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Tag Archives: ACA


Obamacare for illegal immigrants may cost taxpayers $23 billion a year, study shows

By Stephen DinanThe Washington Times

Taxpayers could have to shell out nearly $23 billion a year to provide Obamacare coverage to illegal immigrants, according to a new analysis being released Thursday that puts a high price tag on one of the Democratic presidential candidates’ top election promises.

Nearly 5 million illegal immigrants have incomes that would qualify them for Obamacare’s subsidies that help pay lower-income Americans’ premiums, and they would average about $4,600 a year, the Center for Immigration Studies calculates.

If all of them signed up, that would total $22.6 billion a year. Even assuming a more realistic enrollment rate of about half, it would cost taxpayers $10.4 billion a year, according to the organization, which advocates for less immigration overall.

Under an alternative plan, in which the lowest-income illegal immigrants are put on Medicaid while others receive Obamacare subsidies, the costs would be similar, the study found.

“Any serious debate on providing health care coverage to those in the country illegally requires a cost estimate,” said Steven Camarota, research director at the organization, who said his findings were a reminder that “tolerating illegal immigration creates a significant burden for taxpayers.”

The group released another report Thursday calculating that immigrants who use Medicaid — legal and illegal — already cost more per family than native-born Americans. The reason, the analysis says, is that they are more likely to be less-educated and have larger families.

It’s become a must-have position for Democratic presidential candidates that illegal immigrants deserve access to government-sponsored health care. At one of the debates, all 10 candidates on stage raised hands when asked if they backed the idea.

But the candidates have different ideas about how to get there.

Sen. Bernard Sanders, father of “Medicare for All,” says he would cover illegal immigrants through his fully government-run system.

Former Vice President Joseph R. Biden at the debate agreed that illegal immigrants should get coverage — “It’s the humane thing to do,” he said — but later slimmed down that commitment, saying they should be allowed to buy into Obamacare and should be able to get emergency coverage. That latter part is already the law.

Mr. Camarota warned that if illegal immigrants are covered, the next steps could be to offer taxpayer-sponsored health care to guest-workers in the U.S. on temporary visas.

“The high cost of providing healthcare to less-educated workers who earn modest wages is a reminder that tolerating illegal immigration or allowing such workers into the country legally is likely to create a significant burden for taxpayers,” he wrote.

He said he couldn’t calculate how much of an incentive health care could be in enticing people to enter the U.S. illegally.

President Trump is moving in the other direction.

In an executive order last week, he announced a new policy banning entry of immigrants deemed likely to become a drain on the U.S. health care system — chiefly those who show up at emergency rooms, where they can’t be denied care, and then leave the public with the bill.

Whether to extend Obamacare to illegal immigrants was an issue Congress grappled with in 2009 and 2010 as it was debating passage of the Affordable Care Act. The party’s leaders concluded such a step could poison the entire health care effort, since the public seemed opposed to the idea.

It’s not clear much has changed in public attitude.

A CNN poll over the summer found 59% of Americans opposed offering government-sponsored health care to “undocumented immigrants.”

In the absence of federal action, some Democrat-led states have taken steps.

California Gov. Gavin Newsom signed legislation in July to expand state health care assistance to low-income young adult illegal immigrants, granting them coverage under Medicaid. The state had already covered juvenile illegal immigrants and “Dreamers” who had status under the Obama-era DACA program, but the new law expands coverage to any illegal immigrant up to age 25.

The state estimated roughly 90,000 people will get coverage, at an additional cost of nearly $100 million a year.


The fraud of single-payer health care

The consistent failures of single-payer health care worldwide are well-documented

By Scott W. AtlasThe Washington Times

The Affordable Care Act (ACA) directly harmed America’s health care, far more than just breaking promises about keeping your doctor and your insurance. Its extensive regulations made private insurance unaffordable, as premiums for individuals doubled and for families increased by 140 percent in four years, even though deductibles also increased substantially. 

It funneled massive taxpayer dollars to add millions to substandard Medicaid insurance, widely known to have worse outcomes than private insurance and far less acceptance by doctors, even by doctors with contractual agreements to accept it. It dramatically reduced choice of hospitals and specialists for patients with private insurance, so that almost 75 percent of private ACA plans became highly restrictive. And it generated a record pace of consolidation across the sector, including anti-consumer mergers of doctor practices and hospitals that are associated with higher prices of care. The ACA was significantly damaging to patients and cost taxpayers enormously. 

The antidote most Democratic presidential candidates now propose to the regulatory nightmare of Obamacare is the ultimate hyper-regulation of health care — socialized medicine, clothed in more pleasing terms like “public option” and “Medicare for all.” And their simplistic messaging is enticing; who wouldn’t want “guaranteed, free health care?” 

The answer to “who wouldn’t want it?” is found in existing single-payer systems all over the world, in countries with decades of experience, which offer those same “guarantees.” People with the financial means increasingly choose to circumvent single-payer systems for private health care. Even though they already pay £125 billion per year, equivalent to $160 billion, for their single-payer health care, half of all Brits who earn more than £50,000 buy or plan to buy private health insurance, according to Statista 2017. 

In Sweden, about 650,000 who can afford it buy private insurance despite already paying $20,000 per family per year through taxes for their nationalized system, according to Insurance in Sweden 2015. And more than 250,000 Brits spend out-of-pocket cash for private care. According to the European insurance and reinsurance federation (CEA), private insurance in the EU bought by those who can afford it grew by more than 50 percent over a decade to 2010, specifically to fill the “ever growing gaps in coverage” in public health systems. Only the poor and the middle class are stuck with nationalized, single-payer health care, because only they cannot afford to circumvent that system.

Americans should wonder why those with financial means would need to spend even more money than their already high taxes for something that is “guaranteed and free.” Unbeknownst to Americans and hidden by single-payer advocates, consistent failures of single-payer health care are well documented, proven to be inferior to the U.S. system in important objective measures of access to care and quality. As a direct consequence of explicit restrictions on specialists, surgeries, drugs and technology, single-payer systems have factually worse outcomes than the U.S. system from almost all serious diseases, including 


Obama Hasn’t Hit Rock Bottom Yet

obama_frownby Alex Castellanos

Ordinarily, being ranked as the worst modern president of the United States would be considered unfortunate. For you Mr. President, that’s the good news.

As painful as it is to note, your presidency has not yet hit bottom. You’ve got a long way to go in your descent.

Everywhere you walk, Mr. President, the world unravels. Americans are whispering that each political missile you fire seems to hit not its target but our own house.

You have undone the core idea you’ve advanced, that a larger public sector can save us. You are becoming the one-man Keystone Cops of an experiment in weakness and incompetent government. Continue reading


Selling Obamacare

The weird, misleading propaganda behind the federal health care law

ObamaCare Cartoonby Mark Hemingway

It might seem odd that Joanna Coles, editor in chief of Cosmopolitan, was invited to the White House for lunch. After all, why would the most powerful person in the world bother meeting with the editor of a publication that specializes in hot summer sex tricks and the year’s most dangerous diet? Particularly on May 2, 2014, when just about every important political journalist was in town for the White House Correspondents Dinner, the annual gala where pols and press rub shoulders and bond over bottomless booze.

But Coles had a big favor coming to her. In 2013, she publicly pledged her magazine’s ad space and editorial content to help promote the Patient Protection and Affordable Care Act, better known as Obamacare. There are now more than 100 references to Obamacare on Cosmo’s website, almost all of them glowing. Continue reading


More Problems and Arguments Lie Ahead with ObamaCare

Those who want to leave ObamaCare as it is are outnumbered more than 5 to 1 by those who want to repeal or change it.

Obamacare Hurtby James Taranto

President Obama keeps insisting the debate over ObamaCare is “over.” That declaration, wish, exhortation or command does not correspond with reality. A new Politico poll of voters in “hotly contested areas”–states and congressional districts thought to have competitive Senate or House contests–finds that 60% “say they believe the debate over the law is not over,” whereas only 39% “echo the president’s position” that the “debate has effectively concluded.”

The areas sampled are probably a bit more Republican than the nation as a whole: Of the 16 states chosen on the Senate side, Obama carried only seven in 2012. (On the other hand, they include Minnesota, Oregon and Virginia, which most handicappers currently list as “likely” Democratic holds.) Obama’s approval rating among the Politico respondents is 40%; RealClearPolitics had his nationwide average at 44% as of yesterday.

“At the same time that the health care law is plainly a political anchor for Democrats,” Politico’s Alexander Burns argues, “the poll signals that fully killing the ACA”–that’s the abbreviation for the law’s euphemistic formal name, Patient Protection and Affordable Care Act–“may not be a slam-dunk as a political proposition”:

Among voters who had an opinion of the ACA, the electorate was almost exactly split between those who want to repeal the law entirely and those who favor either leaving it alone or keeping it in place with modifications.

Forty-eight percent of respondents endorsed repeal, versus 35 percent who wanted to modify the law without repealing it and just 16 percent who said it should be left unchanged. Continue reading


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