The “You can keep your doctor” joke for the Affordable Care Act (ACA) went flat in a hurry; the “affordable” seems destined to be with us a while. Those old enough to care, noted that he popular and growing Medicare Advantage plans for seniors (the HMO part of Medicare) suffered billions in funding cuts to finance Obamacare.
Obamacare you recall, was about insuring the 20 million or 40 million who have been uninsured (depending upon whose numbers you choose). The newly insured involved have already refused or been unable to pay for that, so obviously, the rest of us will pay. In addition to paying for our own insurance, of course.
But that’s not all: The coverage we’ve all been paying for ourselves and our families is too parsimonious for our generous government; ACA coverage is more generous than we have been buying for ourselves. It covers birth control and abortion to the discomfort of the churches as we’ve been hearing. It includes sex changes and other currently politically fashionable goodies, too. All of which we have not been paying for and now, we will. Not necessarily for ourselves, but for those 20 or 40 million newly covered that haven’t been paying.
Obamacare then, is at bottom, a wealth transfer from those working to those who haven’t been willing to buy healthcare insurance. All know by now that it includes large tax increases of various sorts, to cover these newbies. Those of suspicious nature have noted the gradual changes in the Congressiional Budget Office estimates of Obamacare’s impact on the deficit, which have been growing recently. Some of the more Liberal have been denying that. Their denial is now more difficult; our local paper recently published an Associated Press story under the headline: “Medicare Advantage Plans May See Cuts.” The White House per the report, plans to carve still more out of the seniors to cover the Obamacare deficit. Nobody commented. Well, a few Tea Party columnists commented by that’s as close as you can get these days, to nobody.
So, adding up the bits of information, Obamacare is a massive wealth transfer from the old folks who need medical care more than the rest of us, to those who have refused to buy insurance because they didn’t need or couldn’t afford it. Given the average ages of those uninsured, most likely didn’t need it. It hasn’t been cheap, even before Obamacare. And the really poor have had Medicaid all along.
The calculation seems simple; dump seniors whose votes the Dems probably haven’t been receiving anyway, in trade for younger folk whose votes are up for grabs. Never mind that there aren’t enough medical personnel to service all these new beneficiaries; they haven’t been big users anyway. Never mind that senior life expectancy may shrink; seniors aren’t economically productive. A brilliant move! (If they can figure out how to make it work.)