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Healthcare Reality

 
 

            Healthcare is a big issue in the United States. The Obama Administration and Democrats in Congress believe now is the time for massive changes to healthcare. They claim that their “reform” will allow all Americans to be covered, while simultaneously lowering costs for everyone.   Similar to the Cap and Trade legislation recently passed, what the Administration claims and what will happen are different outcomes.

            The biggest argument for healthcare reform is the uninsured. The number reform advocates like to use is 46 million uninsured or a little over 15% of the population. The reformers never tell us who these people are or why they are uninsured. Doing so would damage their attempt at wholesale changes. According to the Census Bureau in 2007, 9.7 million or 21.0% are non-citizens. There are 18.3 million or 40% of the uninsured are young adults in the 18 – 34 age range. Many of these people don’t see the necessity of paying a health care premium when they are young and healthy. In 2005, the Kaiser Foundation found that 6 million of the 8 million uninsured children were eligible for existing Federal health insurance, but were not enrolled. 3.1 million parents of these children were also eligible for Federal programs, but were not enrolled. These groups compose over 70% of the uninsured. If you don’t believe that age or citizen status should be a determining factor in health insurance coverage, the Census Bureau breaks down the income range of the uninsured. 17.5 million (38%) have incomes of $50,000 or more, which shatters the advocates’ picture of everyone being poor, and thus unable to afford coverage.

            Another big argument is by reforming health care it will lower costs. The first question to ask is how does adding 46 million people to full healthcare access reduce costs? If lowering costs were so easy, it would have already happened. The false promise in reform is that the uninsured will have free healthcare (remember, they can’t afford it), while everyone else’s costs decrease. If this is true, why is the Administration saying it will cost $1 trillion for the first 10 years of this new program? This is a low estimate, just to pass the bill. It will easily cost $190 - $210 billion (using the average individual and family cost of coverage) of the first year alone to cover the uninsured. How does Congress pay for this? It’s going to cut Medicare and Medicaid payments, which are already below private insurance rates. This will cause more cost shifting to private plans. As an example, Medicare only pays 81% of private rates and Medicaid only pays 56% of a procedure’s costs! The result is physicians restrict the number of patients in either program (rationing), so they can stay in business. How this improves care is a mystery to me. The Medicare and Medicaid cuts only pay for half the Administration’s costs. The other half will be borne by higher income taxpayers. There will be surtax on adjusted gross income (AGI), which is the total a worker has made on the front side of his income tax form before deductions and exemptions. A 1% surtax starts at $250,000 for single people ($2500.00). It jumps to 1.5% at $500,000 ($7500) and 5.4% at $1 million ($54,000) and above. In New York, all levels (city, state, and federal) of income tax would add up to a 56.9% marginal rate!  Anyone who refuses to sign up for insurance will also be levied a fine of 2.5% of their income (no minimum income limit).

            Finally, the Administration has promised that anyone can keep their insurance. That’s a lie according to the bill being written in the House. Page 16 of the bill makes it illegal to enroll anyone in new private insurance once the bill becomes law. If you change jobs or lose your job, you also have to enroll in the government plan! That would be a quick way to kill the private insurance companies. Of course, that also means massive job losses!

            Once again the Administration and Democrats in Congress don’t believe the average American can purchase health insurance on their own. Instead, everyone will quickly be folded into a government plan that will cost more than today’s policies. Individual liberty and freedom will take another blow, in the name of “fairness”. It seems by trying to pass this terrible bill after passing the Cap and Trade bill, Democrats agree with Benito Mussolini, who said, “the more complicated the forms assumed by civilization, the more restricted the freedom of the individual must become.” Will average Americans let the Democrats get away with this?

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Climate Bill Is a Job Killer

 

 

            The economy is performing poorly. Unemployment is up and economic output is down. Would you offer a policy to exacerbate the situation? Congressional Democrats and the Obama Administration are doing just that with the Waxman – Markey bill or Cap and Trade as it is also known. This is an attempt to placate environmental groups and global warming alarmists, but instead it will saddle the country with no or low economic growth and a long period of high unemployment. 

            In years where greenhouse gasses decrease, the Environmental Protection Agency (EPA) attributes the decreases to less manufacturing because of a slower economy, less driving because of higher gasoline prices, increased nuclear power output and warmer winters and/or cooler summers. The Energy Information Agency (EIA) estimated the total 2007 (last year’s have not been published yet) greenhouse gas emissions at 7282.4 million metric tons carbon dioxide equivalent (MMTCO2E). The bill in the House aims to cut emissions to 17% below 2005 levels by 2020. In 2005, emissions were 7256.9 MMTCO2E and a 17% reduction is 6023.2 MMTCO2E. This means the United States will have to make a total cut of 20%, since we already emit more than the 2005 benchmark.  That 20% reduction over 11 years equals an annual reduction of 1.82% a year. Can it be a painless transition? I don’t believe so. The country’s greenhouse gas emissions have never decreased two years consecutively and the largest annual decrease ever was 1.7% in 2001.

            Emissions decreased last year due to massive job losses, less motor vehicle use, and many factory closings. The Bureau of Labor Statistics (BLS) data show a loss of 2.9 million jobs for 2008. The country would have to lose 2 million more jobs a year until 2020 to reach the legislative emission reduction. Unemployment would have to hover around 20% for this to work.   Any hope of a manufacturing rebirth would be dashed, as factories are one of the biggest emitters. Congress coyly admits this by provisions secretly tucked deep in the bill. There is a “Climate Change Adjustment Allowance” for workers displaced by this legislation. It pays 70% of the unemployed worker’s wages for up to 3 years and up to 3 years of job training. After the 3 years of training, if the assisted person needs to move for a new “green job”, the Federal government pays up to a $1500 job search allowance and then a $1500 moving allowance to live near the new job. Finally, while enrolled in the training program, the government picks up 80% of the cost of the former health insurance plan. 

            The bill also mandates 20% of electricity to be powered by renewable sources. Renewable energy is very expensive and already has high subsidies to try and compete against coal, oil, and natural gas electricity plants. The EIA states that coal is subsidized $0.44 dollars per megawatt hour (MWh) and is our biggest electric producer. Solar received a subsidy of $24.34 dollars/MWh and wind received $23.37 dollars/MWh in fiscal 2007. Even with these subsidies, the EIA projects wind to grow from .8 percent of generation to 2.5% by 2030 and for biomass (biological matter such as wood, grass clippings, ethanol, etc.) to go from .9% to 4.5% by 2030. How does Congress plan to guarantee 20% by 2020 when the government experts aren’t projecting anything close to 20% even 10 years later? With respect to other renewable sources, EIA believes there is limited potential for expansion at conventional geothermal sites, enhanced geothermal is economically infeasible, and solar energy remains too costly for grid connection applications. Consequently, EIA does not even include solar and geothermal in its projections.

            Congress wants to impose taxes and regulations in the process, which will make it inefficient and could cause the unemployment rate to go higher. One result of this legislation is a doubling of your electric bill according to a Heritage Foundation study.   If you are not inclined to believe the Heritage Foundation, look at the International Energy Agency’s (IEA) figures comparing electricity cost in the U.S. against Denmark, Germany and Spain. These three European countries have incorporated the most renewable energy capability in their economies. The cost of electricity as measured in dollars/KWh, is $.1002 for the US, $.3237 in Denmark, $.2124 in Germany and $.1647 in Spain. Going green is not cheap. Congress claims they can mitigate the job losses by moving people to “green jobs”. Unfortunately, this hasn’t happened in real life. According to a study of green jobs in Spain, 2.2 jobs were lost for each green job created. Michigan likes to tout their state as the cutting edge of a “green economy”. Yet the “green economy” can’t replace the old manufacturing economy of Michigan as evidenced by Michigan’s unemployment rate of over 14%, the highest in the nation.

            Congress has a decision to make. Do they want to “feel good” about dealing with so called climate change and control every aspect of daily living? Or do they want a good, prosperous economy and a bright American future?        

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