Skip to comments.Obama Admin Rebranding Healthcare 'Exchanges' as 'Marketplaces'
Posted on 01/20/2013 11:42:42 AM PST by Nachum
Democrats understand that when they are losing a political fight, their best move is to change the political lexicon. When progressivism fails, they become liberals; when liberalism fails, they become progressives. Now theyre using that rhetorical trickery to try to save the wildly unpopular centerpiece of President Obamas first term: Obamacare.
Obamacare sets up what were originally termed state health care exchanges. These exchanges were supposedly set up to pool risk between health care insurance companies. Of course, if the market saw a benefit in such pooling, it would have done so already. In fact, many insurance companies already pool risks to broaden their enrollment.
But pooling risk isnt the Obama administrations real agenda. Actually, the exchanges are meant to pay insurance companies to implement Obamacare. In order to qualify for the exchanges, insurance companies can only charge certain prices and must cover certain services. But that means that the government i.e. taxpayers must subsidize the exchanges to make them work. If states refuse to set up the Obamacare exchanges, the federal government is supposed to set up its own exchanges, making that cost federal.
(Excerpt) Read more at breitbart.com ...
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LOL...what kind of “market” thrives under Big Government edicts? The Black Market, of course. Just ask those who have survived Marxism everywhere it’s failed.
There are half a dozen of these companies who insure insurance companies of all types ~ they spread risk. The retail marketing arm of the industry are the insurers of all types that are quite public about what they do. These guys are different.
For most off their history they've been headquartered in Indianapolis. They have the most interesting annual reports ~ barely room on the pages for the numbers they deal with.
What will happen with the state pools is they will necessarily buy reinsurance insurance and fall into the clutches of the reinsurance industry.
That cycle will never end, and Congress will never need to do anything about it.
It continues to be highly unlikely that witch Sebelius will get a handle on health care such that she can kill all those she finds unnecessary to her new world order.
I respectfully disagree.
The Obamatrons know full well how insurance works and what they are doing it. This is only a “phase” until they can successfully collapse the private market and install a single payer system.
they think changing the name will fix everything
that is how superficial and stupid they think we all are
That's where people will be bringing the dead who were put on Obomas death panels "out" list.
All those corpses are going to have to go somewhere, right?
“Exchanges” sounds like the return counter at Target. Probably everyone was asking for when the exchanges would be available to exchange Obamacare for something better.
It is my understanding (and I can be wrong but I do not think I am) that by changing the name to “Marketplaces” all states that have any laws concerning “exchanges” now do not mean any thing. So all states will have to re-vote on a new bill or amend the language of the old bill....That being said, the left will just keep pushing until one day more democrats are in state offices to pass this or the states miss the fact that they need to adjust fast or be subject to the new rules.
They'll be called 'life' panels now.
Adam Smith's invisible hand is swifter and smarter that the clay-foot dims
That's why dims and islamics unite to cut off Adam Smith's invisible hand.
No, a ‘marketplace’ really isn’t a capitialist idea; it’s a government shower (ala the Auschwitz era)
Google "Liverpool Pathway Controversy" to get an idea of how it works in UK.
Doctors who remember their Hippocratic oath prescribing water to prevent forced de-hydration of patients both young and old.
Commies...no, progressives...no, liberals, no, democrats...government run exchanges...no, insurance policies, no, state exchanges, no, marketplaces...WTH?
They get it. Those on our side don't.
We are in for a long battle.
The only problem is the “individual penalty” but I am guessing we can force “WAIVERS” on that issue, by the time it becomes a real burden (not for a few years)
In other words:
SET UP YOUR FEDERAL EXCHANGES OBAMA, in the States that do not set up their own “Exchange” but -—
We are not really compelled to stop doing business with the plans we have now!
The states that have refused to set up the 0-care state exchanges must recognize that there will be an insurance coverage vacuum. In 2014, it is likely that employers will massively shed employees from their employer sponsored pans and pay the fine (likely required), or get below 50 employees for medium and small businesses.
In the non 0-care states, non-covered individuals may still be required to pay the tax-fine (TBD) if they don’t get their own high priced insurance in the individual market.
In the meantime, these conservative states need to set up their own real healthcare marketplaces based on real free market principles. In ths vacuum, they need to pass legislation that permits insurance companies to set up plans tailored to the consumer. That includes high deductible plans, limited benefits plans and plans w/o all the coverage mandated by 0-care. Bring in insurance executives and ask them to design free market individual and group plans. Permit insurance companies companies to continue rate risk and deny pre-existing disease coverage for individual plans. Menu pricing should also be required. We also need to rigorously explore the legality of some of the healthcare ministry exemptions.
Of course, we all know that many if these plans will not sufficiently comply with the HHS standards and 0-care. However, patients could still get adequate insurance coverage to meet their needs which even with the 0-care mandate tax, might be cheaper that purchasing HHS mandated insurance.
Inevitably, the Left will challenge these state laws on court, but that would take time and these plans could be shown to superior to the budget busting state exchange plans in the blue states.
If nothing is proposed by conservatives, this vacuum will be filled by the Left. They are starting right now by changing their nomenclature. Just wait, when we hear all the sob stories about middle class folks losing their insurance and “regular” people not being able to see the doctor, we will have the predictable cries for single payor, more Medicaid, and state exchanges. If nothing is done, we will be on the defensive again and lose.
Obama hasn't been all that lucky in his ability to attract talent ~ there ain't any at the top in that crowd.
The law of unintended consequences will work here. In states with no exchanges, there will also be no wage and price controls. Freedom allows innovation in an open marketplace.
We cannot imagine how the claims will be paid to work around Obamatron-care, but it will be, without having to resort to a black market at all. Just as business is flocking to right to work states, medical innovation will flock to those states which provide fertile ground for it to grow.
” In states with no exchanges, there will also be no wage and price controls. Freedom allows innovation in an open marketplace.”
The conservative states should do what they can to preserve insurance options and the right not to purchase insurance. We all know that the Left will pine away for single payor when employers drop coverage in these states. We need to anticipate the situation and get in front of the issue.
By having insurance executives openly discuss free market insurance plans, we can prevent the Left from co-opting these executives. If health insurance executives perceive that the exchanges are inevitable, they will side will the Left. The media will pick up on this and the insurance execs (and their companies) will lobby the rinos to get the state exchanges through.
In a free market economy, the government doesn’t run “marketplaces”. This too shall fail.
like trying to change the name of Food Stamps to *SNAP. Isn't that snappy? I'm not on Food Stamps, I get SNAP. All of a sudden I'm not a low-information voter 'cause I got SNAP.
Supplemental Nutrition Assistance Program
The Obamacare Exchange is not for buying health insurance and its not a marketplace.
This sweeping bill imposes an IT superstructure. It hooks states up to a a national database of all your private data (the Federal Data Services Hub) for the purpose of:
tracking your insurance status,
imposing penalties under individual and employer mandate,
forcing people into government health (including the middle class through subsidized policies) and
imposing national health care.
The “Exchange” is not a marketplace. It’s a federal website (”state” in name only) on the federal Hub.
The bill sets up a federally-controlled board of seven political appointees in charge of maintaining 24/7 online IT connections with the Federal Data Services Hub.
In MN, The board is exempt from many state laws including rulemaking (you’ll have no meaningful right to object to anything it does) and the Minnesota Government data practices Act (you’ll have no transparency, no access to government records, no protections and no penalties).
imposing penalties under individual and employer mandate,
forcing people into government health (including the middle
class through subsidized policies) and
imposing national health care.
one more - finding out who has guns.