, individual or group respectively.)

A month earlier, WellPoint announced its Anthem Blue Cross unit would raise insurance rates for some individual policies in California up to 39%. Federal and California regulators are still investigating this, but the premium hikes remained.

WellPoint is also one of Wall Street’s favorite “managed health care” companies; cause it keeps getting bigger through acquisitions that pay hefty fees to the bankers involved. On October 23rd, WellPoint got approval from Amerigroup’s shareholders to acquire Amerigroup, a Medicaid-focused health insurer, in a $4.9 billion cash deal. The deal makes WellPoint the nation’s largest Medicaid insurer, and provides it greater access to Medicaid patients who also qualify for Medicare.

It was the largest cash deal ever, and the largest premium paid for a company in the managed health care realm. As a result, Goldman Sachs (who advised Amerigroup) and Credit Suisse (who advised WellPoint) retained their top positions in the global healthcare deal advisory league table.

The value of Amerigroup, as a company, dropped 34% within two weeks of that agreement, in stark shades of what happened when Bank of America took over Merrill Lynch in the fall of 2008.

This summer, Amerigroup and Goldman Sachs faced a shareholder lawsuit filed by the city of Monroe Employees Retirement System and Louisiana Municipal Police Employees Retirement System. It alleged that Goldman advised Amerigroup to accept WellPoint’s offer quickly, rather than seek other bids, because the bank had structured a complex, and fee-heavy derivatives transaction on the back of the deal. The insurers resolved the suit by tweaking the deal parameters. All parties denied ‘any wrongdoing.’ But where there’s smoke in complex derivatives land, there is fire.

Other Mergers

After the Supreme Court upheld the PPACA, a spate of mergers rippled through the managed health care realm, to ostensibly cope with smaller profit margins and  ‘compliance costs.’  But really, it’s because each firm wants to corner as much as possible of the market, in as many states as it can, to garner more premiums and control more disbursements and prices at the upcoming insurance ‘exchanges.’

In late August, the third largest insurance company in the US, Aetna announced it was buying Coventry Health Care for $5.7 billion. Coventry provides Medicare and Medicaid services, thus the takeover expands Aetna’s Medicare and Medicaid business. Being part of Aetna enables Coventry to grab more consumers on more state-run health insurance exchanges, reducing competition in the process. The Department of Justice is examining anti-trust issues surrounding the deal, but it’s still expected to close in mid-2013.

On October 17th, UnitedHealth Group issued $2.5 billion of bonds as part of its $4.9 billion acquisition of Brazil’s Amil Participacoes. Bank of America Merrill Lynch, Goldman Sachs, J.P. Morgan Chase & Co., Morgan Stanley, UBS and Wells Fargo Securities were lead underwriters on the deal.

They are not buying international companies in order to increase accounting transparency. Like other multinationals, they are doing so to move profits around and circumvent restrictions and tax laws. They are using cash, or raising extra debt, to do so, rather than to reduce premiums or increase disbursements to medical professionals.

And if you’re keeping score – billion of dollars are flowing from insurance companies – NOT to reduce premiums to patients and NOT to reimburse doctors and NOT to enhance the quality of care, but to simply expand nationally and globally. Meanwhile, their CEOs are doing quite well from all that non-health care related movement.

Total compensation for the bulk of health care company CEOs rose by 14.7% in 2011 by 14.7%, or $11.1 million, to $87 million. Cigna’s CEO David Cordani made $19.1 million. UnitedHealth Group's CEO, Stephen J. Hemsley bagged $49 million in salary, stock options, and other compensation last year. The highest-paid CEO made 94 times the average compensation level of primary care physicians. And none of them had to pick up a single scalpel in the process.

Doctors as profit centers

Not just patients, but physicians have been bled steadily from the current state of insurance company controlled health care through diminishing insurance reimbursements, electronic medical records mandates whereby they spend as much time complying with Kafkaesque controls over their decisions on performing surgeries and providing care, and debt. New doctors are graduating with an average of $250,000 in debt, which, combined with diminishing disbursement and soaring costs, will keep many, underwater. Forever.

According to Dr. Michael H. Heggeness, President of the North American Spine Society, a group of 6500 global spinal and orthopedic surgeons (at which I delivered a speech last month), “The last people, that most of the population feels sorry for are doctors, yet they are in an economic crisis of their own. In 2002, 80% were in private practice, now 70% are in hospitals because they can’t afford to make a private practice work.”

Meanwhile the more hospitals are viewed as profit centers, the more their Chairmen will cut costs to maximize returns, and not care quality. They will seeks ways to sell underperforming assets, programs or services and reduce the number of nonessential employees, burdening those that remain. No doubt the private equity community will be getting more into this game, as insurance companies buy more hospitals, doctors, clinics, and perhaps drug companies, or vice versa, and ‘restructuring’ accelerates.

And if insurance companies can manage doctors directly, they can control not just costs, but treatment – our treatment. It’s not an imaginary government takeover anyone should fear; but a very real, here-and-now insurance company takeover, to which no one in Washington is paying attention.

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MillionDollarBogus_'s picture

The presidential candidates both said they would force health insurance companies to take on folks with pre-existing medical conditions...

Right...

Lohn Jocke's picture

We can make up the costs with cheaper drones.

francis_sawyer's picture

Especially if they start plinking sick people as target practice...

knukles's picture

The act has nothing to do with healthcare.
It is a milk the peasantry for federally mandated health insurance premiums in exchange for campaign contributions.

Called extortion

Michaelwiseguy's picture

There's nothing to worry about.

The complete and total economic collapse of the USA will take care of this problem.

ACP's picture

Unfortunately, it takes a helluva lot of effort to exterminate cockroaches, even after a collapse.

redpill's picture

This is how fascism works.  Regulate an industry so heavily that it essentially becomes indistinguishable from government.

TeamDepends's picture

So now my insurance agent will have his hand up my bung?  Great, I already can't get him to stop yammering on about "full coverage"...

DaveyJones's picture

it is exactly fascism but of course the regulation swings both ways. The "regulation"  is nothing more than the corrupt by-product of the criminal drug and insurance  (banking) companies influence. As knuckles said, It bears no resemblance to any other medical system and has little to do with health care. It definitely served the growing government interest but it just as much serves the non free market dominance of mega corps who want to exploit not cure the masses.    

that's the beauty of corruption.

redpill's picture

Well look, you don't keep public employee pension funds solvent by actually curing everyone, ya know?

Sorry Mrs. Johnson, we had a new kidney for you but Tim the male nurse accidentally dropped it in the almost-dead baby chute back by the "not rare" and "free" abortion room.  We'll still be billing your "insurance," of course.

 

DaveyJones's picture

don't worry, at this point, nothing will keep public employee pension funds solvent

I think all this corruption is giving me a medical reaction.

crap, they win again

Radical Marijuana's picture

Ah, an appropriate handle you have to make that comment here, Michaelwiseguy. I WISH that I did NOT believe that there is no doubt that you are right!  Just like the corruption of politics enabled USA banks to take over the economy, and pretty well destroy it, while making a killing do that, the same sort of corrupt funding of politics is driving the profit-from-diseases system to take over "medicine" to make more money. That will continue the trend that the main loci of the real death controls in the money/murder systems will become a medical industry, run to make more money.

The deeper problems are that our society is TOTALLY controlled by professional liars, and everything gets explained by immaculate hypocrites, using impossible ideals to actually defend making the opposite things happen. IN FACT, medicine is inside of militarism, because EVERYTHING operates inside of militarism, with the money system actually doing that more than anything else. Militarism is all about the ability to kill people and destroy things. Militarism is about using lies, backed by violence, to impose death controls, to maintain the established systems that benefit from that. America is the heart of the beast of runaway fascist plutocracy. Its "health care system" is now, by far, from an objective, statistical social fact perspective, the single greatest death control operation in the country. The murders done through medicine are now at least an order of magnitude greater than the murders done through the direct application of the armed forces.

The problem, of course, is that the various reactionary revolutionaries will insist that should not exist at all, whereas, the only realistic way to go foward would be to do that better, in the sense of using more information, with a higher consciousness, so that the death controls were both more efficiently and compassionately done. However, IN REALITY, since the majority of Americans have become brainwashed Zombie Sheeple, that were routinely getting fleeced more and more, for generation after generation, there are ACTUALLY conditions being set up to slaughter those sheeple off more than ever before, while those doing that will gain more wealth and power than ever before!

Here is another presentation, from November 2, 2012, about how the real FINANCIAL NUMBERS are headed towards a psychotic breakdown, because those NUMBERS ARE INSANE!

http://www.youtube.com/watch?v=7dFVFJ0iRRA&list=UUHMJsns2MeqLv6m7S30AgVw&index=1&feature=plcp

The Economy Is Going To Implode Pt.1 of 8

Although I do not agree with the Christian presumptions in the silly notions of "solutions" in that video, it does a good job of simplifying the REAL NUMBERS, and demonstrating that they are INSANE, and that the expectations that the future profit from disease systems will be able to continue are nearly ZERO.  Therefore, I am forced to agree with your "wiseguy" comment that the most probable future will be that "complete and total economic collapse of the USA will take care of this problem."

THE PROFIT FROM DISEASE SYSTEM IS NOW THE MOST EXPONENTIALLY GROWING MANIFESTATION OF ALL THE REST OUR SOCIAL INSANITIES! The deeper reasons for that are that our political economy is inside of our human ecology, and therefore, medicine is inside of the money/murder systems, BUT, our human ecology is dominated by the biggest social taboos, and the most astronishingly insane bullshit ideas, which make everything else a runaway growth of that MADNESS, driving itself through to psychotic collapses to chaos. It is quite impossible in America today to have a sane public debate of any important public issues. The entire establishment is due to the triumphant control of civilization through huge lies. For more than a Century, medicine has become more and more based on fraudulent science, with its fantastic special effects used to tell the same old stupid social stories.  Those who made the most money from their frauds have totally taken control of orthodox medicine in America, and "public health" policies are the result of the feedback of money made from fraud being reinvested through the funding of the political processes to achieve even more fraud.

Thus, all of the decisions made in the public health care fields have become psychopathic and sociopathic, and those are integrated into the overall combined money/murder systems. ALL OF THESE KINDS OF PROBLEMS ARE GOING TO BE "SOLVED" BY THE TOTALLY INSANE PSYCHOTIC COLLAPSE OF THE SYSTEMS THAT ARE GENERATING THOSE PROBLEMS ... I WISH that wiseguys like you were NOT right, and that learning about this was of some use, and that attempting to understand and communcate these problems had some practical point. However, actually, writing this comment, just like writing that article above, were wastes of time, that will NOT make any significant difference to what is still going to happen anyway!

Michaelwiseguy's picture

Wow Radical Marijuana. Another ZH commenter that can communicate in more than one complete sentence. And well thought out too.

Therefore, I am forced to agree with your "wiseguy" comment that the most probable future will be that "complete and total economic collapse of the USA will take care of this problem."

Thus, all of the decisions made in the public

health care fields have become psychopathic and sociopathic, and those are integrated into the overall combined money/murder systems. ALL OF THESE KINDS OF PROBLEMS ARE GOING TO BE "SOLVED" BY THE TOTALLY INSANE PSYCHOTIC COLLAPSE OF THE SYSTEMS THAT ARE GENERATING THOSE PROBLEMS ... I WISH that wiseguys like you were NOT right, and that learning about this was of some use, and that attempting to understand and communicate these problems had some practical point. However, actually, writing this comment, just like writing that article above, were wastes of time, that will NOT make any significant difference to what is still going to happen anyway!

I also think the economic collapse will solve the Geo Engineering Chemtrail problem for us.

Ident 7777 economy's picture

 

 

 

-1 CT (conspiracy theory) fail 

 

'Geo Engineering Chemtrail problem'.

 

AS IF.

 

(Man can't have taken a single science course IN HIS LIFE, ever looked at an UPPER AIR CHART or ever trained as a PILOT for an actual AIRCRAFT even as small as a Cessna 150!)

 

QED

 

 

 

Ident 7777 economy's picture

 

 

 

 

 

What's a two-word term that means "Michaelwiseguy sock-puppet"?

 

Give up?

 

Answer: 

 

"Radical Marijuana"

 



toady's picture

Exactly.

Nobody in Washington is paying attention?

The law was written for insurance companies by insurance companies, and now we're 'surprised'?

I'm not. Everyone who hates government run healthcare will be begging for it by the time this insurance company lobbied fiasco is done.

Kobe Beef's picture

Pay to play politics. I bet Pelosi and Obama hadn't even read the bill (much less wrote it), but just knew they'd been paid to pass and sign it.

Not Too Important's picture

"It is a milk the peasantry for federally mandated health insurance premiums in exchange for campaign contributions."

Yes and no. The insurance companies are all broke. They don't have the investment return to pay claims. QE3, the purchasing of both Residential and Commercial MBS, is to purchase what little assets the insurance companies have left, as they are the primary private source of mortgage monies. Once the insurance companes are out of assets, now transferred to the Fed, they will be supported by forced premium purchasing (which SCOTUS calls a 'tax') enforced by the IRS (who just purchased many millions of hollow point bullets and sawed off shotguns).The American public might not stand for the Fed bailing out the insurance companies directly.

Yes, there will be plenty of campaign contributions all around. Paid for by minimum wage, part-time workers to support a health care machine that they will not enjoy the benefit of when they are older, and the GMO/Fuku cancers kick in and death panels are the law of the land. I mean really, if our lungs are full of plutonium, and the food is proven to give us cancer, at what point is expensive medical care not worth the investment?

Eventually all medical care will be directed to those paying for it (ie still paying taxes) and the rest (non-taxpayers) will be left to die. Comfortably, maybe, morphine is cheap now that we own the poppy fields, but left to die all the same.

Heck, the British hospitals even make a profit killing off their patients. That business model will make its' way here shortly.

http://www.lifenews.com/2012/11/02/british-hospitals-paid-to-put-patient...

The surest path out of a recession/depression is to kill off the 'useless eaters'. Works every time.

Parrotile's picture

Er, Euthanasia is ILLEGAL in the UK . . . . .

There is a vast difference between a "Not For Resuscitation" order and euthanasia. NFR orders are used when a Patient's prognosis is sufficiently poor that their quality of life post-resuscitation would be very bad indeed (i.e.  PVS or Persistent Vegetative State). It is also seen as good practice in most Western Countries where healthcare is restrained by resources - just as it is in the USA.

Incidentally if you want to point the finger at "State Euthanasia" look no further than Australia - in the Hospital where I work any Patient over 65 has "NFR explained to them, and there is a LOT of pressure on Patients and their relatives to agree to NFR orders, especially if the Patient has significant comorbidities (including hypertension, diabetes, chronic respiratory illnesses, and chronic renal illnesses)

ilovefreedom's picture

The medical consumption political equivalent of "THINK OF THE CHILDREN", but since children are relatively inexpensive to insure, people with diabetes and cancer will have to do. You aren't PRO-cancer, are you?!

FL_Conservative's picture

Just give people pussy and war and they'll forget about everything else.

Grinder74's picture

A 10% reduction in the population would work better.

buzzsaw99's picture

It was my understanding that someone else would be paying for all of this.

Vincent Vega's picture

I thought it was free!  Just like the phones. <sarc>

Kobe Beef's picture

It is free! Workers pay for it. Parasites don't. Just prole up, swipe yo' EBT, and the Party will take care of everything. Ignorance is Strength!

1100-TACTICAL-12's picture

Go figurure.. would'nt have thunk it in a million years, since the insureance companies wrote the motherfucker.

DaveyJones's picture

and the drug companies. They make no sacrifice and we do not buy from the world market at much cheaper prices. Like Cheney and the oil boys, the now mayor of chicago had numerous "non-public" meetings with insurance and drug prior to presenting this bill knowing they had to appease them to ever get this off the ground proving that the whole playing board is already owned by these bastards. Whether its banking, bakken, babies or broccoli, nothing is going to get better without a dramatic move by the people. Seems to be the theme everywhere. And what do you know, the opponents are global. Was an innevitable chapter in world history. Sucks to be the generation living it.     

francis_sawyer's picture

The Real Danger of Obamacare is and always was that nobody in CONgress participates in the program...

Dr. Richard Head's picture

It's too bad Gov Kasich of Ohio is about to cave on ObamaCare.  I helped collect signatures to get a vote for adding an Amendment to the Ohio State Constitution that would prevent the Federal Government from forcing Ohio to implement ObamaCare.  The resolution passed by a majority of the Ohio voters in 2010.  Too bad fucktards in government ignore the people.  Surprise, surprise, surprise!

His excuse for ignoring the will of the people and giving up state authority? Federal funds being held over the state of Ohio's head.  That is exactly how those fucking Feds pushed a .08 drunk driving law on the people.  Federal funds withdrawal for all who did not comply. 

Holy fuck, Uncle Sam's got some big ass titties.

Skateboarder's picture

Excuse the man-boobs, he's been going to town on the Flamin Hot Cheetos for the last few years.

WTFx10's picture

Organized crime (government) gets what it wants everytime. Extortion,bribes,or prison take your pick.

booboo's picture

Monitize everything, foreskins you say? yes we can, sell em to luggage makers, turn em in to wallets, rub em a few times and BOING, overnight bag. Next!

dick cheneys ghost's picture

ObummerCare=Corporate Welfare

machineh's picture

So if Nomi Prins is right, the health care 'market' is going to resemble the cellular 'market,' with a 'choice' between AT&T, Verizon, or a couple of minnows such as Sprint and T-mobile.

It's a feature, not a bug!

DaveyJones's picture

name an industry where this isn't happening. The whole place is swirling down 

Kobe Beef's picture

As long as the Imperial Government remains the biggest gun in the room, and control of it alone is the difference between victor and victim, or profit and loss, then everyone will keep fighting, lobbying, buying, and lying to get their hands on it. To point it at their enemies and make them pay. If you don't, it gets pointed at you. Needless to say, this constant internecine law/warfare will doom this country. 

"Government is not reason, or eloquence. It is Force."

-George Washington

Down with the Imperial Government. States' Rights or Revolution.

-Kobe Beef

RobD's picture

As long as the use the T-mobile girl to do the commercials it's all good. Damn she is hot.

overhere2000's picture

We could call in a surge to fix this.

Titus Flavius Caesar Vespasianus Augustus's picture

We could just not insure smokers and fatties.

 

That's at least 2/3 of the frickin' problem.

 

It's going to take massive tax noncompliance or an invasion by space aliens to get Congress to stop writing checks the body politic can't cash.

 

But, I imagine the internet will be shut down via executive order and we'll all be chipped before we the American people realize they're in the ol' proverbial frying pan.

 

I'd like to see a chart of Justin Bieber's records sales plotted against our monthly deficits.   I suspect there's a link.

 

 

 

 

KCMLO's picture

But smokers cost insurance companies less because they don't circle the drain for 2 decades, they just die (younger).

Parrotile's picture

Not necessarily. Many develop chronic, costly to treat but not necessarily fatal lung and other diseases - microvascular problems along with heart disease, renal disease, poor circulation (leading to leg ulcers / recurrent cellulitis) - all inconvenient / unpleasant but all mostly treatable (at a cost of course!).  Treating smokers (who do NOT develop Lung ca) can be much more expensive (in the long term) than treating lung ca. sufferers!

DaveyJones's picture

Monsanto, ConAg and the others could pick up the rest

Titus Flavius Caesar Vespasianus Augustus's picture

Essentially any legislation Congress can actually pass is backed by some lobby or other.

 

Big Oil, Big  Pharma, Big Insurance, Trial Lawyers, The AMA, The NRA, Israel Lobby, AARP - all put forward stuff that isn't generally in the average bear's interest.

 

Obamacare, however, depends on state cooperation, e.g. the exchanges, that many states simply haven't complied with.  There will likely be lots and lots more law suits going to, amongst other things, just how much power the feds have to order around the states.  The Roberts court said this is a taxing scheme - well, historically the feds couldn't hijack states to collect federal taxes - so how can they force them to set up exchanges?  Maybe a half-dumb question as I really don't understand how the Obamacare decision influences the previously limited pwoer the feds had to compel states.

It may be that we're simply, under Obama, in a post-Constitutional age.  In fact, people described as 'Constitutionalists' or '10thers' {people who believe there's a 10th amendment} are viewed as ignorant mouth breathers by the enlightened denizens of the Left.   For them, you see, progress should not be inhibited by something as dead, white and male as a 'Constitution' or outdated concepts like 'will and consent of the governed.'

Krugman, after all, admitted his fascination with Asimov's Foundation series - in particular, the idea that 'science' could design a perfect society.

 

It's so cute that he thinks economics is a science, isn't it?

 

 

But whatever - as I'm sure Pelosi would assure us - we have to let the insurance industry take over health care in order to find out what the insurance industry will do when they take over health care.

 

 

machineh's picture

If states don't set up health care exchanges (at gunpoint), the feds step in and do it for them.

Kinda like if your town disbands its police department, the county sheriff or the state police take over law enforcement.

CHOICE, bItCHeZ -- it's what's for dinner!

I am on to you's picture

ITS OBAMASCARE:

Enjoy the flavour,all private insurance,has a Topping called corruption,shareholders gota eat!

I am on to you's picture

ITS OBAMASCARE:

Enjoy the flavour,all private insurance,has a Topping called corruption,shareholders gota eat!

DaveyJones's picture

well said  "Krugman, after all, admitted his fascination with Asimov's Foundation"

I often think of that book when I'm on this site