Who Needs Press Secretaries When the Newspaper Does the Spin?

Providence Journal, front page headline, above the fold, today:

Enrollment in R.I. exceeds expectations
New data from HealthSource RI sums up who made what choices in first 3 months

From the eighth paragraph of the actual story, appearing on the next page:

But that target was clearly lower than most expectations. Blue Cross & Blue Shield of Rhode Island had expected 40,000 by March 31. A state estimate prepared in 2012 projected 62,000 individuals would have private insurance after the end of 2014. Last fall, Ferguson estimated that 70,000 to 100,000 people would get coverage through the exchange during its first 18 months.

I mean, come on. It’s bad enough for credibility when people who skim the headlines later find a story somewhere else that seems to contradict the impression the newspaper had tried to give them; it’s another thing when that reader can find the contradiction within the paper itself.

Progressive Strawmen Are Meant to Be Scarecrows

Whether it’s a conservative magazine’s editorial position on marijuana or the Catholic Church’s position on terminating pregnancies for medical reasons, Progressives’ goal is to distort and make their opponents seem unreasonable.

The Direction We’re Taking Health Care

I didn’t want to let this Felice Freyer article slip through the cracks. It’s about the wave of new Medicare Advantage clients that Blue Cross & Blue Shield is picking up, owing to changes at United-Healthcare, reducing doctor choices dramatically. I’ve rearranged some sentences from the article in order better to follow the bouncing ball:

Under the Affordable Care Act, payments to Medicare Advantage plans are gradually being reduced … Faced with these cuts, United is trying to save money by working with smaller networks…

A federal judge in Connecticut granted a temporary restraining order barring United from implementing a reduced network in two counties in Connecticut. United has appealed.

United confirmed that, in a special agreement negotiated earlier this year, some 4,900 retired state employees and their families have been exempted from the network changes. Although they remain in United’s Medicare Advantage plan, they will continue to have access to the same providers as previously.

Insurers build plans and networks that make sense within the constraints of government programs and their own business models. When the government changes a program and large parts of those models no longer work, companies adjust them.

In response to something best described as political pressure, a judge steps in and insists that a private company cannot legally change its model, at least yet. The state government (which regulates and sets laws affecting the company) gets its retirees a special deal not available to the ordinary resident.

In both of these cases, the costs that the government forces United to accept have to go somewhere. Inevitably, that somewhere will be on the backs of the least politically powerful group.

The farther we go along the path of government control of healthcare, the more we’ll see government insisting that people behave under a contrived reality that ultimately serves its own needs.

Paying Money to Be Able to Give It Away

Federal grants have already paid large subsidies for applicants using HealthSource RI, but only for a small number of them is that the full taxpayer burden.

When Is a Lie “Half True”?

Maybe when reality begins to make a desire for political manipulation into a threat to personal professional credibility.

Such is the case, one may presume, with this year’s PolitiFact Lie of the Year, which went to “If you like your health care plan, you can keep it.” The article acknowledges that PolitiFact twice graded the statement “half true,” but it never suggests an intention to revise those rulings or explains how a statement that “is partially correct and partially wrong” could be considered a lie.

If you like your “half true,” you can keep it?

Indeed, every other Lie of the Year had previously been ruled “Pants on Fire” (sometimes in combination with being “False”):

As painful as the next three years are likely to be, it’s going to be fascinating to watch as the supposed watchdogs in the mainstream media search for the boundaries of their hedges.

HealthSource RI really is the perfect RI government program.

Consider:

Christine Ferguson, executive director of HealthSource RI, suggested the state could look to a tax or fee, as some states that run their own exchanges have done.

But it could also use a combination of direct state aid, advertising revenues, grants and “strategic partnerships” with other agencies and nonprofit groups to help offset costs.

Only in government is it possible to plan to figure out how you’re going to pay for a $25-30 million annual operation after having spent several times that to set it up.

And right on cue comes the voice of the leftist labor unions:

Another advisory board member, Patrick Quinn of the Service Employees International Union, which represents nurses and other healthcare workers, suggested Rhode Island could impose a tax on soda, or assess a fee on not-for-profit health-care providers that pay “outrageous” salaries to their executives.

Of course! An expensive new government program is the perfect opportunity to impose nanny-state values and redistribute wealth.

No wonder people are giving up on Rhode Island.

Brainstorming as Health Care Headline

An Anchor Rising commenter used to proclaim that collegiate right-wingers had it easy. All they had to do was mouth the right ideas, and the giant udder of the conservative cash cow would descend upon them.

The notion is laughable. Rhetoric consistent with a mainstream New England liberalism is the ticket to the front of the line around here.

Consider Felice Freyer’s column on the front page of the Sunday Rhode Island section, about an idea to pay for HealthSource RI, the state’s ObamaCare site.

Ted Almon “concedes he hasn’t done the math,” but he thinks if government claims a monopoly on medical billing, then all problems will be solved. Of course, government control would be better for this or that stakeholder, but the question is whether it’s better systemwide… for customers, taxpayers, the people who ultimately have to live with and pay for it.

You can’t ignore the cost to them. Handling some financial tasks doesn’t make it free for HealthSource to scale activities to process all healthcare transactions.

And people already have jobs in medical billing. Some work for providers; some are independent contractors. All of the medical-billing contractors I’ve met have been middle-aged women doing the work from home for supplemental income.

Are state workers likely to be more cost-effective? If the whole idea is to pay for HealthSource, they’d have to be tens of millions of dollars more cost-effective per year.

In short, the math is the idea.

But Almon is an advocate for a single-payer (i.e., totally government run) healthcare system. He says he used to prefer free-market solutions, but he “figured out that none of them would work.”

I wonder if he did the math on that. I wonder if anybody at the Providence Journal has… or even wants to find somebody who has.

When inability to predict the future is an excuse for promising lifetime benefits.

Perhaps for comic relief, Tom Sgouros attempts to wave away concerns about the failure of RI governments to put aside money to pay for the lifetime health benefits of employees.

A Pause to Thank Obama for the Lesson

Lots of things happen when an incompetent administration bullies, lies, and buys off a nation into a breath-takingly complex experiment in government power grabbing in a critical area of every citizen’s life. Most of them are bad — catastrophic, even, especially for individuals — but one small positive thing we can salvage is the lesson.

So, let’s pause to thank the narcissistic head of that administration for the clarity. According to Obama voter Walter Russell Mead, “the most shocking ObamaCare revelation” is that “the President of the United States didn’t know that his major domestic priority wasn’t ready for prime time — and he thinks that sharing this news with us will somehow make it better.”

Adjusting for the attributes of this administration that give the impression of cosmic hyperbolism, that shocking fact actually may derive from a commonplace error of progressive thought… a sort of infant peek-a-boo game for politics… the notion that if one cannot see a harm, it does not exist.

This came up during the Wingmen segment on minimum wage. It might feel good to force employers to give employees more money, but advocates can’t see the people downstream in the chain of consequences whose lives become more difficult when case-by-case decisions are forbidden. The sympathetic target of the altruism may actually be the collateral damage from some prior decision that helped somebody else.

With ObamaCare, the administration allowed the consequences to come too quickly and the lines from handout to hindered to be too direct. They’re unmistakable.

Maybe Obama didn’t think he needed to pay attention to details because in every other progressive rewriting of reality, the consequences never stain the original good intentions. Like the Joshua computer in War Games, Americans should learn from Obama’s Tic-Tac-Toe that the game of central planning cannot be won.

Contrary to a Certain “Fact”-Checking Service, Rhode Island Does, Indeed, Have the Highest Number of Health Insurance Mandates

One of the reasons that Rhode Islanders may seem to suffer slightly less than other states under the mandate-heavy ObamaCare law is because … well, we’ve already been suffering: the Rhode Island General Assembly has heaped the most number of health insurance mandates on us. “On us” because, contrary to the muddled thinking of too […]

Great Catch, John Loughlin. How Did We Forget, “Reduce Premiums for the Typical Family By $2,500”?

To date, most of the attention, understandably so as healthcare plans have been blowing up right and left, has been focused on the promise that, under ObamaCare, everyone would be able to keep their coverage if they wanted to. Major H/T to WPRO‘s John Loughlin for reminding us on the air this morning about another […]

Chafee Admin Won’t Let Rhode Islanders Keep Cancelled Health Insurance Policies That May or May Not Have Been Cancelled and May or May Not Still Exist

What does it mean if you’re barred from keeping a plan that may not exist?

But It’s Better

We’ve already gone over the “If you like your plan, you can keep it” promise and seen how hundreds of thousands of cancellation notices have gone out to people. The notices are going out because the new health care law has requirements for health care coverage and many plans don’t meet these requirements. The insurance […]

Investing taxpayer money to give it away.

Along with the federal government’s roll-out of the bad news surrounding enrollment in the health benefits exchanges of the Affordable Care Act (ACA; aka ObamaCare), HealthSource RI has published a more-complete picture of Rhode Islanders’ use of the site.

Basically, of the 4,405 “processed applications,” 73%, or 3,213, are Medicaid recipients, meaning that they were “shopping” for a welfare program that’s free to them. Of the remaining 1,192 presumably-paying customers (although many will likely be mostly or partially subsidized by federal taxpayers), only 267 have fully enrolled — that is, they’ve made the first payment indicating that they’ve actually purchased the plan.

As shown on the chart that I’ve posted on the RI Center for Freedom & Prosperity’s site, that works out to $371,268 in U.S. taxpayer-funded grants to get the exchange working per enrollment.

As she might be expected to do, HealthSource director Christine Ferguson puts a positive spin on the results, saying that “the Medicaid piece is a great, smashing success.” Make it easy for people to get something for free, I guess, and you’ll have takers.

My favorite paragraph in Felice Freyer’s Providence Journal article, though, is this one:

Among those buying private insurance, Ferguson said that Rhode Island has exceeded the first-month target of 890, which was set by the federal government but not previously revealed. (Of the 1,192 who are buying insurance, 267 have already paid their premiums, which are due Dec. 15.)

Beware previously unrevealed goals, especially when it’s not clear when the federal government actually defined “enrollee.” One wonders where that goal — which is exactly 75% of the actual number (to the nearest ten) — came from.

In August, Spokesman Ian Lang told me that the exchange “anticipates” enrolling at least 70,000 people by the end of next year. Even if that includes Medicaid recipients (which wasn’t clear), they’re not on track to make it.

HealthSourceRI Navigator Background Checks Not Required

No law or regulation at the federal or state level requires health benefits exchange “navigators” in Rhode Island to undergo criminal background checks, and not all agencies providing the service require them on their own.

The Budding Federalism of Sen. Whitehouse?

Last week, Ted Nesi interviewed RI Senator Sheldon Whitehouse about the ongoing problems with the ACA Health care rollout. Said Whitehouse, “I think it’s been a botch, and when you consider that little Rhode Island can get it right, it’s frustrating that the federal government didn’t.”

Today, Erika Niedowski reports that Senator Whitehouse, during some hearings in the Senate, remarked that it’s “‘a little nervy to be complaining that the federal government didn’t do it for you well enough’ when states could have ‘simply saddled up and done it’ themselves.”

Seems like Senator Whitehouse is implying (admitting?) that, just perhaps, smaller units of government are more effective than larger ones, even when it comes to implementing grand schemes.

When Even NBC Calls Him A Liar…

We’ve seen the battles between Fox News and NBC as they effectively act as the PR wing for the right and left. But what does it mean when one of them breaks ranks and writes an article that could have just as easily come from the other side? NBC News did a little digging and tells us what many of us already knew. President Obama has not been telling us the truth about the Unaffordable Care Act.

A little context before we go praising HealthSourceRI

Driving home from Woonsocket, this evening, I heard Karl Wadensten (president of VIBCO and board member for Rhode Island’s Economic Development Corp.) on Matt Allen’s 630 WPRO show saying that the state’s ObamaCare exchange, HealthSourceRI, has done a pretty good job getting rolling.

Compared with the absolute disaster that is the federal Web site, I suppose the point is irrefutable, but a few considerations shouldn’t be forgotten, not the least because they shed light on the broader problems that Rhode Island has created for itself:

  1. Rhode Island has driven all but three insurers out of the state, so we’re not talking about a huge job pulling together pricing for the handful of options that the state government has left for us.
  2. Rhode Island already led the nation in mandates on insurance, so there was relatively little for the federal government to force us to change, meaning that “the sticker shock” was bound to be less… because we were already paying more than we should have been.
  3. Rhode Island received $84 million to set up and get rolling a Web site to serve its population of one million people. Obama-style transparency leaves the question of cost of the federal exchange unanswerable, but $400 million is a reasonable estimate, and it serves more than half of all U.S. states.

It seems to me that proclaiming the Ocean State’s relative success at stepping farther into government control of healthcare is a bit like acknowledging that it’s easier to walk over people when you’ve already knocked them down.

Obvious health care changes make one wonder why not

The RI Center for Freedom & Prosperity released the third and final report on reforming health care, by Sean Parnell, yesterday. The focus is a few steps that Rhode Island could take, accepting that ObamaCare is law and that Rhode Island is not a state to buck it:

It is our Center’s conclusion that it is not feasible that a government-centric, one-size-fits-all approach via the state’s health benefits exchange can adequately address the needs of a highly diverse population. Only with additional patient-centric, consumer-oriented options can we move toward the goal of ensuring that more Rhode Islanders achieve health care and financial peace of mind.

The list of suggestions is actually pretty modest and, frankly, obvious:

  • Mandate-free and mandate-lite, full-disclosure insurance policies — so that people who don’t need or can’t afford all of the bells and whistles in an insurance plan can still get coverage.
  • Interstate insurance sales — so that Rhode Islanders don’t have to be trapped by their borders.
  • Health care sharing ministries — so that Christians who prefer a different mechanism than “insurance” to cover their costs can live according to their values.
  • Critical illness and accident insurance — so that individuals can assess their own tolerance for risk and determine how they’d like to address challenges that come up.

Some legislators appear interested in potentially advancing some of these policies, but honesty requires one to acknowledge that it’ll be an uphill battle, for much the same reason that ObamaCare wasn’t challenged in RI. Too many powerful people want to be able to make promises that others have to honor.

But the fact that those four items would be revolutionary is something folks should think about when big-government activists claim our health care system was struggling because it operated by “free-market principles.” (Hard not to laugh, I know.)

A Patrick Kennedy glimpse of American lawmaking

Former Rhode Island congressman Patrick Kennedy gave students at Texas State University some insight into how the United States Congress works out its differences and hones bills down to well-deliberated new laws, regarding his mental-health-parity legislation:

“I called my dad and said, ‘Dad, it’s sitting in the Senate, it’s not passing, you got to call somebody.’ Of course my dad had lots of favors to call in,” he said. “He called, and Chris Dodd said: ‘I’ve got just the answer.’ ”

The mental health bill passed the Senate after it was tacked on to the federal bank bailout, the Troubled Asset Relief Program, in September 2008.

So, as Rhode Islanders may recall, the healthcare-related bill became a necessary appendage to an economy-related bill. The timing of this anecdote is especially auspicious, given Democrats’ and media’s heated insistence that it is inappropriate for House Republicans to link healthcare-related policy with budget legislation.

Kennedy also called for more civility in politics, while passing off barbs against the Bible Belt and Texas.

“Tyrants” Who Follow the Constitution, Versus Tyrants Who Don’t

I slipped, again, and read today’s Froma Harrop column. Here’s the breezy way in which a pro Projo columnist characterizes the legal and political debate around ObamaCare:

Nothing the Tea Party people demand can’t be had through the normal political process. It happens that a duly elected House and Senate passed Obamacare. And when asked, the U.S. Supreme Court said it’s cool with it.

That’s that, sneering away so much legitimate argument that a reader remembers why he’d determined her columns not worth the effort. The “Tea Party people” are “tyrants.” Condescendingly: “They are martyrs, you see” — out there in their filthy, suspect difference.

Harrop should read an excellent column by Andrew McCarthy, who argues that the passage of ObamaCare was pure unconstitutional “fraud” and will be back before the Court on additional grounds. For the likes of Harrop, one senses, the intellectual validity of a law is chiefly determined by whether or not they like the result.

So, she insists, the tyrants are not those who control most of government, who managed to push through an ideological boondoggle as law because there was nobody with power to enforce the rules, and who are now putting up absurd barriers and shutting down businesses deliberately to cause people pain, while proving the “most closed, control-freak administration” ever (even in the eyes of a New York Times reporter). The tyrants are not the ones who apparently used the IRS and other agencies to target the Tea Party for engaging in “the normal political process.”

Rather, in Harrop’s view, the tyrants are ordinary people with the effrontery to utilize our system’s deliberate protections for political minorities. Kinda makes you worry what’s to come as our betters forget that old yack about sticking up for process and remembering that we’re all Americans, doesn’t it?

10 News Conference Wingmen, Episode 5 (ObamaCare)

Justin Katz and Bob Plain argue ObamaCare, including a new, extended online-only discussion.

Health Exchanges Prove the Dependency Portal Point

Back when the idea of government-run health insurance exchanges first entered into Rhode Island state government policy, the RI Center for Freedom & Prosperity warned that they were being set up to become “dependency portals“:

The exchange will become a dependency portal when other forms of public assistance — from food stamps to cash-payment welfare to child-care subsidies — are integrated into the system and promoted to the exchange user based on information that he or she provides while seeking health coverage — perhaps automatically enrolling people with the merest expression of consent.

As James Taranto points out, the evidence wasn’t long in arriving upon the exchanges’ unveiling:

… Brendan Mahoney [is] 30 years old, a third-year law student at the University of Connecticut. He’s actually been insured for the past three years … through “a high-deductible, low-premium plan that cost about $39 a month through a UnitedHealthcare subsidiary.” But he wanted to see what ObamaCare had to offer. … Now, he says, “if I get sick, I’ll definitely go to the doctor.” Even better, if he stays healthy, he won’t need to go to a doctor, and his premiums will support chronically ill policyholders on the wrong side of 40.

So, how much of a premium is strapping young Brendan Mahoney paying to help make ObamaCare work? Oops. The Courant reports that Mahoney “said that by filling out the application online, he discovered he was eligible for Medicaid. So, beginning next year, he won’t pay any premium at all.”

Sure, it’s just one anecdote, but a policy sold on bringing healthcare to the uninsured appears to be structurally indistinguishable from a policy designed to push people who are willing and able to take care of themselves into dependence on government.

Rhode Island: First into Freedom, First Out?

This thirty-second television spot is the latest aspect of HealthSourceRI that Rhode Islanders should feel just oversteps the appropriate bounds for government:

As a functional matter, I’ll say once again: The government shouldn’t be acting like a start-up company. On the substance, Chris Caramela tweeted it well: “Love RI’s new healthcare ad, 1st to declare independence, 1st in industrial revolution.. Then they leave out… 1st to give back both!!!”

The fact is that Rhode Island was second last to ratify the Constitution. With respect to Constitutional Amendments, we specifically rejected the income tax and prohibition of alcohol and only just ratified a change in the U.S. Senate election process this year. Rhode Island’s history is one of suspicion of centralized authority, and it is an insult to the state for government operatives to claim that heritage while obliterating its principles.

Government Wants to Be Like Business (But Only When Convenient)

So, the Obama administration settled on the talking point pretty quickly, this morning, as people began to notice that healthcare exchanges across the country weren’t working very well. HHS Secretary Kathleen Sebelius was first out of the gate with a statement that Obama would repeat almost verbatim for TV and radio audiences:

“No one is calling on Apple to not sell devices for a year or to get out of the business because the whole thing is a failure,” she said. “Everyone just assumes there’s a problem, they’ll fix it, let’s move on. . . . Hopefully, they’ll give us the same slack as they give Apple.”

Here’s the thing: The government is not a business. For one, government has made its product obligatory. For another, the product involves safekeeping of highly sensitive personal information and the critical app of healthcare.

It’s just plain inappropriate for billions of taxpayer dollars to be handed to government agents so they can try their hand at running a start-up company. When you force people to invest in a venture and then you require them to buy the product, you get less room for error than companies that raise money and put their own existence on the line to try something new (which consumers can reject).

That’s just the way things work, and being able to pretend that it is not is exactly why the incentives are all wrong for government’s entering into business ventures in the first place.

RI’s #ObamaCare Exchange Is Down

As of 8:30 a.m. on the first day for HealthSourceRI, Rhode Island’s ObamaCare exchange, I’m getting this error message: “The service is overloaded or offline. Please try again later.” Three thoughts:

  1. It’s a good thing the government isn’t involving itself with anything important with ObamaCare.
  2. HealthSourceRI spokesman Ian Lang bragged that the government agents in his office were doing something that “not many private-sector companies that would agree” to do. That’s because, in private-sector companies, people lose their jobs and life savings when they crash at the word “go.”
  3. Private sector: millions watch skydive from space online without a hiccup. Government: you can’t buy health insurance because the site’s down.

RI’s Health Exchange Silver Lining, Dark Cloud

The Daily Caller’s Sarah Hurtubise lists ten states where ObamaCare is limiting choices for health insurance consumers. Reading through it, I’m reminded that one can see silver linings best from under the dark cloud. It isn’t surprising that Rhode Island’s health benefits exchange, HealthSourceRI, is relatively confident about its opening day: The state’s overbearing regulations and mandates had already driven out all but three insurers, for most purposes.

Welcome to Rhode Island, America!

Every Step Leading to More Government, Less Self Determination

The government’s continued edging into healthcare and education move the American marketplace in the wrong direction (as people would see plainly if they’d stop and think for a spell).

Translating the Spin on Health Insurance

The language used to explain how Rhode Island’s ObamaCare insurance rates will compare with current prices, without the law, can distort whether people see the law as fair or unfair.

Magical Government Hiring

Rhode Island’s ObamaCare health benefits exchange is not producing new wealth when it takes its miniscule nick out of the state’s unemployment rolls.

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