Reflections on reading Obamacare HR3200
I am slogging my way through HR3200 to see for myself what is actually being proposed. So far, I'd say that many of the scarier viral e-mails are distortions of what the bill says, though I believe the bill has the potential to be far worse for what it doesn't clearly say.
1. Repeatedly, at critical points in the description of the organization, benefits, payments schedules, enforcement, data collection, taxes, and penalties etc., the bill fails to define specifically what they intend, but instead authorizes the Secretary of Human Services and the Commissioner of Health Care Choices to use their discretion. The concentration of power in the hands of these two individuals can easily lead to political chicanery, incompetence, bottlenecks, and graft.
2. Most Americans will hardly see a difference between what they have today and what they will get under Obamacare. The minimum standard healthcare that is being legislated is already being covered by private insurance. Indeed, once the "minimum" insurance is covered, anyone can buy supplemental insurance that will not be affected by this bill. This exception is an important safety valve...it still allows most Americans to get the healthcare they want over-and-above the government mandated care that is required.
3. Some Americans, however, will lose their jobs because of the new mandates. The cost of employing anyone, regardless of whether or not they are full time or part time workers, will now include mandatory minimum insurance, or alternate mandatory minimum tax levies based on a percentage of payroll (there are some mitigating credits, as well as some exclusions for very small businesses). Since the low skill/low wage workers are often marginal performers, it is virtually certain a significant percentage of them will no longer be worth employing, thus exacerbating our nation's unemployment problem.
4. The creation of a new government run health insurance option, modeled partially on Medicare and partially on private insurance, is supposed to help introduce competition to the marketplace. However, I have not found any mandate that the government system be self-funding. If this is true, then the government system could, conceivably, undercut private insurance carriers, not because the government is "non-profit" and more efficient, but because the true costs would be covered by the U.S. Treasury.
I will keep slogging through. I can't wait to see what happens at the end-of-life.




















