http://www.garynorth.com/public/11966.cfm
The Magnificent Failure of ObamaCare

Gary North - January 06, 2014
[image: Printer-Friendly Format]<http://www.garynorth.com/public/11966print.cfm>

>From the point of view of a defender of liberty, ObamaCare is the most
magnificent welfare state program of our generation.

Premium expenses are going up for most people. Deductibles are going up for
most people. Cancellation letters are going out to millions of people. The
number of people signing up is less than the number of people who have
received policy-cancellation
letters<http://dailycaller.com/2014/01/01/its-official-obamacare-debuts-with-more-cancelled-plans-than-enrollments/?print=1>.
In short, the costs are being front-loaded, and the benefits are being
back-loaded.

Always before, welfare state politics has been based on a specific
strategy: "Benefits first. Costs later." This is called front-loading and
back-loading. The best examples of this process are Social Security and
Medicare <http://www.garynorth.com/public/11966.cfm>. The costs are now
coming due for these two programs. According to Prof. Lawrence Kotlikoff,
the back-loaded cost of the two programs is now in the range of $200
trillion, present value <http://www.garynorth.com/public/11776.cfm>. But no
one really cares. Those costs will be imposed in the future. Politicians
care only about the immediate future, namely, the next election.

The politicians come to the general public, and they promise that the state
will intervene on the side of the middle class. The state will do so also
to help the poor. The costs will be borne exclusively by the rich.
Politicians are careful never to define how much money is going to be paid
by the middle class, especially the upper-middle-class. This is always kept
secret. The assumption is that only the wealthy will pay for the benefits
that will be given to the middle class and the poor.

Then, step-by-step, the costs are imposed over years. There is a kind of
definition creep involved. More and more of the middle class is defined as
being rich. This is never made public. But it does become operational when
the tax bills come due.

The way around this has been to increase the amount of borrowing by the
federal government, and by other agencies of state and local governments.
But, primarily, it has been done through the federal government.

In order to keep interest rates low, the Federal Reserve System intervenes
in order to create money out of nothing, in order to purchase the IOUs of
the United States Treasury Department. This conceals the extent of the cost
of the welfare state programs that have been passed into law by an
enthusiastic Congress, and supported by an enthusiastic electorate.

By front-loading the benefits, and by back-loading the costs, the
politicians have extended the welfare state to encompass virtually every
area of life.

ObamaCare is the exception. ObamaCare is front-loading the costs, and it is
back-loading the benefits.

That is the nature of all insurance. Insurance programs force you to pay
for the coverage now. You will receive the benefits later, if in fact you
become eligible by means of some disaster in your life. Whatever you have
insured against takes place, and you receive payment from the insurance
company.

In this case, however, the costs of insuring the poor must be borne by
people who buy the policies now. The poor cannot be excluded because of
prior conditions. So, this is not insurance; this is a welfare state
program, pure and simple. But it is being covered by the illusion that it
is, in fact, an insurance program.

People who have pre-existing conditions that exclude them from getting
insurance in the free market are rushing to sign
up<http://www.garynorth.com/public/11966.cfm>for the welfare program.
People who are generally healthy, meaning younger
people, are not rushing to sign up. They don't want the program. They have
been outvoted. They had not understood that they are the targets of the
program. They do not understand the economics of health
insurance<http://www.garynorth.com/public/11966.cfm>,
when coupled with the economics of ObamaCare, have made them the big
losers. They are not rich. They are barely middle class. But they are the
ones who are going to pay the freight for the poor people and the old
people who are sick and cannot get insurance.

The front-loading is taking place today, in a congressional election year.
The pain will be imposed on middle-class voters and younger voters prior to
the election. It will build all year long.

The subsidies come in the form of tax credits, but half the voters do not
pay income taxes. So, they will get no relief. Supposedly, the government
will pay for any increased costs of their insurance policies. This will
prove to be an illusion. It is a poorly timed illusion from the point of
view of the Democrats, and a magnificent illusion from the point of view of
the Republican Party. The Republican Party voted across the board against
the program. So, it took a position in 2010 that it would front-load the
cost and back-load the benefits.

In 2010, the liberal media piled on the Republicans, calling them heartless
opponents of the poor and the weak. In 2012, this proved to be an
ineffective attack on the Republican Party. In 2014, the costs are being
imposed directly, and the Republicans have escaped the political liability.
We now see Democrats running for cover. All of a sudden, ObamaCare needs
delays. All of a sudden, ObamaCare does not look like such a good idea.

Because of the timing of the increased premium costs, which are coming this
year, the traditional back loading strategy has hit the Democrats right
between the eyes. It took too long to get from the promise, which was made
in 2010, and the benefits, which are only appearing this year. But the
benefits are being extended only to people at the margin. They are people
who almost certainly would have voted for the Democrats anyway. Meanwhile,
the costs are being imposed on voting groups, especially young adults, who
tend to vote for the Democrats, and who are now caught by the details of
the law that Nancy Pelosi said Congress would not be allowed to read until
Congress voted for the bill. Congress voted for the bill, and now the
targeted losers are finding out just how large the bill really is. They're
finding this out in an election year.

Because of the unique situation in which all Republicans voted against the
bill, it is now possible to gain political acceptance by Republicans for
the principle of the repeal of ObamaCare. That will have to require the
election of a Republican president and Republican majorities in both houses
of Congress in 2016. If, as expected, Democrats lose ground in the Senate
in 2014, the scene will be set for a complete repeal in 2017.

The ability of Republican moderates to get a replacement program is
minimal. There will be domestic opposition from the Tea Party movement. But
there will not be opposition by the Tea Party movement to repeal. So, it
will be much easier to repeal ObamaCare than it will be to get a Republican
substitute. This has not happened before. Always before, some Republicans
voted with the Democrats on particular welfare state programs. Unified
opposition across the board has not happened before. But it happened this
time. This makes ObamaCare unique.

Democrats insist that once the program gets rolling, a majority of voters
will support it, and Democrats will be re-elected. This is Harry Reid's
position. He has stated clearly. This is the position of the mainstream
media. They are hoping, though of course not praying, that there will be
enough beneficiaries on the rolls to offset the losers who had their
policies canceled, their premiums increased, and their liabilities
increased. So far, this hope is an illusion.

The horror stories are going to begin very soon. These horror stories will
be people who have had their deductibles increased, and who are hit by a
medical bill. They will find out that the deductible must be paid every
year. If they get hit by a multi-year disease, they will pay these high
deductibles every year from now on. The political pain will be intense.
While the mainstream media may not feature these stories, there will be
lots of them on the alternative media. Horror stories gain readership.
These are human interest stories. There are going to be thousands of them
every year.

Again, the Democrats have made a mistake. They have voted as a party in
favor of a program that has front-loaded the costs and back-loaded the
benefits.


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