Obamacare’s New Goal & Effect On Seniors

From The Heritage Foundation:

Obama Moves the Goal Posts on Health Care

In his July 25 Radio Address, President Obama offered a new goal to health care reform—“And we’ll limit the amount your insurance company can force you to pay out of your own pocket.” By laying this out as one of the goals of reform, he contradicts the major theme of the Address.

The Address began with a quote from a small businessman from New Jersey—“I am not looking for free health care, I would just like to get my premiums reduced enough to be able to afford it.” Here are the conflicts between what the small businessman knows and what the President proposes:

  • The less a person pays out-of-pocket, the more it appears to be “free.”
  • The small businessman intuitively knows that when something is “free,” utilization will go up. He understands that if he offered his product or service for free, he certainly would have more customers in the short-term but he might not survive financially until the end of the day.
  • Premiums are based, in part, on how much out-of-pocket spending is expected. When out-of-pocket spending goes down, premiums go up. Insurance is supposed to be protection against an unforeseen, future event. First dollar coverage (the absence of out-of-pocket spending) means insurance is no longer insurance.

The President attempts to construct an argument that the insurance companies are forcing you or me to pay more out-of-pocket, so we need reform to save us. Nonsense.

  • Out-of-pocket spending as a source of health care expenditures has been falling for decades, which may be part of our problem in health care financing. In 1970, out-of-pocket spending accounted for one-third of all national health care expenditures. In 2000, out-of-pocket spending accounted for 14 percent of total spending. By 2018, only one in ten dollars spent on health care will be out-of-pocket. So out-of-pocket spending as a share of total spending will continue to decline without reform.
  • Compared to last year, out-of-pocket spending grew just 1.4 percent compared to the 8.0 percent increase in Medicare and 9.6 percent increase in Medicaid. Perhaps there is a lesson to be learned here.
  • A person may choose to buy a policy that has greater cost-sharing but a lower premium, because he believes his total cost will be less. Apparently, taking away this option is now one of the goals of health care reform.

And here’s another from The Heritage Foundation:

Morning Bell: Obamacare’s Effect on Seniors

Today at 1:30 PM, President Barack Obama will participate in a health care “tele-town hall” at AARP headquarters in Washington, DC. The President is scheduled to answer questions about his health care plan from AARP members via phone, email, and even a live audience of about 40 AARP members and volunteers. We hope the event’s moderators will allow for a lively and honest debate, because our nation’s seniors stand to be huge losers under Obamacare:

Losing Your Doctor: Under the current system, more and more seniors are discovering that it is becoming harder and harder to find and keep doctors who will accept Medicare patients. A 2008 survey found that 29% of the Medicare beneficiaries it surveyed who were looking for a primary care doctor had a problem finding one to treat them, up from 24% the year before. This problem is compounded by the fact that our nation is facing a growing shortage of doctors. Obamacare promises to only make these problems worse. First, Obama plans to pay for up to a third of his plan by cutting $313 billion in Medicare reimbursements to health care providers over the next 10 years. This will only force more doctors to stop seeing Medicare patients. Second, Obama’s public “option” could decrease the annual net income of hospitals by $36 billion, while the annual net income of physicians could drop by $33.1 billion. Facing a sharp reduction in their pay, more doctors will retire early and more bright students will elect to pursue other careers, thereby reducing access and ensuring lower quality health care for future generations as well.

Losing Your Coverage: 22% of all Medicare patients, which translates to 10.5 million seniors, are currently enrolled in Medicare Advantage plans. These health plans cover all of the traditional Medicare benefits and much more, including coor­dinated care and care-management programs for enrollees with chronic conditions as well as additional hospitalization and skilled nursing facility stays. President Obama has proposed killing this program entirely. A new study for the Florida Association of Health Plans found that, because Medicare Advantage plans have richer benefits and lower deductibles and co-payments than traditional Medicare, seniors in that state would face dramatically higher payments if forced to give up their Medicare Advantage plans. Cost increases would range from $2,214 a year in Jacksonville to $3,714 a year in Miami.

Rationing Your Care: Another centerpiece to Obamacare is the creation of a federal health board that will ration your health care. Obama supporter and infanticide advocate Peter Singer made the case for rationing health care recently in the New York Times, writing: “The task of health care bureaucrats is then to get the best value for the resources they have been allocated.” Conservatives in Congress have given Obamacare supporters every opportunity to disavow government-rationed health care, but Obamacare supporters have voted down every anti-rationing amendment proposed. Make no mistake, Obama plans to pay for expanded coverage for the young and healthy by denying treatments to the old and sick. Americans can do better.

There is no question that America’s $2.4 trillion health care system needs to be reformed. But it should not be done on the backs of America’s seniors. Conservatives have a better vision for health care reform that cuts health care costs by reforming the tax system, enabling true health care competition, and giving families control of their health care dollars.

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