http://tinyurl.com/mhdhk74****
CBS News: Obamacare's Entire Financial Model is In Danger of Collapsing****

Guy Benson <http://townhall.com/tipsheet/guybenson/> | Oct 25, 2013 ****

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With so much of the media's attention fixated on Obamacare's technological
meltdown <http://money.cnn.com/2013/10/23/technology/obamacare-website-fix/>,
some important storylines have gone under-explored. CBS news, to its credit
delved into one of them today, noting that of the people who have
successfully obtained coverage under the new law, it appears that the vast
majority<http://www.cbsnews.com/8301-505267_162-57609254/medicaid-enrollment-spike-a-threat-to-obamacare-structure/>of
them are new Medicaid enrollees. And that poses a
mortal 
threat<http://nationalreview.com/campaign-spot/361925/why-it-matters-how-many-early-signups-are-medicaid-jim-geraghty>to
the entire structure of the law:
****

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*The disastrous rollout of HealthCare.gov may have another serious problem:
A CBS News analysis shows that in many of the 15 state-based health
insurance exchanges more people are enrolling in Medicaid rather than
buying private health insurance. And if that trend continues, there's
concern there won't be enough healthy people buying health insurance for
the system to work...The newly insured in some of those states are
overwhelmingly low-income people signing up for Medicaid at no cost to
them. Matt Salo, executive director of the National Association of Medicaid
Directors, said, "We're seeing a huge spike in terms of Medicaid
enrollments." He says the numbers have surprised him and state officials. CBS
News has confirmed that in Washington, of the more than 35,000 people newly
enrolled, 87 percent signed up for Medicaid. In Kentucky, out of 26,000 new
enrollments, 82 percent are in Medicaid. And in New York, of 37,000
enrollments, Medicaid accounts for 64 percent...Gail Wilensky, a former
Medicaid director, said the numbers are causing concern in the insurance
industry, which needs healthy adults to buy private insurance in large
numbers for the system to work. "Either the private insurance enrollments
come up somewhere around the expected amount or there's going to be a
problem. ... You need a volume and you need a mix of people that are
healthy as well as high users in private insurance, in order to have it be
sustainable," she said. *****

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Those stats from Washington, Kentucky and New York are hugely problematic.
The poor and sick are managing to sign up for Medicaid -- to the "surprise"
of state officials -- but they aren't been offset by people who are
actually purchasing care. Another crucial point: Medicaid was already in
very poor fiscal and functional condition before Obamacare extended it
massively. It's terribly
underfunded<http://www.prnewswire.com/news-releases/new-national-study-shows-devastating-medicaid-underfunding-in-ohio-136149418.html>;
many doctors and hospitals refuse to
accep<http://www.mcclatchydc.com/2013/05/13/191105/most-doctors-still-reject-medicaid.html>t
new Medicaid patients due to the government's paltry reimbursement rates.
Perhaps worst of all, Medicaid is catastrophically ineffective. Just
because indigent individuals are enrolled in Medcaid coverage doesn't mean
they actually receive quality care. According to the most comprehensive
study<http://www.forbes.com/sites/theapothecary/2013/05/11/four-reasons-why-the-oregon-medicaid-results-are-even-worse-than-they-look/>ever
done on the program (which used Oregon's system as the basis for
analysis) poor people enrolled in Medicaid have no better health outcomes
than their *uninsured counterparts.* We're not just spending endless
billions on a program that flat-out doesn't work, we're expanding it
through Obamacare. This is why the president isn't being truthful when he
claims that apart from the website, the underlying Obamacare product is
"good"<http://townhall.com/tipsheet/guybenson/2013/10/21/president-obamacare-remarks-n1728904>and
working "really well." It's not. We touched on the issue of dropped
coverage<http://townhall.com/tipsheet/guybenson/2013/10/24/estimate-16-million-americans-will-lose-current-coverage-because-of-obamacare-n1731700>yesterday,
another one of the law's glaring flaws and broken promises. CBS
News is on that
case<http://www.cbsnews.com/8301-18563_162-57609224/arrival-of-obamacare-forcing-insurers-to-drop-customers-with-low-coverage/>,
too:****

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*The Affordable Care Act was signed by President Obama in 2010 and since
then he has repeated one reassuring phrase: "If you like your insurance
plan you will keep it. No one will be able to take that away from you. It
hasn't happened yet. It won't happen in the future." But it is
happening..."I was completely happy with the insurance I had before,"
Willes said. So she was surprised when she tried to renew her policy. What
did she find out? "That my insurance was going to be completely different,
and they were going to be replaced with 10 new plans that were going to
fall under the regulations of the Affordable Care Act," she said. "Before I
had a plan that I had a $1,500 deductible," she said. "I paid $199 dollars
a month. The most similar plan that I would have available to me would be
$278 a month. My deductible would be $6,500 dollars, and all of my care
after that point would only be covered 70 percent." *****


Shorter CBS: The president lied. In the case of this young woman, Ed
Morrissey runs the
math<http://hotair.com/archives/2013/10/25/cbs-obamacare-forcing-millions-to-lose-their-insurance/>:
"Willes will have to pay $948 more a year for the new policy, but that’s
not all. She will also have to another $5,000 extra on top of that to get
past the deductible each year before she gets any benefit from the policy
at all." Her plan is being dropped, her out-of-pocket costs are
quadrupling, and her premiums are nearly doubling -- a parade of shattered
promises. It's outrageous. Ms. Willes is not the only person who's going to
end up paying a lot more. Obamacare supporter Kirsten Powers admitted on
Fox News <http://www.youtube.com/watch?v=fLtu8axeX2w> last night that her
costs are jumping considerably because of the new law: ****

Give Powers a few points for intellectual honesty. She admits that her own
plan is getting approximately twice as expensive, then slaps the White
House for selling Obama's multi-trillion-dollar overhaul on false
pretenses. Meanwhile, ten Senate Democrats are calling on the
administration to delay and extend the enrollment -- which would *accelerate
*the death spiral (for reasons explained
here<http://townhall.com/tipsheet/guybenson/2013/10/25/vulnerable-democrats-no-seriously-whos-up-for-an-obamacare-delay-n1731770>),
and would be 
illegal<http://washingtonexaminer.com/law-says-obama-cant-extend-obamacare-enrollment-period-without-act-of-congress/article/2537721>as
a unilateral executive decree. These Democrats think they're sounding
reasonable and buying time, when in fact they're doing neither. I'll say it
again: If panicked Democrats genuinely believe their program is *so *unready
in its current state that it must be pushed back, the only way they can
stave off disaster is a delay of pretty much the entire
law<http://townhall.com/tipsheet/guybenson/2013/10/25/vulnerable-democrats-no-seriously-whos-up-for-an-obamacare-delay-n1731770>.
Will Harry Reid allow such a vote? Up-or-down. Time's
a-wastin<http://www.npr.org/blogs/health/2013/10/21/239262661/how-long-do-they-really-have-to-fix-that-obamacare-website>'.
The administration's "tech surge" guru is now claiming that
healthcare.govwill be fully functional by the end
of November <https://twitter.com/rickklein/statuses/393773327895887874>.
That time frame will likely stir skepticism among various
experts<http://money.cnn.com/2013/10/23/technology/obamacare-website-fix/>,
who've 
estimated<http://townhall.com/tipsheet/guybenson/2013/10/18/obamacare-trainwreck-latest-n1726571>the
project will last
*months*. The White House's own deadline has jumped from October 1 to
November 30. If the new goal isn't met, major, disruptive delays are going
to be unavoidable. I'll leave you with NBC's David Gregory
wondering<http://www.youtube.com/watch?v=b4KhX0w5mwI#t=81>if
Republicans have been right about Obamacare all along:


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