Michael Cannon

Partisanship Plays a Larger Role in Support for “ObamaCare” than Opposition to It

Written by Michael F. Cannon, Director of Health Policy Studies at the Cato Institute. Posted with permission from Cato @ Liberty.

The latest Kaiser Family Foundation tracking poll provides a fascinating look into how factors other than the content of the Patient Protection and Affordable Care Act affect people’s views of that law.

Kaiser asked respondents their views of the PPACA, alternately describing it as “ObamaCare” and “the health reform law.” Here’s what happened:

  • Among Republicans, calling it “ObamaCare” caused the share reporting an unfavorable view to rise from 76 percent to 86 percent (+10 percentage points), with no discernible change in the share reporting a favorable view.
  • Among independents, calling it “ObamaCare” caused the share reporting an unfavorable view to rise from 43 percent to 52 percent (+9 percentage points), with no discernible change in the share reporting a favorable view.
  • Among Democrats, calling it “ObamaCare” produced no discernible change in the share reporting an unfavorable view, but caused the share reporting a favorable view to rise from 58 percent to 73 percent (+15 percentage points).

A few conclusions can be drawn.

LA Gov. Bobby Jindal: Get Government Out of Birth Control

//creativecommons.org/licenses/by-sa/2.0/fr/deed.en)], via Wikimedia Commons

In an excellent piece urging that oral contraception become available over the counter that ran in this morning’s print edition of the Wall Street Journal (subscription may be required), Louisiana Governor Bobby Jindal, whose résumé includes a litany of health policy wonkery, sounded the death knell of both big government’s dominion over one aspect of reproductive health, and the pharmaceutical industry’s influence over that policy. Further, Jindal’s position masterfully bridges the gap between social conservatives and libertarians, as it accounts for both market-based health care (vs. Obamacare) and the protection of religious liberty and conscience (also vs. Obamacare). Here’s an excerpt:

Feds May Not Have ObamaCare Operational on Time

Written by Michael F. Cannon, Director of Health Policy Studies at the Cato Institute. Posted with permission from Cato @ Liberty.

The Washington Post reports:

By the end of this week, states must decide whether they will build a health-insurance exchange or leave the task to the federal government. The question is, with as many as 17 states expected to leave it to the feds, can the Obama administration handle the workload.

“These are systems that typically take two or three years to build,” says Kevin Walsh, managing director of insurance exchange services at Xerox. “The last time I looked at the calendar, that’s not what we’re working with.”…

The Obama administration has known for awhile that there’s a decent chance it could end up doing a lot of this. Now though, they’re finding out how big their workload will actually become.

Betcha didn’t see that coming.

Part of the reason the workload is so heavy? “Buying health insurance is a lot more difficult than purchasing a plane ticket on Expedia.” You don’t say. But I thought that’s why we needed government to do it.

Morning After: More SCOTUS Reflections from a Non-Lawyer

In reaction to my post yesterday, and lots of other punditry around the web, my friend Rusty Weiss of Mental Recession fame (he recently celebrated six months of blogging!) emailed me to say he’s tired of having to settle for silver linings — that he want points on the board.

A lot of us — political activists, policy geeks, and court watchers alike — were disappointed with the outcome of yesterday’s ruling. We wanted a full takedown of Obamacare, for both substantive and political reasons. Instead, we got a ruling that the president’s signature legislative achievement passes constitutional muster, even if it was most peculiarly reasoned.

Podcast: Talking Healthcare With The Cato Institute’s Michael Cannon

In a special podcast, Jason discusses the latest details of healthcare reform with Michael Cannon, the director of health policy studies at The Cato Institute and the co-author of Healthy Competition:  What’s Holding Back Health Care and How To Free It.

Their discussion includes the use of reconciliation to pass the latest healthcare reform bill amd the hurdles that procedure faces, the bill’s cost and new taxes, and health savings accounts (HSAs).

You can download the podcast here. The always lovely Aimee Allen graces us with “Silence is Violence” in the music that opens the interview.

You can subscribe to the RSS of JUST our podcasts here, or you can find our podcasts on iTunes here.

Restaurant Franchisees Feel ObamaCare’s Bite

There have already been a number of stories written on the effects of ObamaCare on many small businesses. Perhaps no enterprise has felt the impacts of the law worse than the restaurant industry.

ObamaCare requires employers with over 50 employees to offer insurance coverage to those who work 30 hours or more, which is considered to be “full-time” under the law, or otherwise pay a $2,000 fine per worker. This is known as the “employer mandate.” Opponents of ObamaCare warned that this mandate would hurt investment and many workers, who would either lose their jobs or face scaled back hours. Supporters of the law obviously didn’t care enough listen.

Last week, the Wall Street Journal highlighted the plight of restaurant franchisees who are struggling to remain profitable as the realities of ObamaCare hit their businesses:

Sam Ballas, chief executive of ECW Enterprises Inc., owner of East Coast Wings & Grill, a 26-unit chain in North Carolina and Texas, in March imposed a three- to five-unit limit, for the time being, on the number of restaurants that franchisees can own, because of worries about health-care costs.
[…]
Mr. Ballas said several East Coast Wings franchisees are up against that limit now and that one is considering selling a restaurant to remain below the threshold.

Never Mind the IRS, You’d Better Be Nice to Kathleen Sebelius

Written by Michael F. Cannon, Director of Health Policy Studies at the Cato Institute. Posted with permission from Cato @ Liberty.

ObamaCare’s Independent Payment Advisory Board is everything its critics say and worse. It is a democracy-skirting, Congress-blocking, powers-unseparating, law-entrenching, tax-hiking, fund-appropriating, price-controlling, health-care-rationing, death-paneling, technocrat-thrilling, authoritarian, anti-constitutional super-legislature. Its very existence is testament to government incompetence. It stands as a milestone on the road to serfdom.

The Congressional Research Service has now confirmed what HHS Secretary Kathleen Sebelius pretends not to know but what Diane Cohen and I explained here:

[I]f President Obama fails to appoint any IPAB members, all these powers fall to Secretary of Health and Human Services Kathleen Sebelius.

The Only Ones Who Misunderstand ObamaCare More than Its Detractors Are Its Supporters

Written by Michael F. Cannon, Director of Health Policy Studies at the Cato Institute. Posted with permission from Cato @ Liberty.

Ezra Klein has a post arguing that ObamaCare is unpopular because the public doesn’t understand it. It would be more accurate to say that ObamaCare is popular with people like Klein because they don’t understand it.

Klein notes an apparent negative correlation between the popularity of certain provisions of the law and public awareness of those provisions. If only more people knew about the good stuff in ObamaCare – you know, the subsidies to seniors and the provisions forcing insurers to cover the sick – more people would like it. But the polls showing public support for those provisions don’t ask respondents whether they think the benefits of those provisions are worth the costs. They only ask about the benefits. Since none of those provisions is a benefits-only proposition, those polls tell us essentially nothing.

For example, last year a Reason-Rupe survey asked respondents about laws forcing insurers to cover the sick. What made this poll interesting is that it was the first poll in 18 years to ask respondents to weigh the costs of such laws against the benefits. The below graph (from my latest Cato paper, “50 Vetoes”) displays the results.

CMS Official on ObamaCare Exchanges: “Let’s Just Make Sure It’s Not a Third-World Experience”

Tomorrow is third anniversary of the passage of the Affordable Care Act, which we’ve come to know as ObamaCare. Americans still haven’t embraced the law as many have seen their insurance premiums continue to rise at an astonishing pace or changes to their coverage — in some cases, losing it entirely.

Many businesses are experiencing problems as they try to deal with the mandates, the latest example of which comes from a San Diego bakery that could lose half of its profits or half of its full-time workers because of ObamaCare.

Despite a concerted effort from the Obama Administration to sell the law, the refrain from from at least one official — Henry Chao, Deputy Chief Information Officer and the Deputy Director of the Office of Information Services at the Centers for Medicare and Medicaid Services — doesn’t sound all that optimistic about the state health insurance exchanges.

Philip Klein has the story:

With time-running out before the major provisions of President Obama’s health care law are set to be implemented, the official tasked with making sure the law’s key insurance exchanges are up and running is already lowering expectations.

States Can Still Do Something About ObamaCare

50 Vetoes: How States Can Stop the Obama Health Care Law

The 2012 election dealt a blow to the country, not just because it guaranteed the same failed economic policies of the last four years, but because it also means that any push to repeal ObamaCare in Congress is a non-starter. Despite that, there will still be ways to significantly diminish the impact of the law.

While the decision last year to uphold the individual mandate was certainly disappointing, the Supreme Court did provide lattitude for states to refuse to implement expensive insurance exchanges and even more costly Medicare expansion. This was a silver-lining in an otherwise terrible decision that set a very troubling precendent for future expansions of government.

In a new whitepaper, “50 Vetoes: How States Can Stop the Obama Health Care Law,” Michael Cannon, director of Health Policy Studies at the Cato Institute, explains that this gives states the chance to effectively veto these provisions and thus save taxpayers and business money.

“To date, 34 states, accounting for roughly two-thirds of the U.S. population, have refused to create Exchanges,” writes Cannon in the summary of the whitepaper. “Under the statute, this shields employers in those states from a $2,000 per worker tax that will apply in states that are creating Exchanges (e.g., California, Colorado, New York).”

“Those 34 states have exempted at least 8 million residents from taxes as high as $2,085 on families of four earning as little as $24,000,” he continues. “They have also reduced federal deficits by hundreds of billions of dollars.”

 

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