Showing posts with label Robert Pear. Show all posts
Showing posts with label Robert Pear. Show all posts

Monday, November 23, 2015

Paul Krugman, "Health Reform Lives!": Blowing Smoke Up Obama's Arse



As noted in my prior blog entry, in the 18th century there was a medical device called a tobacco smoke enema, which was used to resuscitate drowning victims. However, it was ultimately discovered that blowing tobacco smoke up dead persons arses had no medical benefit, and from there, "blowing smoke up your ass" was born, i.e. telling someone a lie that she/he wants to hear.

Well, In his latest New York Times op-ed entitled "Health Reform Lives!," Paul Krugman blows smoke up the president's arse. Claiming that Obamacare remains a success notwithstanding recent "not-great" news concerning Obama's legacy-creating reform of America's health care system,  Krugman writes:

"Sooner or later, of course, there were bound to be some negative surprises. And we’re now, finally, getting a bit of bad, or at least not-great, news about health reform.

First, premiums are going up for next year, because insurers are finding that their risk pool is somewhat sicker and hence more expensive than they expected. There’s a lot of variation across states, but the average increase will be around 11 percent. That’s a slight disappointment, but it’s not shocking, given both the good news of the previous two years and the long-term tendency of insurance premiums to rise 5-10 percent a year.

Second, some Americans who bought low-cost insurance plans have been unpleasantly surprised by high deductibles. This is a real issue, but it shouldn’t be exaggerated. All allowed plans cover preventive services without a deductible, and many plans cover other health services as well. Furthermore, additional financial aid is available to lower-income families to help cover such gaps. Some people may not know about these mitigating factors — that’s the problem with a fairly complex system — but awareness should improve over time."

An average increase of only 11 percent in 2016? Remarkably, this Nobel prize winner fails to observe that inflation in the US is currently running at some 0.2 percent. Or stated otherwise, an 11 percent increase in the cost of health care insurance is disastrous for many Americans.

"[S]ome Americans who bought low-cost insurance plans have been unpleasantly surprised by high deductibles"? As Robert Pear wrote in a November 14, 2015 New York Times article entitled [my italics] "Many Say High Deductibles Make Their Health Law Insurance All but Useless":

"Obama administration officials, urging people to sign up for health insurance under the Affordable Care Act, have trumpeted the low premiums available on the law’s new marketplaces.

But for many consumers, the sticker shock is coming not on the front end, when they purchase the plans, but on the back end when they get sick: sky-high deductibles that are leaving some newly insured feeling nearly as vulnerable as they were before they had coverage.

'The deductible, $3,000 a year, makes it impossible to actually go to the doctor,' said David R. Reines, 60, of Jefferson Township, N.J., a former hardware salesman with chronic knee pain. 'We have insurance, but can’t afford to use it.'

In many states, more than half the plans offered for sale through HealthCare.gov, the federal online marketplace, have a deductible of $3,000 or more, a New York Times review has found."

Sorry, Paul, but Obamacare is proving as effective as a tobacco smoke enema.

Friday, November 6, 2015

David Brooks, "Great News! We’re Not Doomed to Soaring Health Care Costs": And the Moon Is Made of Green Cheese



In his latest New York Times op-ed entitled "Great News! We’re Not Doomed to Soaring Health Care Costs," David Brooks writes:

"If health care costs start to rise again the way they did before, then health care spending will swallow the economy and bankrupt the federal government. If they are contained, then suddenly there’s a lot more money for everything else, like schools, antipoverty efforts and wages."

Well, I have news for David: US national debt now exceeds an unsustainable $18.53 trillion, amounting to some $57,500 for every American man, woman and child. This compares with some $30,000 for every man, woman and child in America in June 2008, which, at the time, elicited presidential candidate Obama's declaration:

"That's irresponsible. It's unpatriotic."

Bankrupt the federal government? I don't think so. It can always print worthless money.

David acknowledges that there is controversy concerning the direction of health care costs:

"There’s still a lot of uncertainty about which side of the debate is right. The most recent numbers have indicated a scary surge in health care prices, and some firms are projecting 6.5 percent inflation for 2016. While parts of the law reduce spending, other parts may lead to more spending, especially as the industry gets more concentrated."

Only 6.5 percent inflation for 2016? Brooks might want to read a New York Times article entitled "Many Need to Shop Around on HealthCare.gov as Prices Jump, U.S. Says" by Robert Pear and Abby Goodnough, which last week informed us:

"In Tennessee, the state insurance commissioner approved a 36 percent rate increase for the largest health insurer in the state’s individual marketplace. In Iowa, the commissioner approved rate increases averaging 29 percent for the state’s dominant insurer.

Health insurance consumers logging into HealthCare.gov on Sunday for the first day of the Affordable Care Act’s third open enrollment season may be in for sticker shock, unless they are willing to shop around. Federal officials acknowledged on Friday that many people would need to pick new plans to avoid substantial increases in premiums.

. . . .

Rates will rise next year by an average of 4 percent in California, one of the few states that actively negotiate prices, state officials said. In New York, state officials said rates would rise by an average of 7 percent. In Florida, consumers will see increases averaging 9.5 percent, the state said.

But in Hawaii, the insurance commissioner this month approved rate increases averaging 27 percent for the Hawaii Medical Service Association and 34 percent for Kaiser Permanente health plans."

Yes, I would call that "scary."

Brooks's conclusion:

"We seem to be making at least some incremental progress toward a structural reduction in health care inflation. Many Americans are feeling gloomy about accomplishing anything these days, but progress is possible. We haven’t whipped health care inflation, or defeated our intractable budget issues. But the evidence suggests we’re landing a few serious blows."

And the moon is made of green cheese.

Saturday, October 31, 2015

Robert Pear and Abby Goodnough, "Many Need to Shop Around on HealthCare.gov as Prices Jump, U.S. Says": Surprise, Surprise, Surprise!



“In an Obama administration, we’ll lower premiums by up to $2,500 for a typical family per year.


. . . .


We won’t do all this twenty years from now, or ten years from now. We’ll do it by the end of my first term as President of the United States.”


- Barack Obama, June 2008

Perhaps you recall a January 18, 2015 New York Times op-ed entitled "Hating Good Government" in which Paul Krugman declared:

"Meanwhile, the news on health reform keeps coming in, and it keeps being more favorable than even the supporters expected."

Well, Krugman might want to read a lead New York Times article entitled "Many Need to Shop Around on HealthCare.gov as Prices Jump, U.S. Says" by Robert Pear and Abby Goodnough, which today informs us:

"In Tennessee, the state insurance commissioner approved a 36 percent rate increase for the largest health insurer in the state’s individual marketplace. In Iowa, the commissioner approved rate increases averaging 29 percent for the state’s dominant insurer.

Health insurance consumers logging into HealthCare.gov on Sunday for the first day of the Affordable Care Act’s third open enrollment season may be in for sticker shock, unless they are willing to shop around. Federal officials acknowledged on Friday that many people would need to pick new plans to avoid substantial increases in premiums.

. . . .

Rates will rise next year by an average of 4 percent in California, one of the few states that actively negotiate prices, state officials said. In New York, state officials said rates would rise by an average of 7 percent. In Florida, consumers will see increases averaging 9.5 percent, the state said.

But in Hawaii, the insurance commissioner this month approved rate increases averaging 27 percent for the Hawaii Medical Service Association and 34 percent for Kaiser Permanente health plans."

But there is no need for concern: The price of health care insurance in the US is certain to drop precipitously in 2017 and beyond . . . not.