September 20, 2013
This is what Democrats would have you believe and, given the GOP’srecent obstructionist history, it would not be a stretch. However, there is an alternative scenario that bears fair consideration.
Not defund, as the House voted to do Friday, but delay.
Democrats and President Obama see delay as just another maneuver to upend Obamacare. “Extort” is the word Obama recently used. But let’s step back a moment andexamine some of the reasoning. Sometimes even partisans are right.
Topping the list is the fact that the Affordable Care Act (ACA) is becomingincreasingly unpopular. Only 39 percent of Americans currently favor the health-care program, compared with 51 percent in January, according to a recent CNN/ORC International poll.
Some of the reasons:
●Many companies are cutting worker hours to below the threshold (30 hours) at which they’re required to comply with Obamacare. (SeaWorld is cutting hours for thousands of workers.)
●Others are cutting workers completely to avoid compliance or to reduce costs associated with the expanded coverage. (The Cleveland Clinic cited Obamacare as one reason for offering early retirement to 3,000 workers and hinting at future layoffs.)
●Many young people, unemployed or earning little, will have trouble payingpremiums once open enrollment for health insurance exchanges begins Oct. 1. Even discounts won’t be enough for some, who then will face fines or have to turn to parents who face their own insurance challenges.List-price premiums for a 40-year-old buying a mid-range plan will average close to $330 per month, according to a recent Avalere Health study. For someone who is 60, premiums will run about $615 a month. Forget retirement.
One of the most popular aspects of Obamacare has been that children canremain on their parents’ policy until they’re 26, but there’s nothingmagical about 27 if you don’t have a job, are still in school or areotherwise dependent. Expect many under-30s to decline to buy insurance,whereupon America’s youth will be under the thumb of the InternalRevenue Service. Remember, the Supreme Court ruled that the individualmandate to purchase insurance is a tax.
The other most-popularitem was the requirement that preexisting conditions not precludeinsurance coverage. Under a proposed alternative plan unveiled recentlyby the Republican Study Committee — the American Health Care Reform Act (H.R. 3121) — this provision would be protected and funded through state-based, high-risk pools and other reform measures.
The biggest concern across all demographics is the likely effect on thelarger economy. What happens when so many people lose hours and workand, therefore, income?
Larger employers, for example, have been given a one-year reprieve on finesfor leaving workers uncovered. No such grace for individual citizens.The incentives to cut employees and hours prompted three powerful former supporters to write a strong letter of dissent to Democratic leaders.The letter writers, saying the ACA would destroy the backbone of the American middle class and “the very health and wellbeing of our members along with millionsof other hardworking Americans,” also lamented the falsehood that employees could keep the insurance they like. This is obviously not true, despite Obama’s repeated assurances to the contrary.
Finally, in a tweak not likely to inspire admiration, the president is offering Congress a break other Americans won’t get. Obamacare requires congressional leaders and staff to enter the exchanges like everyone else, but Obama has offered a special dispensation to soften the blow. Their employer — you — will pay part of the premium, a compensatory option not offered to non-federal employers and their befuddled, underemployed staffs.
Delay may feel like one more Republican strategy, but that doesn’t necessarily make it unwise. If we can delay sending cruise missiles to Syria pending a better solution, perhaps there’s some sense to delaying ahealth-care overhaul that creates unacceptable collateral damage tocitizens and that is not quite ready for public consumption.
Inthe long run, delay might benefit Obama, especially if it averts arevolt once citizens fully absorb the expensive realities of Obamacareand promises not kept. He has already demonstrated that he iscomfortable with waiting when risks are disproportionate to theoreticalgains.