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Obamacare Tag

Obamacare is ending the year on a very low note. Two states, both deep blue in their politics, are unhappy with the quality of the websites designed for the healthcare insurance exchanges.  Shockingly, they have opted to take a very free market approach to the problem.
Massachusetts -- whose government was one of the staunchest supporters of ObamaCare, and whose health plan arguably was the model for the law -- is refusing to pay any more until a working website is delivered. A spokesman for the Massachusetts exchange told FoxNews.com that CGI's system is "far from where it needs to be" and the state will apply "nonstop pressure" to fix the problems. ...Vermont, too, is withholding $5.1 million to CGI over its failure to meet deadlines, according to a report in the Boston Globe. CGI, though, claims that neither state is fully cutting off its funding.

The Washington Post article below documents one doctor's experience with federally mandated electronic health care records. The story is familiar, as I've heard it myself from doctors. Doctors always had to spend time filling out insurance forms, but now it is so much worse. To comply with federal Medicaid and Medicare regulations (plus new Obamacare regs) not only means having the staff to comply (hence, doctors moving to larger practice groups or hospital-affiliated groups), but also more and more time spent trying to comply with electronic medical records requirements. Read the full tale below. It's how we are destroying medicine one form at a time. Here's the punch line:
When I get back to the office, I turn on the computer to write a progress note in Mr. Edgars’s electronic health record, or EHR. In addition to recording the details of our visit, I must try to meet the new federal criteria for “meaningful use,” [explanation here] criteria that have been adopted by my office with threats that I won’t get paid for my work if I don’t.... I spent more time checking boxes than talking to patients and their families. I could see twice as many patients if I could write their notes at the bedside while visiting with them. I would happily do this on paper or using an EHR that created a logical note within the same amount of time. But that is not an option.

This Christmas, Senate Minority Leader Mitch McConnell offers his own spin on the "Night Before Christmas" classic. Set to Nutcracker music, McConnell makes jabs in the reinvented tale at both President Obama and democrat opponent Alison Lundergan Grimes. Check it out for yourself: “Twas the night before Christmas, four years...

It's been reported often that enrolling enough young healthy people in Obamacare will be a critical part of the program in order to offset the costs of insuring the rest of enrolled Americans.  And we've seen in recent weeks that the administration (and advocacy groups) are certainly targeting the "young invincibles" crowd. Overall numbers of signups have been improving, but the numbers still have fallen far short of original targets.  And that's had some asking what the backup plan might be if enough young healthy people don't enroll. Byron York at the Washington Examiner reports:
Now, it's becoming apparent why Obamacare advocates are putting on such a confident face: They have no backup plan if their national health care scheme fails.

That's the take away from today's press conference, which still is in progress as of this writing. So Democrats should run on it in 2014. https://twitter.com/ByronYork/status/414123765698945024 https://twitter.com/AceofSpadesHQ/status/414127598596149248 https://twitter.com/charliespiering/status/414127354651213824 https://twitter.com/RyanLizza/status/414127417658470401...

2014 may come down to which side makes the scarier videos. Chris Cillizza at The Washington Post says This is the ad every Democrat should be scared of in 2014. Aleister says This Is The Ad Every Republican Should Run In 2014. I say the response will be: War On Women! It worked before. Someone actually said this: "They do not want poor women to have joy" and "they want to sacrilize sperm":

Once-privileged New Yorkers who supported Obamacare are discovering that Obamacare means they'll be losing some of their privileges:
Many in New York’s professional and cultural elite have long supported President Obama’s health care plan...They are part of an unusual, informal health insurance system that has developed in New York, in which independent practitioners were able to get lower insurance rates through group plans, typically set up by their professional associations or chambers of commerce... But under the Affordable Care Act, they will be treated as individuals, responsible for their own insurance policies. For many of them, that is likely to mean they will no longer have access to a wide network of doctors and a range of plans tailored to their needs. And many of them are finding that if they want to keep their premiums from rising, they will have to accept higher deductible and co-pay costs or inferior coverage.
For this group, will the experience constitute the proverbial being "mugged by reality" and cause them to change their political affiliation? Perhaps for some, but probably not for most, since it takes a great deal to effect political change on a more permanent basis. Soon many doctors will be getting the same bad news, too:

Mary Landreiu is inextricably tied to the passage of Obamacare. The most recent Louisiana Purchase was not about land, it was about securing Landreiu's vote. She also voted against fixes proposed by Republicans to prevent people from losing their plans. The problem for Landrieu and all other Democrats up for reelection in 2014 is that the Obamacare rollout has been a disaster, and not just as to the website. Landrieu is getting hammered by ads throwing her own words back at her: Landreiu's apparent strategy is to try to thread a needle. Landrieu's first ad of the political season is damage control, an attempt to isolate the loss of plans and shift the blame to someone else, namely Obama (via Politico, h/t Townhall):

The Department of Health and Human Services released health insurance enrollment statistics Wednesday, and while numbers have increased, they still fall far short of original projections for the end of November. From the Associated Press, Health care signups pick up but may not close gap:
With time running short, the nation's health care rolls still aren't filling up fast enough.New signup numbers Wednesday showed progress for President Barack Obama's health care law, but not enough to guarantee that Americans who want and need coverage by Jan. 1 will be able to get it. Crunch time is now, as people face a Dec. 23 deadline to sign up if they are to have coverage by New Year's. That means more trouble for the White House, too, after months of repairing a dysfunctional enrollment website. Next year could start with a new round of political recriminations over the Affordable Care Act, "Obamacare" to its opponents. The Health and Human Services Department reported that 364,682 people had signed up for private coverage under the law as of Nov. 30. That is more than three times the October figure, but still less than one-third of the 1.2 million that officials had projected would enroll nationwide by the end of November. The administration's overall goal was to sign up 7 million people by next March 31, when open enrollment ends.
What remains an issue is how many of those who have signed up for coverage have actually made a payment. From Politico:

Obamacare was pushed through Congress at high speed, without much debate and without the usual haggling. The reason was that, like thieves in a hurry to grab what they could and get out safely before being caught, Democrats were eager to move the legislation through...

With each passing day, we learn more and more about the horrible effects of Obamacare. Here are just some of the "new" revelations. While there is ample evidence that premiums have risen for many if not most people, the NY Times finds that the supposedly lower premiums come with much higher deductibles, On Health Exchanges, Premiums May Be Low, but Other Costs Can Be High:
For months, the Obama administration has heralded the low premiums of medical insurance policies on sale in the insurance exchanges created by the new health law. But as consumers dig into the details, they are finding that the deductibles and other out-of-pocket costs are often much higher than what is typical in employer-sponsored health plans.... In El Paso, Tex., for example, for a husband and wife both age 35, one of the cheapest plans on the federal exchange, offered by Blue Cross and Blue Shield, has a premium less than $300 a month, but the annual deductible is more than $12,000. For a 45-year-old couple seeking insurance on the federal exchange in Saginaw, Mich., a policy with a premium of $515 a month has a deductible of $10,000. In Santa Cruz, Calif., where the exchange is run by the state, Robert Aaron, a self-employed 56-year-old engineer, said he was looking for a low-cost plan. The best one he could find had a premium of $488 a month. But the annual deductible was $5,000, and that, he said, “sounds really high.” By contrast, according to the Kaiser Family Foundation, the average deductible in employer-sponsored health plans is $1,135.
That is not exactly news, but that the NY Times is now up to speed with the rest of us is important because it helps filter the information down even to low information NY Times readers. https://twitter.com/gabrielmalor/status/410029530636894208 Jim Geraghty has more bad news, But Other Than All That, Obamacare Had a Good Weekend!:

At which Democrats should start freaking out. The polling just keeps getting worse and worse.  A couple of months ago the generic congressional election polling was having Democrats and Establishment Republicans (yes, there is such a thing) ready to wrap the death of the Republican Party around the necks of Ted Cruz and Mike Lee. Good times, good times, for Democrats. It was a false prognosis, because Cruz and Lee were trying to stop the disaster known as Obamacare. The legacy will be Democrats going to the mat to protect and preserve Obamacare. If Democrats owned Obamacare before, as a result of the efforts of Cruz, Lee and others, Democrats swallowed Obamacare whole in September. Now everything has changed because Obamacare and Democrats are one and the same. Via Hot Air, this chart which caused Charlie Cook to declare Holy Sh-t! (my paraphrase), should make Democrats want to regurgitate their Obamacare feast:
The Democratic numbers from the generic-ballot test dropped from 45 percent to 37 percent, and Republicans moved up to 40 percent. This 10-point net shift from a Democratic advantage of 7 points to a GOP edge of 3 points in just over a month is breathtaking, perhaps an unprecedented swing in such a short period. Occurring around Election Day, such a shift would probably amount to the difference between Democrats picking up at least 10 House seats, possibly even the 17 needed for a majority, and instead losing a half-dozen or so seats.
Congressional Generic Polling Data Chart 12-6-2013 While many Democrats are desperate for relief from Obamacare, those who are to tied to the law's passage, like Mary Landrieu of Louisiana Purchase fame, are choosing to double down:

Perhaps the most important Obamacare lie among many will turn out to be the one that says that the Obamacare Medicaid expansion will lead to quality health care for the people newly covered by it. Anyone who was even remotely familiar with the way Medicaid already worked was quite aware of this at the time Obamacare was passed.  Medicaid recipients were already having great difficulty getting a doctor to see them due to the low reimbursement rates. The Obamacare Medicaid expansion provides people with the trappings of care but is unlikely to be able to deliver all that much of it---unless, of course, more doctors come under the thumb of government and are forced to accept Medicaid levels of reimbursement. Oh well, doctors. They earn too much money anyway, don't they? Not in the Soviet Union they didn't. Not even in post-Soviet Russia.  Here's why [emphasis mine]:
Soviet doctors never had anything like the status and money of Western doctors. The medicine they practice was considered to be below the levels of the West, the system always suffered from shortages, and the social status of a provincial general practitioner was akin to a schoolteacher's, respectable, but modest... But under Communism, doctors at least lived no worse than anybody else -- and maybe a bit better. That has changed. Caught between an impoverished government that cannot afford universal medical care and a deep-rooted Soviet scorn for medicine-for-profit, many of Russia's doctors, especially here in the provinces, seem worn thin, out of canteen water but still marching ahead. ''When everything else took the capitalist road of development, and medicine was left on the socialist road, we got an imbalance that is killing medicine,'' said Dr. Aleksei Golland, one of a handful of private doctors in Kostroma.

Havard's Institute of Politics just released a devastating study showing a massive drop in support among Millennials for Obama and Obamacare. Bottom line is that Millennials don't like Republicans, but for the first time they don't like Obama and Democrats almost as much. Here is the key finding in the Executive Summary (at pp. 5-6):
Additionally, we found that a majority (52%) of 18- to 29- year olds would choose to recall all members of Congress if it were possible, 45 percent would recall their member of Congress (45% would not) and approximately the same number indicate that they would recall President Obama (47% recall, 46% not recall).

Harvard Survey Fall 2013 Millenial Support Recalls

The trends lines are horrible for Democrats particularly among college age students, where the gap between Republicans and Democrats has narrowed significantly: