Many have weighed in on the Supreme Court decision on ObamaCare much better than I could. Two of the best were Rush Limbaugh’s and Mark Levin (download the June 28th show for free and share it widely). But a few things remain unmentioned as far as I can tell.
First, the SCOTUS decision means the low-income uninsured won’t likely see any change to their status.
How is that? How can a law designed in large part to help the poor obtain insurance, a law that taxes and spends so much, end up with no real change? Because the one ”bright spot” of the ruling was on the matter of Medicaid expansion.
Medicaid is the joint federal-state health insurance program for the poor, in which both governments split the cost. ObamaCare mandated states accept more federal money and expand eligibility to ensnare a larger number of Americans in this dismal government-run plan. But along with that mandate for the states to spend hundreds of millions more than they can afford, the law included a penalty for states that didn’t expand the Medicaid eligibility – the loss of all federal Medicaid money. Essentially it was a choice between spending more money that states don’t have or receiving no federal money, yet still being obligated to provide Medicaid.
The Supreme Court rejected that provision. It said states can be offered the option but can’t be forced to accept the expansion money, nor to extend Medicaid to people who don’t currently qualify. Given many states are going broke now, and Medicaid is their largest expenditure already, it’s highly doubtful many will spend more on this program.
So, given Medicaid was a key component to extending coverage to all Americans under ObamaCare, and given it’s now dead or at least an unlikely option, the uninsured near-poor – the people this whole mess was designed to help – won’t be getting Medicaid. Since they also probably won’t soon earn enough to buy insurance on their own, they finish right where they started – in no-man’s land.
Middle-class Americans without insurance will have to pay an Obama Tax that will grow with each passing year. The near-poor were exempted from the tax, but they won’t get insurance either.
Given the ease – relative to the rest of the world – with which Americans can move up the economic ladder, many will work at jobs that can’t afford to provide insurance under ObamaCare and are too small to be required to provide it. But those jobs will pay enough so employees eventually will qualify for the Obama Tax. So, just as these near-poor approach some semblance of economic security, the IRS (which Obamacare empowered to enforce the Obama Tax) will be right there to whack them back down.
Therefore, and not for the first time, the people ObamaCare was supposed to help will be hurt the most.
Middle-class families also will take a hit.
Most Americans work for small businesses. The law requires businesses with more than 50 employees to provide health insurance or pay a fine. Since ObamaCare forces insurance companies to accept everyone with pre-existing conditions – which is like requiring car insurance companies to insure cars after their owners have wrapped them around a tree – premiums will skyrocket. Companies quickly will notice it’s easier to simply pay the fine. This means a new group of uninsured Americans.
If the slight bump in pay doesn’t permit them to afford insurance, they will be hit with the Obama Tax. (And for those of you keeping score at home, they make significantly less than the $250,000 per year the President promised to never, ever raise taxes on. “Read my lips!” anyone?)
The government doesn’t care about your expenses. It doesn’t care about your kids in private school, your mortgage or student loans or the relatives you’re trying to help through a bad time. It doesn’t care how or really even whether you make ends meet as the Obama Recession rolls into another year. It sees you as a number – the number of dollars you make, whether you make enough to buy insurance according to its formula.
Don’t believe me? Try discussing with a bureaucrat anything you owe government on any level and see if you can appeal to their mercy. You might get a traffic fine reduced occasionally if you catch the right bureaucrat on the right day. But the IRS deals with tens of millions of people over hundreds of billions of dollars. Bureaucracies are not in the mercy business.
So now that Obamacare has morphed into a tax on staying alive, it will become yet another liberal “well-intentioned” attempt to “strengthen the social safety net” that ends up functioning more like a spider web that ensnares people in the life it was supposed to help them escape.
It also forces the health insurance market into a bastardized market that threatens its very existence. It will cause many insurers to fail, which will lead to consolidation, concentration and ultimately corporate welfare. Or the government will step in, take over the entire market and give us the American version of Britain’s detestable National Health Service, which is something Democrats have been working towards for decades. Either way, government wins and we – all of us – lose.
Of course none of these taxes and insurance drops will take effect for these impacted people until after the election, which was by design. Costing people you need to vote for you more before they vote is fool’s errand, a lesson Barack Obama learned from President George H.W. Bush. But once he no longer need their vote, ever, for the rest of his life…lookout.
Did we reject a tyranny 236 years ago to gradually create our own without the accent and powdered wig? Did we replace “No taxation without representation” with “Taxation through misrepresentation”? As you celebrate our nation’s independence this week, commit yourself to talk to as many people as you can about how we’ve lost that which we are celebrating and how November is our next, and maybe our only, chance to declare it again.
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