Medicaid enrollment, healthcare for the poor, has exploded by 46% under Obama

In 2009 Medicaid enrollment stood at 50.9 million, but in October 2016 it's 74.4 million.

Generally speaking, you are eligible when your income, if you have any, is up to 133% of the poverty guideline, which came to about $15,650 in 2015. In that year there were only about 52 million individual workers who earned up to that much.

Trump wins Debate Two hands down but may still lose the race

The establishment isn't just going to lie down and die. Expect more dirt.

Once again illegal immigration got short shrift because it's Trump's signature issue. The establishment isn't going to ask him questions about it, except insofar as it thinks it makes him look like a racist. Trump has to make it about illegal immigration and keep it about illegal immigration, and tonight he did so here and there but not enough.

Obamacare, however, did make an appearance. And Trump scores big on this with ordinary middle class Americans who have to pay more for less for themselves in order for poor people to get Medicaid.

But when is Donald Trump going to tell Medicaid recipients' families that it isn't free? The state will come after whatever was spent on their care from their estates. That means no inheritance from your dead mom or dad until the government is reimbursed for what it spent.

Obama hates the middle class: Caller after caller today to Chris Plante reported 200%+ increases to their health insurance premiums because of Obamacare

Impoverishing the middle class has been Obama's goal all along. Obamacare redistributes the incomes of ordinary middle class people to the poor, just as higher taxes on the rich do. Here's how.

Chris Plante himself reports that his household used to pay $551 a month before Obamacare, but now pays $1731, an increase of 214%.

My household in 2010 paid just $2552 a year for coverage with $2500 individual calendar year deductibles. Six years later for the same plan we pay $4252, an increase of 67%, but the individual calendar year deductibles have skyrocketed to $10,000 each, a 300% increase.

In other words, for the privilege of having coverage, we could end up on the hook for as much as $30,000 in any given year before the plan pays anything in a health emergency. You get some discount on services as in a preferred provider network, but you still have to pay.

I know because I had one in 2014 which drove my out of pocket medical expenses for the year well over $10,000. They're normally half that.

Obamacare is nothing more than a tax increase on the middle class, to subsidize "coverage", that is Medicaid, for the poor.

Obamacare is only attractive to the poorest and sickest, but is "an utter disaster for the working and middle class"

So says Robert Laszewski for CNBC, here:

Obamacare has insured millions of people—particularly in the states that have expanded Medicaid (albeit a currently unsustainable program in its own right) and it has been attractive to the poorest that get bigger subsidies and lower deductibles in the exchanges. But Obamacare has been an utter disaster for the working and middle class that seem willing to buy the unattractive plans only if they are sick and can come out ahead on the deal.

The 2015 cost of Medicaid expansion for 10 million people: $63.66 billion

As reported here:

In a recent report to Congress, the Centers for Medicare and Medicaid Services said the cost of expansion was $6,366 per person for 2015, about 49 percent higher than previously estimated. ... An estimated 9 million to 10 million people are covered by the Medicaid expansion, and many of the remaining uninsured are likely to be eligible if their states accept. Most of the new Medicaid recipients are low-income adults.

John Kasich is in the black in Ohio because he gets an extra $2.5 billion a year in Medicaid from the feds

Because he signed up for Medicaid expansion under Obamacare, contrary to what his legislature wanted.

Ohio surplus due to Medicaid expansion, not to John Kasich's special skills

The Toledo Blade reported here . . . a year ago:

COLUMBUS — The infusion of billions in federal funds to pay for expanded Medicaid coverage in Ohio has had the side effect of dramatically increasing the state’s ability to put away money for a rainy day, as well as its power to borrow.

Ohio expects to finish the current fiscal year with a surplus of $970.4 million. It will transfer more than half of that amount at the last minute to help pay for proposed income tax cuts, unemployment compensation interest payments to the federal government, a proposed student debt reduction program, and other items.

But the remaining $374 million would be transferred to the state’s so-called rainy-day fund, budgetary reserves capped by law at no more than 5 percent of the general revenue fund. That would bring the balance in the fund to just under $1.9 billion, well above the current balance of roughly $1.5 billion.

John Kasich's Ohio miracle is totally phony and depended entirely on federal money through Medicaid expansion under Obamacare

No wonder John Kasich took the Medicaid expansion under Obamacare.

John Kasich has been bad for Ohioans, is already poison for the presidential race, and will be terrible for the country if allowed anywhere near the Oval.

From the story here:

Wal-Mart is a perennial leader, and at the time had nearly 18,000 Ohio employees covered by Medicaid, followed by McDonald’s with over 14,000 jobs. Next in line, respectively, came Kroger, Wendy’s and Bob Evans with a combined 17,000 plus workers using Medicaid.

So when Gov. Kasich went around his very right-wing legislature, which didn’t want to expand Medicaid under Obamacare, he was thinking about more than the normal people “living in the shadows.” He saw $2.5 billion a year in federal money and knew he could both shed state expenses and give aid and support to a few of Ohio’s biggest corporations, which are too cheap to pay their workers a living wage, defined by enough income to pay their expenses without being “dependent” on government safety net programs like Medicaid. John Kasich loves to talk about personal responsibility for individuals, but has nothing to say about the same responsibility to the biggest, richest corporations.

This observation on what Gov. Kasich was doing came from a progressive economic think tank that gets little attention at the legislature. Zach Schiller, a spokesman for Policy Matters Ohio, said Ohio’s safety-net services, including Medicaid, food stamps and cash assistance, “shouldn’t have to be used in significant ways by multimillion-dollar companies getting tax breaks. They should be able to adequately pay their employees.”

Jeb Bush, the Obamacare pot, calls the kettle John Kasich black for expanding Obamacare in Ohio

Tenet Healthcare stock while Jeb Bush was a director

The Hill reports here:

The “telling thing” about Kasich, Bush said, is that “when he had a chance, he expanded ObamaCare through Medicaid. Governors across this country had a chance to take a stand against ObamaCare, many did. In Ohio it was expanded, and he’ll have to explain that down here, where ObamaCare, people want it repealed, they don’t want it expanded,” Bush added. 

Bush made a small fortune as a Tenet Healthcare director from 2007-2014, a company which profited from increased utilization of hospital services under Obamacare. He conveniently sold the bulk of his stock near its peak during his tenure, at the beginning of October 2014. The stock has more than halved since then. 

Commentary Magazine's Jonathan Tobin doesn't even read what he cites, making a hash of Obamacare story

Jonathan Tobin here:

"This is something of a misnomer because, as the Heritage Institute pointed out in a paper published last month, almost all of these people were simply added to the rolls of those receiving Medicare. If you only count those who are actually receiving insurance outside of Medicare, the net increase of those with coverage (the number of those buying these policies is offset by an almost equal reduction in the number of customers who have employer-based plans) is only 260,000 people."

Ah, no.

First of all the paper was from the "Heritage Foundation", not the "Heritage Institute". Perhaps he's heard of it? It's only been a Washington fixture since like the Reagan Administration. He does remember Reagan, right? Well, he is a neoconservative.

And it was the rolls of Medicaid which were expanded, not Medicare. What kind of a dummy gets that wrong? Medicare is for older Americans. Medicare is supposed to be paid for through payroll taxes, and it's blowing up as we speak, but that's another story. Medicaid used to be health coverage for the poor and the indigent, provided by the States. Leave it to Obama to expand it from DC and call it insurance.

The middle class of this country will end up poor and indigent and on Medicaid, too, if someone doesn't put a stop to this train wreck called Obamacare and soon.

Middle class people have just had their taxes raised dramatically to provide coverage and subsidies to pay for that coverage to about 9 million people who didn't have it before or didn't have what they're getting now. Middle class taxes went up in the form of health insurance premium increases, raised deductibles and skyrocketing pharmaceutical price increases. Middle class people buying the cheapest of plans now can expect to shell out over $13,000 in premiums and deductibles before their plans pay out one red cent of a big healthcare bill. The incentive for them is to avoid care even when they need it in order to save money.  

All Tobin had to do to get the article moving in the right direction was to actually read the title of the Heritage paper and the accompanying abstract, but apparently he didn't do even that. One wonders if he even wrote the story himself. He is Commentary's "editor" after all.

What a putz. 

Backgrounder #3062 on Health Care

October 15, 2015

2014 Health Insurance Enrollment: Increase Due Almost Entirely to Medicaid Expansion

By Edmund F. Haislmaier and Drew Gonshorowski

Abstract

Health insurance enrollment data for 2014 shows that the number of Americans with health insurance increased by 9.25 million during the year. However, the vast majority of the increase was the result of 8.99 million individuals being added to the Medicaid rolls. While enrollment in private individual-market plans increased by almost 4.79 million, most of that gain was offset by a reduction of 4.53 million in the number of people with employment-based group coverage. Thus, the net increase in private health insurance in 2014 was just 260,000 people.

The New York Times criticizes Republican tax plans, pretending revenues are needed to cover spending

Here:

"All of these candidates deny fiscal reality. In the next 10 years, revenues will need to increase by 40 percent simply to keep federal spending even, per capita, with inflation and population growth. Additional revenues will be needed to pay for health care for the elderly, transportation systems and other obligations, as well as for newer challenges, including climate change. And interest on the national debt will surely rise because interest rates have nowhere to go but up."

Who is the Times trying to kid?

Revenues have never been needed to cover expenditures and they know it, and rarely have covered expenditures. Expenditures will continue to grow whether the Times or the Republicans like it or not. They are baked into the cake of the legislation that drives them. The only way to fix that is to rescind the legislation or modify it, with its built-in cost of living increases and added population coverage assumptions.

This country has run minor annual surpluses in just twelve years since 1939, doing nothing but slowing down our present arrival at $18.2 trillion in debt.

Spare us the histrionics.

The heavy hitters when it comes to spending are:

• HHS ($1 trillion, 91% of which is Medicare and Medicaid)
• Social Security ($.96 trillion)
• Defense ($.59 trillion, protecting the world without reimbursement)
• Treasury Dept. ($.57 trillion, $.4 trillion of which is interest on the debt overspending)
• Veterans ($.16 trillion, which does such a good job veterans die waiting for appointments)
• Agriculture ($.14 trillion, over half of which is the food stamp program).

Together those six account for 88% of federal spending, and the Times dares the Republicans even to think about reforming Social Security and Medicare, calling instead for higher taxes.

Meanwhile there's plenty else to cut just by axing all the other departments which account for the remaining $.48 trillion making up the 2015 fiscal outlay total of $3.9 trillion.

Let's start with the Education Dept., $76 billion, then International Assistance Programs, $22 billion.

Ka-ching! Ka-ching! You're 20% of the way there, just like that.

See how easy that was?

Liberal media love John Kasich, and so does Michigan's libertarian radio talker Steve Gruber

Liberal media love Governor John Kasich of Ohio.

For example:

WaPo:

"Kasich gives touching response to question on gay marriage"

Slate:

"A Republican Presidential Candidate Just Gave One of the Most Stirring Defenses of Medicaid You’ll Ever See"

MSNBC's Andrea Mitchell:

"Kasich's defense of taking the Medicaid money was absolutely a great defense. It could sell with Republican primary voters and it is terrific for a general election candidate."

Fake conservative radio talker Steve Gruber on Lansing's 1240 WJIM loves him too: 

Kasich is still the guy I think has the best resume and a unique style that lends itself well to him winning in the end. The latest polls show him surging in New Hampshire in the post debate surge. Remember New Hampshire is really the first state that matters. Sorry to the folks in Iowa but it is true. ... I see John Kasich rising to the top with his pragmatic approach, conservative fiscal attitude and his ability to work with people from all sides. I think he would be well served to ask Marco Rubio to join him on the ticket. Make no mistake a ticket that locks in Ohio and Florida for the Republicans will be very hard to ignore and I think these two offer a terrific one two punch. Plus you have Rubio’s Hispanic roots as a big bonus.

And here was Gruber's "me love you long time, sailor boy" in June:

Kasich, who is 62 and ready to lead our nation is the man to beat and I believe the most likely candidate to become the 45th President of the United States. I’ve been saying this on The Steve Gruber Show for almost two years but I want to make sure it is in writing as well.

It just goes to show once again that libertarianism has more in common with liberalism than it does with conservatism.

Liberal Stevie, John Kasich doesn't stand a chance!

Medicaid enrollments surge 36% under Obama, by 17.3 million

Democrats lost last week simply because voters tired of waiting for full-time jobs to recover

Examine the record here of full-time job losses in recessions since 1969 and you will see that full-time jobs recovered to their previous peaks in 2 years after 1969, 2 years after 1974, about 3 years after 1981, 3 years after 1990 and about 3 years after 2000.

But after 2007? Full-time jobs have yet to recover, over 7 years since peaking in July 2007 at 123.2 million.

It's true that total nonfarm employment recovered to the November 2007 high this June, after 6.5 long years, but full-time is still 3 million below the 2007 peak.

The voting public has been very patient with President Obama and the Democrats. They know this was the biggest jobs debacle in the post-war. From peak to trough between July 2007 and January 2010 14.442 million full-time jobs were lost, beating the 8.1 million lost from 1981 under Reagan by a wide margin, a 9.3% loss. The percentage lost from the peak was also highest in the post-war, down 11.7% in the recent catastrophe vs. the 9.6% loss of full-time jobs from August 1974, the previous most recent top episode for full-time job destruction in percentage terms.

So it's understandable that voters might have re-elected Obama and the Democrat Senate in 2012 on the presumption that such a serious episode would take longer to fix. But even so it was still a relatively close election.

Last Tuesday's nationwide blow-out of Democrats, however, from the US Senate on down through the US House, governorships and state legislative chambers shows that the patience of the country has run out. While full-time jobs have roared back in the last 12 months it is likely that the trend has peaked for the year and that it will be next summer before we see full-time recover fully.

That will be 8 years . . . 5 years too many for many of the millions who lost their jobs to put their lives back together and rejoin the middle class. Five years too many for those who lived in the 5+million homes lost to foreclosure. For them there remains the hope only of minimum and low wage work, food stamps, government disability assistance, Medicaid, Social Security and Medicare and early death.

Obama will be remembered for attempting this hollowing out of the middle class, and some will correctly conclude it was intentional on the part of the country's first Bolshevik president.

"[T]he mass of middle class parasites which lived on the back of the old order is now, equally ready to live on the back of the proletarian State."   

New Gallup Poll of 20,000 Estimates ObamaCare Has Fallen Far Short Of Insuring The Uninsured

The story is here:

Overall, 11.8% of U.S. adults say they got a new health insurance policy in 2014. One-third of this group, or 4% nationally, say they did not have insurance in 2013. Another 7.5% got a new policy this year that replaced a previous policy. The rest either did not respond or were uncertain about their previous insurance status.

The key figure is the 4% who are newly insured in 2014, which most likely represents Americans' response to the individual mandate requirement the Affordable Care Act (ACA). This estimate of the newly insured broadly aligns with the reduction Gallup has seen in the national uninsured rate from 2013 to the first days of April 2014. However, the calculation of the newly insured does not take into account those who may have been insured in 2013 but not in 2014.

The ACA envisioned that the new healthcare exchanges would be the main place where uninsured Americans would get their insurance this year, but it appears that a sizable segment of the newly insured Americans used another mechanism. These sources presumably include employee policies, Medicaid, and other private policies not arranged through exchanges.

--------------------------------------------------------------------------------

If the adult population is presently about 247 million, 11.8% with new insurance in 2014 is 29 million adults.

If 33% of them had no insurance in 2013 (or 4% of the adult population), that's about only 9.6 million to 9.9 million newly insured who weren't previously, leaving 20 million uninsured yet to sign up. Estimates of the total uninsured previously had been widely estimated at 30-40 million Americans.

If the whole point of ObamaCare was to provide insurance to those who didn't have it or couldn't get it, so far ObamaCare is therefore not much of a success, especially since it has caused an upheaval for everyone else who has had insurance, which Obama told us we could keep if we liked it.

Replacement policies going to an additional 7.5% of the adult population who were previously insured means 18.5 million people have had to replace their insurance or wanted to replace their insurance because of ObamaCare, three times as many as the 6 million widely reported to have had their policies canceled because of ObamaCare late in 2013.

That leaves less than a million in the category who were uncertain about their previous insurance status.

It remains to be seen how many saying they have new insurance simply signed up for Medicaid because they didn't qualify for a health insurance subsidy because their income was too low. In Michigan a family of three that doesn't make at least $20,000 a year typically gets forced into Medicaid under ObamaCare if that family wants coverage and hopes to avoid a "tax" for failing to obtain coverage.

Evidently even such a family could avoid the tax, and Medicaid, by making a "hardship" claim.

h/t Chris

Why HealthCare.gov still isn't fixed: Obama regime quietly dumps CGI Federal on Friday, to hire Accenture which built California exchange

WaPo reports here:

The Obama administration has decided to jettison from HealthCare.gov the IT contractor, CGI Federal, that has been mainly responsible for building the defect-ridden online health insurance marketplace and has been immersed in the work of repairing it.

Federal health officials are preparing to sign early next week a 12-month contract worth roughly $90 million with a different company, Accenture, after concluding that CGI has not been effective enough in fixing the intricate computer system underpinning the federal Web site, according to a person familiar with the decision who spoke on the condition of anonymity in order to discuss private negotiations.

... it is not yet able to automatically enroll people eligible for Medicaid in states’ programs, compute exact amounts to be sent to insurers for their customers’ federal subsidies or tabulate precisely how many consumers have paid their insurance premiums and are therefore covered.

... As federal officials and contractors have been trying to fix various aspects of the Web site in the past few months, about half the new software code the company has written failed when it was first used, according to internal federal information.

Greedy Democrats Have Used Medicaid Since 1993 To Take Your Assets, Now It Ramps Up Under ObamaCare

Signing up for Medicaid may be signing away everything you own.

From the story here:

The Omnibus Reconciliation Act of 1993 [under Bill and Hillary Clinton and a Democrat Congress] requires states to pursue Medicaid asset recovery from persons who receive benefits at age 55 or older. At first, this applied mainly to nursing home benefits, but at state option, it could now include any items or services provided under Medicaid. ... A potential for greatly expanded use of estate recovery was created in Obamacare, as pointed out in an anonymously authored, well-documented article distributed by economist Paul Craig Roberts. Obamacare increases the number of people eligible for Medicaid by dropping the asset test for enrollment (Page 162 of Obamacare). ... Medicaid, supposed to be a program to help the poor, has become a cash cow for multibillion-dollar, managed-care companies, who milk federal and state taxpayers. Expanding Medicaid to persons with modest assets will enable estate recovery to become a cash cow for states to milk the poor and the middle class.

Over Two Times As Many Getting Stuck With Medicaid Vs. Insurance Under ObamaCare

"Coverage" does not equal care.

The Detroit News reports here:

Nationwide, 1.9 million people completed online applications in October and November, but just 365,000 selected an insurance plan. Those planning to buy on the health insurance marketplace — healthcare.gov — must enroll by Dec. 23 to have a policy in effect by Jan. 1. ... An additional 803,077 Americans were found eligible for Medicaid or the federal Children’s Health Insurance Program. That number includes 7,363 residents of Michigan, one of 25 states and the District of Columbia that expanded Medicaid under the Affordable Care Act.

Once Again, ObamaCare Is Simply The HMO-ization Of Healthcare All Over Again

And given the choice, people overwhelmingly pick Preferred Provider Organizations (PPOs) over Health Maintenance Organizations.

But under ObamaCare, you have no choice.

Flashback to Scott Gottlieb, here, in September:

Obamacare's exchange based plans will be a throwback to the 1990s style of restrictive HMOs. They will give you fewer choices of doctors and hospitals than the kinds of health plans currently sold in the private, commercial marketplace. The doctor networks that Obamacare plans use will resemble Medicaid plans.

Now comes this from The Wall Street Journal, here:

Nearly half of the ObamaCare plans are tightly managed HMOs, according to a McKinsey & Co. analysis. In states like California, Missouri and New Hampshire, many networks are 40% or 45% the size of those offered for normal commercial coverage. Patients face the prospect of waiting months and driving miles to clinics and county hospitals.

Narrow networks can be a useful cost-control tool, to the extent people choose to give up medical options in return for lower premiums. But that's rarely what people want when they're choosing with their own money. Some 82.5% of eHealth customers in 2012 purchased preferred provider organization plans (PPOs) that are structured so patients can visit virtually any physician.

The awful irony of this new ObamaCare health system is that all adults now enjoy mandated pediatric vision benefits, even if they don't have kids, but parents can't take their daughter to an expensive children's hospital if she gets really sick. Everybody gets "free" preventive checkups with no copays, but not treatment for a complex illness from specialists at an academic medical center.

-----------------------------------------------------

ObamaCare must be scrapped.

Republican Gov. John Kasich Pulls An Obama, Suspends Ohio Medicaid Law That Displeases Him

No doubt that will please Ann Coulter, who loves it when governors act like dictators.

The Wall Street Journal reports, here:

Mr. Kasich simply decided to cut out Ohio's elected representatives and expand Medicaid by himself. This week he appealed to an obscure seven-member state panel called the Controlling Board, which oversees certain state capital expenditures and can receive or make grants. Because the feds are paying for 100% of new enrollees for the next three years, Mr. Kasich asked the panel to approve $2.56 billion in federal funding, and then he'll lift eligibility levels via executive fiat. It's a gambit worthy of President Obama, who also asserts unilateral powers to suspend laws that displease him and bypass Congress. The Controlling Board, which Mr. Kasich and his allies in the GOP leadership stacked with pro-expansion appointees, approved the request 5-2 on Monday. Mr. Kasich's action is all the more flagrant considering the state legislature did not merely refuse to appropriate or authorize spending the federal money. The GOP majority passed a budget with specific language prohibiting the Governor from expanding Medicaid without its consent. Mr. Kasich used a line-item veto to remove that provision, but he's still violating the spirit of the law.