Tag Archives: Obamacare

Kasich and Obama Join Hands To Bring A Two Tiered Health Care System to Ohio

Pop Medicaid Expansion

President Obama has not always been entirely truthful with the American people, but when he said he was going to fundamentally change America, he was dead serious.  Nowhere is that more true than with our health care.  As John Goodman writes in his Forbes article, our health care system is rapidly changing to a two-tiered, Canadian-style health care system where there will be easy access and high quality care for the haves and long lines and rationing for the have nots.  So Obamacare, the great equalizer, is turning out to be anything but that, and Obama’s promise that we could all keep our health care if we liked it, was just a big lie.

The primary driver of the change is basic economics.  We are embarking on a period where we will see a drastic increase in demand for care while the supply of care will decline.  The insured will increase by 32 million under Obamacare and the coverage required will be the most generous our nation has ever seen.  At the same time, doctors tired of decreasing profit margins and headaches associated with government intervention, will flee the system or will be hired by hospitals where they do not have to manage a large, unprofitable patient load.  All of this means longer waiting times for the average American and poorer care when you are seen.

Not everyone, though, will be burdened with the newly “reformed” health system.  As in Great Britian, a new type of care is emerging for those who can pay, concierge doctors.  These physcians take on a smaller patient base at a higher price.  For the additional money, you receive a doctor advocate who shepherds you through the health care system ensuring you get the treatment you have been accustomed to in the past.  Patients who can pay will receive the VIP treatment, those who can’t, well, they will just have to wait, and thus the rationing begins.  You see, rationing does not always have to be a conscious choice by a government panel to deny you care.  Rationing can occur in a much more subtle, passive way.  The health care system can just wait you out until your problem is not a problem anymore; or worse, until you are not a problem anymore.

To Ohio Project volunteers, this is not new information.  You stood in the rain, cold and heat to collect signatures for the Health Care Freedom Amendment because you knew this day would come.  You acted to protect your familly, friends and even those oh so sure of themselves Obots who told you they already had health insurance so did not need to sign your petition.

But, the game is not over yet.  In a free republic, John Q. Public always has the last word, and we are using it to stop Obamacare by stopping Obamacare’s Medicaid expansion.  Medicaid is the future of health care America if we continue down the path laid out above, so it simply must be stopped.  Medicaid expansion is the means by which to put more Americans on the government trough and to lessen the need for private insurance.

John Kasich is performing a great disservice to all Ohioans when he pushes his fellow man to take inferior care for less self-reliance.  Kasich is joining hands with Obama to destroy a health care system that attracts people from all over the world to our shores and that has made advances in medicine few could have imagined even a generation ago.

Let your State Rep and State Senator know that Medicaid expansion is Obamacare with all of its waiting lines, rationing and poor care.  Tell Republican leaders that we will hold them accountable if they thrust Ohioans into a system where the individual is lost amongst a maze of bureaucratic hassles and snafus.  Tell them that Republicans were not put in office to advance Obamacare.  Tell them before its too late.

John Goodman’s article in Forbes can be found here.

IRS Illegally Enforces Employer Mandate in Ohio

IRS Unbalanced

There seems to be a pattern developing with the IRS.  It’s abusing its power again.  After targeting tea party groups and stealing millions of medical records, the IRS is now illegally enforcing portions of the ACA in states which refused to set up a state run insurance exchange.  Michael Gerson in his Washington Post piece and David Catron in the American Spectator explain the latest IRS impropriety.

The ACA calls for state run exchanges to sell government approved health insurance. Since the federal government cannot force states to set up an exchange, the law offered states various incentives to do so by way of premium subsidies and tax credits. Even with these carrots, 33 states refused to set up exchanges, and so the federal government was left with the task.

The refusal of the rogue states to create exchanges created a sticky situation for the Obama administration because it needs state run marketplaces to fully implement Obamacare.  The law allows for subsidies and tax credits only in states which run their own exchange. Without these subsidies, a significant number of Americans will be unable to afford insurance, especially given the increase in premiums Obamacare has brought about.  As an additional affront, the subsidies and tax credits lead to the enforcement of the employer, and in some cases, individual mandates.  Without the mandates and the associated fines, there is no incentive for companies to comply with the ACA.

But, a silly little thing like the rule of law is no problem for the IRS.  In a May 2012 regulatory ruling, the IRS interpreted the ACA to allow for the issuance of tax credits and subsidies in states with a federal exchange.  The ruling also enables the IRS to fine employers who do not comply with the employer mandate.  Michael Gerson points out, “The IRS seized the authority to spend about $800 billion over 10 years on benefits that were not authorized by Congress.” And, through its illegal enforcement of the employer mandate, the IRS will tax employers without the consent of Congress.

Jonathan Adler and Michael Cannon provide a comprehensive analysis of what they refer to as the “three legged stool” of price controls, tax credits and insurance mandates that are connected to the Obamacare exchanges.  This report is a must read for anyone who wants to fully understand the complex workings of the carrots and the sticks that are all necessary to hold the straw house that is Obamacare together.

The IRS illegality is not going unnoticed by states and businesses.  The State of Oklahoma has challenged the ruling and a group of small businesses has filed suit in the U.S. District Court for the District of Columbia.

Ohioans should not let the illegality slide either.  We said no to the Obamacare exchanges and we can not sit idly by as the IRS ignores our stance.  Attorney General Mike DeWine stood strong against the ACA when he joined suit with 26 states to fight the Obamacare mandates.  Will he join with Oklahoma against Obamacare’s latest power grab to protect Ohio businesses?

And how about our Governor, State Reps and State Senators?  Will they remain silent as they implement their own pet Obamacare policy, Medicaid expansion?

Call your representatives and let them know about the IRS’ illegal enforcement of the employer mandate in Ohio and the illegal issuance of tax credits and subsidies for the Obamacare exchanges. Ask your representatives to protect Ohio from the federal government’s massive abuse of power by saying “No” to Obamacare’s Medicaid expansion.  If more states stand strong against Obamacare, the greater chance we have to slay the dragon it has become.

Additional reading:

Michael Gerson’s Washington Post article.

David Catron’s American Spectator article.

Jonathan Adler and Michael Cannon’s report:  ”Taxation Without Representation:  The Illegal IRS Rule to Expand Tax Credits Under the PPACA”

IRS Steals 60 Million Medical Records, What Other Personal Liberties Will Obamacare Destroy

Obamacare


One of the frequently touted reforms included in Obamacare was the call for electronic medical records.  We were told the efficiencies gained by having every single American’s most personal medical details online were certain to bring down the cost of health care as well as improve the quality of care.  Nevermind the exorbitant cost of such systems, the increase in workload to maintain them, or the inevitable security lapses.  Nevermind that half of all doctor visits will now be spent watching the M.D. type the intimate details of patient conversations into a computer screen.  These concerns were brushed aside in the wave of positive change Obamacare would bring.

Obamacare’s start date, January 1, 2014, has not even passed and we already have a major breach in security for 10 million Americans over their medical records.  And the culprit is none other than our own IRS. The same IRS that has been targeting tea parties and which has been put in charge of policing the ACA.  Could it be that the IRS is taking their new health care enforcement role a little too seriously?

Courthouse News reports that the John Doe Company of California has sued 15 IRS agents in Superior Court for seizing 60,000,000 medical records of 10,000,000 Americans.  In 2011, the IRS agents raided the company over a tax issue connected to a single former employee, but used the opportunity to appropriate the medical records of millions of innocent Americans who to this day do not know that their medical privacy has been violated.  The suit states:

“No search warrant authorized the seizure of these records; no subpoena authorized the seizure of these records; none of the 10,000,000 Americans were under any kind of known criminal or civil investigation and their medical records had no relevance whatsoever to the IRS search.”

The lawsuit emphasizes the sensitive nature of the records explaining that they include “information about treatment for any kind of medical concern, including psychological counseling, gynecological counseling, sexual or drug treatment, and a wide range of medical matters covering the most intimate and private of concerns.”

In his American Spectator piece, David Catron, puts the IRS theft into stark perspective. As the mainstream media builds a “firewall” to deny the connection between the IRS targeting scandal and Obamacare, the IRS theft of medical records proves that the the two are “inextricably linked” because it was Obamacare that made the stealing of 60 million private medical records possible. Obamacare mandates that every health care provider in the country maintain electronic medical records, and as such, our medical records are now vulnerable to abusive government agencies and to security lapses precipitated inadvertently by employees connected to the heatlh care industry.

David Catron pointedly states, “Last Week’s revelations concerning that agency’s treatment of Tea Party and anti-abortion groups demonstrates that the IRS is sufficiently corrupt to abuse its power. And its theft of 60 million medical records shows that it is also eminently able to invade the privacy of Americans. I’ll conclude, then, with a little more food for thought:  The class action lawsuit filed by the John Doe Company involves 10 million patients, “roughly one out of every twenty-five adult American citizens.” And, since only 10 percent of the affected patients reside in California, the rest are obviously scattered across the nation. Are you one of the other 9 million?”

David Catron’s conclusion powerfully points out that medical privacy in the U.S. is a thing of the past. As Obamacare continues to be implemented, what other precious American rights will be lost?

Please help us fight Obamacare here in Ohio.  Get engaged in the fight to stop Obamacare’s Medicaid expansion.  Read the posts about Medicaid expansion on our site and contact your State Rep and State Senator.  Let them know that Statehouse Republicans are hastening the destruction of our health care system and our personal liberties through their ill-conceived policy to expand Medicaid in our state and thus entrench Obamacare.

The Courthouse News Service story can be found here.

David Catron’s American Spectator piece can be found here.

 

Ohio Obamacare Expansion – Round Two

OLC_small_logo

As expected, the battle over Obamacare/Medicaid expansion in Ohio is ramping up once again. Perhaps the legislators pushing to advance this unpopular issue think because we are fighting on other fronts, such as the IRS abuse scandal, they can somehow slip expanding Obamacare by us.

To quote the John Wayne character “Big Jake” McCandles, “Not hardly.”

  • A new Ohio Obamacare expansion bill, HB-176, was introduced this week by Republican State Rep. Barbara Sears. This bill is being touted as “Medicaid reform” while downplaying the fact that it calls for the acceptance of Obamacare money, terms and conditions, and moves forward with Medicaid expansion in Ohio.
  • We are now hearing there may be several such bills proposed in the coming weeks that will reform Medicaid while allowing for expansion. Certainly, we all want to see Medicaid reformed, as it is a terribly broken and ineffective system; but no one serious about reforming a failed entitlement would consider expanding it before the reforms have proven successful.
  • The promise of “free” federal money is the primary motivator behind Medicaid expansion, and thus Obamacare implementation. The money is the key.  It is the federal government’s price for Ohio’s surrender to the federal takeover of healthcare in our state.

As we saw in the recent budget deliberations, it took citizens standing up in order to stop this issue. We will need your help again to fight back against the politicians, including Ohio Governor Kasich, and the special interests who are working so hard to advance the Obama agenda in our state.

Look for messages in the coming weeks about attending Ohio Assembly hearings, connecting with neighbors, writing and calling Representatives, and knocking on doors.  Along with our usual grassroots outreach, we will need your financial support to successfully engage the politicians on this issue.

Would you be willing to contribute $10, $25, or $50 to help our efforts?

To donate via PayPal  here.

To donate by mail:
Ohio Liberty Coalition
P.O. Box 427
Tiffin, OH 44883-0427

Obamacare was passed in 2010 on a partisan basis and even today a majority of Americans oppose this tyrannical and destructive law. Despite all evidence of Obamacare’s inevitable failure, it continues to be forced upon us. For the sake of our economy and our freedom, our only choice is to fight it. While we do support sensible reforms to a troubled Medicaid system, Medicaid expansion is not reform.  Help us continue to say “NO” to Obamacare by saying “NO” to the acceptance of Obamacare money in Ohio.

Yours in Liberty,

 

Ted Stevenot
President
Ohio Liberty Coalition
www.ohiolibertycoalition.org

Ohio Liberty Coalition is an IRS 501c4 organization. Donations are not tax deductible.

Sears throws Kasich’s Medicaid expansion a Lifeline

Ohio Representative Barbara Sears (District 47, Monclova Twp)

 

Ohio Representative Barbara Sears (District 47, Monclova Twp)


If ever a state deserves a chief executive who stands strong against Obamacare, it is Ohio.  The people of this state, in true American fashion, took matters into their own hands in March of 2010 and set out on a mission to pass a constitutional amendment that spoke loudly and clearly that Obamacare was not welcome north of the Ohio River, south of the Great Lakes and in between Indiana and Pennsylvania.  A purely grassroots effort over such a prolonged period of time is historic and Ohioans are feeling the benefits of that effort now as these same people have come together again to fight tooth and nail to stop Obamacare’s Medicaid expansion.

It is unfortunate, then, that Ohio ended up with John Kasich as governor, a man who stood on the Statehouse lawn in May of 2009 and declared to 5,000 tea partiers, “I am one of you.” He has since proven to be anything but that as he pushes for Obamacare’s Medicaid expansion despite grassroots’ opposition and with no regard for Statehouse Republicans who wisely pulled the irresponsible measure from the biennial budget.

Representative Barbara Sears (R) has thrown Kasich’s pet project a lifeline this week when she announced that she plans to introduce a stand alone bill to expand Medicaid to 138% of the poverty level.  Again, we are told the federal government will pay for 100% of the cost of the expansion for three years, reducing to 90% thereafter.  And for those of us worried that a federal government $16.8 trillion in debt cannot be counted on to fulfill such a promise, Sears’ proposal uncompassionately calls for the automatic cessation of coverage should funding decline.  That such an abrupt detraction in benefits is possible defies credulity.

Sears’ bill also anticipates purchasing private insurance for a portion of the expansion population on the Obamacare insurance exchange, a costly proposal indeed.  The Congressional Budget Office estimates that such a move would cost taxpayers 50% more than traditional Medicaid.

Many grassroots activists tired of pointing out the obvious to Statehouse Republicans are flabbergasted at Sears’ latest move.  We all know that the feds cannot afford it and we know that the participation projections have been hopelessly deflated.   Sears’ bill, like Kasich’s proposal before it, only anticipates 275,000 new Medicaid enrollees, but Urban Institute (684,000), Society of Actuaries (700,329) and the Ohio Department of Jobs and Family Services’ own Milliman study (848,000) all anticipate participation rates between two and three times as high.  Surely someone at the Statehouse is curious which projection is correct.

Any concerns we have, though, are to be assuaged by Sears’ “reform” proposals that have been inserted into the bill, proposals which on their face seem quite reasonable – cost sharing through co-pays, work training services, and drug treatment programs.  But, any rational person has to ask how expansion can be proposed before the reforms have been fully implemented and measured.  Sears’ bill cites among its goals improving health outcomes and controlling costs, but Sears fails to include any metrics by which to measure their success or failure.

The sincerity of the reform effort is further called into question by another proposal in the bill. The bill states, “…a reform that requires federal approval may begin to be implemented before receipt of the federal approval if federal law permits implementation to begin before receipt of the federal approval. Implementation shall cease if federal approval is ultimately denied.”

This sounds a lot like the roll back measure to be effectuated if federal funding should decline. It is interesting in light of an Obama administration HHS memo issued on March 29th of this year.  The HHS memo indicates that flexibility (and thus reforms) offered to states with respect to Medicaid expansion would be limited.  The federal directive makes clear that expansion participants are Medicaid beneficiaries first and foremost.  Premium assistance and cost-sharing arrangements for this population would have to be comparable to traditional Medicaid.

The rollback clause associated with federal approval of reforms seems to indicate that Sears is not overly confident that her reforms will be accepted.  But, if they aren’t approved and people have begun receiving benefits based on the promise of reform, what do we do for the new expansion enrollees?  Does the Medicaid expansion get rolled back as well?

The bottom line is, no person concerned with the fiscal health of our state and with our children’s ability to pay the tab in the future, would ever support Sears’ bill.  And, no person serious about reforming a badly broken entitlement program would propose to expand it at the same time they are reforming it, especially with the myriad of unknowns associated with the proposal.

So what is Sears up to?  Well, it appears to any person not into self-deception, that she is expanding Medicaid.  And, it is time someone called her out on it, so the OLC is going to do that right now:

Attention Statehouse Republicans!  Sears’ bill expands Medicaid and implements Obamacare against the wishes of 65% of your own primary voters and against the will of 66% of the statewide electorate who voted for health care freedom in 2011.  Please knock three times if you have received this message so that we can stop mentioning it and get on with keeping the economy going and paying your salaries.

Please call your State Reps and tell them that Representative Sears is proposing to expand Medicaid under the guise of “reform”.  Tell them that the participant projections have been acutely understated.  Let them know that any rollback mechanism attached to federal funding or federal approval of reforms will never be taken seriously.  Finally, let them know that you are still against Obamacare’s Medicaid expansion and no disingenuous attempt at “reform” is going to change that.

Further reading and viewing:

John Kasich at Tea Party in Columbus, Ohio

Ohio House bill would expand Medicaid to cover state’s working poor

Administration Rules Out “Deals” on Medicaid Expansion

Medicaid Expansion Poll Confirms Primary Risk for Republicans