November 14, 2012

“Beware: ObamaCare’s now reality”

Betsy McCaughey, New York Post:

President Obama’s re-election and Democratic gains in the US Senate end any possibility of repealing the Obama health law. It will roll out as written, imposing major changes soon on you and your family. If you are uninsured because you can’t afford it, help may be on the way. But if you are one of the 250 million Americans with coverage, there are big problems ahead.

If you get your health insurance through a job, you might lose it as of Jan. 1, 2014. That’s when the new “employer mandate” kicks in, requiring employers with 50 or more full-time workers to provide the government-designed health plan or pay a fine. The government plan is so expensive, it adds $1.79 per hour to the cost of a full-time employee. That’s incidental if you’re hiring neurosurgeons but a hefty increase for hiring busboys and sales clerks.

Currently, employers in retail and fast-food industries pay less than half that to cover their workers.To avoid thecostly mandate,some employers will push workers into part-time status. Other employers will opt for the fine. Either way, workers lose their on-the-job coverage.

Worse, they risk losing their jobs. […]

As many as a third of employers are considering canceling coverage, according to McKinsey & Co. management consultants. But that doesn’t mean you’ll be uninsured; you won’t have that choice.

When you file your taxes, you will have to show proof that you are enrolled in the one-size-fits-all plan approved by the federal government. It’s mandatory, starting Jan. 1, 2014, or the IRS will withhold your refund. If you’ve been going without insurance, or your employer drops coverage, your options will be enrolling in Medicaid (if you’re eligible) or buying a government-approved health plan on your state health exchange.

What’s an insurance exchange? It’s like a supermarket that only sells cereal. The exchange will sell only the government-designed plan. In most states, exchanges will be an 800 number, a Web site and a government office, like the DMV. […]

If you’re a senior or a baby boomer, expect less care than in the past. Cuts to future Medicare funding pay for more than half the Obama health law. Hospitals, for example, will have $247 billion less to care for same number of seniors than if the law had not passed. Hospitals will spread nurses thinner. California nurses already are striking over the increased workloads.

When Medicare cuts led hospitals to reduce nursing care in the past, elderly patients had a lower chance of surviving their stay and death rates from heart attacks rose, according to a report last year by the National Bureau of Economic Research.

For the first time in history, the federal government will control how doctors treat privately insured patients. Section 1311 of the law empowers the Secretary of Health and Human Services to standardize what doctors do. Even if you have a private plan from Cigna or Aetna and you paid for it yourself, the federal government will have some say over your doctors’ decisions, with an eye toward reducing health-care consumption.

If you sell your house and make a profit, you’ll likely be paying a new 3.8 percent tax on the gain. The law includes about half a trillion dollars in tax hikes, including a new 3.8 percent tax on gains from selling any asset, including your home, small business, stocks or bonds, effective Jan. 1, 2013. That’s on top of capital-gains taxes and applies to any profit that pushes your income over $200,000.

[…]  The Obama administration is adding federal workers at a rapid pace to churn out and enforce new rules. The government’s own projections say the cost of health-care administration — bureaucrats telling doctors and patients what to do — will soar from $29 billion when President Obama was first elected to $71 billion by 2020, some $40 billion dollars a year more in bureaucracy.

What a shame: That’s enough money to buy private health plans for fully half of all Americans who are now uninsured because they can’t afford it.

Here, because you knew it was coming:  what the fuck country is this again?

related“Doctor shortage could cause healthcare crash”.  Gee, ya think?

(h/t Mark Levin)

Posted by Jeff G. @ 9:25am

Comments (10)

  1. State nullification.

    It’s the only way.

  2. If you get your health insurance through a job, you might lose it as of Jan. 1, 2014.

    – The way companies will be forced to downsixe losing your health insurance may be secondary to losing your job. Forward

  3. Pingback: This, My Progressive Friends, is What You Voted For… | Andrew J. Patrick

  4. Doctor shortages will be a huge deal. People forget; no one has to become a doctor.

    I mean, who wants to work their ass off studying, while accumulating a ton of student debt. Only to have a bureaucrat say how to treat your patients, all the while getting paid less and less, and still being accused of being a fat-cat.

  5. Not a policy argument, but a tip for personal survival: the doctors who opt to retire early rather than put up with Leviathan’s shitshow are not going to forget their training overnight. Find out what kind of whisky your local newly-retired doctor likes. Play golf with him; make sure he wins sometimes. Invite him over for dinner sometimes.

    Then, when you need a medical opinion or some basic treatment, you’ll have a buddy who can help you, without paperwork entering into it. Even if you have something bad, your neighbor can probably help you get treatment before you drop dead of neglect.

    More and more of our economy is going off the books; medicine will be no different.

  6. People forget; no one has to become a doctor.

    They will under Obamacare. You think that monstrosity doesn’t have a provision to “recruit” doctors from the populace?

    And gymnasts. So that we can prove to the world that we’re still a force to be reckoned with.

  7. Di, they’ll recruit doctors the same way the Brits do.

  8. The medico establishment has had stealthy programs in place since long before Presbo took office.

    Wide-eyed, freshly minted docs with huge debt are told if they only sign here and work for a few years at the Indian Reservation or some other hell hole, most of their student debt will be forgiven.

    Never mind any networking or career building. Let alone keeping up on the latest techniques and newest procedures.

    We are Russia.

  9. Medicine is going to become just another one of those jobs Americans won’t do.

  10. I suspect a lot of medicine will eventually end up being automated though overseen by an expert and some techs.