medical costs

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.”

“Would ObamaCare Kill Medical Innovation?”  That’s the question posed by health care expert Michael Cannon.  His answer is yes:  “President Obama’s health plan would likely reduce such innovation, to the detriment of the entire world.”

Other experts agree.  Harvard Medical School’s Dean said the health care bills backed by Obama would reduce “our capacity to innovate and develop new therapies” that save lives.

England’s government-run NHS health care system results in “10,000 unnecessary cancer deaths” every year.  “Hundreds of patients died needlessly at an NHS hospital due to appalling care.”

That is just the tip of the iceberg in what ObamaCare will cost our society.  It would also raise taxes, deficits, and medical costs.

As I noted earlier, the Senate recently voted 60-to-39, along party lines, to press towards passage of a massive health care bill, blocking a Republican filibuster.

Afterward, however, the bill drew criticism even from moderate Democrats who usually support the Obama administration, which backs the bill.  Veteran Washington Post editorialist David Broder called the bill a “budget buster in the making,” saying it will violate President Obama’s “pledge that health insurance reform will not add to our federal budget deficit over the next decade.”  He pleaded with the Obama administration and Congress not to “pass along unfunded programs to our children and grandchildren.”

In the Examiner, a Democrat who backed Obama in 2008 criticized the administration for backing a health care bill that violates Obama’s campaign promises by raising taxes on the middle class, citing the bill’s many tax increases, such as its tax on uninsured people and taxes on cosmetic surgery and other medical procedures.

Earlier, Tennessee Governor Phil Bredesen (D) criticized ObamaCare for driving up state spending and budget deficits, calling it “the mother of all unfunded mandates.”

Washington Post columnist Robert Samuelson today called ObamaCare a generational rip-off.  Earlier, he noted that the health care bill is “hypocritical” and “dishonest” and aggravates the worst features of the “status quo.”

In the Senate, all Democrats voted for the bill.  But many received payoffs for doing so.  And there really are no “moderate” Democrats left in the Senate: most of its so-called “moderate” Democrats are not moderate or conservative on anything except on a handful of social issues needed to survive in a “red state,” like gun control.  No Senate Democrat today deviates from the liberal party line as often as the moderate Democrats who once served in the Senate, like Senators Alan Dixon of Illinois and J. James Exon of Nebraska.

As I noted on Saturday, Senate Majority Leader Harry Reid (D-Nev.) lined up the 60 votes through payoffs to wavering Senators and powerful unions (some mismanaged unions will receive a taxpayer bailout of their health plans, to the tune of up to $10 billion).

The Dean of Harvard Medical School recently gave Obama’s health care plan a “failing grade,” saying it will harm America’s health and finances, and hamper medical innovations needed to save patients’ lives.  Dean Jeffrey S. Flier wrote in The Wall Street Journal that along “with dozens of health-care leaders and economists,” he had concluded that the bill “will markedly accelerate national health-care spending,” would harm care “by overregulating the health-care system in the service of special interests such as insurance companies,” and would reduce “our capacity to innovate and develop new therapies” that save lives.

Other experts agree.  The health care “reform” bill backed by President Obama “would reduce senior care,” increase “medical costs,”  and “could jeopardize access to care for millions,” report health care experts at the federal Centers for Medicare and Medicaid Services.  The House recently passed a similar bill by the razor-thin margin of 220 to 215.

The bill will raise taxes on the middle class.  It will increase taxes on individuals, employers, and hospitals, impose new taxes on medical devices and cosmetic surgery, and levy a 40% tax on health-care plans above $8,500.  It will increase the deficit, drive up state government spending, and cost taxpayers at least twice as much as predicted.  It is one of the most expensive bills of all time.

It contains special-interest pork, such as payoffs for trial lawyers, and racial preferences that drew criticism from the U.S. Commission on Civil Rights. The bill restricts national competition in health insurance, which is permitted in countries with cheaper health care.

ObamaCare spends money on frills like “cultural competency,” while cutting spending on crucial things like anesthesia.

“ObamaCare is all about rationing,” and tax increases, says one of Obama’s own economic advisers, Martin Feldstein.

Fact-checkers say Obama is lying about health care. Obama often contradicts himself. In the very same speech, Obama claimed that Medicare is “unsustainable” and “running out of money,” then contradicted himself by claiming that “Medicare is a government program that works really well,” making it a model for national health care.

CNN noted that Obama’s plan would take away “5 freedoms,” contradicting Obama’s claim that the bill will leave you free to choose your doctor and keep your health care plan without government interference.

The bill does nothing to curb massive waste and fraud in existing government health care systems like Medicare and Medicaid, even though it proposes to make massive cuts in Medicare (cuts so painful that most of them will never happen: year after year, Congress waives “the annual cut in fees paid by Medicare to physicians” mandated by an earlier law.  The cuts were added to the bill only to reduce its apparent cost.  As economist and former Congressional Budget Office director Douglas Holtz-Eakin notes in The Wall Street Journal, the promised cuts to pay for ObamaCare will not happen: “Senate Democrats chose to ignore this reality and rely on the promise of a cut to make their bill add up. Taking note of this fact . . . destroys any pretense of budget balance.”)

Backers of ObamaCare have refused to cut medical costs through malpractice reform, with Senate Majority Leader Harry Reid saying that such reforms would save “only” $54 billion.  The Pacific Research Institute estimates that just one type of cost that could be reduced through malpractice-lawsuit reform — defensive medicine — costs around $200 billion annually (which is almost as much as France spends annually on health care for all of its citizens; like most countries, France has no punitive damages, and fewer lawsuits against doctors).

One reform opposed by the Democrats — setting up specialized health tribunals to hear malpractice cases — would be particularly helpful. Replacing uninformed juries with specialized health courts would provide more consistent rulings from case to case, eliminate meritless cases, reduce defensive medicine, and more speedily compensate injured people who truly are victimized by doctors’ carelessness. Such tribunals already exist in countries like “Sweden, Denmark, Finland, Iceland and New Zealand.”

Martin Feldstein, one of Obama’s own advisors, has said that Obama’s health care plan would explode the federal budget deficit and lead to “crippling deficits,” as well as “higher taxes, debt payments, and interest rates” that would cut America’s standard of living. Feldstein also noted that Obama’s health care plan would harm people with insurance, and predicted that it would lead to massive tax increases. Other analysts have predicted that it will drive up medical costs and inflation.

Obama has relied on $2 trillion in imaginary savings to pay for healthcare “reform.”

CEI’s champion of letter-writing, Alex Nowrasteh, has a letter to the editor in the Wall Street Journal today advocating removing the cap on H-1B visas to encourage more doctors to practice in the U.S.  As Alex points out:

In 2005, a paltry 7,218 medical and health-care professionals earned H-1B visas, while many were denied. A cap on the number of doctors and medical professionals entering the U.S. discourages health-care access and raises costs. The H-1B visa cap should be removed along with other barriers to the migration of foreign-born doctors and medical professionals. Training more American doctors is important for tomorrow, but looking abroad can help lower medical costs and improve access today.

Also worth noting is the succinct letter following Alex’s by Harry Deloidian:

Convert all law schools to medical schools. That would solve more than one problem.