health care reform

The President’s Health Care Fables

by Hans Bader on July 16, 2011 · 1 comment

in Healthcare, Politics as Usual, Regulation, Sanctimony, Zeitgeist

The president pushed the health care bill through Congress using a series of fables — health insurance horror stories that turned out to be false. Michelle Malkin chronicles just a few of the false anecdotes told by President Obama in making the case for Obamacare. The most famous was the false claim that his mother’s health insurer tried to avoid paying for his dying mother’s treatment based on a pre-existing condition — when it in fact did no such thing and paid her benefits in full. (As the Washington Post notes, Obama’s misleading stories about his mother’s final months “often spoke as if he had been at his mother’s side,” even though he actually failed to visit her at all in the months leading up to her death from cancer.)

As Malkin notes, Obama’s “sham-ecdote” about his mother “is just the latest entry in an ever-expanding catalogue of Obamacare fables,” which include the following:

– Otto Raddatz. In 2009, Obama publicized the plight of this Illinois cancer patient, who supposedly died after he was dropped from his Fortis/Assurant Health insurance plan when his insurer discovered an unreported gallstone the patient hadn’t known about. The truth? He got the treatment he needed in 2005 and lived for nearly four more years.

– Robin Beaton. Also in 2009, Obama claimed Beaton — a breast cancer patient — lost her insurance after “she forgot to declare a case of acne.” In fact, she failed to disclose a previous heart condition and did not list her weight accurately, but had her insurance restored anyway after intense public lobbying.”

– Natoma Canfield. The White House made the Ohio cancer patient a poster child for Obamacare in 2010 after she wrote a letter complaining about skyrocketing premiums and the prospect of losing her home. After Obama gave Canfield a shout-out at a health care rally in Strongsville, Ohio, and promised to control costs, officials at the renowned Cleveland Clinic, which is treating her, made clear that they would “not put a lien on her home” and that she was eligible for a wide variety of state aid and private charity care.

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Six Pages of Legislation, 1,000 Pages of Regulation

by Ryan Young on March 30, 2011

in Healthcare, Regulation

HHS is about to issue over 1,000 pages of new regulations stemming from last year’s health care bill. That’s not a huge surprise, considering the bill is about 2,000 pages long.

But these regulations all come from a six-page section covering accountable care organizations, or ACOs.

According to Politico, John Gorman, who runs a health care consulting firm, “expects a 1,000-page rule to come out on Thursday, March 31 — because he doesn’t think HHS will want to deal with releasing the regulations on April Fool’s Day.”

PolitiFact: Obama Made False Claims About Health Care, Taxes, and Court Rulings

by Hans Bader on February 11, 2011 · 1 comment

in Economy, Employment, Healthcare, Legal, Regulation

PolitiFact, which earlier took Obama’s side about whether Obamacare is a government takeover of  health care, now is criticizing President Obama for making false claims about health care and taxes. In a pre–Super Bowl interview with Bill O’Reilly, Obama made the false claim that 12 judges have rejected “the notion that the health care law was unconstitutional.” As PolitiFact notes, only “four judges have ruled on the merits of various cases challenging the health care law. Two ruled in favor of the administration and two against.” (Earlier, we explained why the recent ruling by a Florida judge striking down Obamacare was not judicial activism.)

Obama’s problem with numbers isn’t new; during the 2008 campaign, he claimed that he had been to “57 states.” So he may not have been deliberately lying about this.

But as John Kartch noted earlier, Obama made a far more flagrantly false claim when he insisted to Bill O’Reilly that “I didn’t raise taxes once” while president. It’s hard to view that claim as anything other than a lie. Obama has signed into law a long list of tax increases on consumers and investors, which Kartch lists here. That includes “two dozen new or higher taxes” just in the health care law alone.

Some of the biggest of Obama’s tax increases haven’t gone into effect yet, and won’t go into effect until after the 2012 election, such as the new 3.8 percent tax it levies on many of America’s investors. As PolitiFact noted in debunking Obama’s claim that he hadn’t raised taxes, “starting in 2013,” “Individuals who make more than $200,000 and couples that make more than $250,000 will see additional Medicare taxes of 0.9 percent. They will also, for the first time, have to pay Medicare taxes on their investment income at a 3.8 percent rate.”

By contrast, an excise tax increase Obama signed in 2009 went into effect “soon after” he took “office,” and some of the tax increases in the health-care law that affect middle-class patients and medical-device manufacturers are already in effect.

For the moment, Americans’ taxes are not that high, because many of the tax increases already signed into law have yet to kick in. But appearances are deceiving, for as Kartch notes, “100% of the tax increases Obama signed into law are … permanent,” while “over 90% of the dollar value of the tax cuts Obama signed into law are only temporary.”

I earlier discussed why PolitiFact was wrong to accept the Obama administration’s claim that Obamacare was not a government takeover of the health care system.

While it dramatically increases regulation and red tape, Obamacare has done little to control costs; health insurance premiums have risen substantially in many states as a result of its passage, such as a 47 percent increase for some policyholders in Connecticut. Obamacare contains provisions that are harmful to the economy and medical innovation. Earlier, I discussed some of the bad effects of Obamacare on patients, employers, consumers, and the insurance market.

The End of the Imaginary Age of Civility

by Hans Bader on February 7, 2011 · 1 comment

in Politics as Usual, Sanctimony, Zeitgeist

After the Tucson shooting, liberals lectured America, and especially conservatives, on the alleged need for more civility (even though there was no evidence that the shooter was influenced by any uncivil political rhetoric, and the shooter was not a conservative).

But the new era of civility didn’t last long, if it ever existed at all.  Some of the very people who loudly demanded civility from others quickly returned to their own deeply-ingrained habit of trash talk and hate-filled vitriol.

Liberal actor and activist Richard Dreyfuss set up a project to promote “civility in political discourse” after the shootings.  When he was asked about a liberal radio host’s yearning for the death of the “dirtbag” Dick Cheney, he praised it as “beautifully phrased,” endorsing an intemperate diatribe that also branded Cheney as an “enemy of the country,” and a “freakin’ loser.”

The liberal lobbying group Common Cause, which had hectored America about the need for civility, helped organize a demonstration outside a conference in California where participants called for the lynching of Supreme Court Justice Clarence Thomas.

Liberal Congressman Steve Cohen (D-Tenn.) helped usher in the new Age of Civility by likening Republicans to Nazis like Joseph Goebbels.

The Washington Post and New York Times enlisted two prominent practitioners of trash talk to lecture America about the need for civility. Al Sharpton preached about the “dangers of inflammatory rhetoric” in the Washington Post, despite his own past history of helping incite a deadly race riot, and a court judgment against him for defamation arising out of the Tawana Brawley hate-crime hoax.   Ex-congressman Paul Kanjorski (D) lectured about the need for “civility” in the Times, despite his October 2010 statement that Florida governor Rick Scott (R) should be shot.

The Post op-ed writers who endorsed the calls for civility then paved the way for yet more civility, both by branding conservatives as spiteful lobotomy patients, and by insinuating that opponents of gun control are collectively guilty of subversion and nativism, writing that “the descriptions of President Obama as a ‘tyrant,’ the intimations that he is ‘alien’ and the suggestions that his presidency is illegitimate are essential to the core rationale for resisting any restrictions on firearms.”

Even as it prattled about the need for civility, the New York Times editorial board directed readers to its earlier diatribe that baselessly accused Republicans, the Tea Party, and conservative media of creating a climate of “division” and “anger” that made the Tucson shootings possible. The Times did so even though a column by its own David Brooks had earlier pointed out that there was “no evidence” that the shooter was influenced in any way by conservatives.

While the Post and the Times don’t seem at all concerned about the death threats recently made by liberal activists against Republican lawmakers in Florida and in Wisconsin, they are very up in arms about factual references to the health care law as being “job-killing”  (a claim based partly on Congressional Budget Office findings that Obamacare would reduce the size of the American labor force by perhaps 800,000 people). The Post‘s Dana Milbank seems to think that criticizing the killing of an inanimate object (like a job) is violent rhetoric, and he recently wrote a long, sanctimonious editorial devoted almost entirely to the alleged incivility of referring to Obamacare as “job-killing,” which he regards as rhetorical “poison.”

Since the big-government policies they favor typically wipe out jobs  (like the $800 billion stimulus package, which wiped out jobs in America’s export sector, while subsidizing foreign green jobs, and which the CBO admitted would shrink the size of the U.S. economy in “the long run“), it’s not surprising that liberal journalists like Milbank would want to squelch discussion of “job-killing” policies.

Obamacare: More Broken Promises, More Premium Hikes, More Lost Health Insurance

by Hans Bader on October 22, 2010

in Deregulate to Stimulate, Economy, Healthcare, Legal, Regulation

In The Washington Times, Dr. Milton R. Wolf debunks six “unkeepable Obamacare promises” that have already been shown to be false.  For example, President Obama promised that his health care overhaul would not raise taxes on anyone earning less than $250,000 a year: “I can make a firm pledge. Under my plan, no family making less than $250,000 a year will see any form of tax increase. Not your income tax, not your payroll tax, not your capital gains taxes, not any of your taxes.”

But as Wolf notes, Obamacare’s “new excise taxes on pharmaceuticals and medical products will, of course, by necessity be passed on to the patients who depend on these lifesaving medicines, pacemakers, MRI machines or even tongue depressors.”  And Nancy Pelosi promised that Obamacare would create 4 million new jobs, 400,000 almost immediately, none of which ever materialized.

A political commentator notes that her family’s insurance premiums just went up by 45 percent, while the coverage became worse. One of her readers lost her insurance, after her family’s policy was canceled by the insurer due to Obamacare’s legal prohibitions.

We earlier discussed how Obamacare will create pointless red tape and busywork for doctors, and how it has already led to big premium increases, and the elimination of some popular health plans.  It also includes a $60 billion insurance excise tax that will be passed on to patients, and tax increases on some investors and homeowners starting in 2013.

Obamacare May Force McDonald’s to Drop Health Coverage for Employees

by Hans Bader on October 1, 2010

in Economy, Health and Illness, Healthcare, Insurance, Nanny State, Personal Liberty, Politics as Usual, Regulation, Sanctimony, Zeitgeist

Michelle Malkin points out that “McDonald’s has notified the feds that it may be forced to drop health insurance for some 30,000 workers due to the Obamacare mandate.”

A large number of employers may eventually eliminate health coverage due to Obamacare. As The Wall Street Journal notes:

Trade groups representing restaurants and retailers say low-wage employers might halt their coverage if the government doesn’t loosen a requirement for ‘mini-med’ plans, which offer limited benefits to some 1.4 million Americans. The requirement concerns the percentage of premiums that must be spent on benefits. . .McDonald’s and trade groups say the percentage, called a medical loss ratio, is unrealistic for mini-med plans because of high administrative costs owing to frequent worker turnover, combined with relatively low spending on claims.

It’s not just limited-benefit plans that are disappearing. Excellent health plans that patients prize most are disappearing too.  Earlier, 22,000 seniors lost their health care plan due to Obamacare. Meanwhile, state regulators are approving premium increases due to the increased costs resulting from Obamacare.

By the way, I’m tired of mindless McDonald’s bashing. The food at McDonald’s is no more fattening than at many restaurants which charge much higher prices.  (A Big Mac is healthier than quiche lorraine.)  I lost 10 pounds while working at McDonald’s and eating mostly McDonald’s food (a man in Richmond lost 86 pounds). Yet left-wing busybodies are now using discriminatory zoning rules to block the opening of new McDonald’s franchises in places like Los Angeles, and are calling for taxes on fast food to control what people eat, as part of “healthcare reform.”

22,000 Lose Their Health Insurance Due to Obamacare

by Hans Bader on September 29, 2010

in Economy, Health and Illness, Healthcare, Insurance, Politics as Usual, Regulation, Zeitgeist

Approximately 22,000 senior citizens just lost their health plan with Harvard Pilgrim Health Care, which dropped its Medicare Advantage Program due to “cuts in Medicare” that “are being used to fund national health care reform.”  As the Washington Examiner notes, “President Obama’s most frequently repeated health care reform claim — ‘If you like your present health insurance, you can keep it’ — sounds about as credible these days as the finger-wagging Bill Clinton did when he said, ‘I did not have sexual relations with that woman.’”

While Obamacare cuts Medicare for the elderly, it does nothing to slow the growth of health-care spending, since it adds costly new Medicaid mandates for people on welfare, as former New York Lieutenant Governor Betsy McCaughey, a healthcare expert, notes in the New York Post.  She calls it “Obamacare’s redistribution of health.”  Obamacare will also cause Medicaid lawsuits to proliferate at taxpayer expense.

President Obama falsely claimed that the health care law would cut health care costs, but regulators in some states are now approving increases in premiums precisely because Obamacare increases costs.

As columnist David Freddoso notes, the Obama administration has been a windfall for wealthy trial lawyers.  As I noted in the Examiner‘s print edition, “Obamacare will also result in an explosion of lawsuits against employers’ health plans by stripping them of protection against unnecessary lawsuits based on paperwork technicalities, and by displacing settled exhaustion principles in employee benefits litigation.”

ObamaCare Deeply Unpopular: Democratic Congressman Who Voted for Health Care Bill Loses Primary Election

by Hans Bader on May 12, 2010 · 1 comment

in Deregulate to Stimulate, Economy, Health and Illness, Healthcare, Insurance, Legal, Nanny State, Personal Liberty, Politics as Usual, Precaution & Risk, Regulation, Sanctimony, Zeitgeist

ObamaCare is so unpopular in West Virginia that veteran Democratic Congressman Alan Mollohan lost reelection in yesterday’s Democratic primary to a state senator who opposes the health care legislation backed by President Obama.  Mollohan lost by a decisive 56-to-44 percent margin to Mike Oliverio, “a conservative Democrat,” amidst record turnout for a primary.   In November, Oliverio will face the Republican nominee, David McKinley, who called Mollohan’s defeat a referendum on President Barack Obama.  Mollohan had easily won reelection in past races ever since being elected in 1982, despite corruption allegations.

The Congressional Budget Office now admits that ObamaCare will cost at least $115 billion more than previously estimated.  An Atlanta newspaper column says that the healthcare legislation will “bury businesses under a blizzard of costly new paperwork,” requiring them to spent vast amounts “collecting data, filling out forms, reprogramming computers, hiring accountants and wrestling with the IRS bureaucracy.”

“Economic experts from President Obama’s own Health and Human Services Department have released a devastating report noting that ObamaCare ‘will increase national health care spending by $311 billion from 2010-2019,’ according to the Associated Press. Even worse, ‘Medicare cuts may be unrealistic and unsustainable, driving about 15 percent of hospitals into the red and ‘possibly jeopardizing access’ to care for seniors.’”  This contradicts Obama’s claims that the health care law would “bend the cost curve down” and cut the cost of health insurance.  Starting in 2013, the health care legislation will also dramatically increase the taxes of “15 million very sick people” with “major medical expenses.”

“The administration’s own actuary reported on Thursday that millions of people could lose their health insurance, that health-care costs will rise faster than they would have if the law hadn’t passed, and that the overhaul will mean that people will have a harder and harder time finding physicians to see them.”

“Billions of more documents” will be have to be filled out by small businesses for the IRS so that a “spendthrift Congress can shake a few extra bucks out of” them to pay for ObamaCare. They will have to spend countless hours to “gather information,” such as about the person they buy a used car from, and the mom-and-pop landlords who lease space to them, even if the small business has to spend more money gathering the information than the IRS will collect in taxes as a result.  (The new health care law will raise far more revenue by taking away medical tax-deductions of “15 million very sick people” with “major medical expenses” starting in 2013.)

The health care bill vastly expands the power of the IRS.  The Washington Examiner says that “16,500 more IRS agents” will be “needed to enforce Obamacare.”  That’s “the biggest expansion of the IRS since World War II.”

ObamaCare is also costing major employers who provide health coverage for retirees billions of dollars.  “When companies started reporting the write-downs they’d take as a result of the passage of ObamaCare,” congressional Democrats “reacted with outrage at the announcements, and scheduled hearings to demand answers . . . from AT&T, Caterpillar, Deere, and Verizon.”  But now, the massive costs of ObamaCare are so obvious and undeniable that even congressional Democrats have “admitted that CEOs who reported billions in losses due to ObamaCare were required to state those losses after all,” and that their “companies acted properly and in accordance with” federal “accounting standards.”

To try to offset and hide the increased cost of health care resulting from their ill-conceived health care law, the Obama administration and congressional leaders are now proposing a new bill to “impose price controls on insurance,” even though similar legislation is already backfiring in Massachusetts, where health care costs spiraled upwards after the state government adopted a prototype of ObamaCare several years ago, resulting in “explosive costs.”

The health care legislation backed by Obama contains many penny-wise, pound-foolish provisions.  It spends money on frills like “cultural competency,” while cutting spending on crucial things like anesthesia.

14 attorneys general are challenging provisions of the new health care law in court.  Their lawsuits argue that forcing people to buy health insurance is not a valid exercise of Congress’s power to regulate interstate commerce.

The new law imposes many middle-class tax increases, such as taxes on uninsured individuals, on cosmetic surgery, on medical devices, and on certain health care plans.  It also increases taxes on many investors and imposes marriage penalties.

The new health care law will reduce lifesaving medical innovation, raise taxes, drive up insurance premiums, break many campaign promises, and increase state budget deficits.  It  will jeopardize the quality of medical care, while imposing restrictions that failed when tried at the state level.  It ignores advice from doctors and federal experts, and lessons from countries with universal health care, about how to keep costs down.

While the CBO deceptively scored the health care bill as not increasing the federal deficit, thanks to the many tax increases in the bill, it did so only because it was required to accept many accounting gimmicks that even pro-administration journalists have admitted conceal the bill’s enormous cost and the fact that it will massively increase the deficit.  The New York Times‘ David Brooks, once a staunch supporter of President Obama, recently said that the bill’s drafters were “corrupted by power” and called arguments for the law “unbelievable” and “insane.”  The Atlantic’s Megan McArdle, who also voted for Obama, wrote that the law “is a fiscal disaster waiting to happen.”

ObamaCare Vastly Expands IRS Red Tape and Power, Raises Medical and Insurance Costs, Taxes, and Deficits, and Harms Very Sick People

by Hans Bader on April 27, 2010 · 1 comment

in Deregulate to Stimulate, Economy, Employment, Health and Illness, Healthcare, Insurance, Legal, Nanny State, Personal Liberty, Politics as Usual, Precaution & Risk, Regulation, Sanctimony, Zeitgeist

“Billions of more documents” will be have to be filled out by small businesses for the IRS so that a “spendthrift Congress can shake a few extra bucks out of” them to pay for ObamaCare. They will have to spend countless hours to “gather information,” such as about the person they buy a used car from, and the mom-and-pop landlords who lease space to them, even if the small business has to spend more money gathering the information than the IRS will collect in taxes as a result.  (The new health care law will raise far more revenue by taking away medical tax-deductions from “15 million very sick people” with “major medical expenses” starting in 2013.)

The health care bill vastly expands the power of the IRS.  The Washington Examiner says that “16,500 more IRS agents” will be “needed to enforce Obamacare.”  That’s “the biggest expansion of the IRS since World War II.”

ObamaCare is also costing major employers who provide health coverage for retirees billions of dollars.  “When companies started reporting the write-downs they’d take as a result of the passage of ObamaCare,” congressional Democrats “reacted with outrage at the announcements, and scheduled hearings to demand answers . . . from AT&T, Caterpillar, Deere, and Verizon.”  But now, the massive costs of ObamaCare are so obvious and undeniable that even congressional Democrats have “admitted that CEOs who reported billions in losses due to ObamaCare were required to state those losses after all,” and that their “companies acted properly and in accordance with” federal “accounting standards.”

“Economic experts from President Obama’s own Health and Human Services Department have released a devastating report noting that Obamacare ‘will increase national health care spending by $311 billion from 2010-2019,’ according to the Associated Press. Even worse, ‘Medicare cuts may be unrealistic and unsustainable, driving about 15 percent of hospitals into the red and ‘possibly jeopardizing access’ to care for seniors.’”  This contradicts Obama’s claims that the health care law would “bend the cost curve down” and cut the cost of health insurance.

This report existed before Congress voted on the health care bill, but Obama’s HHS Secretary concealed it until after the bill’s passage.

“The administration’s own actuary reported on Thursday that millions of people could lose their health insurance, that health-care costs will rise faster than they would have if the law hadn’t passed, and that the overhaul will mean that people will have a harder and harder time finding physicians to see them.”

To try to offset and hide the increased cost of health care resulting from their ill-conceived health care law, the Obama administration and congressional leaders are now proposing a new bill to “impose price controls on insurance,” even though similar legislation is already backfiring in Massachusetts, where health care costs spiraled upwards after the state government adopted a prototype of ObamaCare several years ago, resulting in “explosive costs.”

The health care legislation backed by Obama contains many penny-wise, pound-foolish provisions.  It spends money on frills like “cultural competency,” while cutting spending on crucial things like anesthesia.

Fourteen attorneys general are challenging provisions of the new health care law in court.  Their lawsuits argue that forcing people to buy health insurance is not a valid exercise of Congress’s power to regulate interstate commerce.

The new law imposes many middle-class tax increases, such as taxes on uninsured individuals, on cosmetic surgery, on medical devices, and on certain health care plans.  It also increases taxes on many investors and imposes marriage penalties.

The new health care law will reduce lifesaving medical innovation, raise taxes, drive up insurance premiums, break many campaign promises, and increase state budget deficits.  It  will jeopardize the quality of medical care, while imposing restrictions that failed when tried at the state level.  It ignores advice from doctors and federal experts, and lessons from countries with universal health care, about how to keep costs down.

While the CBO deceptively scored the health care bill as not increasing the federal deficit, thanks to the many tax increases in the bill, it did so only because it was required to accept many accounting gimmicks that even pro-administration journalists have admitted conceal the bill’s enormous cost and the fact that it will massively increase the deficit.  The New York Times‘ David Brooks, once a staunch supporter of President Obama, recently said that the bill’s drafters were “corrupted by power” and called arguments for the law “unbelievable” and “insane.”  The Atlantic’s Megan McArdle, who also voted for Obama, wrote that the law “is a fiscal disaster waiting to happen.”

ObamaCare Will Raise Insurance Premiums and Health Care Costs, Perhaps Bankrupt Hospitals, Federal Officials Admit

by Hans Bader on April 26, 2010 · 3 comments

in Health and Illness, Healthcare, Insurance, Politics as Usual, Precaution & Risk, Regulation, Sanctimony

“Economic experts from President Obama’s own Health and Human Services Department have released a devastating report noting that Obamacare ‘will increase national health care spending by $311 billion from 2010-2019,’ according to the Associated Press. Even worse, ‘Medicare cuts may be unrealistic and unsustainable, driving about 15 percent of hospitals into the red and ‘possibly jeopardizing access’ to care for seniors.’”  This contradicts Obama’s claims that the health care law would “bend the cost curve down” and cut the cost of health insurance.  Starting in 2013, the health care legislation will also dramatically increase the taxes of “15 million very sick people” with “major medical expenses.”

“The administration’s own actuary reported on Thursday that millions of people could lose their health insurance, that health-care costs will rise faster than they would have if the law hadn’t passed, and that the overhaul will mean that people will have a harder and harder time finding physicians to see them.”

To try to offset and hide the increased cost of health care resulting from their ill-conceived health care law, the Obama administration and congressional leaders are now proposing a new bill to “impose price controls on insurance,” even though similar legislation is already backfiring in Massachusetts, where health care costs spiraled upwards after the state government adopted a prototype of ObamaCare several years ago, resulting in “explosive costs.”

The health care legislation backed by Obama contains many penny-wise, pound-foolish provisions.  It spends money on frills like “cultural competency,” while cutting spending on crucial things like anesthesia.

14 attorneys general are challenging provisions of the new health care law in court.  Their lawsuits argue that forcing people to buy health insurance is not a valid exercise of Congress’s power to regulate interstate commerce.

The new law imposes many middle-class tax increases, such as taxes on uninsured individuals, on cosmetic surgery, on medical devices, and on certain health care plans.  It also increases taxes on many investors and imposes marriage penalties.

The new health care law will reduce lifesaving medical innovation, raise taxes, drive up insurance premiums, break many campaign promises, and increase state budget deficits.  It  will jeopardize the quality of medical care, while imposing restrictions that failed when tried at the state level.  It ignores advice from doctors and federal experts, and lessons from countries with universal health care, about how to keep costs down.

While the CBO deceptively scored the health care bill as not increasing the federal deficit, thanks to the many tax increases in the bill, it did so only because it was required to accept many accounting gimmicks that even pro-administration journalists have admitted conceal the bill’s enormous cost and the fact that it will massively increase the deficit.  The New York Times‘ David Brooks, once a staunch supporter of President Obama, recently said that the bill’s drafters were “corrupted by power” and called arguments for the law “unbelievable” and “insane.”  The Atlantic’s Megan McArdle, who also voted for Obama, wrote that the law “is a fiscal disaster waiting to happen.”

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