Quotes of the day

posted at 9:01 pm on December 6, 2013 by Allahpundit

The Obama administration said Friday that there could be problems with the enrollment records for a quarter of all the people who signed up for health insurance through the federal marketplace in October and November, raising questions about whether consumers will get coverage in time to pay for their medical care next month

In some cases, the government did not notify insurers of people who enrolled online at HealthCare.gov. The government refers to these people as “C.M.S. orphans” because the consumers successfully completed the application process and selected health plans, but the government did not send the information to the insurers…

In other cases, Ms. Bataille said, the government sent more than one enrollment notice for the same person to an insurer. And in some instances, she said, the information sent was incorrect. A child may have been listed as a parent, a name may have been misspelled, or an address may be wrong.

Moreover, officials said, some people who signed up for a health plan are listed in insurance company records but not in the government’s records. In those cases, consumers may have canceled enrollment in a health plan, but the government failed to inform the insurer.

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One striking thing about the new White House Obamacare promotion campaign is that so far it hasn’t had much to say about the central focus of Obamacare, which is helping Americans buy affordable health insurance

What is indisputable is that the aspects of Obamacare the White House cites most often in its promotional campaign — the pre-existing conditions policy, or the estimated 3.4 million young Americans who can stay on their parents’ coverage until age 26 — involve numbers that are far smaller than the tens of millions of people who will likely face steeper costs, nearly unpayable deductibles and sharply limited doctor choices under Obamacare. (In addition to the 10-million person individual market, some experts believe such problems are coming soon to the 45-million person small-group market.)

And that is why the White House sales campaign focuses on the same things Democrats said in 2009, and 2010, and 2011, and 2012. Back then, the burdens of Obamacare had not yet become a reality for most Americans. Now they have, and the administration does not have a good answer for the millions who will struggle under the new system. No wonder the president is talking about something else.

***

Mike Horrigan is a lifelong Democrat with heart problems who supports President Obama’s health care law because he expects it will help many people obtain better insurance, including himself.

But under the new law, the Affordable Care Act, Mr. Horrigan’s coverage by a state high-risk insurance program was eliminated, then replaced by a more expensive plan. His wife’s individual plan was canceled for being substandard, then suddenly renewed — also at a higher price…

Kathleen LeFleur, a broker who works with people who have individual plans at Employee Benefit Advisors, an insurance agency here, said many of the callers to her office had two things in common: confusion and anger. “They are confused before they call,” she said. “After they call, they’re not confused anymore. They’re angry.”…

Calling the increases “unreasonable,” Ms. Horrigan acknowledged that they may be necessary to make the new system work.

***

“I was really troubled when Ted Cruz complained. That really hurt me to the core,” [Harry] Reid said. “The only people complaining are those who don’t like the Obamacare. I followed the law.

“And I will also note that there are 150,000 million different families that get their health care through their employees,” Reid said. “So should all federal employees, although under Obamacare, my insurance costs me about $4,500 more that it did before. Yes, because it is age-related and it wasn’t like that before.”

***

There also will be fewer choices in the new health order. Blue Shield is restricting access to close to half of its doctors and a quarter of its hospitals in the individual market [in California] — and Blue Shield spokesman Steve Shivinsky told The Orange County Register these providers “had to agree to cut their rates” to get into the network.

In Southern California, the Los Angeles Times reported, Health Net individual policyholders will have access to less than a third of the doctors on employer plans.

Peter Lee, executive director of Covered California, told the San Francisco Chronicle that all but three of the 12 state exchange providers limit doctors and hospitals…

When employers cut off providers, the market can respond. When states and the federal government restrict access, they begin to make every health plan into a health maintenance organization.

***

Is our health care system ready for the influx of newly insured patients?

Not yet. “If you do the math, it just doesn’t work,” says Matt Salo, executive director of the National Association of Medicaid Directors. “There is no way we can meet all this new demand with the existing workforce unless we radically change the way we deliver health care.”

American physicians have flooded into subspecialties in recent decades, leaving a dearth of internists and family practitioners to help people manage their health. Some 55 million Americans already live in what the government calls primary care shortage areas. It would take 15,000 primary-care doctors just to fill the current gap, and 45,000 to care for the people will gain health coverage by 2025. Even under the rosiest scenarios, the number won’t rise by more than 6,000—and it may actually decline. “As the demand for adult primary care explodes,” health care experts Thomas Bodenheimer and Mark Smith write in the November issue of Health Affairs, “the capacity to provide that care is shrinking.”

***

But even if it were true that we could get better treatment at a lower cost by restricting peoples’ choices, people would still hate having their choices restricted. Americans love choice! There is a reason that the abortion-rights movement has framed itself around the concept of choice and keeping medical decisions between a woman and her doctor, rather than around a more straight feminist argument about the life limitations imposed by an untimely pregnancy.

If narrow networks could give everyone in the country access to health-care outcomes no worse than 90 percent as good as the folks with the best doctors at 75 percent of the price we’d pay for broader networks, the health-care wonks would jump on that deal as an unbelievable bargain. But I think it’s pretty clear that average folks don’t think like health-care wonks.

Rationally, you should get the policy with the highest possible deductible and coinsurance, because more comprehensive insurance basically just means that you’re prepaying the deductible in advance. But people hate those policies. The most bitter union fights are usually when management tries to increase the copays and deductibles on health insurance — even though the union knows exactly how much this is costing, because they’re basically making a dollar-for-dollar trade of wage compensation for health insurance premiums. That’s what the membership wants.

So even if narrow networks actually were better, people would resist them. And they’ll fight with every fiber of their being when you tell them to take their kid with leukemia to a community hospital rather than the top-notch children’s hospital nearby. Expect the fight over doc shock to be bitter and long — and to end when insurers cave and start adding pricey doctors back to their networks.

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Unbelievable. This kind of chaos is unreal. The “errors” look to be mutually exclusive. It is so bad that one would think that it is programmed to do these kinds of things.

davidk on December 7, 2013 at 6:45 AM

Nah, it’s very real. This is what happens when the religion of good intentions meets reality. The next step is for the priests of that religion to blame their failures on the opposition and begin the purge.

kcewa on December 7, 2013 at 7:18 AM

41% of the jobs they gabbed about on Friday were from the gov’t.

Why are those even counted?

Plus, they don’t count the people who no longer look for jobs.

It’s all just propaganda. Census Bureau manipulation.

Schadenfreude on December 7, 2013 at 12:36 AM

FIFY : )

Good morning kids!

Cooooold in Chicago, impatiently waiting for snow!

herm2416 on December 7, 2013 at 7:33 AM

And this is why you don’t want ‘wonks’ writing legislation or being part of a bureaucracy:

If narrow networks could give everyone in the country access to health-care outcomes no worse than 90 percent as good as the folks with the best doctors at 75 percent of the price we’d pay for broader networks, the health-care wonks would jump on that deal as an unbelievable bargain. But I think it’s pretty clear that average folks don’t think like health-care wonks.

They run into the Theory and Practice Conundrum:

In theory, there is no difference between theory and practice. But, in practice, there is.

The Left always has great theories about how a necessary evil can ‘do good’, and forget why it is an evil. All Marxists find this problem sooner or later, and that the real, actual world is not run by theories but by practice, and as all their repeated practices have shown their theories suck like an Electrolux. Of course that runs you into a quote by Einstein about repeating the same experiment and expecting different results…

ajacksonian on December 7, 2013 at 7:51 AM

Unbelievable. This kind of chaos is unreal. The “errors” look to be mutually exclusive. It is so bad that one would think that it is programmed to do these kinds of things.

davidk on December 7, 2013 at 6:45 AM

I see it that the Dunning-Kruger effected leftards have given a bunch of monkeys typewriters, and predictably have expected Shakespearean results. Reminds me of what happened here, in 2005:

Looters strip Gaza greenhouses

Palestinians looted dozens of greenhouses on Tuesday, walking off with irrigation hoses, water pumps and plastic sheeting in a blow to fledgling efforts to reconstruct the Gaza Strip.

American Jewish donors had bought more than 3,000 greenhouses from Israeli settlers in Gaza for $14 million last month and transferred them to the Palestinian Authority. Former World Bank President James Wolfensohn, who brokered the deal, put up $500,000 of his own cash.

Palestinian police stood by helplessly Tuesday as looters carted off materials from greenhouses in several settlements, and commanders complained they did not have enough manpower to protect the prized assets. In some instances, there was no security and in others, police even joined the looters, witnesses said.

“We need at least another 70 soldiers. This is just a joke,” said Taysir Haddad, one of 22 security guards assigned to Neve Dekalim, formerly the largest Jewish settlement in Gaza. “We’ve tried to stop as many people as we can, but they’re like locusts.”

Anti-Control on December 7, 2013 at 8:11 AM

The Obama administration said Friday that there could be problems with the enrollment records for a quarter of all the people who signed up for health insurance through the federal marketplace in October and November, raising questions about whether consumers will get coverage in time to pay for their medical care next month…

So, possibly, probably 25% of the people who signed up in the past two months may have become “digitally obscure” in the web-maze of HealthCare.gov. How does the government go about denying that these people have coverage? How many thousands, (that signed up and went through the entire process, and clicked on the final tab, and got the message: Congratulations, you now have health insurance), will find out some time early next year that they have nothing of the kind? Perhaps the President, (in his infinite powers) will insert a new law into the legislation that provides an “amnesty period” and the honor system for all those who claim they concluded the process. Seriously, what’s wrong with adding one more “FIX” in this unfixable program?

So, early next year, HHS will make another proclamation that “we lost you and we need you to come forward”, and the masses will begin standing up and proclaiming “I’m Spartacus”!

Funny, that in the Spartacus clip, the Roman barking out the conditions of surrender says: “Slaves you were, and slaves you remain”. Can any government that institutes these kinds of federal mandates on its people really deny this is not a form of servitude or slavery? Perhaps it’s this 25% that are still truly free from their impending bondage.

Rovin on December 7, 2013 at 8:23 AM

Things to come.

Bmore on December 7, 2013 at 8:35 AM

The Choomster voters can’t say they weren’t warned! :)

The Beau Brummels – “Laugh, Laugh”

I hate to say it but I told you so
Don’t mind my preaching to you
I said don’t trust him baby now you know
You don’t learn everything there is to know in school
Wouldn’t believe me when I gave advice
I said that he was a tease
If you want help you better ask me nice
So be sincere convince me with a, pretty please

Laugh, laugh, I thought I’d die
It seemed so funny to me
Laugh, laugh, you met a guy
Who taught you how it feels to be
Lonely, oh so lonely

Don’t think I’m being funny when I say
You got just what you deserve
I can’t help feeling you found out today
You thought you were too good you had a lot of nerve
Won’t say I’m sorry for the things I’ve said
I’m glad he packed up to go
You kept on bragging he was yours instead
You found you don’t know everything there is to know

Anti-Control on December 7, 2013 at 8:47 AM

Good Morning, Patriots! And, Trolls.

In the duty of a man to his fellow no sociologist has ever approximated the perfection of the doctrine laid down by Jesus in His Sermon on the Mount.

- C.P.J. Mooney, Memphis Commercial Appeal, Christmas Editorial, 1912
My take: The War Against Christianity: The National Christmas Tree Lighting 2013…Diffusing the Message of Jesus Christ

kingsjester on December 7, 2013 at 8:56 AM

Things to come.

Bmore on December 7, 2013 at 8:35 AM

Max Frost and the Troopers (The 13th Power) – “Shape of Things to Come”

There’s a new Sun
Risin’ up angry in the sky
And there’s a new voice
Cryin’ “We’re not afraid to die”
Let the old world make believe
It’s blind and deaf and dumb
But nothing can change the shape of things to come

There are changes
Lyin’ ahead in every road
And there are new thoughts
Ready and waiting to explode
When tomorrow is today
The bells may toll for some
But nothing can change the shape of things to come

The future’s comin’ in, now
Sweet and strong
Ain’t no one gonna hold it back for long
There are new dreams
Crowdin’ out old realities
There’s rev0lution
Sweepin’ in like a fresh new breeze
Let the old world make believe
It’s blind and deaf and dumb
But nothing can change the shape of things
Nothing can change the shape of things
Nothing can change the shape of things
Nothing can change the shape of things
To come

Anti-Control on December 7, 2013 at 9:13 AM

Reread Ms. Horrigan’s comments. This is what we’re up against. When we have people who think paying more so this can work, the battle will continue and we’ll be stuck with dems in DC next Nov. She may not mind paying more for something in her policy that she will never utilize but I do. If we had 30M people without insurance that the govt needed to cover to feel good, they could have given them free insurance for a lot less than they spent on the website from hell.

Kissmygrits on December 7, 2013 at 9:24 AM

Can one just use fake information and sign up multiple times?
Wonder how many Obama agents are doing fake sign-ups to make the sign-up numbers look good?

albill on December 7, 2013 at 10:00 AM

Why should anyone buy overpriced, unnecessary insurance before they develop a serious or significant health problem? Just pay-as-you-go then buy insurance when and if you become seriously ill . . . they can’t turn you down for a pre-existing condition and if your relatively young you’ll save a lot of money.

rplat on December 7, 2013 at 10:00 AM

From the link to Obama in Mandela’s jail cell link:

Today I remember the tragic attack upon Pearl Harbor, Hawaii.

Totally inappropriate, but I can’t stop laughing…

Fallon on December 7, 2013 at 10:33 AM

climbnjump on December 7, 2013 at 2:08 AM

But it has a really cool name.

davidk on December 7, 2013 at 6:48 AM

Why, yes, yes it does! Those Minnesota people are so creative.

And they changed the link, so here is the new one:

http://www.twincities.com/localnews/ci_24671812/minnesota-insurers-say-inaccurate-data-could-delay-health.html

MN set up their own exchange but it sounds like the errors with the 834′s are the same as with the Fed’s exchange.

And again, DO check out the photo. Someone should really be cutting back on the lutefisk and lefse…

climbnjump on December 7, 2013 at 11:46 AM

My wish for the man in the pic above, as well as the woman with him, that they get back what they give out x3.

avagreen on December 7, 2013 at 11:52 AM

My wish for the man in the pic above, as well as the woman with him, that they get back what they give out x3.

avagreen on December 7, 2013 at 11:52 AM

I’m more of a Marianas Trench and Millstone kinda guy.

Murphy9 on December 7, 2013 at 12:46 PM

And what happens when the naughty insurance companies “cave” and extend expensive care to everyone?

Collapse.

PattyJ on December 7, 2013 at 12:47 PM

Murphy9 on December 7, 2013 at 12:46 PM

Yeah, well that, too. Some months after the x3.

avagreen on December 7, 2013 at 2:10 PM

The guy is the pic is looking tired…..maybe the x3 is kicking in. Which means the trench and millstone thing can’t be far behind.

W.a.i.t.i.n.g.

avagreen on December 7, 2013 at 2:12 PM

Just read a comment above where they thought it sounded like the website might be set up to fail. Wake up, people. It is. Then comes single payer. No one will have to worry about what to choose or pay for; it will be done for you. And Soylent Green will be the theme song for the older folks who really built this country. Waiting . . . .

AReadyRepub on December 7, 2013 at 11:47 PM

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