5 Reasons Obama Never, Ever Should Have Trusted the Healthcare Industry [View all]

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http://www.alternet.org/obama-never-should-have-trusted-health-insurers



President Obama has become the health insurance industry’s top salesperson. Yesterday, in Massachusetts, he urged Americans to take a long view on implementing Obamacare. While it may provide coverage to millions who now lack it, the evidence is mounting that Obama never should have trusted the private health insurance industry to begin with. Let us count the ways.

1. Obamacare was written by the industry for the GOP.

The template for the Affordable Care Act was the Heritage Foundation’s 1992 report for expanding the health insurance marketplace. Their plan had tax credits, while Obamacare has income-based subsidies paid directly to insurers to make it affordable to the poor, working class and middle class. As former Secretary of Labor Robert Reich points out, this was the Republican’s and insurance industry’s plan, not the Democrats, who wanted to expand existing government programs. Its reliance on the private sector was flawed from the start and is at the core of its current troubles.

2. Obamacare did not have meaningful price controls.

Even though the law passed in 2010, most of Obamacare was not slated to take effect until January 2014. That gave insurers several years to ratchet up premiums—with 18 percent to 25 percent annual jumps in states like California where insurance premiums are unregulated. While the law limits the percent of administrative costs that are part of premiums and that took effect in 2012, it does not regulate overall costs. Does anybody think insurers were not going to lock in profits and gouge the public when they could?

3. All insurers didn’t have to cooperate—and didn’t.

Not every health insurance company decided to participate in the ACA, which left many small states with very few options for uninsured residents. That means Obamacare is not offering a range of plans, in which competition is supposed to lower costs, in states like Maine and New Hampshire. That’s left state legislators wondering if they will have to create interstate compacts with neighbors to create coverage pools to attract private insurers to give residents more choices. Again, insurers did what was best for their bottom lines, not for the public health.