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Thursday, March 16, 2017

Obamacare repeal is ahead of schedule


"Laws are like sausages, it is better not to see them being made." -- misattributed to Otto von Bismarck.

The repeal and replacement of the Patient Protection and Affordable Care Act of 2010 is ahead of schedule, and can be completed by the July 31 deadline President Trump set.

That deadline is real because insurance companies need August and September to set their rates for 2018. The open season -- when people buy their insurance for the next year -- begins in October.

Also, President Trump cannot do tax reform until after Obamacare passes, and the deadline for tax reform is the Christmas break.

More likely October 31 to give Wall Street time to adjust, as well as allowing companies to figure their tax strategy for the coming year.

Certain markdowns and other deductions might be better taking in 2018 than 2017, and some may be better taking this year than next, depending on what Republicans agree on.

At this point eight years ago -- the same point of the Obama regime -- the bill was not written.

Like President Trump, Barack Obama had declared his support of the federalization of the health insurance industry by the central government. Marxism lives, even after the Soviet Union fell 17 years earlier.

But the bill was months away from being written. Eben though Democrats had wanted this for a hundred years -- according to Nancy Pelosi -- they had no formal proposal, or even an outline of one.

While Republicans have already submitted to the Congressional Budget Office their alternative, it would be another three months before the Democratic Party submitted its plan.

Then after being told Obamacare would cost a trillion dollars, Democrats scrapped that plan and re-wrote the plan again.

Democratic Senator Max Baucus headed that effort. But it was not until the day the Senate went home for Christmas that the bill passed the Senate.

It would be another three months before Democrats turned their tofu sausage into law.

So chill.

Republicans are on schedule. The bill already passed its first committee.

Speaking of chill, I could not resist responding to Stephen Green at Instapundit:
Longterm, entitlement spending is going to break us, and it’s a pity that Trump hasn’t shown any more guts on entitlement reform than any of his predecessors. But as for the rest, “elections have consequences.”
I left this comment:
"Longterm, entitlement spending is going to break us, and it’s a pity that Trump hasn’t shown any more guts on entitlement reform than any of his predecessors."
Obamacare goes down first. That is a potential trillion-a-year entitlement.
He's been in office 55 days. Sheesh.
If anything the end of NEA, PBS, Planned Parenthood, is the first Actual Budget Cut I have seen since Reagan.
Let me say it for a third time: Sheesh.

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  1. Skewerin' Surber's Sheesh-Kebab. It's what's for dinner.

  2. Something's been niggling at the edges of my memory for a while now about Trump's technique and tactics, and I finally think I know what it was reminding me of.

    Chamberlain's simultaneous frontal assault and flanking maneuver down the slope of Little Round Top.

    Thing is, the Leftards never learn. He keeps doing it successfully again and again.

  3. I expect a total media assault (nothing new here) trashing the first 100 days.

  4. I noticed earlier on the previous post on health care someone asking for prices to be posted. There's a reason prices are not posted. If you take Medicare or Medicaid or want to keep that an option for the future you don't post prices but leave this up to the third party payers. If you ever happen to post a price that is lower than that paid by the feds you could be locked into that price forever if anyone happened to notice. It is fed policy that you cannot offer anyone lower prices than what they pay, if you do, this is the penalty. This goes back to the days when non-participating providers would directly bill the patient and the govt would reimburse the patient, who then paid the doctor. One source of fraud would be to bill the patient at a lower than normal rate, leaving the patient with a windfall from the govt, or not billing the patient whatever balance was due. Some called this "insurance only" billing. You may have heard the term. It is fraud. Another problem some docs would have is that a patient might take the money and run. I had a colleague tell me once that he did a gastric bypass on a lady and she and her husband took the money and moved to Alaska. There's a lot more to that story, but I don't have the time to tell it right now .
    The places where you see prices posted either don't take CMS reimbursement, aren't delivering covered services (Lasik), or aren't playing the game very well.

    Whenever you have a tacit monopoly system like what we have for medicine, you end up with a lot of bad regulations and ones that are grandfathered down the road to where no one even knows why they are there.

    Believe me, it is better to burn the whole thing down now, because it will stutter to a halt some day after doing tons of damage, anyway.

    Abolish medical licensing.

  5. I think he's waiting for it to completely collapse, but you may well be right.

    If The Donald understands anything, it's how business works.

  6. This is a mere Amendment to Obamacare - virtually the entire monstrosity is left intact.

    There is no repeal in this repeal.

  7. One thing I've noticed about President Trump is that, aside from his obvious negotiating acumen, he tends to underpromise and overdeliver. - Elric

  8. We agree on this, Don. You eat an apple one bite at a time, unless you want to choke to death.