Fix Health Care Policy

The pending health care legislation would cover the uninsured mainly by dumping most of them into the federal/state Medicaid program. Not surprisingly, many states have objected to the additional costs that such a Medicaid expansion would impose on their taxpayers. Indeed, that was the motivation behind the infamous “Cornhusker Kickback” in the Senate bill, under which the Federal government would pick up all of Nebraska’s Medicaid expansion costs in perpetuity.

In response to complaints from governors and state lawmakers, coupled with public outrage over the “Cornhusker Kickback,” section 1201 of Speaker Pelosi’s reconciliation bill amends the Senate bill to have the federal government cover all of the extra Medicaid benefit costs for all states in the first three years (2014-2016) with the federal share then declining so that from 2020 onward the Federal government would pay 90 percent of the costs with state taxpayers covering the remaining 10 percent. (more…)

Tags: Cornhusker Kickback, House reconciliation bill, House Speaker Nancy Pelosi, Medicaid, Senate Health Bill

America stands on the precipice of sweeping liberal health care reform that will radically reshape one-sixth of the U.S. economy, and a 153-page House bill is all that stands between us and a fundamentally changed America.

What will that change look like? Speaker Nancy Pelosi (D-CA) said, “we have to pass the bill so that you can find out what is in it,” and President Barack Obama said, “By the time the vote has taken place, not only will I know what’s in it, you’ll know what’s in it.”

In other words, here’s a ticket to ride, get on board, we can’t tell you where it’s going, but you’ll like it once you get there. We promise.

A picture of America’s future under Obamacare can be revealed, though, after peeling away the pages and digging through the dirt. Here’s 10 things you can expect:

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Tags: higher health care costs, House reconciliation bill, investment income tax, job killer, more taxes, Senate Health Bill, taxpayer-funded abortions, unconstitutional mandates

It takes investment to get sustainable economic growth. We can’t spend our way to growth. We have to save some of the stuff we make today and use it to create new, higher value, tomorrow. If we produce and consume it all, then our economy lives “hand-to-mouth” and we do not grow.

Investing is risky. There is no guarantee that the investment will pay off. Investors weigh many possible scenarios when determining whether or not to make an investment. If the expected return on an investment does not meet an investor’s next best opportunity for his cash, he will forgo that investment.

The expected rate of return compared is the after-tax rate of return. The higher the tax on returns, the more investments will be foregone. So why is Congress trying to discourage investment at a time when the economy desperately needs investment to start growing again?

Because in order to get a deficit neutral score from CBO the legislators needed to find more ways to squeeze revenue from taxpayers. Unfortunately increasing taxes from things that produce economic growth will cause the deficit to increase in a dynamic economy. Slower economic growth will result in fewer jobs and less tax revenue. (more…)

Tags: deficits, House reconciliation bill, Medicare investment income tax, Senate Health Bill

While the House reconciliation bill keeps many of the Senate provisions that will already slow economic growth, the reconciliation bill goes even farther in punishing employers who do not offer sufficient health care. These penalties will slow employment growth and given employers a disincentive to hire anyone who purchases subsidized health care.

Punishing Businesses That Hire Low-Income Workers
Businesses that already offer insurance can be affected by the reconciliation bill. Even if the employer does provide health insurance, if any employees qualify for, and accept, a premium subsidy on the basis of their family size and family income, the employer will have to pay a penalty of $3,000 per year for each qualifying employee. Even more businesses are in danger of this penalty since the reconciliation bill ups the subsidy amount, meaning that more workers could take it. This penalty depends not on how much that employer pays, (more…)

Tags: employer mandate penalty, House reconciliation bill, job killer, low-income workers, ObamaCare

In their feverish effort to enact the Senate health bill, the House leadership recently released their 153 page bill to fix the underlying 2,409 page Senate legislation through the budget reconciliation process. As a matter of health policy, there is little that is substantively different between the Senate bill and this “fix it” bill. A closer look at the fine print shows that the latest version would only make the massive and unpopular Senate health bill even worse.

Based on a preliminary review of the key provisions, taxpayers should be aware of the following features of the legislation.

More Spending

– The House reconciliation bill increases taxpayer subsidies and lowers cost sharing for individuals receiving a federal subsidy to buy health coverage. This change adds to the overall cost of the bill, while depending on unproven savings and tax hikes to pay for it.

– Instead of removing special deals, the bill extends additional federal funding to all states for Medicaid. This “fix” is supposed to replace the scandalous requirement that federal taxpayers fund the Nebraska Medicaid expansion. In both case, however, the burden is back on the backs of federal taxpayers. (more…)

Tags: Cadillac tax, federal bureaucracy, House reconciliation bill, individual mandate penalty, job killer, Medicaid Expansion, Medicare cuts, Medicare investment income tax, more spending, Senate Health Bill, taxpayer-funded abortions