Issue Brief posted November 8, 2013
Lack of Competition in Obamacare’s Exchanges: Over Half of U.S. Has Two or Fewer Carriers
My guiding principle is, and always has been, that consumers do better when there is choice and competition. That’s how the market works. Unfortunately, in 34 states, 75 percent of the insurance market is controlled by five or fewer companies. In Alabama, almost 90 percent is controlled by just one company. And without competition, the price of insurance goes up and…
Issue Brief posted October 24, 2013
Budget Sequestration's Impact on Obamacare Subsidies
Many Americans could face a rude awakening when they discover that the subsidies they thought they were getting to offset their health care costs are less than what they were promised. Some claim that the Obamacare subsidies are exempt from the spending reductions established by the Budget Control Act (BCA), but that is only half right.
The BCA exempts only the…
Issue Brief posted October 16, 2013
How Will You Fare in the Obamacare Exchanges?
There are literally no comparisons to current rates. That is, [the Department of Health and Human Services] has chosen to dodge the question of whose rates are going up, and how much. Instead they try to distract with a comparison to a hypothetical number that has nothing to do with the actual experience of real people.
President, American Action…
Issue Brief posted September 13, 2013
Interpreting Obamacare’s Premium Estimates for 2014
In recent weeks, several organizations have released studies projecting premiums in Obamacare’s new exchanges next year. However, many of these studies suffer from the same flaw: They ignore or minimize the fact that, due to Obamacare, individuals will be forced to buy levels of health insurance that they may not need or want. As a result, average insurance premiums on…
Issue Brief posted September 3, 2013
How Obamacare Threatens Privacy in America
Over the past several months, a stream of reports from government auditors and news stories has raised serious questions about the Administration’s implementation of Obamacare and its effects on the privacy of millions of Americans. The reports paint a portrait of an Administration casting aside security concerns—potentially putting Americans’ financial and health data at…
Issue Brief posted August 26, 2013
Obamacare’s Impact on Businesses: An Update
Obamacare will impose new health coverage costs, the employer mandate, compliance regulations, and new taxes on all businesses. Altogether, these constraints will dramatically affect companies’ per-employee costs, desire to provide health coverage, and motivation to grow in terms of both income and employment.
Further Burdening Businesses
Obamacare is likely to…
Issue Brief posted August 16, 2013
Medicaid Expansion and State-Level Evaluation in Virginia
Many states have conducted various versions of evaluation of the budgetary effects of expanding Medicaid. One state in particular that has participated in a rather robust analytical discussion is Virginia.
According to the Urban Institute, “Virginia exemplifies a state where public officials and private stakeholders have carefully analyzed multiple effects of the Medicaid…
Issue Brief posted July 30, 2013
Defunding Obamacare: The Next Best Option
Congressional opponents of Obamacare continue to search for the best approach to relieve the American public of the unpopular law’s burdens. Of course, the ideal solution is Obamacare’s full repeal. However, short of its full repeal, Congress’s best option is to defund the entire law to prevent its implementation.
What Defunding Does
Because the Constitution grants…
Issue Brief posted July 1, 2013
The Cost of Educating the Public on Obamacare
Open enrollment in Obamacare’s insurance exchanges is slated to begin in October, and the Administration is using extraordinary—and questionable—efforts to raise awareness among the public and facilitate enrollment for fear not enough people will sign up for coverage.
Secretary of Health and Human Services (HHS) Kathleen Sebelius has recently admitted to contacting…
Issue Brief posted June 13, 2013
Pediatric Research Bill: Obamacare’s Road to Rationing?
Later this month, the House of Representatives could consider legislation regarding pediatric research. Legislation regarding this issue (H.R. 1724) was first introduced in April, and a new version of the bill (H.R. 2019) was introduced in May.
Although largely similar, H.R. 1724 would require the director of the National Institutes of Health (NIH) to provide a…
Issue Brief posted June 10, 2013
If Obamacare Collapses: How States Can Protect Their Citizens
As the case against Obamacare continues to mount, states should be ready to act. Despite the President’s professions of confidence, recent concerns voiced by Members of Congress—added to lackluster support for and understanding of the law by the public—have further exposed Obamacare’s real and practical vulnerabilities.
In preparation for the likely collapse of Obamacare,…
Issue Brief posted May 16, 2013
The Taxman Cometh: The IRS’s Role in Implementing Obamacare
The recent admission by the IRS that its employees improperly subjected certain organizations to heightened scrutiny based upon their political affiliation raises troubling questions about the agency’s ability to manage Obamacare in a competent and impartial manner. At a time when doubts are growing about the IRS’s politically biased behavior, Obamacare grants the agency…
Issue Brief posted April 11, 2013
Medicare Savings: 5 Steps to a Down Payment on Structural Reform
If we solve our healthcare spending (Medicare), practically all of our fiscal problems go away. If we don’t? Then almost anything else we do will not solve our fiscal problems.
- Dr. Victor Fuchs, Emeritus Professor of Economics, Stanford University, March 5, 2012. 
The Medicare savings embodied in President Obama’s Fiscal Year 2014 budget proposal—mostly from…
Issue Brief posted April 10, 2013
Obamacare’s Essential Benefits Regulation Creates Disparities Among States
The Department of Health and Human Services (HHS) has issued final rules for Obamacare’s essential health benefits (EHB) package, setting up yet another new source of conflict over Obamacare, this time among the states.
HHS has adopted a “state benchmark plan” approach for setting the EHB package. The result of this decision is that the EHB package will now vary from…
Backgrounder posted March 22, 2013
Medicare’s Rising Costs — and the Urgent Need for Reform
The rising cost of Medicare is placing an increasing burden on current and future taxpayers, as well as exacerbating the poor financial condition of a program on which America’s seniors depend in their retirement. The traditional program’s fee-for-service payment system, in which doctors and hospitals are paid a fixed price for each and every procedure or service that…