The Department of Defense has been given a free ride pretty much since World War II. The Military Industrial Complex which President Eisenhower warned about in his farewell address (former 5 star general Eisenhower) is very real and it has grown and grown taking up ever more of the American economy. The contractors and the services are awash in taxpayer money. Your money. And much of this money isn’t being used wisely. It is going to hyper expensive parts procurement (see above), and for programs in sub-Saharan Africa, and jets which catch fire on the flight line (The F-35) and Lord knows what else.
The individual is now an antiquated notion in medicine. Doctors are increasingly encouraged to manage the health of “populations.” The individual in an Obamacare world is less important. You are now part of a school of “fish.” If a few go belly up or are lost to sharks, well that’s the way it is.
Obamacare is truly one of the most amazing pieces of law the world has ever seen. It is the administrative state out of control. It is hubris on an industrial scale. It is an Utopian fantasy constructed in a hurry so that the Republicans couldn’t stop it. It is crony capitalism. It has probably already entered an insurance death spiral.
Earlier today the DC Circuit Court ruled that those who buy health insurance through the federal healthcare exchange (Healthcare.gov) are not eligible for offsetting subsidies. The ruling came careening out of nowhere and it hammers the Obamacare law.
The American Medical Association claims to represent doctors. But it is very much part of the crony coalition which put together the broad outlines of Obamacare in meetings inside the White House. In return for going along with the government, the association receives most of its funding from a medical coding monopoly granted and protected by the Department of Health and Human Services.
It’s offered by The Institute for Healthcare Improvement.
I don’t know much about this company. I’m not into knitting and scrapbooking. But I do now know they pay almost twice the minimum wage on the lowest end of their pay scale and only objected to paying for a particular type of contraceptive which some people believe is a form of abortion.
It was already pretty dim for anyone who understands how insurance works. I used to be an insurance underwriter (property and casualty, not health) and I’ve been wondering since the beginning how anyone thought Obamacare was going to work. The risk size versus the pool of insureds doesn’t make sense. If insurance companies can’t adjust for risk (which for the most part they can’t under Obamacare) what bizarro mathematics is going to save this ill-conceived juggernaut of bureaucratic bull?
Really we’ve been bumping along the floor for a very long time. Much of the American economy is still mired in the “Great Recession.” Many people don’t even remember what organic prosperity looks like.