For its critics in the Republican party, Obamacare is the gift that keeps on giving — if only the GOP had a clue. The ill-fated government shutdown that brought favorability ratings for congressional Republicans to record lows and may have cost Ken Cuccinelli the governor's race in Virginia seems indicative of a strategy that is void of anything except demonizing Barack Obama.
The Affordable Care Act was always going to collapse under its own liberal weight, so why try to save the Democrats from themselves by repealing the ACA's most onerous provisions? In fact, the GOP should have never let any of the so-called waivers to the law stand right from the start.
Even as it stands, and despite the president's assurances, the not-so-unintended consequences of the law have indeed moved hundreds of thousands off their current health plans into much more expensive ones. The good news is that for the first time in a generation the cost of "universal" health care is becoming painfully transparent to most Americans.
This was the always the silver lining to Obamacare — that is, enforcing the law was the best way to repeal it. In fact, the fallout from the misguided legislation may be the best political opportunity to reform the system since World War II wage and price controls started us down the path of government-directed health care.
The truth is for decades we have deluded ourselves into thinking that first-dollar coverage for every possible malady with little or no copay or deductible is a form of insurance. It is not — it is prepaid medicine.
Moreover, the idea that lawmakers can mandate insurers to cover more and more freebies and expect premiums to go anywhere but up was an obvious departure from reality. (Not that we should shed any crocodile tears for big insurance, as it was more than willing to get in bed with the administration to pass the ACA on the myopic notion that subsidies and purchase requirements would offset its increased costs.)
The "essential service" mandates under Obamacare, including the absurdity of pediatric eye care for childless couples or seniors, merely doubled down on the 2,271 coverage requirements under state law as cited by the Council for Affordable Health Insurance (naturally, compassionate DFLers have catapulted Minnesota to the fourth-highest state with the most "benefits").
None of these, however, compare to the mother of all mandates in the ACA: requiring insurers to cover claims for an event prior to the purchase of coverage. Yet contrary to conventional wisdom, the "preexisting condition" problem is for the most part a direct result of bad public policy, not market failure.