Tag: Affordable Care Act

Walmart Shakes Up Primary Care—and the Whole System »

Walmart has a new take on retail clinics. These newly launched clinics will charge patients $40 for a visit—but only $4 for Walmart associates. Anybody, with or without insurance, can go into one of these clinics and be seen by a qualified health professional, without the usual paperwork. Although the mega-retailer has operated clinics...
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What Is to Be Done with Health-Insurance Exchanges, Post-Obamacare? »

Any time a Republican politician suggests that there is anything positive in Obamacare, the media are eager to declare that this means the Republican establishment is backing away from repealing the Affordable Care Act and wants to “fix” it instead. This, of course, is what most businesses and their lobbyists would prefer take place....
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Obamacare Threatens Free Clinics »

Obamacare’s most significant effect is an expansion in the number of people dependent on Medicaid, the joint state-federal welfare program for low-income people. Kaiser Health News points out that this expansion is threatening the existence of free clinics. Some clinics are signing up for Medicaid, while others are closing: “We used to say ......
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Medicaid’s Financing Merry-Go-Round »

Medicaid, which provides health-related welfare benefits to low-income individuals, is jointly financed by the federal and state governments. Before Obamacare, the split was 50/50 for rich states, but low-income states got more dollars. This mechanism is called the Federal Medicaid Assistance Percentage (FMAP). So, if California spent $50 on Medicaid, the federal taxpayer would...
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“Creepy Uncle Sam” Obamacare Care-nival »

To follow up on the superb “Creepy Uncle Sam” videos satirizing Obamacare (see here and here), the new “Something Creepy This Way Comes: Creepy Uncle Sam Obamacare Care-nival” has now gone viral on the Internet: For the pivotal alternative to Obamacare, please see the Independent Institute’s widely acclaimed book: Priceless: Curing the Healthcare Crisis,...
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Obamacare Architect Warned That Tax Credits Would Be Available Only in States with Exchanges »

Halbig versus Burwell is the famous lawsuit that claims that Obamacare federal health-insurance exchanges cannot pay tax credits to health insurers. The plain language of the law is that only state-based Obamacare health-insurance exchanges can channel these tax credits. The real champions of this argument are Michael Cannon and Jonathan Adler of the Cato...
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Is Medicaid Crowd-Out the Only Effect of Obamacare? »

Medicaid “crowd-out” is the hypothesis that enrolling more people in Medicaid will cause some people to drop private coverage in favor of Medicaid. The rate of crowding out may reach 60 percent. Now, courtesy of the Robert Wood Johnson Foundation (RWJF), we have evidence that the entire effect of Obamacare so far is to...
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Obamacare’s Tax Credits in Jeopardy »

Today, we received dueling circuit court decisions on Obamacare’s tax credit component. The D.C. Circuit held (2-1) that the tax credits do not apply to health insurance purchases through an exchange established by the federal government, whereas the Fourth Circuit held that they do. If the subsidies are not available for insurance purchased through exchanges established by the feds, then Obamacare...
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Health Spending Grew Slower in U.S. than in Other Developed Countries, 2007-2011 (but the Trend Won’t Last) »

It is unlikely that Obamacare explains the slowing rate of growth in health spending. A new research paper by Luca Lorenzoni and colleagues, from the Organization for Economic Co-operation and Development, confirms not only that the slowdown occurred well before Obamacare, but that health spending has slowed more in the United States than in...
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Governmental “Reform” Is an Oxymoron »

Pick your favorite scandal du jour: Four employees of the Export-Import Bank recently were forced out of their jobs following allegations that they had solicited or accepted bribes from beneficiaries of the bank’s subsidies for foreign-based purchasers of U.S. exports or steered loans to politically powerful U.S. exporters. The director of the Internal Revenue...
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