Working as intended*

Older Americans are the winners under the Affordable Care Act:

For many older Americans who lost jobs during the recession, the quest for health care has been one obstacle after another. They’re unwanted by employers, rejected by insurers, struggling to cover rising medical costs and praying to reach Medicare age before a health crisis.

These luckless people, most in their 50s and 60s, have emerged this month as early winners under the nation’s new health insurance system. Along with their peers who are self-employed or whose jobs do not offer insurance, they have been signing up for coverage in large numbers, submitting new-patient forms at doctor’s offices and filling prescriptions at pharmacies.

***

Americans ages 55 to 64 make up 31 percent of new enrollees in the new health insurance marketplaces, the largest segment by age group, according to the federal government’s latest figures.

And who is paying for all these sick, older people?  Why, it’s the young!

Signing up younger, healthier enrollees is seen as more difficult, but crucial to keeping future insurance rates from increasing.

From here:

In order for Obamacare exchanges to break even it’s estimated about 2.7 million American youths in the 18 to 35 age range must spend $5,800 per year per individual.

As Sheldon Cooper would say, “In what universe are people over the age of 18 considered to be ‘youths’?”  But I digress…

The elderly are the people who are supposed to win under the new heath insurance law.  Well, at least until they turn 65.  Then the Death Panels will take over, and they will be told to go out and die.  What, you though that that was just something ‘conservatives’ came up with to scare people?

The Independent Payment Advisory Board, or IPAB, is a fifteen-member United States Government agency created in 2010 by sections 3403 and 10320 of the Patient Protection and Affordable Care Act which has the explicit task of achieving specified savings in Medicare without affecting coverage or quality.

Hmm.  And how will the IPAB achieve savings without affecting coverage or quality?  The only things left to cut are prices and quantity.  As George Will explains:

The IPAB, which is a perfect expression of the progressive mind, is to be composed of 15 presidential appointees empowered to reduce Medicare spending — which is 13 percent of federal spending — to certain stipulated targets. IPAB is to do this by making “proposals” or “recommendations” to limit costs by limiting reimbursements to doctors. This, inevitably, will limit available treatments — and access to care when physicians leave the Medicare system.

The PPACA repeatedly refers to any IPAB proposal as a “legislative proposal” and speaks of “the legislation introduced” by the IPAB. Each proposal automatically becomes law unless Congress passes — with a three-fifths super majority required in the Senate — a measure cutting medical spending as much as the IPAB proposal would.

Once again, the youth get ripped off by the Baby Boom generation.  At least until the end.  Soylent Green, anyone?

*The title of this post is a reference to World of Warcraft.  Whenever Blizzard Entertainment is informed of a bug or other problem within the game, the typical response on the game forums is “Working as intended.”  Even when it isn’t…

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Categories: Healthcare, Obamacare

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