The Republican claim that the Big Beautiful Bill's cuts to Medicaid coverage will be offset by enrollments in employer-provided health insurance is a bad joke

The enrollment rate in employer provided health insurance is down four points 2008-2021, from 54% to 48%.

Why?

Costs.

The average premium for a health insurance plan from an employer was 36% higher in 2021 than the inflation adjusted premium from 2008 should have been. The 2008 premium of $4,386 should have been $5,446 in 2021. Instead it was $7,380.

People can't afford this insurance.

Meanwhile their out of pocket cost for it increased 86% over the period, while their deductibles shot up 131%.

Government mandated health insurance, Obamacare, has been a disaster for workers who have voted with their feet against it because they can't afford it and benefit little from it, swelling Medicaid enrollments in desperation.

Republicans promised to fix this in 2017 and failed.

Now they're saying, Let Them Eat Cake.

 

 

 

 

Ha ha ha, the budget framework House Republicans were so proud of passing in late February will have to be completely reworked in the Republican Senate, reconciliation bill won't move until the end of July

... “Thune and others have said they don’t think it’s realistic we’ll move the finished product until the end of July,” a Republican senator said of Thune’s projected timeline for moving Trump’s agenda.

“Thune said he thought that the House’s timeline on this was totally unrealistic and that the House doesn’t have their ducks in a row, and their budget resolution has to be completely reworked, and this idea that we do it by April or May is just ridiculous,” the source said. ...

Senate Budget Committee Chair Lindsey Graham (R-S.C.) said last month that the House-passed budget needed “a major overhaul” before it could pass the Senate. ...

 

More. 

The major areas of disagreement include switching to the so-called current policy baseline to get the cost of the package to zero, a complete fantasy; choosing which tax cuts, most of which are ad hoc and targeted and not broad-based, to include in the package; cutting future deficits by $880 billion as the House says it wants without cutting Medicaid funding; and goosing defense spending by $175 billion.

 

Just minor details like that.

 

 

You'd think a 71-year old guy like RFK Jr would know something about Medicare Parts A, B, C, and D, but you would be wrong

He is not qualified, on top of being a lunatic.

 RFK Jr. stumbles over basics of Medicare, Medicaid during Senate confirmation hearings

When asked what Medicare Part A is for, Kennedy said it is “mainly for primary care or physicians.” Hassan clarified that it is coverage for seniors who receive inpatient care at hospitals. 

Kennedy, when asked what Medicare Part B is, said it is “for physicians and doctors.” Part B is coverage for a range of medical services such as doctor visits, outpatient care, home health, certain medical supplies and preventive services.

When asked what Medicare Part C is for, Kennedy called it “the full menu of all the services – A, B, C and D.” Hassan noted that Part C is also known as Medicare Advantage, which are privately run plans contracted by Medicare. Those plans serve as an alternative to traditional Medicare plans. 

Kennedy insisted that he “just explained the basics” of the program, but Hassan said she had to correct him on several things.

 

The orchestrated lawfare against Donald Trump is designed to make you forget Biden's five tyrannical anti-democratic COVID-19 vaccination orders

Not to mention to make you forget all Biden's other failures, starting with the fall of Kabul in August 2021.

This is the same political strategy used by Hillary and the Democrats after Trump's election, with their phony baloney plastic banana Trump-Russia hoax to hamstring Trump's tenure in office.

 

The five mandates were discussed here in April 2022:

Federal contractor mandate September 9, 2021 on all employees with no opt-out for testing or masking

Federal employee mandate September 9, 2021 on all employees with no opt-out for testing or masking

OSHA mandate November 4, 2021 on all employers of 100 or more COUNTRYWIDE to be vaccinated or tested weekly

Medicare/Medicaid provider mandate November 4, 2021 on all provider employees with no opt-out for testing or masking

Head Start mandate November 30, 2021 requiring vaccination of 300,000 employees at child care facilities AND masking of the children.

And let's not forget the vaccination mandates shoved down the throats of the US military and National Guard in August and November 2021. More than 8,000 service members who refused the jabs were forced out.

This is the real Joe Biden.

As much as I sympathize with this guy's tale of Obamacare woe, his timeline is pure fantasy

 The story is here:

My insurance was $185/month with a $1,000 deductible. That was for a family of 5. So I voted for Obama-Biden in 2008 based on Obamacare. ...  the cheapest insurance I could find to replace that one was $1,200 a month with a $6,000 deductible.

The guy had a great plan before Obama!

But Obamacare as he now thinks he knows it didn't even exist in 2008 for him to base his vote on it.

Obama was for something else, the public option, a government-funded health insurance plan designed to compete with private health insurance. That was also Nancy Pelosi's preference, and the preference of the US House Democrat left at the time.

The great fear was the public option would crowd out private insurance and defeat it because it would be more attractive to women and the chronically ill.

The House public option plan put forward in 2009 competed with the Senate plan, and the two proposals were at an impasse by the end of 2009. Eventually the Senate version prevailed in March of 2010.

The Senate plan was actually worse, what we now call Obamacare.

It dictated the much more expensive nature and new shape of all existing private insurance plans instead of providing a separate public option to compete with those already existing private insurance plans. It cost more to provide because it eliminated pre-existing condition exclusions, and treated men and women equally even though women's care is more costly.

It was fascism pure and simple, government dictating to the private sector what will be, and what will not be.

That's how you lost your old plan, your old doctor, and your money: Because Obama bowed to the Senate plan, instead of fighting for what he said he believed in.

If you were too poor, though, to qualify for Obamacare, you just got stuck with Medicaid, health insurance for the poor, and, failing that, with nothing at all.

The once heralded public option for everyone defaulted to Medicaid. Nearly 86 million are now stuck with that, and most are unaware of its clawback provisions.

Today only 21 million can afford Obamacare, and about 25 million non-elderly adults have bupkis, like the poor fella in the story had for ten years.

Meanwhile, 158 million have employer-provided health insurance, the cost of which climbs relentlessly. The average worker had to pay $549 a month in premiums for it in 2023.

Medicare provides coverage to about 66 million aged 65+, and costs nearly $175 a month in 2024.

The more things change, the more they stay the same.

 

 

 

Compromise spending bill passes US House 286-134 bringing fiscal year 2024 federal discretionary spending to $1.659 trillion through September

 WASHINGTON — The House voted 286-134 on Friday to pass a sweeping $1.2 trillion government funding bill, sending it to the Senate just hours before the deadline to prevent a shutdown. ...

The bill, released early Thursday, funds the departments of Homeland Security, State, Labor, Defense, Health and Human Services and various other agencies. Together with the $459 billion bill passed earlier this month, it fully funds the federal government to the tune of $1.659 trillion through September, after months of stopgap bills and negotiations.

More here.

The Roll Call Vote is here, if you want to check how your representative voted. 

The argument is perennially NOT about deficit spending, but deficit spending on WHAT. 

The projected tax shortfall for all programs for fiscal 2024 is $1.582 trillion, more than half of which will be net interest expense of $0.870 trillion on the exploding national debt. Interest payments on what we have already borrowed now exceed defense outlays of $0.822 trillion.

CBO in early February estimated fiscal 2024 discretionary spending at $1.739 trillion, so today's bill "saves" a mere $80 billion off that.

Mandatory spending on Social Security, Medicare, Medicaid, etc. is estimated at $3.908 trillion for fiscal 2024.

It's obvious that spending should be cut and taxes raised, but no one has the courage for either.

They should just agree to do both and let the chips fall where they may. Everyone out here will be pissed, vote accordingly, and it would be a wash politically.

Current national debt is $34.5612 trillion and rising.

83 million still on Medicaid

 Down from 94 million but up from 65 million before the pandemic.

Story.

As usual the media and the Democrats, but I repeat myself, are portraying the House Republican bill which lifts the debt ceiling by $1.5 trillion as a bill with "big spending cuts"

This is how NPR, who else?, frames the issue from the beginning:

The House of Representatives has narrowly approved a Republican bill to raise the debt limit. However, it ties the ability to raise that debt ceiling to big spending cuts. And this House bill rolls back several of President Biden's key policies.

The House Republican bill, now languishing in the Senate, rolls back spending levels to pre-COVID levels. That's not a spending cut. That's saying, as Biden himself says, the emergency is over.

If the emergency is over, the emergency spending should end, too.

Outlays in fiscal 2020 and 2021 ballooned because of the new pandemic spending. Deficits for just those two years soared to almost $6 trillion. Republicans seek to roll that spending back. Democrats want that spending to form the new baseline. If Democrats succeed, Katy bar the door. The national debt will absolutely explode.

NPR knows this. It just chooses to hide the facts about it all, how the pandemic spending created these massive deficits, and how that spending which flooded the economy with money contributed to the new inflation:

So it raises the debt limit by $1.5 trillion or through March of 2024, whichever comes first. It also sets spending levels for federal programs to those that were in place two years ago. It limits the growth of spending going forward to 1% annually. But as you said, it also targets a list of the president's policies. It repeals the president's student loan forgiveness program, which is tied up in the courts. It claws back unspent COVID relief money and rolls back key energy provisions that were in the Inflation Reduction Act. It also puts in place new work requirements for adults without children who receive federal assistance like food stamps or Medicaid.

Meanwhile The Grauniad can't decide whether record STDs constitute a crisis which is serious or waning

While neglected, the STI crisis presents a serious public health problem. ...

But Harvey warns that a coordinated effort by national health agencies such as the Centers for Disease Control and Prevention, the National Institutes of Health and Centers for Medicare and Medicaid Services is needed to combat the waning STI crisis.

Here.

You can always count on THE GRAUNIAD to be clear as mud.

Spending in 2020 on Social Security, Medicare and Medicaid to hit $2.19 trillion

[S]pending on the “big three”—Social Security ($1.1 trillion), Medicare ($679 billion) and Medicaid ($418 billon)—will be approximately $2.19 trillion in 2020, nearly three times more than defense spending ($738 billion).

Story.

Atlantic article totally soft-peddles how Obamacare's architects made millions vulnerable to estate recovery under Medicaid

The only reason Obamacare can be called successful reasonably is that it threw millions onto Medicaid, except that what is spent on you in life for your healthcare under Medicaid ends up coming out of what's left of what you owned after you die, if anything, including from the sale of your house, and even from the sale of granny's hand-me-down quilts.

America's first black president, Bill Clinton, signed estate recovery into law, and the second one then sold that bill of goods to millions of America's uninsured poor. He just bought himself a $15 million mansion to celebrate. 

Medicaid’s Dark Secret:

For many participants, the program that provides health care to millions of low-income Americans isn’t free. It’s a loan. And the government expects to be repaid. ...

One lawyer in Tennessee recalled a case in which a woman went to her late mother’s Medicaid auction to buy back quilts that had been passed down for generations. ...

One of the few times estate recovery has made headlines was earlier this decade, during the rollout of the Obama administration’s Medicaid expansion. As more Americans considered Medicaid as a health-insurance option, more came across the fine print. At least three states passed legislation to scale back their recovery policies after public outcry.

Obama stole neo-liberal healthcare mandate from Hillary, who stole it from "conservative" Heritage Foundation

There is no difference between forcing you to buy health insurance and taking your money to pay for Medicaid and Medicare.

Everyone is for tyranny.

Police find many more infant bodies in another Detroit funeral home as scandal expands

This story is the macabre bookend to the grisly Kermit Gosnell infanticide case in Philly.

63 remains of fetuses removed from Perry Funeral Home in Detroit:

[T]wo attorneys said they believe many more infants’ remains may be found in the improper possession of the Perry Funeral Home, perhaps as many as 200, based on their research of log books kept by the Wayne State University School of Mortuary Science. The funeral home routinely deposited infant remains at the WSU school’s morgue, then failed to follow up with parents’ wishes for the remains to be used in research by the WSU School of Medicine, they said.

“I’m really wondering where all the rest of them are,” Cieslak said late Friday. The lawsuit filed by the two charges that Perry may have fraudulently billed Medicaid, as well as the Detroit Medical Center, for burials it never performed. The lawyers said they can’t estimate how much money might be involved, “but it must be significant,” Parks said.

"We already have people calling us, after seeing the news, saying 'this happened to me,'" he said.

Tucker Carlson says there's nothing free about this market, falls short of calling it an expression of global fascism

But who knows, maybe his forthcoming book connects the dots between the multinational corporations and their revolving door governments, and the central banking system which mediates the operation.

Here:

TUCKER CARLSON, FOX NEWS: 

Jeff Bezos, the founder of Amazon, is worth about $150 billion. That’s enough to make him the richest man in the world, by far, and possibly the richest person in human history. It’s certainly enough to pay his employees well. But he doesn’t. A huge number of Amazon workers are so poorly paid, they qualify for federal welfare benefits. According to data from the nonprofit group New Food Economy, nearly one in three Amazon employees in Arizona, for example, was on food stamps last year. Jeff Bezos isn’t paying his workers enough to eat, so you made up the difference with your tax dollars. Next time you see Bezos, make sure he says thank you.

Same with the Waltons. The Walton family founded Walmart. Collectively they’re worth about $175 billion. That’s more than the entire gross domestic product of Qatar, the oil-rich Gulf state. The Waltons could certainly afford to be generous with their workers. Instead, they count on you to take up the slack. In 2013, taxpayers sent more than $6 billion to Walmart’s workers, for food stamps, Medicaid, and housing assistance.

And if you think that’s shocking, meet Travis Kalanick. He’s the youthful founder of Uber. His personal fortune is close to $5 billion. His drivers, by contrast, often make less than minimum wage. One recent study showed that many Uber drivers lose money working for the company. That’s not a sustainable business model. The only reason it continues is because of your generosity. Because you’re paying the welfare benefits for Uber’s impoverished drivers, child billionaires like Travis get to keep buying bigger houses and more airplanes. He’s someone else who definitely owes you a thank you note.

If you can think of a less fair system than that, send us an email. We’d love to hear it. It’s indefensible. Yet almost nobody ever complains about it. How come? Conservatives, like us, support the free market, and for good reason. Free markets work. But there’s nothing free about this market. A lot of these companies operate as monopolies. They hate markets. They use government regulation to crush competition. There’s nothing conservative about that, just as there’s nothing conservative about most big corporations. Just the opposite. They’re the backbone of the left. Pick a leftwing cause that you think is hurting the country. Check the donor list, and you’ll find the name of some corporation. Often many corporations. Corporate America enables the progressive lunacy you see every night on this show. They’re funding the revolution now in progress.

That’s why liberals say nothing as oligarchs amass billions by soaking the middle class. Because they’ve been paid off. For example, you probably assumed the people who founded Walmart were conservative. Most of their customers certainly are. Yet the bulk of the Walton family backed Hillary Clinton in the last election. They gave the Democratic Party more than $700,000 during the 2016 cycle. Almost every billionaire in Silicon Valley did the same. In return, they got immunity from criticism, and you got to keep paying their employees. Not a bad deal for them.

There is one person in Washington who’s offended by this arrangement, and we’re sorry to say he’s wrong on pretty much everything else. But this is a weird moment, so you take allies where you can find them. Bernie Sanders, of all people, is trying to get your money back from Jeff Bezos. This is especially amazing since Bezos is on Bernie’s side on most things. They’re both leftwing activists. But on this question, Bernie’s right. He’s planning legislation that would force big corporations to return the taxpayer-funded welfare benefits you’ve paid to their workers. It’s not a perfect solution, and it probably won’t pass. No matter what they claim in public, liberals in Congress would never support something like that. Their loyalty isn’t to you. It’s to Uber and Jeff Bezos. But at the very least it might awaken a sleepy population to the new reality of activist corporate America. And that’s a good thing.

America has changed enormously in the last 20 years. A lot of people you thought were your allies are in fact working against your interests. They have contempt for you and your family, your customs and your faith. Included in this group, I’m sorry to say, are a lot of big corporations. They have no use for you or the country you grew up in. Stand in their way, and they’ll crush you. It’s all shocking enough that I recently wrote a book about it. It’s called “Ship of Fools,” and it explains what happened and who did it. The book is out in a month, the first week of October, but you can preorder a copy now, and I hope you will.

47% of legal aliens in US receive at least one form of public welfare, compared with 32% of the native born

Mostly in the form of Medicaid.

The story is here.

Peter Morici: Republican opposition to regulating prices will bring Medicaid-like single payer to USA

Here.

Jack Lew, who presided over an 87% increase in the national debt as Treasury Secretary, is suddenly worried about the debt implications of tax reform

From the election of Obama in 2008 until the election of Trump in 2016, $9.2 trillion were added to the total public debt. We've gone from $10.6 trillion in the hole to $19.8 trillion over the period.

Yet now we hear from Jack Lew in The New York Times here that

"digging a deep hole of debt by cutting taxes will make it harder to pay for other priorities. And when that debt makes deficits skyrocket in the future, policy makers would have to choose between raising taxes and cutting investments and vital benefits. ... Some Republican policy makers suggest they may reject mainstream approaches and assume positive economic effects that go far beyond those normally projected by the budget office and the tax committee. ... Such a reckless move would almost surely produce an explosion of debt."

Actually, the Obama Administration dug a deep hole of debt right off the bat by spending money it didn't have, tacking on $600 billion of spending to Bush's last fiscal year, and then regularizing the increase by avoiding the budget process in favor of continuing resolutions, the Congress' new bipartisan method of fleecing the American people. Deficits skyrocketed contemporaneously, and then Democrat policy makers recklessly passed Obamacare with its spendthrift Medicaid expansion. They didn't have to choose between anything.

The only people more full of horseshit than the Republicans are the Democrat engineers of the Obama economic catastrophe.

Chris Jacobs for The Federalist favors the status quo on Medicaid in exchange for Obamacare repeal

It's uncanny how similar Chris Jacobs' overarching point is to the one we expressed here in June when we said that the status quo ante Obamacare was not the way forward, and that the way forward involves getting a buy-in from moderates and liberals on reform, but not repeal, of the Medicaid expansion in exchange for repeal of Obamacare root and branch.

The difference is in solving the funding problem. Jacobs admits his plan precludes "repealing all of Obamacare’s tax increases." Our idea doesn't, in exchange for a broadly based Medicaid payroll tax to democratize the costs. 50 million participants in the small group and individual markets are bearing the burden of funding "health insurance" for the poor, i.e. Medicaid, through grossly more expensive premiums and deductibles than before Obamacare.

As others have observed, the growth of the uninsured post-Obamacare is in this group because they can't afford it anymore.

The way forward is a compromise which keeps the Medicaid expansion, funds it fairly, retains state control of the program (federalism) just as now, and repeals Obamacare. 

Jacobs, here:

In both the House and the Senate, debate focused on a push-pull between two competing issues: The status of Medicaid expansion in the 31 states that accepted it, and what to do about Obamacare’s regulatory regime. During the spring and summer, congressional leaders attempted messy compromises on each issue, phasing out the higher federal match for Medicaid expansion populations over time, while crafting complex processes allowing states, insurers, or both to waive some—but not all—of Obamacare’s regulatory requirements.

But rather than constructing substantively cumbersome waiver arrangements—the legislative equivalent of a camel being a horse written by committee—Occam’s Razor suggests a simpler, cleaner solution: Preserving the status quo (i.e., the enhanced federal match) on Medicaid expansion in exchange for full repeal of Obamacare’s insurance regulations at the federal level.

A “grand bargain” in this vein would give Senate moderates a clear win on Medicaid expansion, while providing conservatives their desired outcome on Obamacare’s regulations. 

Medicaid enrollment increases, the number with private coverage decreases

“The danger is that the previously insured are now at risk of becoming the new uninsured,” reports Jarrett Stepman for The Daily Signal.

Do nothing US House begins 5-week vacation after Senate Obamacare repeal failure

Republican Speaker of the House John Boehner once infamously said that Democrat President Obama had the right to set the agenda. But now that we have a Republican president, Republican Speaker Paul Ryan doesn't see it that way.

Slow-walking Trump's agenda isn't just a Democrat goal, it's an establishment goal. Republicans don't want to see it implemented anymore than the Democrats do, which is why Paul Ryan sabotaged Obamacare repeal in the Senate and promptly adjourned. His reassurances that the House wouldn't simply pass what the Senate passed supposedly were not good enough for John McCain.

But John McCain, who everyone knows is going to promptly die anyway, simply took one for the team. "Gee, what a guy. We get to run for reelection saying we voted for repeal and the dopes will believe us". 

Remember the agenda below from Trump? Seven months already have been blown on item 5, yet without success. Election 2018 is just 15 months away, and really 14 because August is a fait accompli. The prospects for getting nothing done by then of what Trump wants accomplished look better and better by the day, and that's just the way the establishment wants it.

   

Next, I will work with Congress to introduce the following broader legislative measures and fight for their passage within the first 100 days of my Administration:

1. Middle Class Tax Relief And Simplification Act.

An economic plan designed to grow the economy 4% per year and create at least 25 million new jobs through massive tax reduction and simplification, in combination with trade reform, regulatory relief, and lifting the restrictions on American energy. The largest tax reductions are for the middle class. A middle-class family with 2 children will get a 35% tax cut. The current number of brackets will be reduced from 7 to 3, and tax forms will likewise be greatly simplified. The business rate will be lowered from 35 to 15 percent, and the trillions of dollars of American corporate money overseas can now be brought back at a 10 percent rate.

2. End The Offshoring Act.

Establishes tariffs to discourage companies from laying off their workers in order to relocate in other countries and ship their products back to the U.S. tax-free.

3. American Energy & Infrastructure Act.

Leverages public-private partnerships, and private investments through tax incentives, to spur $1 trillion in infrastructure investment over 10 years. It is revenue neutral.

4. School Choice And Education Opportunity Act.

Redirects education dollars to give parents the right to send their kid to the public, private, charter, magnet, religious or home school of their choice. Ends common core, brings education supervision to local communities. It expands vocational and technical education, and make 2 and 4-year college more affordable.

5. Repeal and Replace Obamacare Act.

Fully repeals Obamacare and replaces it with Health Savings Accounts, the ability to purchase health insurance across state lines, and lets states manage Medicaid funds. Reforms will also include cutting the red tape at the FDA: there are over 4,000 drugs awaiting approval, and we especially want to speed the approval of life-saving medications.

6. Affordable Childcare and Eldercare Act.

Allows Americans to deduct childcare and elder care from their taxes, incentivizes employers to provide on-side childcare services, and creates tax-free Dependent Care Savings Accounts for both young and elderly dependents, with matching contributions for low-income families.

7. End Illegal Immigration Act.

Fully-funds the construction of a wall on our southern border with the full understanding that the country Mexico will be reimbursing the United States for the full cost of such wall; establishes a 2-year mandatory minimum federal prison sentence for illegally re-entering the U.S. after a previous deportation, and a 5-year mandatory minimum for illegally re-entering for those with felony convictions, multiple misdemeanor convictions or two or more prior deportations; also reforms visa rules to enhance penalties for overstaying and to ensure open jobs are offered to American workers first.

8. Restoring Community Safety Act.

Reduces surging crime, drugs and violence by creating a Task Force On Violent Crime and increasing funding for programs that train and assist local police; increases resources for federal law enforcement agencies and federal prosecutors to dismantle criminal gangs and put violent offenders behind bars.

9. Restoring National Security Act.

Rebuilds our military by eliminating the defense sequester and expanding military investment; provides Veterans with the ability to receive public VA treatment or attend the private doctor of their choice; protects our vital infrastructure from cyber-attack; establishes new screening procedures for immigration to ensure those who are admitted to our country support our people and our values.

10. Clean up Corruption in Washington Act.

Enacts new ethics reforms to Drain the Swamp and reduce the corrupting influence of special interests on our politics.

On November 8th, Americans will be voting for this 100-day plan to restore prosperity to our economy, security to our communities, and honesty to our government.



This is my pledge to you.