
This Wednesday will mark one year since enrollment in
ObamaCare began. What began with the disastrous rollout of
healthcare.gov has ended with the health law’s supporters claiming
victory.
It is true that some of the worst predictions have not
yet come true. Yet. But in the last year we’ve also seen plenty of bad
news for consumers, providers, employers and taxpayers.
A report card:
Earlier
this month, Centers for Medicare & Medicaid Services director
Marilyn Tavenner testified that roughly 7.3 million people signed up
for insurance through the exchanges. That’s down from early estimates
of 8.1 million, because nearly 800,000 of those who initially enrolled
have stopped or never paid their premiums. A bigger question is how
many enrollees were previously insured and were just changing plans.
Overall, the best estimates suggest that roughly 8 million people
gained insurance under ObamaCare, but roughly half of those were
enrolled in Medicaid (outside of the exchanges), which isn’t really
health-care reform so much as adding people to government welfare.
And
it still leaves 41 million American adults uninsured. We spent billions
to move the needle a tick.
Despite the president’s assurances to
the contrary, roughly 6 million Americans were kicked off their
insurance because their plans failed to offer a lengthy-enough
maternity stay, didn’t provide sufficient drug and alcohol
rehabilitation benefits or otherwise fell short of the insurance that
federal bureaucrats thought that they should have. This includes more
than 100,000 New Yorkers. Nearly all eventually found other insurance,
but a new study from the National Center for Public Policy Research
found that, on average, ObamaCare plans were worse than the plans they
replaced, in terms of both providers covered and cost-sharing. A new
wave of cancellations is about to begin as well.
Those New Yorkers who
managed to renew their noncompliant plans prior to the effective start
date for ObamaCare last year should start receiving cancellation
notices any day now. Some people may not even be able to keep the plans
that replaced the plans they couldn’t keep the first time. In several
states, insurers have dropped plans that they offered on the exchanges
or even withdrawn from the market altogether. And if that was not bad
enough, Americans with employer-based insurance may find out their
insurance has to be changed starting next year.
If judged against
President Obama’s promise that health-care reform would save us all at
least $2,500 through lower premiums, ObamaCare deserves an F. But
premium increases have been less bad than expected, especially in
states like New York that already had highly regulated insurance
markets. Last year, New Yorkers in the individual market saw a
reduction in their premiums, but only because the individual market was
already in such terrible shape. In states where the individual market
was not already dysfunctional, there were significant premium increases.
This year, New Yorkers can expect premium increases averaging roughly 6
percent for individual plans and almost 7 percent for small business.
This
summer the Congressional Budget Office announced that it had given up
trying to score the cost of ObamaCare, given the frequency with which
the administration was making unilateral changes to the law. Overall,
some costs are lower because so many states have chosen not to expand
Medicaid.
On the other hand, roughly 85 percent of those enrolled
through exchanges are receiving subsidies, higher than predicted.
Overall, the best estimates suggest the law will cost $2.63 trillion
over the next 10 years. That will be paid for by $1.38 trillion in new
taxes and at least $1.25 trillion in additional debt.
Recently
released surveys from Federal Reserve Banks in New York, Philadelphia
and Atlanta confirmed that businesses are cutting employment and
shifting workers to part-time positions because of ObamaCare. According
to the New York Fed, 21 percent of manufacturers and 17 percent of
service companies have reduced the size of their workforce because of
the law. In addition, roughly 20 percent of both manufacturers and
service companies said that they have shifted workers from full- to
part-time jobs. The New York survey also indicated that roughly a third
of businesses were raising prices to offset some of the law’s costs.
About
the best thing that can be said about ObamaCare’s first year is that
it wasn’t quite as bad as some critics predicted. But it isn’t even
close to what we were promised — and nowhere near a passing grade.