How do you know?
I admire your hope and faith in government. Unfortunately, I can't run on hope or faith.
We've been over all of this, but lets take a look:
1. it's already caused insurers to increase premiums and decrease offerings to makeup for regulations that require them to cover pre-existing conditions that will exceed the premium amounts for those people. In fact, the high-risk pooling has already failed. The administration cut payments to doctors and hospitals before it ran out of money to fund the pre-existing condition insurance plan for people with cancer, heart disease and other serious conditions. HHS Secretary Kathleen Sebelius simply announced “health care facilities and providers will get paid less” for providing the same services.
http://www.nytimes.com/2013/09/23/health/lower-health-insurance-premiums-to-come-at-cost-of-fewer-choices.html?pagewanted=all2. There is no increase in physicians, on the contrary their has been a steady decrease. This translates into increased scarcity. People will begin to rely more on clinics for prescriptions and general healthcare because "practitioners" will be more accessible than traditional healthcare providers.
http://www.cnbc.com/id/1005461183. While the program is designed to show short-term (imaginary) savings, The GAO reports Obamacare will increase the long-term federal deficit by $6.2 trillion.
http://global.nationalreview.com/pdf/gao_022613.pdf4. We have already seen the uncertainty in the private sector for the past few years generated by an inability to forecast costs. A Gallup poll found more than 40 percent of small businesses have frozen hiring because of Obamacare. As the increases have now become realities, we can expect this to continue.
http://www.cnbc.com/id/1008257825. U.S. Chamber of Commerce found half of small businesses affected by Obamacare plan to either replace their current full-time workers with part-timers or cut their workers’ hours because of the law’s requirements.
http://news.investors.com/politics-obamacare/100413-669013-obamacare-employer-mandate-a-list-of-cuts-to-work-hours-jobs.htm http://www.huffingtonpost.com/2013/07/18/small-business-obamacare_n_3617493.html6. The same survey found 24 percent of small businesses plan to cut staff to less than 50 to avoid paying penalties for not providing health insurance.
7. The program has become a political tool for the administration to reward or punish as they see fit. HHS acknowledged issuing businesses more than 1,200 waivers from parts of Obamacare by January 2012. After that, the department stopped updating the total number of waivers because of monthly ridicule from the public. So, HHS stopped accepting applications for one-year waivers and simply granted or denied waivers through the end of the year.
http://thehill.com/blogs/healthwatch/health-reform-implementation/202791-hhs-finalizes-more-than-1200-healthcare-waivers8. Fewer healthcare insurance providers means fewer options and increased gov/corp collusion. Those participating in the co-op program are failing and that will leave only the largest and most powerful insurance companies. The Inspector General for HHS reported most of the 24 health care cop-ops created under Obamacare are in danger of running out of money before they even provide health insurance.
http://washingtonexaminer.com/hhs-ig-fears-obamacare-co-ops-will-run-out-of-money-before-enrolling-first-customers/article/25340069. Because much of the country has been converted into a part-time economy due to the never-ending recession, to sell the program it was necessary to redefine (with little regard for the consequences) what constitutes full-time employment. The leaders of three major U.S. unions (including the Teamsters), which strongly supported Obamacare, now warn Democratic leaders that unless the health-care law undergoes major changes, it will “destroy the very health and well-being of our members along with millions of other hardworking Americans.” It will also “destroy the foundation of the 40-hour work week that is the backbone of the American middle class.”
http://blogs.wsj.com/corporate-intelligence/2013/07/12/union-letter-obamacare-will-destroy-the-very-health-and-wellbeing-of-workers/10. Expectations are declining, and the initial roll-out failures are not helping that. A Rasmussen poll finds 61 percent of Americans expect health care to get worse under Obamacare. Many doctors fear they will be unable to continue private practice because of low reimbursement rates from Medicaid and Medicare and will end up working for a corporation hospital where the profits are distributed to shareholders. These physicians are already punished under Medicare for spending too much time with patients, and now expect the same from private insurance regulated through the exchanges.
11. The major selling point for businesses has been suspended by executive mandate. The law, and it is a law, mandating businesses to meet the standards regulated by the government through the exchanges was suspended by the president. How? Who knows? The president does not have the authority to change a law, but he did. He also did this for the unions, but it wasn't enough to mitigate the threat.
12. To combat medical scarcity, as Howard Dean describes it, the Independent Payment Advisory Board, or IPAB, “is essentially a health-care rationing body” that will “be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them.” The rationing board will decide whether or not some patients get potentially life-saving treatments, which is basically how Palin described “death panel” in 2009, and was eviscerated by the media for it.
http://online.wsj.com/article/SB10001424127887324110404578628542498014414.html13. Only 17 states are participating in the exchange program at the state level. This has completely overturned the original costing model for the program making it unsustainable. This would have forced the law back to congress, but The Obama administration used the IRS to unilaterally rewrite the health-care law to fix a problem it did not anticipate, again without consulting Congress.
14. Cross-Subsudy not expected to work. Obamacare needs enough healthy people ages 18-34 to join health insurance exchanges to “cross-subsidize” people who are older and not as healthy.
15. Federal workers don't want to participate, neither does congress, nor do most of the president's primary campaign funding organizations, so they have all been branded wavers, extensions, and subsidies, effectively establishing the existence of a ruling class exempt to the burdens placed on the public.
16. Charity has been established as a threat to Obamacare, so part of the bill (that was never read) that changes IRS code, Section 501 of the Internal Revenue Code taking effect under Obamacare, creates a web of bureaucratic paperwork to treat or offer discounted treatment to poor or indigent patients. While this won't likely shut down most mission based hospitals (catholic, jewish, and other charitable) it will likely increase administrative costs and therefore make it more difficult for them to compete. Below:
The Affordable Care Act added new requirements for charitable hospitals. (See Notice 2010-39 and Notice 2011-52.) On June 22, 2012, the IRS issued proposed regulations which provide information on the requirements for charitable hospitals relating to financial assistance and emergency medical care policies, charges for emergency or medically necessary care provided to individuals eligible for financial assistance, and billing and collections. On April 3, 2013, the IRS issued proposed regulations on the requirement that charitable hospitals conduct community health needs assessments (CHNAs) and adopt implementation strategies at least once every three years. The proposed regulations also discuss the related excise tax and reporting requirements for charitable hospitals and the consequences for failure to satisfy the requirements. On Aug. 14, 2013, the IRS issued temporary regulations and proposed regulations. The temporary regulations provide information on which form to use when making an excise tax payment for failure to meet the community health needs assessment requirements and the due date for filing the form. The proposed regulations solicit public comments.I mean there's a start.
Hoss, you are precious.
