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Posts Tagged ‘Health Care’

Last September, I shared a disconcerting video showing an unfortunate young woman getting her OB/GYN exam from a very creepy version of Uncle Sam.

Well, you’ll be pleased to know that “Creepy Uncle Sam” does not discriminate. In this video, a young man faces the unpleasant experience of getting his prostate checked.

Kudos to Generation Opportunity for putting together such clever videos.

But I think their most recent video is a true masterpiece. It manages to showcase almost all the bad features of Obamacare in a short, amusing, pithy form.

And if you like videos that make fun of Obamacare, here are some other examples from the archives.

*The head of the National Socialist Workers Party finds out he can’t keep his health plan.

*Young people discover that they’re screwed by Obamacare.

*Remy of Reason TV sings about the joy of part-time work.

*A cartoon video imagines a world where buying coffee is like buying government-run healthcare.

*One of the biggest statists of the 20th century is angry that the Obamacare exchanges don’t work.

Let’s close with a good cartoon from Ken Catalino.

And whatever the government says Obamacare costs, you can feel confident (albeit depressed) that the real cost will be higher. Especially if you’re also counting non-fiscal costs such as fewer jobs.

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I thought TARP was the sleaziest-ever example of cronyism and corruption in Washington.

The Wall Street bailout rewarded politically well-connected companies, encouraged moral hazard, and ripped off taxpayers. Heck, it was so bad that it makes the sleaze at the Export-Import Bank seem almost angelic by comparison.

But I may have to reassess my views.

One of the provisions of Obamacare allows the White House to give bailouts to big health insurance companies. You’re probably wondering why these big firms would need bailouts. After all, didn’t Obamacare coerce millions of people into becoming involuntary customers of these companies? That should give them lots of unearned profits, right?

But here’s the catch. The President wasn’t being honest when he repeatedly promised that Obamacare would reduce premiums for health insurance. And since the Democrats don’t want consumers to get angry about rising costs (particularly before the 2014 elections), they want health insurance companies to under-charge.

Avik Roy of Forbes explains in greater detail how the White House is coercing health insurance companies to limit premium increases before the mid-term elections. Here are some excerpts.

Hidden in the midst of a 436 page regulatory update, and written in pure bureaucratese, the Department of Health and Human Services asked that insurance companies limit the looming premium increases for 2015 health plans. But don’t worry, HHS hinted: we’ll bail you out on the taxpayer’s dime if you lose money. …The White House is playing politics with Americans’ health care—and they’re bribing health insurance companies to play along. The administration’s intention is clear: Salvage the 2014 midterm elections. …Technically, the regulations don’t force health insurance companies to tamp down their premium spikes. But the White House isn’t asking nicely. …Under Obamacare, insurers are so heavily regulated that they have to play nice with the bureaucrats who call the shots. …If insurance companies don’t give in, regulators have powerful ways to make life hard for them. A shrewd CEO doesn’t need to look far to see what might happen if his company opts out.

But before you feel sorry for Big Insurance, remember that these corrupt companies supported Obamacare and fully expect to get bailed out by taxpayers. Here are some blurbs from an article last month in the Weekly Standard.

Most Americans don’t think it’s their job to bail out insurance companies who lose money under Obamacare, but that’s exactly what’s poised to happen. Obamacare’s risk-corridor program — which President Obama has been using as a slush fund to placate his insurance allies and keep them quiet about his lawlessness — shifts financial risk from insurers to taxpayers. According to the House Oversight Committee, health insurers expect Obamacare’s risk corridors to net them nearly $1 billion, at taxpayer expense, this year alone. …It was a win-win that would boost Obamacare in its early days — to the benefit of those who’ve gained extraordinary power at the expense of Americans’ liberty, and of those whose product has become mandatory for Americans to purchase.

In other words, we have a stereotypical example of Mitchell’s Law. Government screws up something, and then uses that mess as an excuse to impose more bad policy!

This Lisa Benson cartoon is a perfect summary of what’s happening.

P.S. If you’re in the mood for some dark humor, here’s the federal government’s satirical bailout application form.

P.P.S. Switching to a different topic, it’s time for me to rectify a mistake. When I first created the Moocher Hall of Fame last year, I didn’t include the “Octo-moocher” as a charter member. After all, having 14 kids while living on the dole didn’t seem particularly noteworthy.

But now we’ve discovered that she could afford her kids. She just wanted other people to pick up the tab.

Octomom Nadya Suleman pleaded no contest Monday to a single count of misdemeanor welfare fraud for failing to disclose income she was receiving from videos and personal appearances while collecting more than $26,000 in public assistance funds to care for her 14 children.

This may not be as impressive as the deadbeat who got handouts while living on a $1.2 million yacht, but still worthy of membership.

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Let’s enjoy some semi-good news today.

We’ve discussed many times why Obamacare is bad news, whether we’re looking at it from the perspective of the healthcare system, taxpayers, or workers.

But it could be worse. Writing in the Washington Post, Robert Samuelson explains that two-dozen states have refused the lure of expanding Medicaid (the means-tested health care program) in exchange for “free” federal money.

From 1989 to 2013, the share of states’ general funds devoted to Medicaid has risen from 9 percent to 19 percent, reports the National Association of State Budget Officers. Under present law, the squeeze will worsen. The White House report doesn’t discuss this. …To the White House, the right-wing anti-Obamacare crusade is mean-spirited partisanship at its worst. The 24 non- participating states are sacrificing huge amounts of almost-free money… Under the ACA, the federal government pays all the cost of the Medicaid expansion through 2016 and, after that, the reimbursement rate drops gradually to a still-generous 90 percent in 2020.

But that “almost-free money” isn’t free, of course. It’s simply money that the federal government (rather than state governments) is diverting from the productive sector of the economy.

So the 24 states that have rejected Medicaid expansion have done a huge favor for America’s taxpayers. To be more specific, Nic Horton of Watchdog.org explains that these states have lowered the burden of federal spending (compared to what it would have been) by almost $90 billion over the next three years.

By not expanding Medicaid, 24 states are saving taxpayers $88 billion over the next three years. That is $88 billion that will not be added to the national debt — debt that will not be passed on to future generations of taxpayers. On the other hand, states that have expanded Medicaid through Obamacare are adding roughly $84 billion to the national debt through 2016.

Returning to Samuelson’s column, he would like a grand bargain between states and the federal government, with Washington agreeing to pay for all of Medicaid (currently, states pay a portion of the bill) in exchange for states taking over all spending for things such as roads and education.

We could minimize this process for states and localities by transferring all Medicaid costs to Washington (or at least the costs of the elderly and disabled). To pay for it, Washington would reduce transportation and education grants to states. Let Washington mediate among generations. Let states and localities concentrate on their traditional roles of education, public safety and roads. Spare them the swamp of escalating health costs. This is the bargain we need — and probably won’t get.

I like half of that deal. I want to transfer education, law enforcement, and roads back to the state level (or even the local level).

But I don’t want Washington taking full responsibility for Medicaid. Instead, that program also should be sent down to the states as well. This video explains why that reform is so desirable.

P.S. Since we’re on the topic of Obamacare, this Chip Bok cartoon perfectly captures the essence of the Hobby Lobby decision. The left wants the mandate that contraception and abortifacients be part of health insurance packages.

Rather than exacerbate the damage of using insurance to cover routine costs, wouldn’t it make more sense to have employers simply give their workers more cash compensation and then allow the workers to use their money as they see fit?

That way there’s no role for those evil, patriarchal, oppressive, and misogynistic bosses!

I realize this might upset Sandra Fluke, but at least she has the comfort of knowing that her narcissistic statism generated some good jokes (here, here, and here).

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I wrote a few weeks ago about the hidden economic damage of Obamacare, particularly the harm to the job market.

Today, let’s get further depressed by looking at the ever-worsening fiscal damage of the law.

Here’s some of what Chuck Blahous of Mercatus wrote about this costly new entitlement.

The ACA was enacted in 2010 with the promise of reducing the federal budget deficit while expanding health insurance coverage. Nearly lost amid the recent press cheerleading over ACA enrollment figures is that this promise has disintegrated, and now no one…can say how much fiscal damage the ACA will ultimately cause. …CBO currently estimates that the ACA’s coverage provisions will cost the federal government $92 billion a year by FY2015. This is roughly 0.5 percent of projected U.S. economic output for 2015, well exceeding the relative costs of Social Security and Medicaid at similar points in their histories. (The amount falls just short of the proportion of GDP absorbed by all of early Medicare.) Worse, the federal fiscal position was far weaker when the ACA was passed than when Social Security, Medicare, and Medicaid were created.

That’s bad news, but things will get even worse in coming years.

Troubling though the ACA’s startup costs are, they represent only the tip of the fiscal iceberg that will be the fully phased-in law. CBO projects that its annual costs will hit $200 billion by FY2020, or nearly 0.9 percent of GDP. Yet this assumes that lawmakers will be content to allow the ACA’s health insurance subsidies to grow more slowly than low-income beneficiaries’ health care costs, as the law now stipulates. Thus there is every reason to believe that the ACA’s eventual costs will far exceed initial estimates, as happened with Social Security, Medicare, and Medicaid. …Also unclear is whether the ACA’s reinsurance and “risk corridor” provisions will produce unexpected federal budget costs; these provisions were included in the ACA to protect insurers… the Obama administration continues to promise both participating health insurers and taxpayers that they will each be protected from loss under the risk corridor provisions.

The potential bailout for insurance companies is bad news for taxpayers, but it’s even more upsetting for moral and practical reasons.

The big insurance companies got into bed with the White House, figuring it was a good idea for the federal government to coerce Americans into buying their product. As far as I’m concerned, they should swallow heavy losses.

But in Washington, there’s rarely a downside for doing the wrong thing. Instead, this could be like TARP. A reward for bad behavior.

By the way, it’s not just policy wonks who are concerned about the fiscal burden of Obamacare. According to Roll Call, the Congressional Budget Office has – for all intents and purposes – given up trying to estimate the fiscal burden of the legislation.

For Democratic lawmakers who were hesitant to sign onto the sweeping 2010 health care law, one of the most powerful selling points was that the Affordable Care Act would actually reduce the federal budget deficit…the answer to that question has become something of a mystery. In its latest report on the law, the Congressional Budget Office said it is no longer possible to assess the overall fiscal impact of the law. That conclusion came as a surprise to some fiscal experts in Washington and is drawing concern. …In a little-noticed footnote to a report issued in April, “Updated Estimates of the Effects of the Insurance Coverage Provisions of the Affordable Care Act,” the CBO wrote that it and the Joint Committee on Taxation “can no longer determine exactly how the provisions of the ACA that are not related to the expansion of health insurance coverage have affected their projections of direct spending and revenues.”

Translated into plain English, Obamacare is a budgetary black hole.

If only somebody could have predicted that this would happen. But actually, many people did. The history of entitlement programs is that they are bad news in theory and even worse news in reality.

Indeed, even I warned that Obamacare was going to be a bigger fiscal nightmare than originally predicted, as seen in this video.

This Eric Allie cartoon doesn’t focus on the fiscal problems of Obamacare, but it’s worth sharing because the entire law is a mess.

Too bad the American people are the guinea pigs for this experiment in statism.

Wouldn’t it be nice if instead we had the freedom to experiment with market-based healthcare?

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Obamacare resulted in big increases in the fiscal burden of government (ironically, it would be even worse if Obama hadn’t unilaterally suspended parts of the law).

The legislation increased government spending, mostly for expanded Medicaid and big subsidies for private insurance.

There were also several tax hikes, with targeted levies on medical device makers and tanning beds, as well as some soak-the-rich taxes on upper-income taxpayers.

These various policies are bad news for economic performance, but the damage of Obamacare goes well beyond these provisions.

Writing for Real Clear Markets, Professor Casey Mulligan of the University of Chicago explains that Obamacare contains huge implicit tax hikes on work and other forms of productive behavior.

…can we begin to take seriously the idea that the fiscal policies and regulations hidden in the Affordable Care Act are shrinking our economy? …Politicians and journalists use the term tax more narrowly than economists do, but the economic definition is needed to understand the economic effects of the ACA. …Withholding benefits from people who work or earn is hardly different than telling them to pay a tax. For this reason, economists refer to benefits withheld as “implicit taxes.” What really matters for labor market performance is the reward to working inclusive of implicit taxes, and not the amount of revenue delivered to the government treasury… The ACA…is full of implicit taxes. Many of them have remained hidden in the “fog of controversy” surrounding the law and their effects excluded from economic analyses of it.

In other words, his basic message is that the government reduces incentives to be more productive and earn more money when it provides handouts that are based on people earning less money.

Indeed, click here to see a remarkable chart showing how redistribution programs discourage work.

And speaking of charts, here’s one from Professor Mulligan’s article, and it shows the nation’s largest tax hikes based on what happened to the marginal tax rate on working.

Wow. No wonder we’re suffering from a very anemic recovery.

Professor Mulligan elaborates.

During a period that included more than a dozen tax increases, the ACA is arguably the largest as a single piece of legislation, adding about six percentage points to the marginal tax rate faced, on average, by workers in the economy. The only way to cite larger marginal tax increases would be to combine multiple coincident laws, such as the Revenue Acts of 1950 and 1951 and the new payroll tax rate that went into effect in 1950. Even with these adjustments, the ACA is still the third largest marginal tax rate hike during the seventy years. …Let’s not be surprised that, as we implement a new law that taxes jobs and incomes, we are ending up with fewer jobs and less income.

By the way, other academics also have found that Obamacare will lure many people out of the workforce and into government dependency.

The White House actually wants us to believe this is a good thing, as humorously depicted by this Glenn McCoy cartoon.

But rational people understand that our economic output is a function of how much labor and capital are being productively utilized.

In other words, Obamacare is a mess. It’s hurting the economy and should be repealed as the first step in a long journey back to market-based healthcare.

P.S. Mulligan’s chart also re-confirms that unemployment benefits increase unemployment. Heck, that’s such a simple and obvious concept that it’s easily explained in this Wizard-of-Id parody and this Michael Ramirez cartoon.

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I’ve written a couple of serious posts about the death panels at the VA’s government-run health facilities.

I think it’s particularly important to understand that the problem has nothing to do with funding levels. Instead, it’s about the chronic inefficiency of government.

But sometimes mockery is more effective than analysis, and this Remy video, produced by Reason TV, is definitely worth sharing.

Enjoy.

By the way, if you like the Remy videos from Reason TV, here’s one about Sandra Fluke and the birth control mandate, one about the TSA Hokey Pokey, and two more Christmas-themed songs about the TSA (here and here).

But I want to spend the rest of today’s column celebrating the fact that America is not Venezuela. No matter how much we complain about the inefficiency, waste, and corruption in Washington, things could be worse.

Much worse.

Here are three stories to give you an idea what total statism produces.

First, I’ve written about how government intervention is causing toilet paper shortages and food shortages in Venezuela (also in Cuba). Well, there’s also a shortage of water, as reported by Bloomberg.

The rationing of tap water amid a drought and a shortage of bottles because of currency controls are forcing people to form long lines at grocery stores and bottle shops as soon as deliveries are made. …a government-mandated water rationing plan in Caracas and hot weather are fueling demand as supply shrinks. “I haven’t been able to find 5-liter bottles of water in the supermarket for the past two weeks, and there haven’t been half-liter bottles this week,” Maria Hernandez, a 36-year-old secretary, said in an interview in Caracas today. “I have four at home, but I’m afraid that they’ll run out and that I won’t be able to find more. They ration water at my house on Wednesdays.”

Though maybe water rationing is a good thing. At least when you live in a nation where the water that does (sporadically) materialize is contaminated.

Some areas of the city receive water service only three days a week, with most neighborhoods going without water at least one day a week. When water does flow, few residents dare to drink it because of contamination.

So why is there a problem? Because the government doesn’t let the market operate.

Regulated prices for bottled water have not been raised since November 2011, industry association Anber said in a May 19 statement. Since then, consumer prices have risen 110 percent, according to central bank data, while the bolivar has lost 87 percent of its value on the black market, according to dolartoday.com, a website that tracks the value on the Colombian border.

Our second story also comes from Bloomberg. It’s about the one thriving sector of the Venezuelan economy.

The arrival of a Liberian-flagged freighter with Ukrainian, Arab and Filipino sailors spells one thing for Elena — dollars. And greenbacks are king in Venezuela, the 32-year-old prostitute says. …Prostitutes more than double their earnings by moonlighting as currency traders in Puerto Cabello. They are the foreign exchange counter for sailors in a country where buying and selling dollars in the streets is a crime — and prostitution isn’t. Greenbacks in the black market are worth 11 times more than the official rate as dollars become more scarce.

Indeed, some women may be turning to prostitution because the government is doing so much damage to the economy.

Prostitution has become the only boom industry in Venezuela’s biggest port. …“Before I was working to support my kid and my mom; now I support my entire family,” said Paola, a prostitute who like Elena comes from Zulia and declines to give her real name. “Dollars are the only way to get by. The bolivar wages of my uncles and cousins barely mean anything now.” …“We can make more in two hours here than working in a shop in a month,” said a prostitute who calls herself Giselle. …For women like Giselle, Elena and Paola, prostitution for dollars has become a lifeline keeping them from poverty. “We haven’t studied, we have no education. What would we do now if we stopped?” said Giselle. “Work for a minimum wage that doesn’t even pay for food? If we wouldn’t be here working the scene, we would be living on the streets.”

Amazing. Venezuelan women are famous for their beauty, but the economy is such a mess that they earn twice as much money by trading currency. Way to go, big government!

Last but not least, our third story shows that government intervention is even making death more difficult. Here are some excerpts from a report in the UK-based Guardian.

…even in death, Venezuelans are afflicted by shortages. Coffin production has dropped between 20% and 30% this year for lack of materials, forcing funeral and burial delays… Pedro Navarro, former president of Venezuela’s funeral parlor association, has blamed lagging production at the state-run foundry Sidor. …Demand for coffins has grown in recent years. Venezuela has one of the world’s highest murder rates. People have been coping with shortages since 2006, long before the death from cancer last year of the pro-socialist president, Hugo Chávez.

The moral of the story is that government interventions such as price controls and government policy mistakes such as inflation have very negative consequences for ordinary people. It’s not just shortages of water and a prostitution-encouraging desire to escape the local currency.

The entire economy is a mess.

Empty shelves in shops and long queues have become a fixture of the daily hunt for staples such as milk, cooking oil and flour. Pharmaceuticals and medical supplies are also scarce. The anti-government street protests that began in February by an emboldened opposition have grown with the shortages.

So when someone tells you that big government is good for people, ask them for an example of successful statism.

And if they’re open to rational evidence, show them this chart. It shows that Venezuela used to be twice as prosperous as Chile.

But Venezuela has stagnated because of statism and Chile has boomed because of free markets. Kind of hard to argue with these facts (though Chile’s current crop of politicians apparently don’t like success and are seeking to expand the burden of government).

Let’s close with some very accurate humor. This poster nicely summarizes the difference between capitalism and statism.

Or the parable of the two cows also does the job.

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Back in 2011, I shared a video making the moral argument that adults should be allowed to buy and sell kidneys.

After all, if one person is made better off by selling a kidney and another person is made better off by buying a kidney, why should the rest of us be allowed to ban that voluntary exchange?

In a new video looking at anti-market bias, Professor Bryan Caplan of George Mason University uses kidney sales as an example of how capitalism yields great results.

So why is it against the law to buy and sell kidneys, particularly when the actual buyers and sellers – by definition – both benefit?

In 2010, I speculated that a knee-jerk fixation on the wrong kind of equality might be part of the answer. The current system, with long waiting lines and thousands of needless deaths, may be bad, but at least rich people suffer just as much as poor people.

…it is perplexing that statists are so viscerally opposed. The only interpretation I can come up with – which I admit is very uncharitable – is that they are willing to let people die because they are myopically fixated on equity. No system is acceptable, in their minds, unless it results in equal death rates by income class and equal kidney donations by income class.

In reality, a free market would benefit both rich and poor. Not only would some poor people get a lot of money by selling their spare kidneys, but poor people on dialysis would be far more likely to get transplants since private charities would be able to raise money to save their lives.

P.S. Professor Caplan is the creator of the “libertarian purity quiz.” I only got 94 out of 160 possible points, which doesn’t sound that impressive, but it was enough to get me classified as “hard core.”

P.P.S. In my posts about unemployment benefits, I’ve argued that there’s a big downside to giving people money on the condition that they don’t have a job. Simply stated, you trap people in unemployment.

And I’ve cited lots of academic evidence to support that hypothesis. And for those who prefer anecdotes, check out this story from Michigan and this example from Ohio.

I’ve even cited left-wing economists who admit that unemployment benefits translate into more joblessness. And this Michael Ramirez cartoon on the issue is both amusing and persuasive.

But one thing I haven’t done is share data from actual people without jobs. So here’s some data from a national scientific poll of unemployed Americans.

…80 percent agree that it “is giving me time to find the right position.” …82 percent of those receiving benefits said if their unemployment compensation were to run out prior to their finding a job, they would “search harder and wider for a job.” …48 percent agree that they “haven’t had to look for work as hard” thanks to unemployment compensation.

Gee, what a shocker. Endless unemployment benefits enable people to be less diligent about finding work. That may not be a big problem if people are out of the labor force for two months. But when politicians keep extending jobless benefits, you create permanent unemployment.

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The statists are claiming Obamacare is now a success.

Needless to say, I think this is a laughable assertion. Indeed, I shared a very clever graphic from Ted Cruz to help explain why it’s hardly a big achievement to destabilize the insurance market and then coerce and/or bribe some people into using Obamacare.

More recently, I debunked the claim that government-caused inefficiency in the current healthcare system somehow is an argument for a single-payer system.

But I’m getting tired of kicking the dead horse of government-run healthcare. As time passes, it will become increasingly apparent that Obamacare is making things worse rather than better.

So I’d rather enjoy some laughs by sharing some Obamacare cartoons.

Let’s start with this Nate Beeler gem about Obama “succeeding” after the goalposts were moved.

Reminds me of this funny cartoon from Gary Varvel.

And speaking of Varvel, he doesn’t seem to think that Obamacare will become more popular over time.

It’s amazing that some people think this botched system is a success. Let’s call it the soft bigotry of low expectations.

As Lisa Benson illustrates.

And if you agree that Obama is being graded on a curve by a biased press, the Glenn McCoy cartoon in this post also will make you chuckle.

And since I just mentioned Glenn McCoy, here’s his contribution today. Same theme as Varvel, and just as funny.

Last but not least, we have the award-winning Michael Ramirez.

I’m surprised, by the way, that I don’t see many cartoons using the Titanic analogy. Perhaps my memory is fading, but I think this cartoon from Eric Allie is the only other time that a ship heading toward an iceberg has appeared on my blog.

P.S. Since I’m a big advocate of reducing the burden of government spending, this chart from Mercatus is definitely worth sharing.

It shows the huge amount of fraud and waste in many government programs.

But remember that we don’t want to shrink the federal government because of waste, fraud, and abuse.

We want Washington to be smaller because we respect the Constitution and think it’s wrong to trap people in government dependency.

And, needless to say, the easiest way to make matters worse is to acquiesce to higher taxes. That would give politicians an excuse to spend even more money and surely kill any chances of meaningful entitlement reform.

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The new leftist website, Vox, has an article by Sarah Kliff on Vermont’s experiment with a single-payer healthcare system.

But I don’t really have much to say about what’s happening in the Green Mountain State, other than to declare that I much prefer healthcare experiments to occur at the state level. Indeed, we should reform Medicaid and Medicare and also fix the tax code so that Washington has no role in healthcare. Then the states can experiment and compete to see what works best.

But that’s a topic for another day. The real reason I cite Kliff’s article is that Ezra Klein tweeted this image from the article and stated that is was “The case for single payer, in one graphic.”

Vox Third-Party Payer

I don’t know if the numbers in the graphic are correct, but I have no reason to think they’re wrong.

Regardless, I certainly don’t disagree with the notion that our healthcare system is absurdly expensive and ridiculously inefficient.

In other words, the folks at Vox have accurately diagnosed a problem.

However, do these flaws prove “the case for single payer”?

It’s probably true that “single payer” has a lower monetary cost than the system we have today (assuming you don’t include the cost of substandard care and denied treatment), but that doesn’t mean it’s the ideal system.

Indeed, there is a better way to deal with the waste, inefficiency, and bureaucracy of the current system. third-party-2The answer is free markets and genuine insurance, both of which would help address the real problem of third-party payer.

Third-party payer, for those who are new to the healthcare field, is what you get when somebody other than the consumer picks up the tab. And because of government intervention, that’s what happens with about 90 percent of healthcare spending in the United States. Here’s what John Goodman had to say about this problem.

Almost everyone believes there is an enormous amount of waste and inefficiency in health care. But why is that? In a normal market, wherever there is waste, entrepreneurs are likely to be in hot pursuit — figuring out ways to profit from its elimination by cost-reducing, quality-enhancing innovations. Why isn’t this happening in health care? As it turns out, there is a lot of innovation here. But all too often, it’s the wrong kind. There has been an enormous amount of innovation in the medical marketplace regarding the organization and financing of care. And wherever health insurers are paying the bills (almost 90 percent of the market) it has been of two forms: (1) helping the supply side of the market maximize against third-party reimbursement formulas, or (2) helping the third-party payers minimize what they pay out. Of course, these developments have only a tangential relationship to the quality of care patients receive or its efficient delivery.

And here’s some analysis from a study published by the National Bureau of Economic Research.

In most industries, higher quality is associated with higher prices. That is not true in medical care, however, largely because of the public sector. …Every analysis of medical care that has been done highlights the significant waste of resources in providing care. Consider a few examples: one study found that physicians spent on average of 142 hours annually interacting with health plans, at an estimated cost to practices of $68,274 per physician (Casalino et al., 2009). Another study found that 35 percent of nurses’ time in medical/surgical units of hospitals was spent on documentation (Hendrich et al., 2008); patient care was far smaller. …In retail trade, the customer is the individual shopper. If Wal-Mart finds a way to save money, it can pass that along to consumers directly. In health care, in contrast, the situation is more complex, since patients do not pay much of the bill out-of-pocket. Rather, costs are passed from providers to insurers to employers… About one-third of medical spending is not associated with improved outcomes, significantly cutting the efficiency of the medical system and leading to enormous adverse effects.

Here’s my humble contribution to the discussion, starting with an explanation of how special tax breaks deserves some of the blame.

…how many people realize that this bureaucratic process is the result of government interference? For all intents and purposes, social engineering in the tax code created this mess. Specifically, most of us get some of our compensation in the form of health insurance policies from our employers. And because that type of income is exempt from taxation, this encourages so-called Cadillac health plans. …We have replaced (or at least agumented) insurance with pre-paid health care.

I then explain why this isn’t a good idea.

Insurance is supposed to be for unforseen major expenses, such as a heart attack. But our gold-plated health plans now mean we use insurance for routine medical costs. This means, of course, we have the paperwork issues…, but that’s just a small part of the problem. Even more problematic, our pre-paid health care system is somewhat akin to going to an all-you-can-eat restaurant. We have an incentive to over-consume since we’ve already paid. Except this analogy is insufficient. When we go to all-you-can-eat restaurants, at least we know we’re paying a certain amount of money for an unlimited amount of food. Many Americans, by contrast, have no idea how much of their compensation is being diverted to purchase health plans. Last but not least, we need to consider how this messed-up approach causes inefficiency and higher costs. We consumers don’t feel any need to be careful shoppers since we perceive that our health care is being paid by someone else. Should we be surprised, then, that normal market forces don’t seem to be working?

And I ask readers to think about the damage this approach would cause if applied in other sectors of the economy.

Imagine if auto insurance worked this way? Or homeowner’s insurance? Would it make sense to file insurance forms to get an oil change? Or to buy a new couch? That sounds crazy. The system would be needlessly bureaucratic, and costs would rise because we would act like we were spending other people’s money.  But that’s what would probably happen if government intervened in the same way it does in the health-care sector.

This is probably more than most people care to read, but it underscores the point that we don’t have a free market in health care. Not now, and not before Obamacare.

So the folks at Vox are right about the current system being a mess. But I disagree with the notion that more government is a way to solve problems created by government.

The real answer, as I’ve already noted, is to get Washington out of health care. This means entitlement reform AND tax reform.

And if you want to get a flavor of why this would generate better results, watch this Reason TV video and read these stories from Maine and North Carolina.

So how do we get there? Repealing Obamacare is a necessary but far from sufficient condition. Cato’s Adjunct Scholar, John Cochrane, has a nice roadmap of what’s really needed.

Though Vermont certainly is welcome to travel in the other direction. It’s always good to have bad examples and I wouldn’t be surprised if the “Moocher State” played that role.

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I’ve observed, reported, mocked, written, and explained that Obamacare is a cluster-you-know-what.

So I’m rather bemused and frustrated by the latest pro-Obamacare spin that the law is a “success” because there are now 7 million people who have picked a plan.

There are lots of reasons for normal people to have a what-the-expletive-deleted response to this declaration of victory. For instance:

The goal of Obamacare was to insure the uninsured, yet that number has barely budged, so why is the Administration allowed to move the goalposts to something far more modest?

Obamacare also was supposed to lower premiums by $2500 and allow everyone to keep their plans and their preferred providers, so what happened to those goals?

And why should we even believe the White House spin when we have no idea whether people who have picked a plan have actually paid for that plan?

Moreover, what’s so impressive about getting some people to sign up for plans when they can get something that’s subsidized by taxpayers or other consumers?

But here’s an image put together by Senator Cruz’s office that may be the best – and certainly most amusing – look at the Administration’s supposed “achievement.”

Obamacare Broken WIndows

Amen. People are being both coerced and bribed to sign up for Obamacare, in many cases after the law forced the cancellation of plans that they liked.

So why are we supposed to applaud the fact that a small fraction of the population has chosen the only possible option?

That’s the same mentality that allows politicians to brag about our “voluntary” tax system. As if any of us send our hard-earned money to the crooks in Washington for any reason other than the fact that otherwise we would get arrested.

P.S. Since I commented on our acquiescence to the IRS and our “voluntary” tax system, I will admit thatWashington Tax I’m amused and chagrined by this poster. It’s minimized since it uses a sometimes-inappropriate synonym for wimps.

P.P.S. Since this post was about the “broken window” theory of Obamacare, let’s make sure to give ultimate credit to Bastiat, who came up with the original broken windows analogy (as captured by this cartoon mocking Keynesian economics).

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I spoke yesterday to the Memphis Economics Club about America’s looming fiscal crisis, and I did my usual song-and-dance routine about potential Greek-style chaos in the absence of genuine entitlement reform.

But I confess I was stumped when, after the speech, someone from the audience asked me what was going on with Obamacare.

I can pontificate at length about why government intervention has screwed up our healthcare system, and I can wax poetic about the need to restore market forces both with tax reform and with significant changes to Medicare and Medicaid.

But I was asked to speculate about the Obama Administration’s strategy, and I didn’t know what to say other than they’re in panic mode and they’re arbitrarily changing or ignoring the law based on short-term political imperatives.

To get an idea what I’m talking about, here’s what the Wall Street Journal opined.

Liberals say they believe in a living Constitution, and apparently they think the Affordable Care Act is a living document too. Amid one more last-minute regulatory delay, number 38 at last count, the mandate forcing nuns to sponsor birth control is more or less the only part of ObamaCare that is still intact. On Tuesday evening, the Health and Human Services Department announced that the six-month open enrollment period for ObamaCare insurance that began in October 2013 and was supposed to end on the last day of March would be extended indefinitely. …The expanded enrollment period was slipped into a legal crevice related to “exceptional circumstances” signing up such as natural disasters including “an earthquake, massive flooding, or hurricane.” …By the way, as part of this delay HHS will make no attempt to verify real enrollment problems and will instead rely on what the agency calls “the honor system.” No one will be asked why they need an extension. …This pattern of dishonesty and political improvisation has come to define ObamaCare, which is the law for some people, sometimes, except when it isn’t. Nothing HHS claims can be trusted, and little that the President of the United States promised about his signature law has turned out to be true.

Well, I must confess that I (sort of) agree with part of what the White House is doing. Obamacare has been a natural disaster.

Building on this theme, Abby McCloskey and Tom Miller have a column in the WSJ with a blunt message about the mandate.

The individual mandate has failed. After a last-ditch effort with President Obama himself encouraging “young invincibles” to sign up before the deadline, …the White House announced that people who applied for coverage on the federal health-insurance exchange will have until mid-April to finish the paperwork. …The individual mandate had the least effect on those it was supposed to encourage to gain coverage—the uninsured. … Goldman Sachs analysts estimate that about one million uninsured Americans will sign up for the ObamaCare exchanges before open enrollment ends. For perspective, that’s about 2% of the 48 million uninsured. A larger share of the exchange enrollees is likely coming from people whose previous coverage was canceled (due to other ObamaCare rules) or those who found a somewhat better deal for exchange coverage (due to much more generous low-income subsidies).

Wow, just 2 percent of the uninsured. That’s a high failure rate, even by government standards.

At this stage, the only good response is to laugh.

So let’s enjoy some Obamacare cartoons, starting with this gem from Glenn McCoy.

Reminds me of my quip about Syria and Obamacare, which even got noticed by Rand Paul!

Here’s Chip Bok having some fun with the government’s disgusting enforcement mechanism.

Brings to mind this flying monkeys cartoon.

Here’s McCoy again, this time mocking the left’s claim that we should be happy about the people who have lost their jobs because of Obamacare.

This Michael Ramirez cartoon is a classic. I especially love the eyes (a talent that Ramirez often exploits).

Needless to say, the White House’s disregard of its own law is largely driven by a desire to avoid election-day backlash, which is why this Gary Varvel cartoon is a good way to close today’s collection.

P.S. If you have a strange yearning to watch me predict the collapse of the western world (basically the same topic of my speech in Memphis), here’s a recording of my recent speech to the Center for Political Studies in Denmark.

And if you get bored with more than 60 minutes of my supposed wisdom, you can skip the rest of the video and look at the real highlight of my trip to Copenhagen, the “welfare state party ship.”

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I wish there was a magic wand that somebody could wave and all of us would have more money. Or maybe Santa Claus could play that role, or some version of the Tooth Fairy.

And if that magic person only had limited powers, I would want more money specifically for those with modest incomes.

Unfortunately, we don’t live in this fantasy world. As a society, we can’t enjoy output unless we first go through the toil and trouble of working, saving, and investing.

Heck, even some leftists have admitted that you can’t redistribute unless somebody first produces.

But that doesn’t stop some politicians from practicing free-lunch economics. They tell us, for instance, that government can impose a higher minimum wage with no job losses.

And now the Obama Administration is claiming that it can expand overtime eligibility rules without any adverse impact of base pay, hours, or employment.

In my role as the designated bad guy who has to inform people there’s no magic wand or Santa Claus, here’s what I told the New York Times.

“There’s no such thing as a free lunch,” said Daniel Mitchell, a senior fellow with the Cato Institute, who warned that employers might cut pay or use fewer workers. “If they push through something to make a certain class of workers more expensive, something will happen to adjust.”

I also shared my putative wisdom with the International Business Times, underscoring the principle that government shouldn’t intervene in labor markets.

“Our view is pretty straightforward,” Daniel Mitchell, a fellow at the libertarian CATO Institute in Washington D.C., told International Business Times by phone on Wednesday. “From a philosophical perspective the government shouldn’t get involved with labor contacts between two consenting adults. You can’t impose more labor costs and have them magically disappear.”

I also pontificated on this issue for CBS News radio, but the “highlight” of the day was having to dispel economic myths in a series of TV interviews.

In this debate for Nightly Business Report, I had to explain that faster growth was the only effective way to improve living standards, but my opponent somehow thought we should go back to the glorious 1970s.

And in this interview with Ali Velshi on AJ, I’m stunned that he blames today’s weak job market on free markets.

Last but not least, I made what will probably be my last appearance on Larry Kudlow’s great show on CNBC and used the opportunity to say we shouldn’t copy Europe’s failed welfare states.

Larry is retiring at the end of the month and he will be sorely missed.

P.S. Lots of people are suffering because of Obamacare, especially taxpayers and patients.

But since our main topic today is jobs, let’s not forget that millions of workers are being screwed over by this bad law. They’re losing jobs, losing hours, and/or losing take-home pay thanks to Obama’s ham-fisted intervention.

If you like gallows humor, Reason TV addresses this issue in a new video. Enjoy.

And if you like Obamacare parody videos, here are the other ones that will produce some smiles and laughs.

*The head of the National Socialist Workers Party finds out he can’t keep his health plan.

Varvel Obamacare Ambulance*A creepy version of Uncle Sam wants to know about your sex life.

*Young people discover that they’re screwed by Obamacare.

*One of the biggest statists of the 20th century is angry that the Obamacare exchanges don’t work.

*A consumer tries to buy Obama-coffee.

By the way, if you’re concerned about America’s fiscal future, here’s a video on Obamacare that definitely is not funny.

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Obamacare may not be good news for taxpayers or consumers, but let’s look at the bright side. At least the law has generated some superb political humor, including funny videos.

*The head of the National Socialist Workers Party finds out he can’t keep his health plan.

*A creepy version of Uncle Sam wants to know about your sex life.

*Young people discover that they’re screwed by Obamacare.

*One of the biggest statists of the 20th century is angry that the Obamacare exchanges don’t work.

We have another addition to this amusing collection. This cartoon video employs lots of snark to expose the illogical underpinnings of Obamacare.

My one complaint with this video, though, is that it merely scratches the surface.

Yes, Obamacare is a cluster-you-know-what, but there are many other government programs and policies that cause inefficiency and high costs

Here’s some of what I wrote on this topic back in 2009, starting with an explanation of how government intervention in the tax code has distorted the insurance market and turned it into an inefficient form of pre-paid healthcare.

Insurance is supposed to be for unforseen major expenses, such as a heart attack. But our gold-plated health plans now mean we use insurance for routine medical costs. This means, of course, we have the paperwork issues discussed above, but that’s just a small part of the problem. Even more problematic, our pre-paid health care system is somewhat akin to going to an all-you-can-eat restaurant. We have an incentive to over-consume since we’ve already paid. Except this analogy is insufficient. When we go to all-you-can-eat restaurants, at least we know we’re paying a certain amount of money for an unlimited amount of food. Many Americans, by contrast, have no idea how much of their compensation is being diverted to purchase health plans.

I then ask readers to contemplate what car insurance would look like if government also intervened in that market. Or to think about the consequences if insurance for houses also was subject to government-caused distortion.

Imagine if auto insurance worked this way? Or homeowner’s insurance? Would it make sense to file insurance forms to get an oil change? Or to buy a new couch? That sounds crazy. The system would be needlessly bureaucratic, and costs would rise because we would act like we were spending other people’s money.  But that’s what would probably happen if government intervened in the same way it does in the health-care sector.

The best way of fixing the mess in health insurance, for what it’s worth, is a flat tax. This is because the “healthcare exclusion” is repealed and compensation in the form of fringe benefits is taxed at the same (low) rate as other forms of income.

This presumably will end the incentive for gold-plated Cadillac health plans since workers – once the playing field is level – will prefer a greater amount cash compensation. So health plans gradually will be scaled back so they offer genuine insurance.

This video from the Center for Freedom and Prosperity offers a good explanation.

You also should watch this Reason TV video that shows a real-world example of how prices fall and the system is more efficient when consumers are in charge of healthcare.

For the same reason, I also recommend this story from North Carolina, as well as this example of capitalism from Maine.

It’s also worth noting that there are a few tiny parts of our healthcare system where markets are allowed to operate and consumers are in charge of spending their own money, and in these areas – such as cosmetic surgery, laser eye surgery, and abortion (regardless of whether you approve or disapprove) – we find stable prices and rising quality.

Free markets work…when they’re allowed to function.

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There’s an old joke that a quandary exists when your mother-in-law drives off a cliff in your new Porsche. Are you more happy about losing her or more unhappy about losing your sports car?

I’m not clever enough to come up with humorous quandaries, but I have shared policy quandaries.

I’ve asked, for instance, whether libertarians might have second thoughts about an end to drug prohibition if the result was bigger government.

And I speculated whether leftists or social conservatives would be more upset about a gay man legally adopting his lover in order to minimize Pennsylvania’s death tax.

And if you like this kind of thing, I have more than one dozen additional examples of these types of quandaries.

I have something else to add to the list, and it’s near and dear to my heart because I like to think that I’m among the biggest critics of both Obamacare and bureaucracy.

But what happens if there’s an issue pitting Obamacare and bureaucrats against each other? Would I be able to pick sides?

This isn’t theoretical speculation. Check out these excerpts from a recent report in the New York Times.

Cities, counties, public schools and community colleges around the country have limited or reduced the work hours of part-time employees to avoid having to provide them with health insurance under the Affordable Care Act, state and local officials say. …Even after the administration said this month that it would ease coverage requirements for larger employers, public employers generally said they were keeping the restrictions on work hours because their obligation to provide health insurance, starting in 2015, would be based on hours worked by employees this year. Among those whose hours have been restricted in recent months are police dispatchers, prison guards, substitute teachers, bus drivers, athletic coaches, school custodians, cafeteria workers and part-time professors.

To be honest, I don’t know how to react to this.

Am I glad that we have more evidence that Obamacare is hurting people and reducing labor supply?

That’s obviously the case, and it’s an embarrassment to the Obama Administration.

For months, Obama administration officials have played down reports that employers were limiting workers’ hours. But in a report this month, the Congressional Budget Office said the Affordable Care Act could lead to a reduction in the number of hours worked, relative to what would otherwise occur. Jason Furman, the chairman of the president’s Council of Economic Advisers, reaffirmed the White House view that the law was “good for wages and incomes and for the economy over all.” …The Obama administration says “there is absolutely no evidence” of any job loss related to the Affordable Care Act.

One suspects, by the way, that the Obama White House must have a very strange definition of “job loss.”

They’ll only confess culpability, one imagines, if Obama personally delivers the pink slip or HHS Secretary Sebilius personally orders the loss of hours.

But let’s get back to our main point. I was wondering whether I should be happy to have this additional evidence against Obamacare.

But perhaps I should be glad instead that local governments are squeezing the hours and benefits of the bureaucracy, particularly since the alternative would be higher taxes.

Check out these passages from the NYT’s story. Isn’t it wonderful to read about sulking bureaucrats?

William J. Lipkin, an adjunct professor of American history and political science at Union County College in Cranford, N.J., said: “The Affordable Care Act, rather than making health care affordable for adjunct faculty members, is making it more unaffordable. Colleges are not giving us access to health care, and our hours are being cut, which means our income is being cut. We are losing on both ends.” The American Federation of Teachers lists on its website three dozen public colleges and universities in 15 states that it says have restricted the work assignments of adjunct or part-time faculty members to avoid the cost of providing health insurance.

Some people love the smell of napalm in the morning. Not me. I prefer the whining of angry and resentful bureaucrats. Maybe (as I’ve suggested before) Obamacare isn’t all bad after all.

But 98 percent bad is still bad. The law is a trainwreck and needs to be repealed.

P.S. On another topic, is anyone surprised that the IRS doesn’t like obeying the laws it enforces against the rest of us.

Treasury’s inspector general for tax administration found that the expenses for nine IRS executives — out of 31 whose travel was examined — were wrongly deemed to be nontaxable, on average reimbursements of $51,420. Those executives traveled an average of 140.5 days combined in fiscal 2011 and 2012, the two years examined by the inspector general. The IRS had at least 350 executives in each of those years, meaning the inspector general report covers just a fraction of the agency’s top officials.

Maybe we should save the IRS bureaucrats from potential legal trouble by scrapping the internal revenue code and replacing it with a simple and fair flat tax.

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The President’s main “accomplishment” has been such a disaster that I wonder whether it’s time to feel sorry for Obama.

And if you looked in the dictionary for a definition of Schadenfreude, you might find a picture of me reading a story exposing more evidence that Obamacare isn’t working.

Heck, I’ve even shared Hitler parody videos (two of them!) mocking the law.

But to paraphrase Mae West, there’s no such thing as too much of a good thing.

Today, we’re going to look at the opinions of two experts, both of whom expect further bad news for Obamacare.

Here’s some of what Michael Tanner, my Cato colleague, wrote for the New York Post.

…“the State of ObamaCare” is growing ever more troubled. For starters, it’s falling far short of the goal of universal coverage. …just 1.5 million have actually completed the ObamaCare checkout, including payment. Worse, surveys indicate that less than a third of those enrolling were previously uninsured. …Even using the most optimistic reading of these figures, fewer than 11 percent of uninsured Americans have gotten coverage because of the ObamaCare law; most likely, fewer. This is what we’re getting for the $2.7 trillion that ObamaCare will cost over the next 10 years? Plus, we should subtract the roughly 500,000 Americans who, by the White House’s own count, have lost insurance because of ObamaCare.

And Mike expects things will get worse over time.

…that’s just the tip of the iceberg, because those policy-killing rules will hit another part of the market over the course of this year — namely, the “small group” market, where employers now buy health policies that cover about 78 million Americans. Many of those with cancelled plans will ultimately end up with similar, if more expensive, employment-based policies, but some are likely to simply wind up uninsured. …Then there’s the bad news about who is enrolling in ObamaCare plans — or rather, who isn’t: not enough of the young and healthy folks that the program needs to overpay for insurance so as to offset the costs of covering older and sicker people. …Oh, and a Reuters survey finds that new enrollees are also less healthy than ObamaCare’s designers hoped, too. Humana, one of the nation’s largest insurers, reports that so far enrollment in its exchange-based plans has been far “more adverse than previously expected.”

Megan McArdle of Bloomberg is similarly unimpressed with how Obamacare has developed.

Enrollment is below expectations: According to the data we have so far, more than half of the much-touted Medicaid expansion came from people who were already eligible before the health-care law passed, and this weekend, the Wall Street Journal reported that the overwhelming majority of people buying insurance through the exchanges seem to be folks who already had insurance. Coverage is less generous than many people expected, with narrower provider networks and higher deductibles. The promised $2,500 that the average family was told they could save on premiums has predictably failed to materialize. And of course, we now know that if you like your doctor and plan, there is no reason to think you can keep them.

But it’s going to get worse, she writes.

The Barack Obama administration is in emergency mode, pasting over political problems with administrative fixes of dubious legality, just to ensure the law’s bare survival — which is now their incredibly low bar for “success.” Although the fixes may solve the short-term political problems, however, they destabilize the markets, which also need to work to ensure the law’s survival. The president is destroying his own law in order to save it.

The article has lots of detail, but here are a few highlights of the bad things that already have happened.

Obamacare’s exchange facility was conceived as a “three-legged stool”: guaranteed issue, community rating, mandate. …Take one away, and the whole thing is in danger of collapsing. Unfortunately, whenever someone has voiced discontent with the way things are going, the administration has taken a hacksaw to another leg. …some folks who had policies they liked before were being forced to drop them and buy new policies they didn’t like so much. That caused an outcry, followed by an emergency grandfathering rule. Other major emergency fixes include…A one-year delay of the employer mandate…Numerous extensions of enrollment and payment deadlines…Changes in the rules governing the “risk corridor” programs that cover excess losses at insurers.

And here are the bad things that Megan expects will happen in the future.

…the worst is yet to come. Here’s what’s ahead…2014: Small-business policy cancellations…Summer 2014: Insurers get a sizable chunk of money from the government to cover any excess losses. When the costs are published, this is going to be wildly unpopular…Fall 2014: New premiums are announced…2014 and onward: Medicare reimbursement cuts eat into hospital margins…Spring 2015: The Internal Revenue Service starts collecting individual mandate penalties…Spring 2015: The IRS demands that people whose income was higher than they projected pay back their excess subsidies…Spring 2015: Cuts to Medicare Advantage…Fall 2015: This is when expert Bob Laszewski says insurers will begin exiting the market if the exchange policies aren’t profitable…Fall 2017: Companies and unions start learning whether their plans will get hit by the “Cadillac tax,”…January 2018: The temporary risk-adjustment plans, which the administration is relying on to keep insurers in the marketplaces even if their customer pool is older and sicker than projected, run out…Fall 2018: Buyers find out that subsidy growth is capped for next year’s premiums…I expect that the administration is going to issue “temporary” administrative fixes for most of the law’s unpopular bits — just as it has so far. That’s not going to get any easier as midterms and then a presidential election creep closer.

Wow. If I was a Democrat politician, I would not be overly happy at that list – particularly since Obamacare already has caused several dozen involuntary retirements from Congress.

And if I was a partisan Republican, I would get down on my knees every day to give thanks because Chief Justice John Roberts was willing to disregard the Constitution to keep Obamacare alive.

But since I’m a humble policy wonk who simply wants to protect and restore economic liberty, I’m just glad that there’s growing recognition that Obamacare is a turkey that needs to be repealed. No wonder I’m getting more optimistic with each passing day.

Let’s close with a couple of new Obamacare cartoons.

Using an image that will cause many of us to wince, Glenn Foden manages to combine Obamacare and the NSA spying scandal.

Obamacare Cartoon Tampa 2

Hmmm…I think the images in this example of NSA humor is more pleasurable.

And here’s Henry Payne mixing Obamacare and movie awards.

Obamacare Cartoon Tampa 1

This post has focused on Obamacare’s failings, so let’s close with an acknowledgement that it’s hard to beat something with nothing.

That’s why reformers need to advocate the types of policies that would undo decades of intervention and re-introduce market forces to the healthcare system.

This video from Reason TV is  a great introduction to that topic.

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The title of today’s column may not make much sense if you’ve never watched The Producers, a 1960s Mel Brooks comedy featuring Gene Wilder and Zero Mostel, but you’ll soon see the connection.

That’s because we’re going to laugh at Obamacare, otherwise known as the gift that keeps on giving, and Hitler is part of our satire.

The President’s ill-fated takeover of the healthcare sector has been a complete cluster-you-know-what for the left. It’s not only helped make the American people far more skeptical of big government, it’s also generated some first-rate political humor.

We’ve had everything from Pajama boy abuse to clever political cartoons, all of which has helped turn government-run healthcare into a punch line.

I think Obamacare videos are particularly effective, whether they’re based on sex or mockery, and one of my favorites, from last October, featured the former Fuehrer of Germany’s National Socialist Workers Party.

Now we have a second example of Hitler Obamacare parody, and it is equally funny. It appears that a national socialist shouldn’t rely on the promises of an American quasi-socialist.

One of my favorite parts, which takes place about three minutes into the video, is the reference to Sandra. I assume that’s a clever dig at Ms. Fluke, the female version of Pajama Boy. If it was unintentional, then it’s merely serendipity.

But the whole video is amusing, including the references to the corrupt waiver process that has exempted many unions from provisions of Obamacare.

Heck, the humor assault on the President’s main “accomplishment” is so brutal that I sometimes – when sharing cartoons mocking Obamacare – can’t help but talk about a spirit of Schadenfreude and I also wonder whether it’s time to feel sorry for the President.

Maybe I’m becoming a softie.

P.S. If you like Hitler parody videos, here are two more that are worth viewing.

Here’s Hitler learning about Europe being downgraded.

And here’s the Fuehrer finding out that Scott Walker prevailed in his fight against government bureaucrats in Wisconsin.

But if you want a serious video about Obamacare, you can click here and watch me pontificate about why government-run healthcare is a fiscal nightmare.

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Welcome Instapundit readers. To augment the depressing and worrisome message in this post, I suggest you read this article showing how we can restore market forces to our government-dictated healthcare system.

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I hate to dredge up bad memories so early in a new year, but we need to remind ourselves of the awful TARP bailout of 2008.

Our financial system had gone out of whack because of bad monetary policy from the Federal Reserve and unsustainable housing subsidies from Fannie Mae and Freddie Mac.

Some financial institutions gambled on the government’s misguided policies and got caught with their pants down when the bubble burst.

But rather than let those companies fail and use the sensible and non-corrupt “FDIC resolution” method to recapitalize the banking system, we got a taxpayer-to-Wall-Street bailout.

Or, from the perspective of the big banks, they got a very good return on their campaign contributions (read Kevin Williamson if you want to get upset about this disgusting form of cronyism).

Well, as Yogi Berra might say, it’s deja vu all over again.

Except now the fat cats lining up at the Treasury door are the big health insurance corporate titans. They got in bed with the White House to push Obamacare and now they’re worried about losing money now that it’s becoming more apparent that the American version of government-run healthcare doesn’t work any better than the British version.

Charles Krauthammer warns us about what may happen in his Washington Post column.

…there’s a Plan B. It’s a government bailout. Administration officials can’t say it for political reasons. And they don’t have to say it because it’s already in the Affordable Care Act, buried deep. First, Section 1341, the “reinsurance” fund collected from insurers and self-insuring employers at a nifty $63 a head. (Who do you think the cost is passed on to?) This yields about $20 billion over three years to cover losses. Then there is Section 1342, the “risk corridor” provision that mandates a major taxpayer payout covering up to 80 percent of insurance-company losses.

At this point, you may be wondering why there’s bailout language buried in the Obamacare legislation.

The simple answer is that politicians always love to accumulate power, and the insurance industry probably lobbied very hard to get this back-door access to our money.

But maybe the White House knew that Obamacare would be unstable and they needed a bailout option to keep the system from totally unraveling. Particularly when it seems that the Obama Administration is arbitrarily changing the system every other day.

First, it postponed the employer mandate. Then it exempted from the individual mandate people whose policies were canceled (by Obamacare). And for those who did join the exchanges, Health and Human Services Secretary Kathleen Sebeliusis “strongly encouraging” insurers — during the “transition” — to cover doctors and drugs not included in their clients’ plans. The insurers were stunned. Told to give free coverage. Deprived of their best customers. Forced to offer stripped-down “catastrophic” plans to people age 30 and over (contrary to the law). These dictates, complained an insurance industry spokesman, could“destabilize” the insurance market.

So what does all this mean? It’s not good news for Big Insurance.

Shrinking revenues and rising costs could bring on the “death spiral” — an unbalanced patient pool forcing huge premium increases (to restore revenue) that would further unbalance the patient pool as the young and healthy drop out. End result? Insolvency — before which the insurance companies will pull out of Obamacare. Solution? A huge government bailout. It’s Obamacare’s escape hatch. And — surprise, surprise — it’s already baked into the law.

This sounds depressing, but Krauthammer suggests that there could be a way of derailing a bailout before it begins.

…the GOP needs to act. Obamacare is a Rube Goldberg machine with hundreds of moving parts. Without viable insurance companies doing the work, it falls apart. No bailout, no Obamacare. Such a bill would be overwhelmingly popular because Americans hate fat-cat bailouts of any kind. Why should their tax dollars be spent not only saving giant insurers but also rescuing this unworkable, unbalanced, unstable, unpopular money-pit of a health-care scheme? …Do you really think vulnerable Democrats up for reelection will vote for a bailout? And who better to slay Obamacare than a Democratic Senate — liberalism repudiating its most important creation of the last 50 years. Want to be even bolder? Attach the anti-bailout bill to the debt ceiling. That and nothing else. Dare the president to stand up and say: “I’m willing to let the country default in order to preserve a massive bailout for insurance companies.” …Who can argue with no bailout? Let the Senate Democrats decide: Support the bailout and lose the Senate. Or oppose the bailout and bury Obamacare.

I hope his political judgement is correct, though I suspect the statists (and their echo chamber in the media) would portray any effort to amend the debt limit as a sore-loser attack on Obamacare.

But if it’s a simple no-bailout message, perhaps that would be sufficiently popular to overcome the political establishment. As Krauthammer points out, the legislation could be very simple: “Sections 1341 and 1342 of the Affordable Care Act are hereby repealed.”

Let’s close today’s post with some good Obamacare cartoons. We’ll start with Eric Allie’s amusing look at how the White House is measuring success.

Obamacare Cartoon Jan 2014 1

Nice gimmick, huh? You pass a law that destroys people’s existing insurance policies, then you claim victory when some of them sign up for more expensive Obamacare insurance.

Next we have Nate Beeler welcoming the new year.

Obamacare Cartoon Jan 2014 2

Chip Bok’s cartoon is somewhat optimistic in that he’s suggesting that Obamacare may unravel.

Obamacare Cartoon Jan 2014 3

And Gary Varvel mocks the moving goalposts of Obamacare.

Obamacare Cartoon Jan 2014 4

Lisa Benson congratulates the President for winning Politifact’s Lie of the Year Award.

Obamacare cartoon Jan 2014 5

Michael Ramirez hints that the President may not be in a position to enjoy his multi-million dollar Hawaiian vacation.

Obamacare Cartoon Jan 2014 6

Last but not least, Scott Stantis warns us that Obamacare violates the Hippocratic Oath about doing no harm.

Obamacare Cartoon Jan 2014 7

P.S. Under no circumstances should you feel sorry for the insurance companies. As I noted the other day, they endorsed Obamacare and actively lobbied for its passage. They deserve every bad thing that might happen to them.

P.P.S. It’s hard to find much humor in this situation, but perhaps this funny “bailout application” could be updated to make it easier for big insurance companies to rape and pillage taxpayers.

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Not counting humor-oriented pieces such as this and this, it’s been nearly a month since I’ve written about Obamacare.

To make up for this oversight, today we’re going to look at a way out of the Obamacare mess.

But the goal isn’t simply to repeal the President’s bad policy. That merely gets us back to where we were in 2009. We need to figure out how to restore market forces to healthcare, and that means undoing decades of misguided government intervention.

Fortunately, we have a roadmap thanks to John Cochrane, a Cato adjunct scholar and Professor at the University of Chicago. Writing in the Wall Street Journal, he explains how radical deregulation is the right approach.

He starts with an essential point that “settled law” doesn’t mean unchangeable law.

…proponents call it “settled law,” but as Prohibition taught us, not even a constitutional amendment is settled law—if it is dysfunctional enough, and if Americans can see a clear alternative.

And he points out that Obamacare will get worse over time.

This fall’s website fiasco and policy cancellations are only the beginning. Next spring the individual mandate is likely to unravel when we see how sick the people are who signed up on exchanges, and if our government really is going to penalize voters for not buying health insurance. The employer mandate and “accountable care organizations” will take their turns in the news. There will be scandals. There will be fraud. This will go on for years.

But the law won’t collapse on its own. Indeed, its failures will be used as excuses for even more government.

Yet opponents should not sit back and revel in dysfunction. …Without a clear alternative, we will simply patch more, subsidize more, and ignore frauds and scandals, as we do in Medicare and other programs.

So what should be done?

Professor Cochrane points out that the healthcare system isn’t a free market now and it wasn’t a free market when Obamacare was imposed.

Instead, it’s one of the most heavily government-controlled sectors of our economy.

The U.S. health-care market is dysfunctional. Obscure prices and $500 Band-Aids are legendary. The reason is simple: Health care and health insurance are strongly protected from competition. There are explicit barriers to entry, for example the laws in many states that require a “certificate of need” before one can build a new hospital. Regulatory compliance costs, approvals, nonprofit status, restrictions on foreign doctors and nurses, limits on medical residencies, and many more barriers keep prices up and competitors out. Hospitals whose main clients are uncompetitive insurers and the government cannot innovate and provide efficient cash service.

He then explains how a market could operate – if it was allowed.

A much freer market in health care and health insurance can work, can deliver high quality, technically innovative care at much lower cost, and solve the pathologies of the pre-existing system. …We’ll know we are there when prices are on hospital websites, cash customers get discounts, and new hospitals and insurers swamp your inbox with attractive offers and great service. …Only deregulation can unleash competition. And only disruptive competition, where new businesses drive out old ones, will bring efficiency, lower costs and innovation.

If this sounds familiar, it may be that you watched this video from Reason TV on market-based hospitalization. And if you haven’t, you should!

Cochrane writes that deregulation will enable the “creative destruction” that brings progress in other parts of the economy.

We need to permit the Southwest Airlines, Wal-Mart, Amazon.com and Apples of the world to bring to health care the same dramatic improvements in price, quality, variety, technology and efficiency that they brought to air travel, retail and electronics. …Health insurance should be individual, portable across jobs, states and providers; lifelong and guaranteed-renewable, meaning you have the right to continue with no unexpected increase in premiums if you get sick. Insurance should protect wealth against large, unforeseen, necessary expenses, rather than be a wildly inefficient payment plan for routine expenses. People want to buy this insurance, and companies want to sell it. It would be far cheaper, and would solve the pre-existing conditions problem. We do not have such health insurance only because it was regulated out of existence.

Needless to say, Obamacare is the opposite of a free market. It assumes that you solve government-created problems by adding additional layers of government.

The Affordable Care Act bets…that more regulation, price controls, effectiveness panels, and “accountable care” organizations will force efficiency, innovation, quality and service from the top down. Has this ever worked?

Cochrane has the right diagnosis and right cure, but that’s the easy part. The real challenge is implementing the policies that would restore a functioning market.

That requires reforms to Medicare and Medicaid, not only to save money for taxpayers, but also because those are some of the steps that are needed if we want market forces to bring down the cost of healthcare.

Health care liberalization also means a flat tax, not only for the pro-growth impact of lower tax rates, but also because it gets rid of the internal revenue code’s healthcare exclusion, thus ending the distortion that encourages over-insurance.

It means state-by-state battles to get rid of regulations, mandates, and other forms of intervention that hinder competition and markets.

They say that even long journeys begin with a single step. That’s true, but it’s also important to walk in the right direction.

That hasn’t happened in recent decades, so it’s time to scrub the slate clean. We need free markets, not more government. We need more consumer sovereignty, not more third-party payer.

Since I’m a sucker for good political humor, we’re going to close with a great Michael Ramirez cartoon. As you can see, there’s a reason why he won my political cartoonist contest. Indeed, if I ever do another contest, this could replace his award-winning “Julia” cartoon.

Pajama Boy Move Out

It’s almost enough to make you feel sorry for Pajama Boy.

Maybe somebody should fix him up with Julia. I’m guessing they wouldn’t even know how to reproduce without intervention, handouts, and subsidies, so that would be an additional way of improving the gene pool.

And it would offset the reproductive advantage of the bureaucracy.

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Tim Carney of the Washington Examiner is a must-read columnist and expert on the pervasive corruption in Washington.

He’s also an insightful commentator on why freedom and morality go hand in hand, which suggests libertarians and conservatives should be strong allies.

But today, in honor of the holidays, let’s address a lighter topic. Tim has some helpful advice on how to educate your crazy statist relatives.

When Thanksgiving talk turns political, do you feel like you and your liberal relatives can’t communicate? It’s okay. I can help you. I was born in Greenwich Village to a lawyer dad and community-organizer mom. I used to live on Capitol Hill, and now I live in Montgomery County in Maryland. I even served a year as an MSNBC contributor. This is all to say, I speak liberal. …So let me offer my conservative and libertarian readers the first annual Thanksgiving Guide to Making Conservative Arguments in Liberals’ Language.

Tim shows how you can help them understand that regulation is misguided.

Your liberal relatives generally trust government regulations to solve problems. They don’t sweat the costs to the economy as much as you do. Throw in a healthy distrust of Corporate America — often even an unhealthy disdain for it — and progressives (this is what they call themselves these days) end up regarding regulation as a force for good. You can plant a seed of skepticism about regulators’ ability to do good, though, by pointing to the salad course Trevor brought. The organic, local, sustainable kale in it might be impossible to get after the Obama administration’s food safety rules go into effect. …At work here are two dynamics common to regulation: They’re called “regulatory capture” and “the overhead smash.” Obama’s food safety czar is Michael Taylor, former top lobbyist for Monsanto. (You’ll be amazed at the power of the word “Monsanto” with some of your relatives.) Industrial farms and major food processors hire the best lobbyists and thus get a seat at the table when the FDA writes the rules. Thus, the biggest players in the regulated industry have “captured” the agency that regulates them. “The overhead smash” is my phrase for the tendency of regulations to add to overhead — the fixed costs of doing business — which smashes smaller competitors while protecting the big guys. In the food safety realm, small farms are begging to be exempted from these rules that only big farms can afford.

Since regulation imposes a staggering cost on the economy, I hope Tim’s suggested approach is successful.

And he explains how you can open their eyes about the need for Social Security reform.

FDR is still probably a god to these relatives, so you’ve got an uphill battle convincing them Social Security needs reforming. Here’s one place to start: Social Security is funded by a regressive tax and it redistributes wealth from minorities to whites. Here’s a line for you: For every $100 that white beneficiaries pay in taxes, they receive $113 in benefits, blacks receive $89 and Hispanics receive $58. …Social Security’s redistribution isn’t due to some racist Republican rule change. …White people live longer and are less likely to be immigrants, so they earn more credits and collect for longer.

And since more than 30 jurisdictions around the world have implemented personal retirement accounts (most recently the Faroe Islands), we know that reform can be very successful.

But let’s not get all serious when there’s turkey and football to occupy our attention, so let’s close with some great cartoons.

We’ll begin with a gem from Henry Payne, who identifies the top turkey of the season.

TG Cartoon 5

Michael Ramirez then identifies a prayer that no longer applies.

TG Cartoon 7

Robert Ariail suggests that the wrong turkey got pardoned at the White House.

TG Cartoon 4

And here’s another one of his cartoons mocking the President’s reprehensible dishonesty.

TG Cartoon 6

Nate Beeler also has some fun with the notion of a White House turkey pardon.

TG Cartoon 1

This Glenn McCoy classic is probably my favorite from today’s collection.

TG Cartoon 2

Last but not least, we have another Ramirez cartoon, which also weaves in some Iran humor.

TG Cartoon 3

P.S. Looking through the archives, we had some good class-warfare cartoons last year.

P.P.S. In 2011, we had a cartoon about politicians and a dismal vision of a future Thanksgiving caused by Obama and Bloomberg.

P.P.P.S. We shared a serious lesson about incentives and private property in 2010, but also had some non-political humor here and here.

P.P.P.P.S. In the blog’s first year, we looked at how government makes Thanksgiving more expensive and wondered why the PC crowd doesn’t like the holiday.

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I have great sympathy for almost all segments of the population that have been disadvantaged by Obamacare.

Among the victims are many relatively powerless people, including children, low-income workers, and retirees.

It’s equally tragic that millions of families – notwithstanding the President’s oft-repeated promise – already have lost their insurance plans, and it’s a crisis that this number could swell to more than 50 million over the next year.

And taxpayers, needless to say, are going to incur heavy burdens because of the President’s reckless new entitlement.

Heck, compared to all these groups, the unfortunate people who merely had to endure the “third world experience” of the Obamacare website should consider themselves lucky.

Yet even though I am brimming with empathy for the victims of Obamacare, there is one group that is suffering and I can say without hesitation or reservation that the people affected don’t tug on my heart strings or engender feelings of sympathy.

I’m referring to the staffers on Capitol Hill. According to a Politico story, some of these folks are having to pay more thanks to the President’s scheme to expand government’s control over the healthcare system. Here are the key excerpts.

Veteran House Democratic aides are sick over the insurance prices they’ll pay under Obamacare, and they’re scrambling to find a cure. “In a shock to the system, the older staff in my office (folks over 59) have now found out their personal health insurance costs (even with the government contribution) have gone up 3-4 times what they were paying before,” Minh Ta, chief of staff to Rep. Gwen Moore (D-Wis.), wrote to fellow Democratic chiefs of staff… In the email, Ta noted that older congressional staffs may leave their jobs because of the change to their health insurance.

Oh no, they might leave? Perish the thought! Surely they have more money to waste, more regulations to impose, and higher taxes to approve.

You may detect a slight tone of sarcasm in my remarks, but that’s for a good reason. First of all, many of these staffers are only in an unpleasant situation because their bosses voted for Obamacare. If they want to complain, perhaps they should schedule a meeting with the power-hungry politicians that caused the mess in the first place.

Second, I have a hard time feeling much empathy for these people when the Obama Administration already has arbitrarily and illegally altered the law so that taxpayers will cover 75 percent of their health insurance expenditures. I realize there’s an entitlement mentality in Washington, but you would think these people would have some sense of shame!

Let’s finish by enjoying some new cartoons. Here’s one from Gary Varvel on the economic burden of Obamacare, which appeals to me for obvious reasons.

Nov 2013 Obamacare Economy Cartoon

By the way, if you like the Aflac duck and the GEICO gecko, here’s another Varvel cartoon you’ll appreciate.

Now we have a Bob Gorrell cartoon that starkly exposes the President’s illegal changes to Obamacare.

Nov 2013 Obamacare Constitution Cartoon

In other words, this bit of satire turned out to be reality.

Nate Beeler has a very good cartoon that captures Obama’s disdain for the suffering of ordinary people.

Nov 2013 Obamacare Lifesaver Cartoon

It fits in well with the Ramirez cartoon in this post.

Then we have Jerry Holbert showing a way to really punish Iran.

Nov 2013 Obamacare Iran Cartoon

Sort of like what Rand Paul said (quoting me!) about Syria.

Last but not least, here’s another Varvel cartoon that sums up what Obama staffers are trying to do.

Nov 2013 Obamacare Humpty Dumpty Cartoon

Surprisingly, this is only the second time I can recall sharing a cartoon featuring Humpty Dumpty.

But don’t laugh too hard at these cartoons. Obama may get the last laugh if he can survive the short-run political damage and create more long-run government dependency.

P.S. Actually, the title of this post is wrong. There is a group of people in America who don’t like Obamacare and – believe it or not – they are even less deserving of sympathy than the army of staffers on Capitol Hill.

P.P.S. Let’s keep our fingers crossed that politicians don’t deal with this issue by re-hiring the taxpayer-financed “grief counselors” who were used to console Democratic staffers after the 2010 elections.

P.P.P.S. Here’s a very funny parody video about the Obamacare disaster.

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I’ve periodically used “Schadenfreude” to describe my feelings about certain issues.

“Time for another tax hike!”

Maybe this makes me a bad person, but I’ve openly admitted to a perverse sense of happiness at the misfortune of others when, for instance, France’s class-warfare tax policy backfired because successful taxpayers emigrated.

And I’ve expressed similar amusement when writing about Europe’s fiscal crisis and the whining of statist politicians.

But the Obamacare disaster gives me a steroid-fueled feeling of Schadenfreude. As a matter of fact, we need to augment that term with another phrase just to capture what’s happening.

So what’s a good option? Well, according to Wikipedia, “Desert /dɨˈzɜrt/ in philosophy is the condition of being deserving of something, whether good or bad.”

That’s where we get the phrase “just deserts,” and that’s exactly what Obamacare supporters are getting as their cherished scheme for government-run healthcare blows up in front of our eyes.

I’m not the only one who is enjoying this moment in history. Here’s some of Jonah Goldberg’s unabashedly snarky column in National Review.

To paraphrase Oscar Wilde, you’d have to have a heart of stone not to laugh at the unraveling of Obamacare. …If you can’t take some joy, some modicum of relief and mirth, in the unprecedentedly spectacular beclowning of the president, his administration, its enablers, and, to no small degree, liberalism itself, then you need to ask yourself why you’re following politics in the first place. Because, frankly, this has been one of the most enjoyable political moments of my lifetime. …Indeed, not since Dan Rather handcuffed himself to a fraudulent typewriter, hurled it into the abyss, and saw his career plummet like Ted Kennedy was behind the wheel have I enjoyed a story more.

Isn’t that a marvelous excerpt, particularly the comment about the “beclowning of the president”?

But Jonah’s just getting started.

In every tale of hubris, the transgressor is eventually slapped across the face with the semi-frozen flounder of reality. …in the modern era, comeuppance-for-the-arrogant is more often found in comedies, and the “rollout” of Healthcare.gov has been downright hilarious. …Indeed, the whole law is coming apart like a papier-mâché yacht in rough waters.

I don’t even know what “orcs” are, but this next passage does a very good job of nailing Obama for arrogantly refusing to negotiate when the President probably had the most to gain from a delay!

During the government shutdown, Barack Obama held fast, heroically refusing to give an inch to the hostage-taking, barbaric orcs of the Tea Party who insisted on delaying Obamacare. …But we didn’t know something back then: Obama desperately needed a delay of Healthcare.gov. In his arrogance, though, he couldn’t bring himself to admit it. The other possibility is that he is such an incompetent manager, who has cultivated such a culture of yes-men, that he was completely in the dark about the problems. …This is how you know we’re in the political sweet spot: when the only plausible excuses for the administration are equally disastrous indictments.

Jonah also has some great commentary about the role of other Administration flunkies.

The president may now claim that he knew nothing, but he must have wondered why Henry Chao, Healthcare.gov’s chief project manager, set the bar of success at sea level last March: “Let’s just make sure it’s not a Third World experience.” At this point, it could only be more of a Third World experience if Healthcare.gov required enrollees to pay with chickens. …every day Jay Carney looks even more like a little boy who put on his dad’s suit. You have to wonder what goes on in his mind, as a former journalist, when he tells his former colleagues that “the American forces have been completely destroyed with minimal Iraqi casualties.” (Oh, wait, that was Baghdad Bob. I get them confused.) And what about Dan Pfeiffer going on the Sunday shows to insist that no American should believe his or her lying eyes? …the website will get better. It could hardly get worse, short of a finding that it causes irritable bowel syndrome.

Speaking of Jay Carney, Jonah says that the President’s spokesman has reached the point where “the musky stench of fear, sweat, and urine wafting from the podium makes it hard for all but the true believers to put much stock in his words.”

Jonah then makes the very serious point – in a very amusing way – that Obamacare was deliberately designed so that millions of people would lose their old coverage.

Five million people — and counting — have lost their health insurance, despite the president’s years of “you can keep your plan” promises. The president has apologized, sort of. He says he’s “sorry” that people have found themselves in a bad situation because of “assurances” he made. But no one has lost their insurance because of the president’s assurances, they’ve lost their insurance because of the president’s law. If a captain has the lifejackets filled with cement, his assurance that “you can keep your lifejacket” is only half the crime.  Obama knew the lifejackets wouldn’t work. …Millions more will eventually lose the insurance they like because of Obamacare, according to the administration’s own internal estimates. The cancellations aren’t a bug, they’re a feature, and the president lied about it over and over again.

So what’s the bottom line? Jonah is reveling in the moment.

…as a political and ideological matter, this is beyond fantastic. For years we’ve been told that Democrats were more “reality-based,” that “facts have a liberal bias,” in the words of Paul Krugman, and that if they could just have their way, they could fix all of our problems. No one represented this arrogant promise more than Barack Obama himself. But, with an irony so rich it would be made of Corinthian leather if it was a car seat, the only way he could get his signature legislation passed was to baldly and brazenly lie about it, over and over and over again. He created a rhetorical cloud castle where no one would lose his insurance, every family would save thousands of dollars, and millions of the uninsured would suddenly get coverage. Anyone who doubted this was called a fool or a liar, or even a racist.

Let’s add to our amusement with some cartoons, starting with one from Glenn McCoy.

Obamacare Snakes Cartoon

Next is one from Michael Ramirez.

Obamacare Lying King Cartoon

We’ve already seen some humor with that theme, but I wanted to share the Ramirez cartoon because he does such a great job capturing Obama’s imperious demeanor.

Next we have Nate Beeler who makes a very serious point in a very funny manner.

Obamacare TNT Cartoon

Eric Allie shows how the President’s lapdogs are trying to rationalize this train wreck.

Obamacare Truthers Cartoon

Last but not least, Henry Payne summarizes the website mess while suggesting that’s just the tip of the iceberg.

Obamacare Website Goof Cartoon

If this hasn’t exhausted your interest in Obamacare humor, you can enjoy various cartoons, videos, and jokes by clicking here, here, here, herehere, here, here, here, here, here, here, here, here, here, here, here, and here.

*Several people have asked whether it should be “just desserts.” That was my initial inclination, but I went with the single-S approach based on Wikipedia. Suffice to say, I’m not sure which approach is correct and I’ve certainly made mistakes before. But if this is a goof on my part, at least it’s a lot smaller than the $16 trillion error I made on national TV.

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When I wrote a few days ago about the “Continuing Obamacare Disaster,” I didn’t realize I was understating the problems with the President’s boondoggle scheme.

Now that the law’s been passed and implemented, the American people are finally finding out what’s in it (per Nancy Pelosi) and they’re not happy.

Indeed, they’re so unhappy that our overseers in Washington are scrambling to mitigate the political fallout.

The Wall Street Journal opined today on the meaning of President Obama’s announcement.

In a major political reversal, the President announced at a surprise press conference that he is suspending the regulations that he now admits are the reason that millions of health insurance plans have been terminated. …Now these mass cancellations are proving to be unpopular, and Democrats are panicking, so Mr. Obama is offering a temporary stay of execution.  …There is less reprieve here than Mr. Obama claims. It’s hard to un-cancel insurance. The rules Mr. Obama is repudiating were written in 2010, and insurers have been adapting to them for years. They will now have to scramble to revive the policies they can while throwing all of their actuarial assumptions out the window. The faux reprieve also lasts for only one year and applies only to anyone who was covered in 2013.

But even that’s not the full story. Here’s more of the editorial.

The burden will also now fall on state insurance commissioners to decide if they want to try to reapprove old plans, or something similar to the outlawed products. But even the insurers that want to exercise this option will need to resuscitate plans in a mere six weeks. The first they heard about the President’s “fix” was at the press conference. …Such regulatory rewriting is also probably illegal. The Administration claims it has “enforcement discretion” to suspend the regulations. But like the employer mandate Mr. Obama also delayed for a year, their hard start-dates are defined in the statute—January 1, 2014. The black-letter law of the Affordable Care Act does not say the rules apply whenever they are politically convenient.

Megan McArdle also thinks the White House is brazenly disregarding legal requirements.

The administration is not changing the rules, just declining to enforce them against the insurers. This is becoming a pattern: Obama’s position on the law seems to be that it’s his law, and therefore the law is whatever he and his appointees say it is. That’s dangerous for all sorts of reasons.

I’ll be less polite and say that the President is acting like America is a banana republic and he’s the tinpot dictator who can arbitrarily decide the law.

Keep this going and we’ll eventually be Argentina.

Though maybe this isn’t a bad thing. If I can somehow magically become President, I can use the Obama precedent to suspend bad tax law and to unilaterally decide to shut down a bunch of wasteful government departments.

Returning to the real world, Veronique de Rugy gives us a very important reminder in the Washington Examiner that this mess was entirely predictable because of the inherent incompetence and inefficiency of government.

Washington is missing the bigger picture of what the rollout glitches represent. That’s the much deeper problem of government intervention in general. …government-program incentives tend to favor interest groups instead of rewarding success or punishing failure in the same way as the market. …In sum, the problem with the Obamacare rollout is…that government institutions themselves are inherently prone to bad decision-making, often choosing the interest of politically favored groups. …In fact, we can expect these types of negative consequences when the government intervenes in any market — not just health care. For proof, look no further than the flawed government policies that distorted the health care system and prompted the push for Obamacare in the first place.

The final sentence is spot on. Our healthcare system was dysfunctional when Obama took office. But it was screwed up because of government intervention. So Obama’s plan to add another layer of government was a very painful example of Mitchell’s Law.

In reality, you don’t solve government-caused problems with more government.

But this brings us to the big issue of what happens next. The statists will argue that the failure of Obamacare means we need single payer healthcare, which means the government has full control of everything, like in the United Kingdom.

Needless to say, that would be a disaster. More spending and more taxes would be one obvious consequence, but it would also mean that politicians and bureaucrats would decide who lives and who dies. Stalin UK HealthIf you think that’s an exaggeration, check out this horror story (as well as the other examples linked in the third paragraph).

For those of us who care about both taxpayers and good healthcare, we need to use the Obamacare meltdown as a springboard to push for policies that will actually make the system work better.

I actually wrote back in April that Obamacare wouldn’t work and that this would create precisely this opportunity. But making a prediction is the easy part (especially since I never remind people of the times when I make inaccurate predictions). The hard part is pushing the right policies and convincing the American people that we have the right ideas.

I’m a think tank wonk, so I’ll simply list the good policies.

As part of fundamental tax reform, we need to phase out the healthcare exclusion in the tax code – a perverse policy that encourages grotesque waste, inefficiency, and featherbedding in most parts of the medical industry.

We also should reform Medicaid and Medicare to help address the part of the third-party payer crisis caused by the direct government intervention.

If you want to get an idea of how a genuine market-based system would operate, watch this superb video from Reason TV. If you want more examples, here’s a report from North Carolina on free-market healthcare in action and here’s a similar story about capitalist healthcare in Maine.

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When I talk about people being “screwed” by Obamacare, I’m generally referring to taxpayers who will bear a heavier fiscal burden and consumers who will pay more to get less.

But maybe we need to use a more elastic definition because some Obamacare proponents are using sex as a selling point to trick young people into buying over-priced insurance through exchanges.

Chris Moody of Yahoo! News reports that subsidized birth control is the focus.

From the folks who brought you the “brosurance” campaign that promotes the affordable care act comes a new line of ads aimed at reminding young women the new law will subsidize their birth control. The online ads were created by two nonprofit groups, the Colorado Consumer Health Initiative and Progress Now, to encourage young people to enroll in the exchanges.

And the ads are not exactly subtle. Here’s an example, presumably modeled after the “got milk?” campaign.

Birth Control 1

As an unmarried male, I theoretically should support anything that makes females easier to obtain, but instead this ad campaign is disconcerting on several levels.

1. I don’t like government either promoting sex or discouraging sex. Simply stated, it’s not their business. Though if some group wants to discourage sex by making it less enjoyable, then linking it to government might work like magic.

2. I don’t like the absurdity of using insurance for routine medical expenses. We don’t use auto insurance for oil changes and we don’t use homeowner’s insurance to repaint the dining room. The same principle should exist for health insurance, with policies only covering large and unexpected bills. That’s how a genuine market works, but Obamacare will take us farther down the path of third-party payer, which means more inefficiency and rising costs.

3. And I don’t like Obamacare, so it goes without saying that don’t like anything of the law’s features. The one time I wrote something nice about Obamacare, I included so many caveats that I’m pretty sure I preserved my anti-Obamacare virginity.

But it’s not just the Colorado Obamacare exchange that is linking sex with Obamacare. The private sector also is getting involved.

Sugar daddies are using government-run healthcare to go after young women.

Here’s a blurb from a report by the local CBS station in Dallas.

The online dating website Seeking Arrangement is launching the new campaign in Dallas, targeting young and healthy women who are now set to pay higher health insurance premiums under the recently launched Affordable Care Act. The new law is projected to increase insurance prices by an average of 41 percent next year, the website states. They want to offer women a “sweeter” plan. Seeking Arrangement suggests that women use their service to connect with a “sugar daddy” who can offset some of the new healthcare related costs. The website has earned a reputation for urging female college students and single mothers to meet men who are willing to offer money and expensive gifts for companionship.

The website is even posting a billboard.

sa-billboard

As I wrote above, I don’t think it’s government’s job to interfere with the decisions of consenting adults regarding sex. But I’m old-fashioned enough to think that it’s wrong if the government makes the healthcare system so convoluted and expensive that young women are encouraged to seek out rich older men merely to deal with the higher costs of Obamacare.

Some readers may joke that I might feel differently if I was rich rather than merely old, but we libertarians are a purist bunch. I don’t want to benefit from state intervention. Heck, I’ve already said I’d be happy to get rid of the mortgage interest deduction in the tax code, even though I’m a beneficiary.

P.S. Since we’re on the topic of sex and government-run healthcare, here’s what Mark Steyn wrote about pornography and government-imposed health rules.

P.P.S. Don’t forget that Obamacare allows taxpayer-financed Viagra for sex offenders.

P.P.P.S. And I’m sure we’re all delighted that the government wants a database about our sex lives.

P.P.P.P.S. Our British cousins already link healthcare and sex, with government-provided breast augmentation as well as taxpayer-financed sex trips to Amsterdam.

P.P.P.P.P.S. Remember Sandra Fluke, the 30-yr. old college student who whined that birth control wasn’t being subsidized? Well, you can remember her ignoble role and enjoy some laughs with this great Reason video, this funny cartoon, and four more jokes here.

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It seems there’s a cottage industry of people in America devoted to making parody videos about one of the world’s most evil statists. And some of them make very strong points about public policy.

Here’s Hitler learning about Europe being downgraded.

And here’s the Fuehrer finding out that Scott Walker prevailed in his fight against government bureaucrats in Wisconsin.

Well, the clever folks at the Powerline Blog have added to this stellar collection. Watch as the leader of the National Socialist Workers Party learns about the failure of Obamacare.

I give this two thumbs up, five stars, and whatever else signifies a good job.

The parts about Bidencare and Hillarycare are delightfully vicious. And DC insiders will be amused by the jab at the Heritage Foundation for concocting the mandate in the first place (to be fair, Heritage has atoned for that sin by becoming one of the leading critics of Obamacare).

To augment the Hitler video, let’s share some great new Obamacare cartoons, starting with one from Henry Payne.

Obamacare Cartoon Oct 2013 3

And here’s the always clever Michael Ramirez.

Obamacare Cartoon Oct 2013 2

Last but not least, Lisa Benson weighs in with a good depiction of Obamacare’s launch.

Obamacare Cartoon Oct 2013 1

The bad news, if we can be momentarily serious, is that Obamacare’s failure is the predictable result of bad policy based on bad economics. But failure doesn’t mean the law blows up and disappears. Legislation will be required to undo the damage, which is why it’s good that some lawmakers continue to fight.

In the meantime, it’s our healthcare system – which was already messed up by government to begin with – that’s incurring the damage. Which makes this bit of humor that arrived in my inbox funny…but in a very dark way.

Obamacare Explanation

P.S. If you want to enjoy some more Obamacare humor, click here, here, here, here, here, here, here, here, here, here, here, here, and here.

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Obamacare was put together by people who don’t understand economics.

This is probably the understatement of the year since I could be referring to many features of the bad law.

The higher tax burden on saving and investment, making an anti-growth tax system even worse.

The exacerbation of the third-party payer problem, which is the nation’s biggest healthcare problem.

The increased burden of government spending, worsening America’s entitlement crisis.

Those are all significant problems, but today I want to focus on how Obamacare encourages people to be less productive. And I’m going to use a rather unexpected source. The left-leaning San Francisco Chronicle has a financial advice column that inadvertently show how Obamacare discourages people from earning income.

The article nonchalantly explains that people may want to reduce their income so they can get more goodies from the government.

People whose 2014 income will be a little too high to get subsidized health insurance from Covered California next year should start thinking now about ways to lower it to increase their odds of getting the valuable tax subsidy. “If they can adjust (their income), they should,” says Karen Pollitz, a senior fellow with the Kaiser Family Foundation. “It’s not cheating, it’s allowed.” Under the Affordable Care Act, if your 2014 income is between 138 and 400 percent of poverty level for your household size, you can purchase health insurance on a state-run exchange (such as Covered California) and receive a federal tax subsidy to offset all or part of your premium. …getting below the 400 percent poverty limit could save many thousands of dollars per year.

You may be thinking that this is just a theoretical problem, but the article cites a very real example.

To get a subsidy, the couple’s modified adjusted gross income for 2014 income would need to fall below $62,040, which is 400 percent of poverty for a family of two. …Proctor estimates that her 2014 household income will be $64,000, about $2,000 over the limit. If she and her husband could reduce their income to $62,000, they could get a tax subsidy of $1,207 per month to offset the purchase of health care on Covered California. That would reduce the price of a Kaiser Permanente bronze-level plan, similar to the replacement policy she was quoted, to $94 per month from $1,302 per month. Instead of paying more than $15,000 per year, the couple would pay about $1,100.

To put it in even simpler terms, this couple has figured out that they can get almost $14,000 of other people’s money by reducing how much they earn by just $2,000.

That, in a nutshell, is the perfect illustration of the welfare state. It tells people that they can get more by producing less. And the system is based on the theory that there will always be some suckers who work hard to provide the subsidies.

But as we’ve seen in Greece, Italy, Spain, and elsewhere, this system eventually breaks down as more and more people learn that it’s easier to ride in the wagon than it is to pull the wagon (as powerfully illustrated by these two cartoons).

And remember that the United States isn’t too far behind Europe’s welfare states.

Thanks to the plethora of welfare programs and income-redistribution schemes that already exist, millions of Americans have an incentive to earn less money and get trapped in government dependency. This graph, for instance, shows that various handouts mean that a single mom with $29,000 of income can be better off than a self-reliant person with $69,000 of income.

And a local CBS station discovered that a low-income household could be eligible for more than $80,000 of goodies from the government. Earning more money, though, would mean fewer handouts.

The same problem exists, by the way, in other nations such as Denmark and the the United Kingdom.

Remember Julia, the mythical moocher created by the Obama campaign to show the joys of government dependency? As illustrated by this Ramirez cartoon, Julia symbolizes the entitlement mentality. But the cartoon doesn’t go far enough. It should show how Julia decides to lead a less productive and less fulfilling life because she gets hooked on the heroin of handouts.

P.S. Some honest liberals recognize that redistribution can trap people in poverty.

P.P.S. Unsurprisingly, Thomas Sowell explains this issue with blunt and powerful logic.

P.P.P.S. To close with some humor, here’s a new Declaration of Dependency put together for our leftist friends. Though they may want to think twice before asking for a divorce from Red State America.

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Back in 2009, before Obamacare, the United States had a healthcare system that was plagued by excessive government intervention, which led to a third-party-payer crisis and massive inefficiencies.

Perversely, the President thought the way to solve these problems was even more intervention, even though lots of people were warning that additional government spending and added intervention would make a bad situation even worse.

Now that it’s 2013 and Obamacare is being implemented, it seems (what a surprise!) that critics were right.

Allie Obamacare CartoonAmazingly, even the New York Times is being forced to acknowledge that Obamacare is turning into a typical government cluster-you-know-what.

…the chief digital architect for the Obama administration’s new online insurance marketplace, told industry executives that he was deeply worried about the Web site’s debut. “Let’s just make sure it’s not a third-world experience,” he told them. Two weeks after the rollout, few would say his hopes were realized. For the past 12 days, a system costing more than $400 million and billed as a one-stop click-and-go hub for citizens seeking health insurance has thwarted the efforts of millions to simply log in. The growing national outcry has deeply embarrassed the White House, which has refused to say how many people have enrolled through the federal exchange.

Not exactly the launch the President was hoping for, huh? Eric Allie’s cartoon is a much more accurate portrayal of what’s happening.

And contrary to what the White House is claiming, the problems go way beyond opening-day glitches.

“These are not glitches,” said an insurance executive who has participated in many conference calls on the federal exchange. Like many people interviewed for this article, the executive spoke on the condition of anonymity, saying he did not wish to alienate the federal officials with whom he works. “The extent of the problems is pretty enormous. At the end of our calls, people say, ‘It’s awful, just awful.’ ” Interviews with two dozen contractors, current and former government officials, insurance executives and consumer advocates, as well as an examination of confidential administration documents, point to a series of missteps — financial, technical and managerial — that led to the troubles.

Benson Obamacare CartoonBy the way, notice how people don’t want to speak on the record, presumably because of concern about vindictive persecution by the Obama Administration. By itself, that should be a huge story.

But let’s stick with the coverage of the Obamacare disaster. As you can see, the Lisa Benson cartoon is right on the mark.

…just a trickle of the 14.6 million people who have visited the federal exchange so far have managed to enroll in insurance plans, according to executives of major insurance companies who receive enrollment files from the government. And some of those enrollments are marred by mistakes. Insurance executives said the government had sent some enrollment files to the wrong insurer, confusing companies that have similar names but are in different states. Other files were unusable because crucial information was missing, they said. Many users of the federal exchange were stuck at square one. A New York Times researcher, for instance, managed to register at 6 a.m. on Oct. 1. But despite more than 40 attempts over the next 11 days, she was never able to log in. Her last attempts led her to a blank screen.

But it’s not just the people trying to obtain insurance that are having an unpleasant experience.

The people who already have insurance are experiencing Obamacare sticker shock.

A North Carolina newspaper reports on bad news for health insurance consumers in the Tarheel State.

The Buncombe County resident, who along with her husband is self-employed, had been buying a policy from Blue Cross and Blue Shield of North Carolina. The couple paid $341 a month for a policy with a $10,000 deductible. Recently, Campbell, 53, got a letter informing her that her plan was not compliant with the Affordable Care Act and would no longer be available. It suggested a new plan with an $11,000 in-network deductible and $843 monthly premium. …John Wingerter, director of health insurance information services at the Council on Aging of Buncombe County, says he’s gotten at least a dozen calls from people who say their rates have increased dramatically.Some have said their rates have doubled or more than doubled.

Bok Obamacare CartoonAnd the Albuquerque Journal reports on some unfortunate people in New Mexico who have been victimized by Obamacare.

Robert Hare was happy with his insurance. So were Gregory Rothrock and his family. Yet, their insurance must change, and it will cost them more money. …Hare said his individual plan now costs him $87 a month and has a $5,000 deductible. The new plan will cost $211 and includes benefits, such as maternity coverage, that are required by the ACA but which Hare doesn’t want. …As for Rothrock, depending on which of the three levels of coverage he chooses, coverage for his family of three could be as much as 360 percent more costly.

Hmmm…I thought Obamacare was supposed to bring insurance rates down?!? And didn’t the President promise that people could keep their plans?

Does this mean – gasp! – that the folks in Washington have been lying to us!?!

The Chip Bok cartoon above is an amusing – and disturbing – look at what’s happening.

And when you add it all up, this Glenn Foden cartoon is a good summary of what we’ve been saddled with.

Foden Obamacare Cartoon

Which explains why I’m glad some lawmakers are still fighting Obamacare, even though they face very difficult odds.

P.S. If you want to enjoy some more Obamacare humor, click here, here, here, here, here, here, here, here, here, here, here, here, and here.

P.P.S. If you want to know how to restore a functioning market-based healthcare system, this video from Reason TV is must watching.

P.P.P.S. If you want to know where Obamacare will probably take us, peruse the horror stories about the U.K. system linked at the bottom of this post.

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Back in 2010, I guest-hosted Larry Kudlow’s CNBC program for a couple of days. During one of the segments on my last show, I crossed swords with the other host, Simon Hobbs, as we argued whether patients needlessly died because of the government-run healthcare system in the United Kingdom.

Grim Reaper with KidSince neither one of us had data at our fingertips, it was basically a he-said/he-said exchange.

A few days after that tussle, however, I posted some evidence supporting my side of the discussion.

And over the past few years, I’ve posted additional material showing thousands of extra fatalities resulting from the U.K.’s government-run healthcare system. Including the fact that hundreds and hundreds of patients are allowed to starve to death!

Today, I’m going to administer the coup de grâce. I don’t think anybody will be able to pretend that bureaucrats and politicians do a good job after watching this powerful news report from the United Kingdom

There is a lot of powerful data in that report, but the number that jumps out at me is that death rates are 45 percent higher in the United Kingdom than they are in the United States.

That’s not statistical noise. That’s a huge gulf and it shows a massive failure on the part of government on the other side of the Atlantic.

By the way, none of this is to suggest that the American system is perfect. We have huge problems caused by direct government intervention (programs such as Medicare and Medicaid) and indirect government intervention (with the tax-code’s healthcare exclusion being at the top of my list).

So while England’s big-government approach puts people on waiting lines and causes needless deaths, America’s big-government approach causes third-party payer which cripples the free market and leads to high prices and inefficiency.

But if I have to choose between the United States and the United Kingdom, it’s not even close. The American system is not as screwed up as the British system, though I realize that’s damning with faint praise.

Let’s close by reminding ourselves that Paul Krugman infamously wrote that, “In Britain, the government itself runs the hospitals and employs the doctors. We’ve all heard scare stories about how that works in practice; these stories are false.” The news report you just watched suggests that he’s putting ideology above evidence. And if you want more data (some of it very distressing and tragic), you can click here.

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One of the challenges of good entitlement reform (or even bad entitlement reform) is that recipients think they’ve “earned” benefits.

If you tell them that programs such as Medicare are unsustainable and need to be changed, some of them suspect you’re trying to somehow cheat them. After all, they were forced to cough up payroll taxes during their working year.

That’s true, but the real issue is how much did they pay in tax and how much are they getting back.

Here’s a very sobering chart from the recently released Long-Term Fiscal Outlook from the Congressional Budget Office.

It shows that people in their 50s, 60s, and 70s paid, on average, between $45,000-$65,000 of taxes into Medicare. That’s a big chunk of money, but it’s far less than the $160,000-$270,000 that Medicare will spend on them.

Medicare individual tax spending

I’m tempted to say that current retirees and older workers are being charged for a hamburger but they’re getting a steak.

But that’s not accurate. As most recipients will tell you, Medicare leaves a lot to be desired, which is what you might expect with a government-run system.

So the right way to look at the program is that recipients are being charged for a hamburger, they’re getting a hamburger, but taxpayers (the ones who make up the funding gap) are being charged for a steak.

Which is why structural reform is the only good way of dealing with the program’s giant unfunded liability. As explained in this video from the Center for Freedom and Prosperity.

As discussed in the video, the reform (which has been part of the Ryan budget that’s been approved by the House) basically leaves the program as is for current retirees and older workers, but younger workers are allowed to move to a new system that gives them – upon retirement – the ability to choose their preferred health policy.

P.S. Don’t forget that we also need to reform Medicaid and Social Security, the other two big entitlement programs.

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During the big-spending Bush years, economic and fiscal people inside the Administration often would sympathize with my complaints about bad policy, but say that there was nothing they could do since all the big decisions were being made by the political types in the White House.

In other words, Karl Rove and his crew were the ones who helped encourage Bush to hurt the country for short-run political gain.

So you can imagine I’m reluctant to give favorable attention to anything associated with Rove, but this new video from one of his organizations is too good not to share. The Department of Health and Human Services has a video contest to sucker gullible young people into signing up for Obamacare, and here’s the satirical gem put together by Crossroads GPS.

And since we’re mocking the Obama Administration’s wasteful video contest, let’s enjoy a great Lisa Benson cartoon on the same topic.

Cartoon Obamacare Video Contest

Perhaps not quite as good as my all-time favorite Benson cartoon, which perfectly captures Obama’s fiscal policy, but still an excellent contribution to the debate.  I also very much like her fiscal cliff cartoon, this Keynesian economics cartoon, and this one about jump-starting the economy with tax hikes.

In conclusion, let’s remember that young people are suffering for reasons other than Obamacare. Here’s a video from the Center for Freedom and Prosperity Foundation that looks at four examples of how Obamanomics is especially bad news for those under age 30.

Though, to be fair, everyone is suffering from the President’s statist policies. As shown by these charts from the Minneapolis Federal Reserve, the United States is enduring the weakest economic recovery since the Great Depression.

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Want to know why – as shown by this map – most of America’s richest counties are part of the metropolitan DC region?

Part of the answer is that federal bureaucrats are overpaid. Another part of the answer is that the Washington area is filled with consultants and contractors, and this shadow government workforce also is overcompensated by taxpayers.

But I’m guessing that DC’s vast population of lobbyists and influence peddlers dominate the upper end of the income spectrum.

And that community of back scratchers and deal makers are getting even richer thanks to Obamacare. Here’s some of what The Hill is reporting today.

ObamaCare has become big business for an elite network of Washington lobbyists and consultants who helped shape the law from the inside. More than 30 former administration officials, lawmakers and congressional staffers who worked on the healthcare law have set up shop on K Street since 2010. Major lobbying firms such as Fierce, Isakowitz & Blalock, The Glover Park Group, Alston & Bird, BGR Group and Akin Gump can all boast an ObamaCare insider on their lobbying roster — putting them in a prime position to land coveted clients. …The voracious need for lobbying help in dealing with ObamaCare has created a price premium for lobbyists who had first-hand experience in crafting or debating the law.  Experts say that those able to fetch the highest salaries have come from the Department of Health and Human Services (HHS) or committees with oversight power over healthcare.  Demand for ObamaCare insiders is even higher now that major pieces of the law — including the healthcare exchanges and individual insurance mandate — are being set up through a slew of complicated federal regulations.

You’ll also be happy to know that beltway insiders can expect years and years of undeserved loot thanks to rules, regulation, and red tape that will be unveiled for another seven years.

…the healthcare law has generated steady work — a trend that is likely to continue for years to come. That’s because ObamaCare runs on a long timeline, well into the next administration. Unless the law is severely crippled, the reform’s rules and requirements will be rolling out through at least 2020. That’s good news for lobbyists who want to sign up clients for the long haul.

This is the social science equivalent of a kick-in-the-you-know-what. A bunch of political hacks pass legislation that increases both the fiscal burden and the regulatory burden on the rest of us, but they make it very convoluted so that they can cash in and make big bucks navigating the law for deep-pocket clients.

This is a win-win for the political elite and a lose-lose for America’s productive sector.

And it’s a perfect example of what I was trying to get across in this video I narrated about the link between big government and corruption.

There are lots of specific examples of Obamacare’s corruption.

Michael Barone has exposed the sleaziness of the waiver process, Tim Carney revealed the special deals for politically connected companies, and I suggested the process was eerily similar to a passage from Atlas Shrugged.

But don’t forget Obamacare is just one example of the sleaze that defines Washington. Maybe the best way of understanding the game is to watch Andrew Ferguson explain DC’s parasite economy.

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