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Posts Tagged ‘Government-run healthcare’

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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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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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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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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On Thanksgiving, I shared a bunch of cartoons mocking the national turkey known as Obamacare.

One of those cartoons, by Robert Ariail, mocked the President for repeatedly lying when he said we could keep our health insurance plans if we liked them.

Well, we have more humor using that theme.

And if you like these images and cartoons, you can keep them!

Our first example (which arrived in my inbox, so I don’t know who deserves the credit) will be familiar to fans of the original Star Wars trilogy.

Keep It Image 2

Next we have a Lisa Benson cartoon, which would have been a good addition to a Thanksgiving cartoon collection.

Keep It Cartoon 1

Here’s a cartoon from Gary Varvel and it shows a group that is now terrified because of Obama’s deceit.

Keep It Cartoon 2

As a matter of fact, there already is evidence that many politicians did lose their jobs back in 2010 because of Obamacare.

It would be nice if more of them were punished next year.

Last but not least, we have some doggies that are a bit troubled by a version of Obama’s big lie.

Keep It Image 3

If you need more Obamacare humor, you can enjoy various cartoons, videos, and jokes by clicking here, here, hereherehereherehere,hereherehereherehereherehereherehereherehere, and here.

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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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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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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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We have a very interesting question from a reader in Nebraska. Is Obamacare such a cluster-you-know-what that the law will self-destruct?

Well, I’ve already explained why I’m optimistic about the possibility of turning Obamacare lemons into free-market lemonade.

Simply stated, the law took a healthcare system that already was a mess because of government intervention and subsidies and it doubled down on that misguided approach!

And since it’s highly unlikely that more government is the solution to problems created by government in the first place, I think we’ll have great fun being able to highlight all the bad consequences of Obamacare and make a principled case for pro-market reform (meaning not only Medicaid reform and Medicare reform, but also tax reform to help deal with the third-party payer crisis).

That being said, I don’t think Obamacare will collapse on its own. We’re going to have to give it a push. A big push.

This is because legislation will be required to undo all the taxes and subsidies in the law. And even though we have the bizarre situation of the Obama Administration deciding to deliberately ignore a legal requirement to impose an employer mandate beginning in 2014, we’ll also need legislation to undo both the individual and the employer mandate.

In other words, the fact that the law won’t achieve any of its goals (such as lower costs and universal insurance coverage) won’t cause the bad policy to disappear.

But it will make the law even more unpopular – particularly if we do our job.

That’s why we should relentlessly highlight examples of wasteful Obamacare spending. The Washington Post, for instance, is reporting on “the extreme measures states are taking to get young people signed up for Obamacare programs.”

And when even the Washington Post thinks politicians and bureaucrats are going above and beyond in their efforts to waste money, you know it’s something especially foolish. But when you’re trying to trick young people into signing up for insurance policies designed to subsidize richer seniors, you don’t really have much choice.

Oregon might do branded coffee cups, for example, whereas Seattle is looking at doing outreach at music festivals. It only makes sense, then, that Kentucky would be doing outreach at multiple bourbon festivals across the state.

From a big picture perspective, this type of waste in just a penny or two on the dollar, but it’s very symbolic of a law that is poorly designed and unworkable.

I also think political cartoonists are very helpful allies since they’re so effective at illustrating some of the worst parts of Obamacare. So let’s wrap up this post with a new batch of cartoons.

We’ll start with a couple that skirt the edge of appropriateness by playing off the recent airline crash in San Francisco. The first one is by Steve Breen.

Obamacare Cartoon July 15 1

And the second one is by Eric Allie.

Obamacare Cartoon July 15 2

The donkey pilot blaming the elephant passenger is a good touch, and you find that theme in this Gary Varvel gem.

Obamacare Cartoon July 15 3

Let’s close with a great Rick McKee cartoon that focuses on exploding costs, a message near and dear to my heart.

Obamacare Cartoon July 15 4

One final warning. We’re not guaranteed of victory simply because Obamacare is leading to bad results. The statists are going to try and seize control of the narrative by asserting that the higher costs and greater inefficiencies could be fixed by squandering more money in the short run and imposing a single-payer system in the long run.

That’s a very perverse example of Mitchell’s Law and it surely doesn’t make sense to normal people. But it’s an approach that plays to the worst instincts of politicians, many of who will grab any excuse to increase the size and scope of Washington.

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With so many scandals percolating, there are lots of good cartoons being produced.

But I think this Chip Bok gem deserves special praise.

It manages to weave together both the costly Obamacare boondoggle with the reprehensible politicization of the IRS.

So BOHICA, my friends.

IRS Obamacare

If you want other Chip Bok cartoons, click here, here, here, here, here, here (my favorite), here and here.

And for cartoons that mix the IRS and Obamacare, click here, here, and here.

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I get upset by a lot of what happens in the corridors of power, but two things really irk me.

First, I hate it when the rich and powerful use the coercive power of government to screw ordinary people. That’s one of the reasons I hated the TARP bailout.

Second, I hate the utter hypocrisy of the political elite exempting themselves from the bad policies that get imposed on everyone else. That’s why, for instance, it galls me that the pro-tax bureaucrats at the OECD get tax-free salaries.

Well, now we have a new example of political hypocrisy. Behind closed doors, the crooks in Washington are seeking to exempt themselves from Obamacare.

Here are some of the sordid details reported by Politico.

Congressional leaders in both parties are engaged in high-level, confidential talks about exempting lawmakers and Capitol Hill aides from the insurance exchanges they are mandated to join as part of President Barack Obama’s health care overhaul, sources in both parties said. The talks — which involve Senate Majority Leader Harry Reid (D-Nev.), House Speaker John Boehner (R-Ohio), the Obama administration and other top lawmakers — are extraordinarily sensitive, with both sides acutely aware of the potential for political fallout from giving carve-outs from the hugely controversial law to 535 lawmakers and thousands of their aides. Discussions have stretched out for months, sources said. …if Capitol Hill leaders move forward with the plan, they risk being dubbed hypocrites by their political rivals and the American public. By removing themselves from a key Obamacare component, lawmakers and aides would be held to a different standard than the people who put them in office. …There is concern in some quarters that the provision requiring lawmakers and staffers to join the exchanges, if it isn’t revised, could lead to a “brain drain” on Capitol Hill, as several sources close to the talks put it.

Well, to be thoughtful and analytical, my reaction is boo hoo and cry me a friggin’ river.

Obamacare is a fiscal disaster and a healthcare disaster. Our best bet to get the law repealed is to make sure the politicians and their underlings are subject to all of the law’s bad provisions. Period.

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I’m going to make an assertion that seems utterly absurd.

The enactment of Obamacare may have been good news.

Before sending a team of medical attendants to cart me off to a sanitarium, allow me to elaborate. I’m not saying Obamacare is good policy. After all, I’ve written over and over again that it is a budget-busting boondoggle that will exacerbate our real healthcare crisis of third-party payer.

What I am saying, though, is that Obamacare may turn out to be a major political mistake for the left, one that sets the stage for sweeping free market reforms.

Here’s my six-part hypothesis.

  1. Our healthcare system as a mess before Obamacare. Normal market forces were crippled by government programs such as Medicare and Medicaid and also undermined by government intervention in the tax code that resulted in pervasive over-insurance that exacerbated the third-party payer problem.
  2. These various forms of intervention led to all sorts of problems, such as rising prices and indecipherable complexity, and most people blamed that the “free market” and “private” healthcare.Health Freedom Meter before Obamacare
  3. Obamacare was enacted in 2010, and it was perceived to be a paradigm-shifting change in the healthcare system, even though it was just another layer of bad policy on top of lots of other bad policy. Immediately after the legislation was approved, I offered a rough estimate that we went from a system that was 68 percent dictated by government to one that was 79 percent dictated by government.Health Freedom Meter after Obamacare
  4. Not surprisingly, all of the same problems still exist, but now they’re exacerbated by the mistakes in Obamacare.
  5. But because people think we’ve had a paradigm shift and government now is in charge (pay attention, since this is my key argument), they will be much more likely to blame “Obamacare” and “government” for all the warts and inefficiencies of the healthcare system.
  6. This means the public will be more receptive to pro-market policies, such as Obamacare repeal, tax reforms to reduce over-insurance, as well as the Medicaid and Medicare reforms in the Ryan budget.

All this will be much easier said than done, of course, and it is disconcerting that we’ll probably have to rely on feckless Republicans to implement these reforms.

But at least there’s a plausible scenario for systemic reform, and that wasn’t the case before Obamacare was enacted. In other words, the President’s signature achievement may turn out to be a Pyrrhic victory for the left.

P.S. Watch this excellent video from Reason TV to see how a genuine free market could deliver health care at lower cost and with greater efficiency. For another example, here’s a report from North Carolina on free-market healthcare in action.

P.P.S. This post is part of my let’s-be-optimistic series. Previous editions include:

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I’ve posted some horrifying examples about what happens when you put politicians and bureaucrats in charge of health care.

The story that makes every guy wince comes from Sweden, where a man wound up having his penis amputated because of government incompetence.

And I’ve shared numerous examples of substandard care from the United Kingdom, in part because I can’t resist mocking Paul Krugman.

Speaking of the U.K., here’s a story that may lure some young men into supporting government-run healthcare.

Did taxpayers get good value for their money?

…22-year-old Josie Cunningham recently was approved for breast enhancement surgery that cost more than $7,000, and paid for entirely by taxpayers, reports Opposing Views. Why? Because she told her General Practitioner that being flat-chested was causing her emotional distress. “My GP referred me for the operation because I wasn’t just flat-chested — I didn’t have any boobs whatsoever,” Cunningham said. “I could never go on holiday as I lived in terror of ever being seen in a bikini and could never set foot outside without a padded bra.” Her doctor’s prescription to counter the “emotional distress” was to enhance her breast size from a 32A to 36DD.

I’ve never heard of the website that contains this story, and I’ve never heard of Opposing Views, where it supposedly originated, so I confess to being a bit skeptical of this story.

Then again, who would have guessed that the government in the United Kingdom would provide taxpayer-financed sex trips to Amsterdam? Or that the bureaucrats at the European Commission would be able to get penile implants at public expense?

Closer to home, let’s not forget that Obamacare allows taxpayer-subsidized viagra for sex offenders! And Medicare pays for penis pumps, which creates frightening visual images.

So even if this specific story isn’t true, I have no doubt that the British government has squandered money in similar ways.

P.S. Speaking of breast augmentation, one of the few well-functioning parts of the American healthcare system is cosmetic surgery. Why? Because consumers largely pay out of pocket and, as a result, costs are restrained.

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I’m not sure why political cartoonists have been revisiting the issue of Obamacare in recent days, but I’ve been enjoying their humor.

I shared three funny cartoons a couple of days ago, adding to my collection of Obamacare humor (see here, here, here, here, here, here, here, and here).

Now let’s enjoy three more, beginning with this gem from Lisa Benson.

Obamacare Cartoon 4

Though we shouldn’t laugh at this cartoon. As we saw with both Medicaid and Medicare, entitlement programs routinely cost far more than original projections.

If you somehow think Obamacare might be different, watch this video.

Gary Varvel hits a different part of Obamacare, noting that the President’s promise of lower premiums is an utter fantasy.

Obamacare Cartoon 5

And Michael Ramirez looks at the big picture.

Obamacare Cartoon 6

I want to close with an optimistic point about the prospect of changing this terrible law.

Thanks to government programs and other forms of regulation and intervention, we had a bad healthcare system before Obamacare.

And even though it was government that was causing the system to malfunction, many people blamed the free market. And the President took advantage of that misunderstanding to push he legislation.

So now we have Obamacare, which has made the system a bit more statist.

But most people think Obamacare was much bigger than it actually was, with some actually thinking we used to have a free market!

Anyway, this flawed perception works to our advantage since it will now be possible to blame any bad news in the healthcare world on  Obamacare.

As such, I expect that Obamacare will remain unpopular.

The real question will be whether reformers will rally behind proposals to not just repeal Obamacare, but to actually restore a free market.

If you want to understand what needs to happen, I encourage you to watch two short videos, one from Reason TV and the other from the Center for Freedom and Prosperity.

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I’ve shared a nightmarish flowchart to show the Byzantine complexity of America’s healthcare system under Obamacare. Sort of makes you wonder whether the healthcare system will now be more complicated than the internal revenue code.

But some people may be skeptical because this flowchart was prepared by Republicans from the Joint Economic Committee.

Well, here’s a flowchart from the pro-Obamacare Washington Post, and it shows how just one small piece of the law will require complicated gymnastics.

It’s hard to feel anything but misery about this situation. The Obamacare taxes largely took effect earlier this year and a big chunk of the Obamacare spending starts next year.

So let’s with a great cartoon from Henry Payne showing the Secretary of Health and Human Service force-feeding Obamacare to states.

Obamacare Cartoon 1

I would have replaced “states” with “patients,” but you get the point. We’re being saddled with a one-size-fits-all monstrosity that will cripple what little is left of a functioning marketplace for health care and health insurance.

Next we have a Lisa Benson cartoon, showing the very unhealthy meal we’re expected to digest. Where’s Mayor Bloomberg when we actually need him?!?

Obamacare Cartoon 2

Both Benson and Payne were part of the political cartoonist contest, so you can see their best work by clicking here.

Last but not least, here’s Steven Breen’s take on the third birthday of Obamacare. As you can see, there’s not a lot to celebrate.

Obamacare Cartoon 3

Indeed, this is a good opportunity to share my video explaining why Obamacare will be a budget buster.

P.S. Lawmakers did repeal one of Obamacare’s tax provisions, a 1099 reporting rule that would have buried everyone under a blizzard of paperwork (here’s the cartoon version of that issue). And the Democratic-controlled Senate recently voted 79-20 to repeal the medical devices tax. So there are small reasons for optimism. And I think the bulk of Obamacare spending could be repealed as part of a Medicaid block grant if and when Washington is controlled by lawmakers who are serious about addressing the entitlement crisis.

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

P.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.

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That’s a trick question, of course, as illustrated by this biting Henry Payne cartoon.

But let’s look at one of the commonalities of Romneycare and Obamacare – higher premiums, thanks to mandates and third-party payer.

Here’s a quick look at what’s been happening to premiums in Massachusetts.

Romneycare Premiums

The same thing is already happening with Obamacare, as explained in a Wall Street Journal column by Merrill Matthews and Mark Litow.

The congressional Democrats who crafted the legislation ignored virtually every actuarial principle governing rational insurance pricing. Premiums will soon reflect that disregard—indeed, premiums are already reflecting it. …Guaranteed issue incentivizes people to forgo buying a policy until they get sick and need coverage (and then drop the policy after they get well). While ObamaCare imposes a financial penalty—or is it a tax?—to discourage people from gaming the system, it is too low to be a real disincentive. The result will be insurance pools that are smaller and sicker, and therefore more expensive.

How bad will it be? Well…

Many actuaries, such as those in the international consulting firm Oliver Wyman, are now predicting an average increase of roughly 50% in premiums for some in the individual market for the same coverage. …Arizona, Arkansas, Georgia, Idaho, Iowa, Kentucky, Missouri, Ohio, Oklahoma, Tennessee, Utah, Wyoming and Virginia will likely see the largest increases—somewhere between 65% and 100%. Another 18 states, including Texas and Michigan, could see their rates rise between 35% and 65%.

Which is why 2014 is the “Year of the Snake” in more places than just China.

Obamacare Snake Cartoon

If you like Ramirez cartoons, you can see some of my favorites here, here, here, here, and here.

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During the Obamacare debate, Paul Krugman told us we could ignore stories about what was happening across the ocean, writing 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.”

Every so often, I wonder how Krugman would define a “scare story.” How about starving babies to death, as I wrote about last month? Would he say that’s “false,” or simply not a “scare story”?

Let’s look at some new information from the U.K.’s government-run system and see whether we can expect our healthcare to improve or deteriorate now that Obamacare’s beginning to get implemented.

We’ll start with a look at how the overall British system is performing, including the remarkable and depressing fact that more than 1 in 10 patients are victimized by “basic errors,” leading to 5.2 percent of deaths.

The largest and most detailed survey into hospital deaths has revealed that almost 12,000 patients are needlessly dying every year as a result of poor patient care. The researchers from The London School of Hygiene and Tropical Medicine based the study on 1,000 deaths at 10 NHS trusts during 2009. The study revealed that basic errors were made in more than one in 10 cases, leading to 5.2% of deaths, which was the equivalent of nearly 12,000 preventable deaths in hospitals in England every year. The research published in the British Medical Journal’s Quality and Safety publication found that errors occurred when hospital staff made an incorrect diagnosis, prescribed the wrong drugs, failed to monitor a patient’s condition or react when a patient deteriorated. Errors in omission were more frequent than active mistakes. The majority of patients who died were elderly suffering with multiple health conditions, but the study found that some patients whose deaths were preventable were aged in their 30s and 40s.

Now let’s look at healthcare – if you use the term loosely – at one Government-run hospital. The UK-based Telegraph has the stomach-turning details.

Hundreds of hospital patients died needlessly. In the wards, people lay starving, thirsty and in soiled bedclothes, buzzers droning hopelessly as their cries for help went ignored. Some received the wrong medication; some, none at all.Over 139 days, the public inquiry into the Stafford hospital scandal has heard testimony from scores of witnesses about how an institution which was supposed to care for the most vulnerable instead became a place of danger. Decisions about which patients to treat were left to receptionists…and nurses switched off equipment because they did not know how to use it. …patients were left so dehydrated that some began drinking from flower vases. By the time the hospital’s failings were exposed by regulators, in 2009, up to 1,200 patients had died needlessly between 2005 and 2008. …on the wards, patients – most of them elderly – were left in agony and screaming for pain relief, as their loved ones desperately begged for help. The human toll was dreadful. In the course of 18 months, one family lost four members, including a newborn baby girl, after a catalogue of failings by the hospital. …Patients were left without medication, food and drink, and left on commodes. Basic hygiene was neglected: a woman was left unwashed for the last four weeks of her life. Relatives tried to keep their loved ones clean, scrubbing down beds and furniture and even bringing in clean linen. One consultant described how amid the chaos, it seemed at though nurses became “immune to the sound of pain”.

It’s disturbing to read something like this, but can you imagine the horror of having a sick child in one of these wretched British institutions?

I’m not saying there aren’t mistakes and instances of sub-standard care in U.S. hospitals. I’m sure that’s the case. And regular readers know that I’ve complained about the absurd government-caused inefficiency of the American healthcare system.

The point I’m making is that horror stories are more common from the U.K. because the entire system is a bureaucracy. The nurses and doctors on that side of the Atlantic are akin to clerks at the Postal Service and DMV on this side of the Atlantic.

P.S. If you want more horror stories about government-run healthcare in the United Kingdom click here, here, here, here, herehereherehereherehereherehere, here and here.

P.P.S. And to close on an upbeat note, click here to learn how we can save America’s healthcare system.

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When I travel, particularly overseas, I run into a lot of people who are totally confused about the American healthcare system.

For all intents and purposes, they think the United States relies on the free market and that government (at least in the pre-Obamacare era) was largely absent.

So they are baffled when I tell them that nearly one-half of all health expenditures in America are directly financed by taxpayers  and that the supposedly private part of our healthcare system is massively distorted by government interference and intervention.

When explaining how government has screwed up private health insurance, I talk about third-party payer and  how genuinely private insurance works for home ownership and automobiles. And I cite examples of genuine free markets for cosmetic surgery and even (regardless of your views) abortion.

But from now on, I think I will simply tell people to watch this superb video from Reason TV.

This shows how a true free market operates. Efficiency and low prices are the norm, and consumers get a good deal.

My only quibble is that the video doesn’t explain how government policies – such as the healthcare exclusion in the tax code – should be blamed for the grotesque waste, inefficiency, and featherbedding in most parts of the medical industry.

But that’s a minor gripe. You should share this post with any and all fuzzy-headed friends and colleagues and tell them this is how smoothly the market would work if the government simply would get out of the way.

And if they want another example, here’s a report from North Carolina on free-market healthcare in action.

If we want this kind of system to be the rule rather than the exception, we need to scrap the healthcare exclusion in the tax code as part of a switch to a simple and fair flat tax. That will help bring some rationality to the health insurance market and address the part of the third-party payer crisis caused by indirect government intervention.

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

P.S. As this poster cleverly illustrates (and as Ronald Reagan correctly warned in the second video of this post), government is the problem, not the solution.

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Paul Krugman assured us back in 2009 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.”

If that’s the case, then the British press is filled with liars who deliberately make up horror stories about their nation’s healthcare system, as you can see here, here, herehereherehereherehereherehere, here and here.

We now have another nightmare to add to this list. Here are some of the horrific details from the UK-based Daily Mail.

An elderly woman died alone after doctors failed to tell relatives they were ending her life on the controversial Liverpool Care Pathway. Olive Goom, 85, passed away with no one by her side after medics neglected to consult with her family about her treatment at Chelsea and Westminster Hospital. …As Miss Goom lay dying alone, staff reassured relatives on the phone just hours before her death that there was no urgent need to visit – even though doctors had already removed tubes providing vital food and fluids. Her family discovered that she had died only when her niece went to visit her and found she was already being prepared for the mortuary. They said last night that they will never be able to stop feeling guilty that no one was there in her final hours. The Mail has been contacted by several families who claim that relatives were put on the Liverpool Care Pathway – the controversial system designed to ease the suffering of the dying in their final hours – without any consultation. Some said they found out that their relatives were on the pathway only after they happened to read their medical notes; and by that time it was too late.

Keep in mind, by the way, that the Liverpool Care Pathway is sort of akin to the IPAB “death panel” in Obamacare.

Defenders of government-run healthcare say that’s nonsense and assert that there won’t be any rationing, denial of care, or requirements for euthanasia. That’s technically true, but the Obamacare death panel will be determining what’s an acceptable treatment and what’s the government-approved payment schedule.

Crushed by Obamacare?

So it’s sort of like holding a rock in your hand, standing over a kitten, letting go of the rock, watching it hit the kitten, but then claiming that you did nothing wrong because gravity caused the rock to fall.

Okay, that’s a morbid example, but you get the point. And my concern isn’t that rationing only exists with a government-run system. Any healthcare system will involve rationing. The real issue is whether individuals are part of a free society so they can make the choice of how to ration.

(h/t: Ben Domenech)

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I’ve often complained that government-created third-party payer is the main problem with America’s healthcare system, and I was making that point well before Obamacare was imposed upon the country.

Simply stated, people won’t be smart consumers and providers won’t compete to keep costs low when the vast majority of expenses are paid for either by government programs or by insurance companies.

That’s why I want to see reforms to Medicare and Medicaid, not only to save money for taxpayers, but also because that’s one of the steps that is needed if we want market forces to bring down the cost of healthcare.

And I want to see 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.

With all that in mind, I’m obviously a big fan of this new video from the Center for Freedom and Prosperity.

Narrated by Julie Borowski from FreedomWorks, the video explains that third-party payer has been a growing problem for decades and that it would have required fixing even if the Supreme Court hadn’t botched the Obamacare decision.

And now that we’re stuck with Obamacare, at least temporarily, it’s more important than ever to deal with this underlying problem.

P.S. This new video expands upon the analysis provided in a previous CF&P video.

P.P.S. Setting aside the debate about whether it’s right or wrong, the abortion market also is an interesting case study of how prices don’t rise when consumers pay out of pocket.

P.P.P.S. Government-created third-party payer also is screwing up the market for higher education.

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I recently posted a bunch of cartoons about the Supreme Court’s shameful Obamacare decision (which was terrible, but probably not as awful as the Kelo decision).

Most of those cartoons, as well as the ones I posted here, focused on how Chief Justice Roberts put politics above the Constitution, but let’s return today to the broader issue of why Obamacare is bad news.

Let’s start with this cartoon, which deals with the pointless and irrelevant debate about whether the Obamacare enforcement mechanism is a tax or a penalty.

What we do know (and what we knew back when Obamacare was being debated) is that the IRS will be in charge of enforcement, which is what makes this next cartoon funny – albeit in a painful way.

Returning to the debate about taxes or penalties, this cartoon will be very painful for GOP partisans.

Very appropriate, since this cartoon from back in 2011 shows that there is no meaningful difference between the two plans.

And this also explains why I’m still predicting an Obama victory in November, even though his economic record is awful.

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I posted five good Obamacare cartoons last week (and included two others in this post and this post), and was planning on stopping there.

But the cartoonists have come out with a lot of good material, so let’s enjoy this new material. After all, we deserve a few laughs before we deal with the pain of more spending and higher taxes.

Let’s start with my favorite, which is very appropriate for today.

Sticking with that theme, here’s one that uses the Constitution instead of the Declaration of Independence.

Here’s one that should be in this same group. It’s very good as is, but I would have replaced the Tea Party flag with either the Constitution or Declaration of Independence (yes, I’m becoming an armchair cartoonist, as you can see here and here)

Since the last two cartoons have mocked Chief Justice Roberts, let’s continue with that theme.

By the way, I can’t resist adding a bit of what Thomas Sowell just wrote.

…there are people in Washington — too often, Republicans — who start living in the Beltway atmosphere, and start forgetting those hundreds of millions of Americans beyond the Beltway who trusted them to do right by them, to use their wisdom instead of their cleverness. …ObamaCare was an unprecedented extension of federal power over the lives of 300 million Americans… These are the people that Chief Justice Roberts betrayed when he declared constitutional something that is nowhere authorized in the Constitution of the United States. …What he did was betray his oath to be faithful to the Constitution of the United States.

Powerful, but accurate.

Now let’s go with the theme of mocking Both Roberts and Nancy Pelosi.

She’s an easy target, having become infamous for utterly inane comments, so let’s pile on with another.

Now let’s look at another good cartoon, but this one should worry us because it shows the door that Roberts opened.

This seems over the top, but 15 years from now, we’ll look back at this cartoon with better (and bitter) understanding.

Last but not least, here’s a cartoon that should worry Republican readers.

I’ve already explained why Mitt Romney is not a proponent of liberty. This cartoon underscores that sentiment and also shows why he will have a problem going after Obama on this issue.

But that’s a depressing way to end this post, so put all the statists out of your mind. Go out and enjoy the 4th, ideally with some illegal fireworks to show that the spirit of rebellion still exists.

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