How Obama’s Stupidity Might Get Us Real Healthcare
When it comes to Obamacare, Democrats have every reason to accuse the House Republicans of bad faith. Still, yesterday’s Congressional grilling of the private contractors hired to build the healthcare.gov federal marketplace serves as a reminder that editorial writers’ endless calls for bipartisan cooperation should never be heeded. We need adversarial politics; for that, the more polarization the better. If not for those pissy Republicans, who would get to the bottom of the disastrous October 1st rollout of the Affordable Care Act? Not the secrecy-obsessed Obama, who makes Nixon look like a paragon of transparency. Not his make-any-lame excuse Democrats.
Tea Party types love conspiracies. Obama is a Kenyan socialist. (So where’s the socialism?) 9/11 was an inside job. (But not a good one.) But sometimes conspiracies turn out to be true — even if they’re weren’t planned that way.
The latest dastardly plot circulating among Tea Partiers is that the Obamaites deliberately screwed up the ACA websites to pave the way for their true agenda: socializing healthcare. (I use the plural because most of the online state marketplaces, developed based on consultations with the U.S. Department of Health and Human Services, are just as buggy and crashy as the federal one.)
Sarah Palin articulates this — hey, there are four words you don’t usually see at the same time — in an October 20th blog post:
“Obamacare in its current corporatist form isn’t meant to last. It’s meant to push us towards full socialized medicine with a single-payer system.”
“The broken websites and botched Obamacare rollout help push things to that inevitable conclusion by causing frustration and confusion that only the government can ‘fix,'” writes Palin.
She continues with a logical fallacy: Obama is smart, smart people don’t make dumb mistakes, therefore any “mistakes” they make are intentional.
“In fact,” Palin argues, “these unusable Obamacare websites make a reasonable person wonder how this administration could have made such a colossal bungle of the rollout when they are, after all, the same savvy experts who had the most sophisticated and precise campaign websites ever built. They could pinpoint voters down to a city block, but they messed up a website that cost the government over $200 million more than it cost Apple to develop the first iPhone. Purposeful?”
The problem with this reasoning (which echoes 9/11 Truther theories that the Bush Administration couldn’t possibly be stupid enough to let hijacked planes fly around the U.S. for nearly two hours) is that Obama and his team aren’t really smart. They’re calm.
It’s not the same.
If Team Obama had been plotting Canadian-style socialized medicine all along, they wouldn’t have floated all those dumb “heckuva job, Barry”-style excuses that turned healthcare.gov into the president’s Katrina moment:
- Too much volume. But corporate websites routinely handle more than the ACA sites. Besides, the feds knew that, in a nation with tens of millions of uninsured people, tens of millions of people were going to check out the website. The truth, as any idiot could plainly see, was that volume wasn’t the issue. Lousy coding was.
- ACA is “more than a website” — and anyway, why don’t people use the phone? Actually, that’s not true. For most people, the ACA are the websites. That’s how Obamacare was promoted. People were told to go online. So they did. As for those who threw up their hands and tried calling — I was one of them — there was no way to buy a plan by phone.
- Everyone knew there would be glitches. The problem with that Democratic talking point is that while Americans may suffer from short memories, they’re not totally retarded. We still recall September 2013. It’s not like anyone in the White House announced before the launch: “Hey, don’t freak if you can’t access the websites right away. Chillax, wait a month or two. We’re expecting a lot of glitches, and things could be less than cromulent for a while.”
No, Governor Palin, the truth behind the ACA mess is that Obama and his gang of golfing buddies are idiots.
OK, so there was evildoing. For example, as Forbes reported: “HHS bureaucrats knew [forcing the uninsured to create an account and enter detailed personal information before you can start shopping] would make the website run more slowly. But they were more afraid that letting people see the underlying cost of Obamacare’s insurance plans would scare people away… Obamacare wasn’t designed to help healthy people with average incomes get health insurance. It was designed to force those people to pay more for coverage, in order to subsidize insurance for people with incomes near the poverty line, and those with chronic or costly medical conditions…This political objective — masking the true underlying cost of Obamacare’s insurance plans — far outweighed the operational objective of making the federal website work properly.”
There was corruption too. UnitedHealth Group, which as one of the nation’s biggest insurers stands to make billions from the ACA, was a key contractor for the federal website.
Mostly, though, there was idiocy. Secondarily, in execution. End-to-end testing began in late September. For an October 1st rollout. What could possibly go wrong?
That’s right: secondarily.
Primarily, Obama and the Democrats were idiots to think that the ACA’s bastard hybrid of public and private could function properly — certainly not on “a project of such immense complexity. The federal exchange must communicate with other contractors and with databases of numerous federal agencies and more than 170 insurance carriers.”
Look at what happened to the Postal Service: neither beast nor fowl, the uncomfortable marriage of for-profit business and Congressionally mandated payouts has pushed an otherwise viable organization to the brink of collapse.
ACA was created in response to skyrocketing healthcare costs — a problem directly attributable to the big insurance companies, which are raping patients and doctors with extortionist rates in order to accumulate obscene profits. The common sense solution? Cut out the insurers; put them out of business. Nationalize hospitals and private clinics. Turn doctors and nurses into federal employees. Obama built the ACA to increase the big insurers’ profits even more. Thus, for example, no federal price controls on the plans to be sold through the government websites. It comes as no surprise, but sad confirmation that we were right, that insurance company stocks have soared since the passage of the ACA.
Now, with a little luck, we’re looking at the possible realization of Sarah Palin’s nightmare scenario:
“With Obamacare we have crappier health care (fewer choices, fewer doctors, and an IPAB rationing panel of faceless bureaucrats, aka the ol’ ‘death panel’ that has been admitted to existing in Obamacare), but it is very expensive for the individual American…Americans, if you’re faced with a 300% increase (or even a 65% increase like my family) in your health care premiums for crappier coverage, doesn’t ‘free’ socialized medicine all of a sudden sound appealing? And that’s how Americans will be led down the primrose path to a single-payer system. People will be frustrated, worn out, and broke under this new government burden. Many will end up concluding they’ll settle for — then demand — full socialized medicine because they’ll see how the unworkable Obamacare will break our health care system (where, presently, no one is turned away from emergency rooms and we have many public and private safety nets for people in need), along with busting our personal bank accounts.”
I never thought I’d say this, but: From Sarah Palin’s lips to God’s ears.
(Ted Rall’s website is tedrall.com. Go there to join the Ted Rall Subscription Service and receive all of Ted’s cartoons and columns by email.)
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