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Posts Tagged ‘Medicare’

AT&T Announces 1 Billion Dollar Loss from Obamacare in 1Q 2010

Friday, March 26th, 2010

Today, AT&T announced that it would take a 1,000,000,000 loss in 1Q 2010 because of Obamacare while also indicating it will substantially alter its employee benefit plans

Gigantic telecommunications company AT&T announced just now that it will take a $1,000,000,000 loss in the first quarter of 2010 because of changes made to the health care laws by Obamacare. Additionally, AT&T noted that the benefits packages are subject to substantial alternation in the next few weeks. AT&T’s announcement, on the heels of similar announcements by Caterpillar, John Deere, AK Steel and other large American companies, is more evidence of the negative economic effects from Obamacare. Reuters broke the story a half hour ago:

NEW YORK (Reuters) – AT&T Inc (T.N) said on Friday that it would record a $1 billion non-cash charge for the current quarter related to the new U.S. health care reform law signed by President Barack Obama this week.

AT&T’s charge appeared to be the largest in a series of charges announced by U.S. companies this week.

The operator, whose annual revenue is expected to be $124.1 billion this year, said the charge is the result of a provision in the law related to the tax treatment of Medicare subsidies.

As a result of the legislation, the company said it will be evaluating prospective changes to the health care benefits it offers.

AT&T’s announcement, and others that are sure to follow from America’s blue chip companies, appears to disprove the Democratic claims that Obamacare would create hundreds of thousands of jobs “almost immediately” after passage. Indeed, the corporate losses incurred already from Obamacare appear destined to reduce, not enhance, the ability of America’s companies to hire new employees.

Furthermore, AT&T’s statement that “as a result of the legislation, the company said it will be evaluating prospective changes to the health care benefits it offers” also disproves the oft-repeated Obama misrepresentation that “if you like your plan, you can keep your plan” after the passage of Obamacare. The tens of thousands of employees of AT&T are learning the hard way that sometimes Americans cannot trust the rhetorical claims of politicians about the policies they pursue.

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The Obama Brand: Tarnished by the Passage of Obamacare over Bipartisan Opposition and Special Interest Deals

Monday, March 22nd, 2010

Has the Obama Brand Been Tarnished By the Ugly Partisan Process Surrounding the Passage of his Signature Initiative, Obamacare?

President Barack Obama and the Democrats deserve a night or two to celebrate their historic victory in ramming the Obamacare package through Congress against bipartisan opposition, although only Democrats voted for the bill last night (219) while both Democrats (34) and Republicans (all) opposed the bill. However, as the reality of passage sets in upon America, an analysis of the political effects upon the Obama Brand is an interesting subject to review. CentristNet takes on this subject as the establishment media is in full celebration mode, with absolutely no focus so far in any reporting about the meaning of the substantial Democratic defections in the House yesterday or the lack of a single Republican vote in Congress for the massive initiative that defines the Obama Administration.

President Barack Obama will sign the Senate bill, as passed by the House last night, into law sometime this week, making the Louisiana Purchase, Cornhusker Kickback and unfair exclusion of only Florida residents from the cuts to Medicare Advantage the law of the land while also sanctioning a very flawed process that led a bipartisan coalition of legislators to oppose the Democrats-only bill.

President Obama ran for election in 2008 as a bipartisan, pragmatic problem solver and has frequently claimed in 2009 and 2010 that he is running his Presidency in an open, transparent and bipartisan manner while fighting the “special interests” on behalf of the American people. Now, centrist and independent Americans, as well as ideologues on both sides, are confronted with the example of the signature initiative of the Obama Presidency – health care reform – being passed in the most partisan fashion possible, with absolutely no Republican support and substantial Democratic opposition.  Indeed, 34 of the 253 voting House Democrats voted against the young President’s signature initiative – a not insignificant 13.4% of the House Democratic Caucus.

Considering this, one must now ponder the effect of this entire year-long process upon the Obama Brand – a brand that was built upon the idea of a post-partisan, cooperative governance that would end the untoward “ways of Washington” that so many Americans roundly reject. For instance, consider these sentiments from then-candidate Obama in his speech announcing his candidacy in January 2007:

We all made this journey for a reason. It’s humbling, but in my heart I know you didn’t come here just for me, you came here because you believe in what this country can be. In the face of war, you believe there can be peace. In the face of despair, you believe there can be hope. In the face of a politics that’s shut you out, that’s told you to settle, that’s divided us for too long, you believe we can be one people, reaching for what’s possible, building that more perfect union.

It was here we learned to disagree without being disagreeable — that it’s possible to compromise so long as you know those principles that can never be compromised; and that so long as we’re willing to listen to each other, we can assume the best in people instead of the worst.

I recognize there is a certain presumptuousness — a certain audacity — to this announcement. I know I haven’t spent a lot of time learning the ways of Washington. But I’ve been there long enough to know that the ways of Washington must change.

What’s stopped us from meeting these challenges is not the absence of sound policies and sensible plans. What’s stopped us is the failure of leadership, the smallness of our politics — the ease with which we’re distracted by the petty and trivial, our chronic avoidance of tough decisions, our preference for scoring cheap political points instead of rolling up our sleeves and building a working consensus to tackle big problems.

And as people have looked away in disillusionment and frustration, we know what’s filled the void. The cynics, and the lobbyists, and the special interests who’ve turned our government into a game only they can afford to play. They write the checks and you get stuck with the bills, they get the access while you get to write a letter, they think they own this government, but we’re here today to take it back. The time for that politics is over. It’s time to turn the page.

It is quite jarring to read the words of candidate Obama listed above considering that President Obama just forced his massive health care plan, which fundamentally remakes nearly 20% of the American economy, through Congress without a single Republican vote – hardly an example of “building a working consensus” as he promised America on that chilly day in January 2007.    As jarring is the derisive 2007 talk about “special interests who’ve turned our government into a game only they can afford to play” as the President cut backroom deals with essentially every special interest group in the health care industry during the Obamacare process.  As the Obama Administration has spent an overwhelming majority of its political capital to date on health care reform, the fact that the only bipartisan aspect of the Obamacare package in the final analysis is the bipartisan opposition to its passage is certainly not what the country expected when Obama was ushered into office with 53% of the vote in November 2008.

A Laughing House Speaker Nancy Pelosi is Seen Here after the House's 219-212 Passage of Obamacare Via Solely Democratic Votes With 34 Democrats and All Republicans joining in Bipartisan Opposition

Most Americans, including many centrists and independents, believed that Obama would work with Republicans on major issues like health care reform to produce centrist, bipartisan solutions.  This early public confidence in Obama’s potential to be a post-partisan, centrist leader is  shown by the incredible levels of approval Obama received early in his Presidency – upwards of 65-70% support.  Obama’s approval had fallen steadily since March 2009 into a range between 45-50% before the passage of Obamacare today, no doubt in part due to the ugly, partisan acrimony surrounding the health care reform effort.  Now that his signature initiative has passed, incredibly, without a single Republican vote in either the House or the Senate and 13.4% of House Democrats voting against it, America now knows that Obama has chosen a partisan path on the historic legislation that defines his Presidency.  Historically speaking, this exclusively partisan passage of a major domestic reform is unprecedented in American history, as both parties voted in favor of Social Security and Medicare, as well as the Civil Rights Act – yet only Democrats voted for Obamacare.

Obama, of course, has chosen to push a different narrative immediately after the House passage of the Senate bill – one that focuses on the allegedly centrist nature of his bill that just passed without a single Republican vote and garnered 34 Democratic no votes.   Obama gave a speech right after the House vote claiming that Obamacare proves “change in this country comes not from the top down, but from the bottom up” and that “tonight’s vote is not a victory for any one party — it’s a victory for them. It’s a victory for the American people.  And it’s a victory for common sense.”    Obama here is clearly trying to take the focus off the fact that only Democrats voted for his bill, and he reinforces his point by stating that now America will have “a health care system that incorporates ideas from both parties.”  Oddly, Obama appears to see himself as apart from the American people, saying it is “a victory for them” as opposed to a victory for us.  Obama also tweeted out this:

Tonight’s vote is not a victory for any one party – it is a victory for the American people. Tonight, we answered the call of history.

Obama also sent out an email to the many millions on his “Organizing for America” list, which said in part:

Our journey began three years ago, driven by a shared belief that fundamental change is indeed still possible. We have worked hard together every day since to deliver on that belief.

We have shared moments of tremendous hope, and we’ve faced setbacks and doubt. We have all been forced to ask if our politics had simply become too polarized and too short-sighted to meet the pressing challenges of our time. This struggle became a test of whether the American people could still rally together when the cause was right — and actually create the change we believe in.

Tonight, thanks to your mighty efforts, the answer is indisputable: Yes we can.

In last night’s speech, tweets, and email, Obama is trying to take the focus off the fact that only Democrats voted for the signature initiative of this Presidency and avoid the subject of bipartisanship if possible, despite the fact that the Obama Brand is based in part on the image of Obama as a pragmatic bipartisan reformer. Both his speech and tweet make the claim that last night’s historic passage of Obamacare is “not a victory for any one party”, while the email to his campaign list removes this reference for obvious reasons. All three communications claim that the passage of the bill is a victory for the “American people” despite the fact that a majority of the American people oppose the bill in general and 6473% of Americans would have preferred the President and Democrats either start over or start from scratch than do as they have now done in passing the present enormous, partisan bill. All told, it is clear that Obama will try to avoid any discussion of the lack of any semblance of bipartisanship in his signature initiative while also asserting that Obamacare “runs straight down the center of American political thought“, and it remains to be seen if that dog will hunt.

The odious special interest deals and pork in the Senate bill that was passed on Christmas Eve by the Senate, and last night by the House, will now all become the law of the land upon Obama’s planned signature early this week. While Obama and the Democrats will attempt to ram through a new bill to make changes to Obamacare though the Senate, the hard reality of the situation is that President Obama will sanction and endorse each and every backroom deal and pork handout in the Senate bill when he affixes his signature to it. The Senate may never pass the “fixes” Obama wants to the bill, “fixes” that were made necessary by the untoward deal cutting to obtain the Christmas Eve Senate passage of Obamacare from the sixty Democratic Senators who voted for it, such as the Cornhusker Kickback, Louisiana Purchase and ridiculous provisions that allow Florida residents to retain Medicare Advantage benefits while all other states’ residents lose same.

The Backroom, Pork-Laden Deals Between President Barack Obama and Nearly Every Special Interest Group in the Health Care Industry Have Dented the Obama Brand

Additionally, the President referred to his fighting the “special interests” in his comments last night, as well as in his 2007 campaign kickoff speech and at many points in between, and the image of Obama as a tireless fighter of “special interests” in Washington is a critical component of the Obama Brand.   Here as well, the Obama Brand has taken a hit during the Obamacare process as Obama himself has made backroom deals with the large drug companies (“Big Pharma”), American Medical Association, the hospitals, the AARP, the unions, and even some insurance companies as the past year of as the process has unfolded.

Regardless, in the days to come, expect Obama and the Democrats to attack the Republicans for “delaying” the “fixes” to the bill the Democrats themselves assembled and passed through the Senate on Christmas Eve. For instance, Obama also had this to say last night:

“On Tuesday, the Senate will take up revisions to this legislation that the House has embraced and these are revisions that have strengthened this law and removed provisions that have no place it in. Some have predicted another siege of parliamentary maneuvering in order to delay adoption of these improvements. I hope that’s not the case. It’s time to bring this debate to a close and bring in the hard work of implementing this reform properly on behalf of the American people.”

President Barack Obama, here with VP Joe Biden, on December 24, 2009 Praising the Senate Obamacare Bill's Passage

Here Obama is already staking out the high ground in the next phase of the Obamacare legislative battle, asserting that the changes that are to pass via reconciliation will remove “provisions that have no place” in the legislation. However, Obama himself is set to sign that very legislation early this week, and Obama had nothing at all to say about “provisions that have no place” in the bill in his December 24, 2009 statement after the Senate passage of Obamacare, calling it a “tremendous step forward” as he “hailed Senate passage“.

It appears that Obama and the Democrats will attempt to demagogue the GOP for stalling the Democratic attempt to push through changes to Obamacare via reconciliation in Senate by claiming the GOP is stopping the Democrats from fixing the very fraudulent deals the Democrats themselves made in order to obtain the initial Senate passage of the bill. As with Obama’s attempt to frame Obamacare as a bipartisan piece of legislation despite the fact that only Democrats voted for it and 13.4% of the House Democratic Caucus joined a unified GOP in opposing it, it remains to be seen if this dog will hunt as well.

Indeed, the entire, high profile “sausage-making” process over the past year or so surrounding the passage of the President’s signature initiative, Obamacare, demonstrates all of the untoward “ways of Washington” that candidate Barack Obama condemned in 2007-8, and President Obama has condemned in 2009 and 2010. Indeed, last night Obama condemned the very bill he will sign this week as having “provisions that have no place” in it.  Further, the background story of the strong arming done by Obama and Speaker Nancy Pelosi over the past few weeks of reluctant House Democrats is sure to be more fully reported in the days to come, and such details are also destructive of the Obama Brand.

All told, the Obama Brand of pragmatic bipartisanship has been seriously dented by the facts surrounding the passage of his Presidency’s signature initiative, and the next few weeks could bring more highlighting of the odious parts of the bill as the battle over Senate reconciliation heats up next week. Few, if any, Americans who voted for President Obama in November 2008 could have forseen that he would end up forcing comprehensive health care reform through Congress with only Democratic votes over bipartisan opposition via an ugly backroom deal laden process, and those facts could indeed change the way many Americans view the young President. Finally, then-candidate Obama’s words in 2007 about the need to avoid “slash and burn” politics and how American cannot “pass universal health care with a 50-plus-one strategy” are especially jarring considering the process that has now ended in the wholly partisan passage of his signature initiative:

Obama was talking about the differences between himself and his then-opponent in the Democratic primary, Hillary Clinton.

“I think it is legitimate at this point for me to explain very clearly to the American people why I think I will be a better president than Hillary Clinton, and to draw contrasts,” Obama said.

“But that’s very different from this sort of slash-and-burn politics that I think we’ve become accustomed to. Look, part of the reason I’m running is not just to be president, it’s to get things done. And what I believe that means is we’ve got to break out of what I call, sort of, the 50-plus-one pattern of presidential politics. Which is, you have nasty primaries where everybody’s disheartened. Then you divide the country 45 percent on one side, 45 percent on the other, 10 percent in the middle — all of them apparently live in Florida and Ohio — and battle it out. And maybe you eke out a victory of 50-plus-one, but you can’t govern. I mean, you get Air Force One, there are a lot of nice perks to being president, but you can’t deliver on health care. We’re not going to pass universal health care with a 50-plus-one strategy. We’re not going to have a serious bold energy policy of the sort I proposed yesterday unless you build a working majority. And part of the task of building that working majority is to get people to believe in our government, that it can work, that it’s based on common sense, that it’s not just sort of scoring political points.

The interviewer then asked, “So is your answer to ‘Why I will be a better president than Hillary Clinton,’ is your answer that she’ll be a 50-plus-one president and you won’t?”

“Yes,” Obama said.

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Obama Today on Obamacare: Most Misleading Presidential Speech in American History?

Friday, March 19th, 2010

President Barack Obama gave another speech on Obamacare today in Virginia at George Mason University, and such speech may be the most misleading speech ever given by a US President

As the reality that Obamacare is going to pass the House of Representatives sinks in after the House’s 222-203 vote yesterday to approve the use of the “Slaughter Solution” (which “deems” the Senate bill “passed”), President Barack Obama took to the stage at George Mason University to make a speech reminiscent of his campaign speeches in 2007-2008: short on actual details and heavy on unrealistic, misleading claims with grandiose rhetoric mixed in for good measure.

Sadly, the President made claims he almost certainly knows are false (you can keep your doctor, you can keep your health plan, Obamacare will reduce the deficit, for instance) while omitting any explicit reference to the $500 billion in cuts to Medicare (over the next 10 years) used to fund over half of the nearly one trillion dollars in new entitlement spending under Obamacare for the years 2014-2019 (major benefits do not begin until 2014), making today’s speech a contender for the most misleading Presidential speech in American history. Further, as leaked just now, a Democratic leadership memo to congresspeople instructs them to lie to the media and public about the substance behind the CBO preliminary scoring while ignoring the realities of the additional $371 billion in federal spending set to be enacted by Democrats as an add-on to Obamacare known as the “doctor fix” immediately after the passage of Obamacare.

Obama’s speech recycles most of the misleading talking points used by Obama and the Democrats over the past year despite the debunking of such claims by objective fact-checking organizations and simple reality, as will be outlined below. Obama began by accurately stating that the Obamacare debate is really “a debate about the character of our country.”  Obama then goes off the rails somewhat with this rhetoric, stating that the question of passing Obamacare is about

“Whether we can still meet the challenges of our time. Whether we still have the guts and courage to give every citizen, not just some, the chance to meet their dreams.”

In fact, Obamacare is about whether the United States will move towards a new, radically altered system of strict federal government control and oversight of the health care industry or whether the United States will continue on its present path of substantially private-run health care.   The drive of Americans to meet the challenges of “our time” is of course not epitomized by a massive increase in government spending and control over the health decisions of Americans, regardless of Obama’s expertly-crafted rhetoric above.   Indeed, Obamacare will fundamentally alter the character of the United States, making most American citizens reliant upon a giant federal government bureaucracy, instead of themselves, for the provision of life-saving health care, forever altering the balance between citizen and government in this country.

As the American health care system is now the envy of the world, both in terms of innovation of new cutting-edge techniques and quality, and most world leaders come here for major health care for themselves personally, taking a giant step away from our present system via the massive new federal intervention into the health care industry in Obamacare can accurately be seen as risking America’s present dominance in the health care field internationally. Of course, Obama’s speech references none of these issues nor the 80% of Americans that presently approve of their personal health care arrangements.

Obama then moves onto a familiar rhetorical trick of framing all opponents to Obamacare as insurance industry hacks, stating that we cannot “accept a system that works better for the insurance companies than the American people” while “their lobbyists are stalking the halls of congress as we speak” and that “if this vote fails, the insurance industry will continue to run amok.” These arguments are substantially false as the health insurance companies will actually benefit in part from his bill as all healthy, young Americans who presently do not waste their money on pricey, unnecessary health insurance policies will now be forced to purchase same or face an IRS penalty and enforcement of same by IRS collection efforts. Of course, Obama’s speech does not reference this penalty on individuals, nor the additionally penalty on employers who do not provide benefits, in his speech today.

At this point, President Obama and Dems in Congress appear to have made more deals than Monty Hall ever did in "Lets Make a Deal"

Obama then makes a wildly inaccurate statement:

So the only question left is this: are we going to let the special interest win once again? Or are we going to make this vote a victory for the American People!

This claim, of course, ignores the fact that, at best, only about 35-40% of Americans support the passage of the President’s comprehensive health care plan into law, making its coming passage hardly a “victory” for the American people, 80% of which are presently satisfied with their medical care.  Also ignored by this Obama claim that his bill is being opposed by “special interests” is the fact that Obama himself has made backroom deals with the large drug companies (“Big Pharma”), American Medical Association, the hospitals, the AARP, the unions, and even some insurance companies as the past year of backroom dealmaking between the Obama Administration and special interest groups has unfolded. The level of “audacity” required to claim his bill is not backed by special interests while he himself made deals with essentially every major special interest in the health care industry during meetings in his White House is substantial and this Obama claim is quite jarring when compared to the above-referenced publicly available facts.

Obama then continues in his speech to claim, as he has many times since the summer of 2009, that “the time for reform is right now. Not a year from now, not 5 years from now not 10 years from now not 20 years from now” while noting that “we have had a year of hard debate, every proposal has been put on the table, every argument has been made, we have incorporated the best ideas from Democrats and from Republicans into a final proposal that builds on the system of private insurance that we have.” These claims, of course, ignore the fact that the Republican ideas to reduce health care costs via tort reform and allowing increased competition between insurers across state lines are ignored by his legislation and those issues also go unmentioned in Obama’s speech today.

Obama then denies that his plan is “radical change” (somewhat contradicting his earlier comments extolling the major changes to come from his bill) and states that “what we’re talking about is common sense reform, that’s all we’re talking about.” Now, Obama unleashes three of the greatest lies ever told about Obamacare:

If you like your doctor, you’ll be able to keep your doctor. If you like your plan, you’ll be able to keep your plan. Because I don’t believe we should give the government or the insurance companies more control over health care in America. I believe it’s time to give you – the American people – more control over your health insurance.

Of course, the massive federal intervention into the American health care system will lead to many Americans having their present health care arrangements substantially altered, whether by a doctor who retires rather than face the increased costs of federal control, or by the new strict federal rules that require certain benefits to be covered, or by an employer who dumps their benefits coverage and just pays the fine to avoid the hassle, or by the elimination of nearly 10 million seniors “Medicare Advantage” coverage. amongst other ways such personal health care arrangements will be altered.

As for Obama’s claim that he does not want to “give the government or the insurance companies more control over health care” and instead wanting to give the “American people” “more control” over their health insurance, such a statement simply defies all logic and available facts known about Obamacare as many  new federal rules and regulations will be implemented and enforced on the American health care system, hence increasing federal government control of same, as intended by its authors. Of course, Obama’s speech avoids any discussion of the massive increase in the federal government’s bureaucracy in his remarks today and instead Obama implausibly denies that his bill will increase federal power over the health care industry, as it is written and intended to do.   Also unmentioned in Obama’s speech is the 15,000 new IRS employees to be hired to enforce the new Obamacare personal and company fines and taxes in Obamacare as well as cost of new federal health bureaucrats to “administer” Obamacare.

Obama then summarizes the parts of his nearly 3000 page bill that he wants to talk about, stating his Obamacare plan does three things: first, it “ends the worst practices of insurance companies” as implementing “a patients’ bill of rights on steroids”; second, “[f]or the first time, small business owners and others…will have the same kind of choice for private health insurance that members of congress give to themselves”; and third that it “brings down the cost of health care for families, businesses and the federal government.”

While the President does accurately state that insurers will be required to issue insurance policies to all those who have preexisting conditions that cost hundreds of thousands if not millions to treat every year at a cost that is not above a healthy person’s policy, the remaining two claims in his formulation are unequivocally false.   All Americans will certainly not have coverage like members of Congress after Obamacare passes, this is simply a lie.   Elite politicians will continue to receive gold-plated health care plans whether Obamacare passes or not, and the average American will either be fined for not purchasing such expensive coverage or the federal government will their own tax dollars (or borrowed dollars) pay to provide coverage made more expensive by Obamacare’s provisions.

Despite this reality, Obama makes this ridiculous claim during his discussion of his second main point that Americans will receive the same coverage as Congress:

“We will offer you tax credits to do so – tax credits that add up to the largest middle class tax cut for health care in history.”

President Barack Obama's speech today on Obamacare reminds some of concepts referenced George Orwell's classic book 1984

Amazingly, Obama terms his planned new spending, in his own words, of at least a “100 billion a year” on a new federal health care entitlement program via Obamacare, as the “largest middle class tax cut for health care in history.”  Such an explicitly misleading presentation of the new entitlement programs in Obamacare certainly recalls the works of George Orwell, such as the book 1984, and this Orwell quote in the aftermath of World War 2 in 1945:

People can foresee the future only when it coincides with their own wishes, and the most grossly obvious facts can be ignored when they are unwelcome. . . To appreciate the danger of Fascism the Left would have had to admit its own shortcomings, which was too painful; so the whole phenomenon was ignored or misinterpreted, with disastrous results…The most intelligent people seem capable of holding schizophrenic beliefs, or disregarding plain facts, of evading serious questions with debating-society repartees, or swallowing baseless rumours and of looking on indifferently while history is falsified.

Above and beyond the false and misleading claims above, President Obama’s ridiculous claim today that Obamacare is “one of the biggest deficit-reduction plans in history” is definitely the most odious and explicitly false statement made by President Obama in his speech today, which in our view ranks as one of the most misleading Presidential speeches in American history. Of course, the giant new entitlement spending in Obamacare (at least 100 billion a year according to Obama today) will not reduce the yearly federal budget deficit, and Obama knows it. However, Obama and the Democrats keep repeating this claim, even claiming it is “one of the biggest deficit-reduction plans in history” based on entirely misleading numbers from the CBO.

It is true that the CBO issued a preliminary report on the latest nearly 3000 page long Obamacare plan today in which the CBO states the bill will cost about a trillion dollars over 10 years (only 6 years of benefits, but 10 years of taxes and Medicare cuts) while allegedly “saving” over a hundred billion in deficit spending over those first 10 years and over a trillion in deficit spending over 20 years. However, the CBO is forced to score the language and assumptions provided to it by the Democrats in charge of Congress, and cannot interject the CBO’s own opinion as to whether those assumptions will bear out or whether subsequent Congresses will change the language.

The first major misrepresentation in the CBO’s claim of deficit savings is the failure to include the “doctor fix” in the CBO’s scoring of OBamacare. The CBO’s claim of deficit spending assumes a 21% cut in doctor and hospital fees, as present law requires. That law, a 1997 act to reduce Medicare spending over time, has been waived every year since then by Congress under pressure from the AMA lobby and others. The Obama Administration, of course, made a little-publicized deal between Obama and the AMA in July 2009 to purchase their support for Obamacare by promising a long term “doctor fix” as a part of the comprehensive health care reform procedure, as reported by Politico then:

In the bill, Democrats provide $245 billion to eliminate an annual shortfall in payments to doctors under Medicare. Democrats resolved this annual headache, in large part, to win crucial support for the bill from the American Medical Association. That money currently counts against the overall costs of the bill, but Democrats have introduced legislation that would remove remove this obligation from federal deficit.

Whether you take the $245 billion dollar figure over 10 years quoted here by Politico, or the $371 billion dollar figure reported by Politico today (before they pulled the story under White House pressure) for the cost in federal spending of a long term doctor fix, the claimed $138 billion in deficit “savings” over the next 10 years completely disappears and Obamacare ends up being in the red, even putting aside all the other budgetary tricks we will outline below. Indeed, the CBO just issued an update to their report, in response to GOP Congressman Paul Ryan’s (R-WI) letter, admitting that Obamacare will add to the deficit once the doctor fix is in place, as promised by both President Obama to the AMA to buy their support and by Nancy Pelosi today in her news conference:

You asked about the total budgetary impact of enacting the reconciliation proposal (the amendment to H.R. 4872), the Senate-passed health bill (H.R. 3590), and the Medicare Physicians Payment Reform Act of 2009 (H.R. 3961). CBO estimates that enacting all three pieces of legislation would add $59 billion to budget deficits over the 2010–2019 period.

Of course, Obama was well aware of these facts regarding the lack of deficit savings when the doctor fix is factored into Obamacare, and Obama still explicitly stated today that his plan will be “one of the biggest deficit-reduction plans in history.”  This Obama claim, a willful misrepresentation of the true cost of his program by not “counting” the doctor fix that Obama himself promised to the AMA to purchase their support for his program in July 2009, brings to mind the Orwell quote above that “most intelligent people seem capable of holding schizophrenic beliefs, or disregarding plain facts, of evading serious questions with debating-society repartees, or swallowing baseless rumours and of looking on indifferently while history is falsified. Sadly, the explicit misrepresentation of the President in claiming that Obamacare is “one of the biggest deficit-reduction plans in history” is not solely based on the doctor fix lie, but many others as well.

Even the NYT, via its Obama-worshipping columnist David Brooks, admits that the Obama claim of deficit savings is an explicit lie, and the CBO report of deficit “savings” is simply the product of legislative gimmicks by the Democrats:

They’ve stuffed the legislation with gimmicks and dodges designed to get a good score from the Congressional Budget Office but don’t genuinely control runaway spending.

There is the doc fix dodge. The legislation pretends that Congress is about to cut Medicare reimbursements by 21 percent. Everyone knows that will never happen, so over the next decade actual spending will be $300 billion higher than paper projections.

There is the long-term care dodge. The bill creates a $72 billion trust fund to pay for a new long-term care program. The sponsors count that money as cost-saving, even though it will eventually be paid back out when the program comes on line.

There is the subsidy dodge. Workers making $60,000 and in the health exchanges would receive $4,500 more in subsidies in 2016 than workers making $60,000 and not in the exchanges. There is no way future Congresses will allow that disparity to persist. Soon, everybody will get the subsidy.

There is the excise tax dodge. The primary cost-control mechanism and long-term revenue source for the program is the tax on high-cost plans. But Democrats aren’t willing to levy this tax for eight years. The fiscal sustainability of the whole bill rests on the naïve hope that a future Congress will have the guts to accept a trillion-dollar tax when the current Congress wouldn’t accept an increase of a few billion.

There is the 10-6 dodge. One of the reasons the bill appears deficit-neutral in the first decade is that it begins collecting revenue right away but doesn’t have to pay for most benefits until 2014. That’s 10 years of revenues to pay for 6 years of benefits, something unlikely to happen again unless the country agrees to go without health care for four years every decade.

There is the Social Security dodge. The bill uses $52 billion in higher Social Security taxes to pay for health care expansion. But if Social Security taxes pay for health care, what pays for Social Security?

There is the pilot program dodge. Admirably, the bill includes pilot programs designed to help find ways to control costs. But it’s not clear that the bill includes mechanisms to actually implement the results. This is exactly what happened to undermine previous pilot program efforts.

When an Obama-loving NYT columnist who is literally in love with President Obama, for reasons such as his “his perfectly creased pant“, admits that Obama and the Democrats have stuffed Obamacare with no less than seven “dodges” to obtain a favorable, yet explicitly false, CBO scoring, centrists and independents know that such claims of deficit “savings” must be false. Finally, on top of the seven listed “dodges”, according to the CBO, and not included in the “scoring”, is the fact that the CBO “double counts” the Medicare cuts as both helping Medicare’s solvency and paying for new spending while another $50 billion in unscored costs are likely to administer the massive new federal entitlement programs and federal controls over the health care industry contained in Obamacare:

In its March 11, 2010, cost estimate for H.R. 3590, the Patient Protection and Affordable Care Act (PPACA), as passed by the Senate, CBO indicated that it has identified at least $50 billion in specified and estimated authorizations of discretionary spending that might be involved in implementing that legislation. The authority to undertake such spending is not provided in H.R. 3590; it would require future action in appropriation bills.

Finally, the President also plays misleading rhetorical games regarding the “cost controls” in Obamacare. The only significant cost control mechanism in the Obamacare package (as tort reform and interstate competition between insurers are omitted) is the “cadillac tax” on gold-plated health insurance policies, however, that tax was pushed off until 2018 because of pressure from unions who’s members have such insurance plans. Accordingly, in order to make the ridiculous claims of deficit savings referenced above, Obama pretends that Congress in 2017 will not waive the “cadillac tax” under political pressure, as he has just done with the delay until 2018 and as every Congress has done every year since the 1997 Medicare cost-cutting legislation (which is the source of the “doctor fix” problem in the first place).  Indeed, if Obama with a huge Congressional majority cannot enact a cadillac tax within the next 8 years, why should anyone have any confidence that Congress 2017 will do so? Obama, and everyone else in Washington, knows this is an unrealistic fantasy, but Obama still made these ridiculous claims in his historically misleading speech today.

Finally, just as Congress has waived the planned reductions in fees for doctors and hospitals every year since 1997, future Congresses in all likelihood will also waive the planned nearly $500 billion in cuts to Medicare over the next 10 years to avoid a backlash by elderly voters who fear benefit cuts and pressure from medical provider lobbies. The cuts to Medicare are over half of the revenue Obama plans to use to fund the new health care entitlement spending of $100 billion a year, and everyone in Washington knows these cuts will never happen in full. Obama’s speech, of course, makes no reference to the “doctor fix” or the Medicare cuts themselves which form half of the revenue for his programs, but Obama certainly does claim that his plan is “one of the biggest deficit-reduction plans in history”, and all of his fellow Democrats are repeating similar claims all over the dial as this article is written. Such intentionally misleading statements by American leaders again remind centrist and independent Americans of the words of George Orwell as referenced above, reinforced by Obama’s ridiculous claim his “reduced” health care costs from Obamacare will mean that employers “can afford to give you a raise.”

A final Obama quote from today
sums up the fraudulent nature of his speech, as he claims “more than $1 trillion” in deficit savings, considering the facts noted above. This comment is the only reference to the $500 billion in cuts planned for the Medicare system, and of course Obama does not reference Medicare by name:

And by the way, if you’re curious, well, how exactly are we saving these costs? Well, part of it is, again, we’re not spending our health care money wisely. So, for example, you go to the hospital or you go to a doctor and you may take five tests, when it turns out if you just took one test, then you send an e-mail around with the test results, you wouldn’t be paying $500 per test. So we’re trying to save money across the system. (Applause.) And altogether, our cost-cutting measures would reduce most people’s premiums. And here’s the bonus: It brings down our deficit by more than $1 trillion over the next two decades.

The pure idiocy of Obama’s example of emailed tests as his primary cost-cutting mechanism to cut nearly $500 billion from Medicare speaks for itself.  Obama gave his speech to an auditorium of students at George Mason University, as such young college students are Obama’s last remaining base of support with his approval slipping underwater, as more Americans disapproving than approving of his performance in all major polls released this week. One can only hope that America does not have to find out the hard way, via renewed economic instability emanating from runaway deficit spending as envisioned by the actual provisions of Obamacare, not to mention the loss of medical innovation and job creation from the health care industry and the historical alteration of the relationship between American citizens and the federal government, that the claims made in Obama’s speech today are wholly false and that his speech was likely one of the most misleading speeches ever given by a sitting American President.

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Obama on Speaking Time Imbalance: “Because I’m the President”; UPDATE: Video Added

Thursday, February 25th, 2010

President Barack Obama Appears Bored as He Listens to Members of Congress Recite Scripted Speeches in the First Hour to Today's Health Care Summit

The health care summit between the Congressional GOP, President Obama and Democratic Congressional Leadership is off to an entertaining but generally unsubstantive start, with scripted speeches the norm and a few interesting interactions. Sadly, it appears that actual negotiations over a incremental centrist health care reform bill appears to be out of the question so far as all the Democrats are condemning any talk of an incremental approach while focusing on anecdotal examples of individuals who are without health care instead of the legislation under debate, despite stated agreements over the Medicare fraud sanctions database and enforcement (see #5 of OPINION piece) concept and the stated agreements about the need for substantial medical malpractice reform (see #2 of OPINION piece). At least for now, the Democrats, led by President Obama, are sticking to the “big bill” gameplan and we expect the remainder of the summit to proceed as the first hour did: scripted speeches and a few testy interactions but little substantive progress on a bipartisan deal.

One interesting testy interaction that just occurred was between President Obama and Senate Minority Leader Mitch McConnell (R-Ky.) over the issue of the time allotted to each party. McConnell noted that the GOP had received a fair amount less time than the Democrats so far, and the President agreed that there was a time imbalance and quipped that it is “because I’m the President” and his speaking time didn’t “count” toward the pledged equal division of time between parties. Politico reports on the exchange:

McConnell interrupted the discussion at Blair House Thursday, over an hour after it began, to note that Republicans had only spoken for 24 minutes compared with 52 minutes for the Democrats.

“I don’t think that’s quite right, but I’m just going back and forth here, Mitch,” Obama said. “I think we’re just trying to go back and forth, but that’s okay.”

A few moments later, Obama noted the session was running long and acknowledged – with an explanation – that Republicans hadn’t spoken for quite as long.

“You’re right that there’s an imbalance on the opening statements, because I’m the president,” Obama said. “I didn’t count my time in terms of dividing it evenly.”

Such quips from Obama are sure to rile the GOP, who considered the equal time pledge by the White House binding.

Another interesting talking point Obama continues to return to is the comparison of shoddy car insurance to what Obama claims is shoddy health insurance as sold now without the benefit of the federal regulations that Obamacare would impose. House Member Paul Ryan (R-Mi.) made the point that conservatives and moderates are rejecting the Obama Health Plan because of disapproval of the increased federal regulatory power and mandates that will be imposed if Obama’s comprehensive plan is passed. Obama used his car insurance analogy to respond to Ryan’s point, claiming that the federal health rules are necessary to stop shoddy health insurance from being sold. However, there are no federal car insurance regulations, such regulations are handled by state governments, as are regulations over health insurance policy terms as of today. Obama’s proposal envisions bringing another set of regulations over all health insurance policies on top of the current state health insurance regulations, in essence creating a federal insurance commissioner on top of the already-existing 50 state insurance commissioners.

UPDATE: Realclearpolitics posts the video clip of the McConnell-Obama exchange.

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