Medicaid

Doctors Out Themselves As Communists in Letters to the NYT’s Editors; ‘Puter Is Not Amused

Editor’s Note: This piece originally appeared at The Ancient & Noble Order of the Gormogons.

 

 

 

Dr. Nick Riviera is better qualified to opine on economics than any of these clowns. If the quality of thought in these letters is any indication, Dr. Nick Riviera’s also a more competent physician.

 

Doctors are the worst.*

‘Puter concluded doctors can suck his big, fat prickly pear after reading the New York Times letters to the editor yesterday.

About eleventy gajillion** doctors wrote in to comment on the New York Times’ article “Medicare and Medicaid at 50.” We are treated to brilliant commentary, insightful analysis, and thoughtful prescriptions*** for America’s healthcare system from the medical profession’s best and brightest.

Dr. Marcia Angell, a “senior lecturer in social medicine at Harvard Medical School and a former editor in chief of The New England Journal of Medicine” from notoriously Right-leaning Cambridge, Massachusetts writes:

How Georgia is fighting Obamacare and federal overreach

HB 707 -- Georgia Health Care Freedom and ACA Noncompliance Act

Scot Turner is a member of the Georgia House of Representatives, representing the 21st District. He was first elected in February 2013 in a special election, taking 60% of the vote over an establishment-backed candidate. Rep. Turner is part of a group of legislators who introduced the Georgia Health Care Freedom and ACA Noncompliance Act, a measure that cleared the legislature in the final days of its recent session. In this guest post, Rep. Turner tells the story behind the legislation, the difficulties they faced, and how Georgia is fighting Obamacare at the state level.

In the summer of 2013, I was part of a team of state representatives that worked together to tackle the problem that the Affordable Care Act (ACA) was presenting to Georgia. The federal government had just coopted a prominent Georgia institution, the University of Georgia, to help implement the ACA Navigator program without any debate in the Georgia General Assembly.

As a result, we all felt a certain urgency that something had to be done to draw the line in the sand and stand against the largest federal overreach in modern history.

There was some debate within our group as to whether we should approach it from a stance of full on nullification; the theory that a state has the ability to void federal law. Knowing that even of it did pass the Georgia legislature the likelihood that it would withstand judicial scrutiny was virtual non-existent, we pressed on.

Leftist magazine: Obamacare a step toward single-payer

nationalized healthcare

The New Republic is only repeating what several Democrats, including Senate Majority Leader Harry Reid (D-NV), have said: Obamacare is a step in the direction of a single-payer healthcare system.

The lede in the piece is that Michael Moore got it right when he describe Obamacare as “awful” because it “preserved the health insurance industry preserved the health insurance industry rather than replacing it with a Medicare-for-all style single-payer system.” Like Moore, The New Republic, a far-leftist publication, posits that Medicaid expansion through Obamacare is the key to luring Americans into socialized medicine.

“[O]ne day soon, especially if Medicaid becomes more generous, the working-class person who makes 175% of the poverty level will look at his working-class neighbor making 130% of the poverty level and think, wow, his health insurance seems a lot better than my private Obamacare plan,” wrote Noam Scheiber recently at The New Republic. “How long can it be before most people earning 175% or 200% of the poverty level are allowed to buy in, too?”

Scheiber believes that the same thing could happen with Medicare, the government-run health insurance program for the elderly, surmising that “progressives are likely to get their beloved public option one way or another” in the near future.

No, Mr. President, expanding Medicaid isn’t a “no brainer”

Earlier this month, President Barack Obama visited Dallas, Texas to give a speech in front of supporters in which he tried to pressure Republican governors to expand Medicaid, a government program that covers people who make below 138% of the federal poverty line.

“We were just talking on the way over here that in addition to signing people up for the marketplaces so they can buy private insurance, part of the Affordable Care Act was expanding the number of working families who would qualify for Medicaid,” President Obama told supporters.

“Here in just the Dallas area, 133,000 people who don’t currently have health insurance would immediately get health insurance without even having to go through the website if the state of Texas decided to do it,” he said. “There’s over $500 million just for this county that would come in to help families get health insurance — has nothing to do with the website — if the state of Texas made this decision.”

“And your neighboring states have made that decision because they look at it and they say, this is a no-brainer, why would not — why would we not want to take advantage of this,” he added.

The fact that President Obama gave this speech in Texas, home to the country’s largest uninsured population, isn’t a coincidence. Seeking to capitalize on the state’s large Hispanic population, there is a big push by activist Democrats with help from the party to “turn Texas blue.” Part of this effort is to pressure Texas politicians, including Gov. Rick Perry, to accept Medicaid expansion, which is part of the Obamacare.

Report: Long-term budget issues present fiscal threat to U.S.

National Debt

TL;DR version: This is a pretty long post dealing with a subject that generally fascinates only those interested in fiscal policy. The short of what you need to know is that the CBO expects the economy to perform better in the short-term, with higher revenues and lower budget deficits. But the rising costs of entitlements and the cost of servicing the national debt will drive up spending substantially over the long-term with the public’s share of the national debt becoming equal to the size of the economy (or GDP). As if the baseline scenario isn’t concerning enough, the alternative fiscal scenario is even more of a disaster. All charts below come directly from the CBO’s report.

Forget Syria or the still ongoing war on terrorism. The real security threat is the national debt. That’s what Admiral Mike Mullen warned in 2010. Those words still ring true today, especially after reading the latest long-term budget projections released yesterday by the Congressional Budget Office (CBO).

The annual report presents the federal budget outlook for the next 10 years (2013-2023) as well as provides a look into long-term projections relative to both current law and alternative scenarios, the latter of which most economists believe present a more realistic view of the United States’ fiscal health.

CBO Director Doug Elmendorf told reporters yesterday that the “federal budget is on a course that cannot be sustained indefinitely.”

Arizona Governor Signs ObamaCare Medicaid Expansion

Jan Brewer

On Monday, Arizona Governor Jan Brewer signed into law the state’s budget opting in to the ObamaCare Medicaid expansion program.  It was the capstone of a long, hard fought battle by Gov. Brewer to impose the expansion on the state of Arizona and its startled citizenry.

How did we come to the point where a Republican governor in a conservative state would stake her political career on choosing to implement ObamaCare’s massive expansion of the welfare state?

ObamaCare Medicaid Expansion is Optional

PPACA Section 2001 expanded Medicaid up to 133% of the federal poverty line.  It also provided federal funding for the increase as follows:

(A) 100 percent for calendar quarters in 2014, 2015, and 2016;
(B) 95 percent for calendar quarters in 2017;
(C) 94 percent for calendar quarters in 2018;
(D) 93 percent for calendar quarters in 2019; and
(E) 90 percent for calendar quarters in 2020 and each year thereafter.

Then came the Supreme Court’s ruling on the individual mandate in NFIB v. Sebelius.  Chief Justice Roberts inexplicably upheld the mandate as a tax, a holding that will forever define his legacy as having abandoned originalism.  But there was one minor victory for the states:

Chatting with Igor Birman

Igor Birman

“I think the impressionable libertarian kids are going to save our nation.” — Igor Birman

Late last year, I ran across video of Igor Birman, who immigrated to the United States with his family as the Soviet Union was collapsing, warning against a more centralized government healthcare system. Birman, who now serves as Chief of Staff to Rep. Tom McClintock (R-CA), was explaining that the Soviet system relied on rationing of healthcare, which would be the end result of ObamaCare.

Earlier this week, I had the chance to sit down with Birman to discuss his story, the transformation of the United States into a police state, ObamaCare, the budget, and other destructive economic policies that are being pushed by the White House.

When asked about the recent filibuster in the Senate, Birman applauded Sen. Rand Paul and noted that it was refreshing to hear a politician be so passionate. He also compared the policies implemented as part of the “war on terror”  to life in the Soviet Union, where the government frequently searched homes of ordinary citizens without cause, which he called a “fact of life,” noting that “you just accepted it as much as you did the cold weather and the long lines for the basic staples of food and water.”

Birman experienced this first-hand. “A week before we left for the United States, we went to say goodbye to my uncle in St. Petersburg and when we came back, we found our apartment just absolutely ravaged,” recalled Birman. “The authorities must have been looking for whatever lame excuse they could find to either delay or disrupt our departure.”

GAO: ObamaCare could add $6.2 trillion to national debt

There is some more bad news for ObamaCare. According to a recently released report from the Government Accounting Office (GAO), the Patient Protect and Affordable Care Act (PPACA) — President Obama’s signature domestic policy achievement — could cost taxpayers dearly in the long-term if cost-savings measures don’t work as intended.

The report, which was requested by Sen. Jeff Sessions (R-AL), who is the ranking Republican on the Senate Budget Committee, explains that the “effect of PPACA on the long-term fiscal outlook depends largely on whether elements designed to control cost growth are sustained.”

“Overall, there was notable improvement in the longer-term outlook after the enactment of PPACA under our Fall 2010 Baseline Extended simulation, which, consistent with federal law at the time the simulation was run, assumed the full implementation and effectiveness of the costcontainment provisions over the entire 75-year simulation period,” noted the GAO. “In contrast, the long-term outlook in the Fall 2010 Alternative simulation worsened slightly compared to our January 2010 simulation. This is largely due to the fact that cost-containment mechanisms specified in PPACA are assumed to phase out over time while the additional costs associated with expanding federal health care coverage remain.”

The baseline scenario is used by the government budget officials to determine the the cost effects of current law. However, the alternative scenario gauges budget implications based on past behavior of Congress, such as its proclivity for bypassing scheduled Medicare payments to doctors (also known as the “doc fix”).

Bob McDonnell’s Tax Hike Ends 2016 Bid Before It Starts

Bob McDonnell

Back in 2010, Virginia Gov. Bob McDonnell was thought to be the next big conservative star. After Barack Obama carried 6-point in there in 2008, many believed the Commonwealth was slipping away from Republicans. McDonnell, however, was able to restore hope for the GOP in 2009 when he defeated Creigh Deeds in the gubernatorial election.

McDonnell immediately became a key Republican spokesman. He gave the GOP’s response to the State of the Union address in 2010 and signed legislation — the Virginia Healthcare Freedom Act — that sought to nullify ObamaCare. Despite taking on President Obama in a purple state, McDonnell managed to maintain a 62% approval rating deep into 2011 and was one of the names most frequently mentioned to run alongside Mitt Romney in the 2012 election cycle.

There has been dissatisfaction with McDonnell from conservatives for some time, though much of this is related to how he has handled social issues. But McDonnell lit a flame under fiscal conservatives last month when he proposed an overhaul to Virginia’s transportation tax.

IRS Re-Finalizes Regulations Forcing Obamacare Subsidies on Federal Exchanges

Seemingly in response to this letter from Chairmans Darrell Issa (R-CA) and Dave Camp (R-MI) on January 29 to the Treasury and IRS, on February 1, the IRS again finalized the Obamacare subsidy regulations that flagrantly deviate from the statutory authority.  This issue continues to simmer relatively under the radar since I last wrote about it in August. To refresh everyone’s memory, Obamacare’s core redistributionist provisions are its refundable premium tax credits and cost sharing subsidies available for individuals to purchase coverage on state exchanges starting in 2014.  The credits will be available to anyone with annual income under 400% of the federal poverty line who isn’t covered under an employer-sponsored plan.  To put that in perspective, a family of four today earning up to $92,200 per year would be eligible for the credits.

Federal Exchanges Excluded
Here’s the kicker: Obamacare specifically limits these credits and subsidies to individuals who purchase coverage on an exchange established by the state.  Below is the actual, unambiguous provision from PPACA [emphasis added]:


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