patching...
Update: Want to be a blogger for Wauwatosa Patch? Email james.price@patch.com
Welcome back, Patch Blogger!

No Doubt About It, Obamacare is Unraveling

House was right to repeal CLASS program, a key part of Obama's health care reform law that some consider a 'ponzi scheme.'

 

This week the U.S. House repealed an unsustainable entitlement called the Community Living Assistance Services and Supports (CLASS) program, which was created to offset the costs of Obamacare. Its repeal is a victory for those of us seeking to dismantle the fiscal quagmire of President Obama’s health care reform law.

A former director of the nonpartisan Congressional Budget Office called CLASS “the poster child for President Barack Obama’s health care reform: bad policy, deceptive budgeting and stealth government expansion.” The top Democrat on the Senate Budget Committee called it “a ponzi scheme Bernie Madoff would be proud of.”

It is also the key policy linchpin the Obama Administration used to offset the $1 trillion price tag on Obamacare. The CLASS program was not an accidental miscalculation, but rather an attempt to withhold information from the American people on the full cost of the health care law.  

The CLASS program was intended to be a national, voluntary insurance program for long-term care. However, the program depended on budget gimmicks to hide the actual cost: it would immediately begin collecting payments, but would not pay out benefits for five years.

As a result, in the short run, it appeared viable, accounting for $80 billion in phony savings. But in the long run, particularly as America’s population ages, the new entitlement would wreak havoc on our already broken federal budget.

What is really alarming is that the President and other proponents of Obamacare knew about the fiscal train wreck and did nothing about it. A congressional investigation found that the administration was well aware of this budgeting trick, but ignored warnings from Health and Human Services officials that the program was a “recipe for disaster.”

Instead, the president and congressional Democrats rushed to include it in the law to achieve its phony savings as a way to shore up support for the health care law. 

Thankfully, an amendment was added to Obamacare that required the administration to first ensure that the CLASS program would be solvent for 75 years, before HHS began implementation. Of course, that made transparency and disclosure wait until after Obamacare’s passage.   

Only because of this requirement, last October, HHS Secretary Kathleen Sebelius had to suspend the program and admit that it was insolvent. Just as suspected, there was no way to successfully implement this new entitlement in a way that was fiscally sustainable.

The CLASS program’s failure is significant for two reasons. First, the phony savings now leave an $80 billion hole in our federal budget. Second, this program reveals the budgeting gimmicks upholding the health care law.

Still, the administration refuses to acknowledge these two facts. In fact, the president promised to veto efforts to repeal the CLASS program. 

Obamacare-believers have buried their heads in the sand, but clearly, the false charade is unraveling before our very eyes. Repealing the CLASS program is one step toward undoing this atrocity.

About this column: U.S. Rep. F. James Sensenbrenner represents the 5th Congressional District, which includes most communities in Ozaukee, Milwaukee, Jefferson, Washington and Waukesha counties. Related Topics: F. James Sensenbrenner, Health Care Reform, Jim Sensenbrenner, and obamacare

Dirk

2:35 pm on Sunday, February 5, 2012

No worries. In 9 months, President Romney will annul this farce.

Reply
Comment_arrow

Randy1949

2:46 pm on Sunday, February 5, 2012

@Dirk -- clearly you are someone who never expects to be diagnosed with a serious illness and then lose your job.

Comment_arrow

$$andSense

6:38 pm on Monday, February 6, 2012

WOW. Can I borrow your crystal ball?

Phil Scarr

3:02 pm on Sunday, February 5, 2012

You mean the CLASS act that the Obama administration abandoned last October? From CNN, October 14th, 2011 (http://bit.ly/x9peYK)

"Citing cost concerns, the Obama administration said Friday it has halted a long-term care insurance program that was part of the massive health care law passed in 2010.

Called the CLASS Act (Community Living Assistance Services and Supports), the program was canceled by Health and Human Services Secretary Kathleen Sebelius after a 19-month effort to find a way to make it financially viable.

In a letter to Congress, Sebelius wrote, "Despite our best analytical efforts, I do not see a viable path forward for CLASS implementation at this time.""

What're you guys going to repeal next? The Volstead Act?

Reply
Comment_arrow

Randy1949

3:09 pm on Sunday, February 5, 2012

@Phil -- I hear the issue of slavery is mighty pressing. And lowering those job-crippling taxes on buggy whips.

Comment_arrow

Craig Casey

8:04 am on Monday, February 6, 2012

Phil

they only said they would abandon it. Are you another LW lemming that swallowed the hook on Obama's lies?

Comment_arrow

Walter

10:37 am on Monday, February 6, 2012

This just show how wrong Our failed leader is. He seem to be on the wrong side of all american issues..................Check out this site when you fine time .It will show that the democrats new OBama wasn't a natural born citizen..............http://www.youtube.com:80/watch?v=H3aCfR8rmrw

Randy1949

3:11 pm on Sunday, February 5, 2012

Mr. Sensenbrenner, could you tell me one thing? When was the last time you actually had a clue about how regular people outside of the Washington beltway and expensive gated communities actually live?

Reply
Comment_arrow

TOM

7:55 pm on Sunday, February 5, 2012

RANDY YOU SOUND LIKE ONE OF THOSE CRADLE TO GRAVE PARASITES ON THE TAXPAYERS DOLE I'LL BET YOUR FATHER WISHES HE WOULD HAVE RECIEVED ORAL SEX THE NIGHT YOU WERE CONSEAVED

Comment_arrow

Randy1949

8:05 pm on Sunday, February 5, 2012

Actually, Tom, my father was very proud of me. One of my many accomplishments was that I could spell 'conceived' and I didn't resort to posting in all caps.

Comment_arrow

Phil Scarr

8:15 pm on Sunday, February 5, 2012

Randy1949: You are the wind beneath my wings! :-)

Comment_arrow

Mark

11:55 am on Monday, February 6, 2012

I sure dont want to rely on the goverment for all my health care. Roads okay Military okay. Education - the suck, rules and regulations - suck

Comment_arrow

Randy1949

12:15 pm on Monday, February 6, 2012

@Mark -- You want to rely on your employer for it? You want to rely on a for-profit company that will collect your premium all the years you're healthy and then drop you or price you out of coverage when you actually need some treatment?

People like Mr. Sensenbrenner who were born wealthy and have their health coverage paid for by taxpayers never have to worry.

Comment_arrow

$$andSense

6:40 pm on Monday, February 6, 2012

Tom, you don't need to scream. We can hear you just fine.

pagoff

4:14 pm on Sunday, February 5, 2012

The best congress money can buy.

Reply

Keith Schmitz

7:53 pm on Sunday, February 5, 2012

The question Congressman Sensenbrenner is who you want to bankrupt or kill by repealing the Affordable Health Care Act, unless you have something to replace it with.

Reply
Comment_arrow

Phil Scarr

7:58 pm on Sunday, February 5, 2012

But... but... but... THE FREE MARKET WILL SAVE US!!!!

::facepalm::

Comment_arrow

Steve

12:34 am on Monday, February 6, 2012

Replace it with nothing
Private market created the best healthcare system on the plannet

Comment_arrow

Keith Schmitz

6:46 am on Monday, February 6, 2012

Yup -- http://tinyurl.com/lnkdes.

Try to get this one out of your head.

Comment_arrow

Phil Scarr

7:32 am on Monday, February 6, 2012

Steve: Really? Where? Who's the lucky country?

Comment_arrow

Craig Casey

8:14 am on Monday, February 6, 2012

Once everyone who does not want or need health insurance is forced to have it, Paul Hipp will find he can't get a doctors appointment. Then he can make a whiny non factual song about America being #74. And his homeless brother is still homeless 3 years later thanks to the food stamp, bank failure President - Obama.

Comment_arrow

Keith Schmitz

9:20 am on Monday, February 6, 2012

Craig, what did you think the 37th ranking is based on. Number of cotton swabs? Best looking nurses?

No, delivery of health care.

Weird bit of hairsplitting there son.

Comment_arrow

Craig Casey

8:43 pm on Monday, February 6, 2012

Keith Schmitz

you need to recheck your facts. The US system is overpriced, healthcare inflation is a problem here as in other countries, but the US has the finest, #1 for responsiveness. You can try and twist mortality rates and torture the stats to try and arrive at #37 for US, but fact is we have the among the finest in the world. So you propose to destroy out economy and currency to move America up a few notches on some socialist ranking?

PeterJHoward

12:49 am on Monday, February 6, 2012

The Affordable Care Act, President Obama's health-care overhaul passed by Congress last year, was designed to make it easier for Americans in situations like Verone's to get health insurance BTW check "Penny Medical" for more information

Reply
Comment_arrow

Craig

10:21 am on Monday, February 6, 2012

Check with Wisonsin commisioner of insurance too!

Tom McHunter

7:11 am on Monday, February 6, 2012

So, the whole post is that Rep. S. did some political manuvering to block what other politicians did. There is no good ideas from this article or these comments.

Reply
Comment_arrow

Craig Casey

8:16 am on Monday, February 6, 2012

Repleaing Obamacare is a great idea, and will get hiring restarted. You can't have true recovery while a socialist who can't count is in office. He's unaffordable: http://www.cobrahealth.com/Unaffordable.html

Vicki Bennett

7:20 am on Monday, February 6, 2012

It's only unravelling because the selfish republicans don't want it to succeed. They could care less about the poor and disenfranchised. It's "survival of the fittest" where you're concerned.

Reply
Comment_arrow

Craig Casey

8:17 am on Monday, February 6, 2012

Vicki, those darn Republicans..If only they had let Obama tax more and spend more, then we could be like Greece also!

Bob McBride

8:02 am on Monday, February 6, 2012

Always amazes me how the dumbest guy in the world and the gang that couldn't shoot straight managed to get through all sorts of stuff you guys hate, but the world's smartest man and the paragons of government efficacy can't seem to get through the stuff you guys want.

Reply

Craig

9:59 am on Monday, February 6, 2012

When a private person buys health insurance, there are many choices of coverage and many choices of plan types. For those who get sick and the plan comes up for renewal, they should have had guaranteed renewable coverage. If you just take the basic plan they can decline you at renewal, or jack the rates to a point you can't afford it.
In that case: You are better off if they decline. If two companies decline you then you qualify for HIRSP, through the state. (health insurance risk sharing pool)

Reply
Comment_arrow

Jay Sykes

10:31 am on Monday, February 6, 2012

HIRSP premiums and out of pocket costs are about double that of private market coverage, compared to those without a pre-existing condition. Half of the actual cost of providing HIRSP coverage is funded through a fee on insurers doing business in Wisconsin;the actual total 'cost' for coverage of the 'average person with a pre-existing condition' is about 4X of those without said 'pre-existing condition'.

Comment_arrow

Randy1949

11:09 am on Monday, February 6, 2012

Really, Craig? Try being 62, married and with an income that falls right above the BadgerCare cutoff. My 'choice' was a catastrophic coverage plan with a $10,000 per year deductible that would have left me unable to pay our usual preventive care out of pocket like we do now. We're both of us in the best of health, too, and that was the cheapest we could find.

I was hoping that the insurance exchanges might give us a few more options, but that's out of the question now.

Comment_arrow

Craig Casey

8:47 pm on Monday, February 6, 2012

Craig, you obviously have never sold health insurance. If you take a basic plan from a more comprehensive plan, there is typically no underwriting. If you go from a basic plan to more comprehensive, they might be able to underwrite you depending on your state's laws.

Comment_arrow

Craig

9:15 pm on Monday, February 6, 2012

Craig Casey I was not talking about short term medical insurance, they have a very limited client base. I know many agents sell these first and a few months later will sell a longer term plan. It opens you up to liability should one of them wind up with a cronic sickness and become uninsurable.

Craig

11:45 am on Monday, February 6, 2012

As I stated above, HIRSP is for people with pre-existing conditions that would be denied by any private company. It is not cheap, but it is coverage for those who can't get it otherwise. My sister had brain cancer and was terminated after her surgery because they knew she wasn't going to last long. She had the choice of taking COBRA (expensive) or HIRSP (more expensive), but given the fact that she would have MRI s every couple months, the family had to find a way to pay for COBRA, even without her income.
Randy, I can relate somewhat. I was dropped from a group plan as my employer terminated me two weeks after neurosurgery. Basically I was self employed but under contract. They just offered me a new contract with no benefits knowing it would be months before I was able to return to work- if ever.
At 62, you are statistically going to cost more to insure. I know it sucks, but it is what it is. Your only real choice is pay the price or roll the dice...until age 65.
I know of a family making 6 figures on BadgerCare, obviously they lied about their income and there is no verification.

Reply

Randy1949

12:08 pm on Monday, February 6, 2012

@Craig -- People mention COBRA, but realistically, if you've just been laid off, with your income on UIC 2/3 of what it was, are you going to choose to pay the full cost of your insurance plan or are you going to pay the rent? The answer to that is, if you're already sick, you'll probably pay whatever it takes to keep the insurance.

HIRSP is for people who become severely ill while not covered at all.

Yes, at 62 I'm statistically more expensive to cover, but that's why we are supposed to average out the costs for people of all ages and degrees of health. As it is, we have two annual physicals (one for each of us) and a screening mammogram each year. No obesity, no diabetes, no smoking, no heart disease. How much more likely is either of us to suddenly be diagnosed with something serious than a younger person?

Is it really such a wonderful healthcare delivery system, Craig, when they can pull something like they did to you because you actually needed healthcare?

Reply
Comment_arrow

Craig

12:32 pm on Monday, February 6, 2012

Randy if you were 30 years younger, your premiums would be half of what they are. They are not averaged out, but younger do pay a bit more to offset your costs- a slight bit. What happened to me was business plain and simple. Ready for the funny part? It was a non profit insurance company that stuck it to me! How ironic is that?

Comment_arrow

Randy1949

1:06 pm on Monday, February 6, 2012

@Craig -- I know how it works. Group insurance is pooled. That includes slightly higher premiums for everyone, but older and sicker people aren't priced out of the market.

Private insurance -- they price you as an individual, based on the statistics for your age group. So, even if you're half my age, your lower premiums are slightly higher to reflect the average 31 year old -- some of whom already have diabetes or obesity, or whatever. If you're already actually sick -- diabetes, cancer survivor, etc. -- forget being able to afford private coverage, ever.

We're all paying for one another's health costs in some shape or form. I think we'd be better off if we spread the risk as widely as possible.

Comment_arrow

235301

1:31 pm on Monday, February 6, 2012

Insurance companies have a whole department full of actuaries running the statistical analysis on what it will cost to insure someone and that indirectly determines your rates. You will be pooled with the group you are associated with(company, organization) and in many cases the insurance company will tell your org they will insure the group but person A will not be insured due to their high risk.

I find it ironic that the party that wants to go to the ends of the earth to save every poor shlep's life also champions aborting millions of unborn babies each year. I suppose one class is their voting demographic and the other is simply unwanted biological material. Most of the uninsurable people in this country have become so via poor life choices(overweight, smoking,drugs,alcohol) and now want the rest of us to subsidize those poor choices. I guess this is just more of the culture of victimhood that defines the Democratic party.

Randy1949

2:09 pm on Monday, February 6, 2012

I take it, 235301, that you don't ever envision becoming a 'poor schlep'.

That's the problem with the GOP. You care all about those precious babies until they're born, and then some of them will become 'poor schleps' -- your definition of unwanted biological material.

Reply
Comment_arrow

235301

3:16 pm on Monday, February 6, 2012

@Randy: no I don't. I work hard, exercise, live well within my means, don't do drugs or abuse alcohol. And I take responsibility for my actions. And I don't expect someone to pick up the bill when I make poor choices. In other words, the message from the Democratic party falls on deaf ears when it comes to me. I am not a victim.

Whether we have private or socialized medicine these tough choices have to be made. We will not have the money to fix everyone's medical problems. Currently the private health insurance companies make these decisions. Does anyone really think it will be better if the government were making these decisions? Look how well they take care of our veterans via the VA. Anyone want VA level medical coverage? I don't. And why is it so many Canadians come to the US for medical care when they have free health care at home?

Comment_arrow

Victor Drover

3:27 pm on Monday, February 6, 2012

Whose fault is it when someone gets cancer? Many, many people who make the "right" decisions" get fatal diseases like this all the time. Sending them into poverty (aka: medical bankruptcy) or worse is simply discrimination against the sick. Healthcare, like education, is a basic human right. Unfortunately, Obama gave a big corporate bailout to the insurance industry.

RE: Canada, they indeed have Universal Health Care and the very weathy come to the US as private, for-profit heath services are for the most part inaccessible (its actually unconstitutional in Canada). Thus, the very rich skip the queue. The middle-class go to India. The rest have to wait in long queues for non-urgent care services.

I have extensive experience on both sides of the border, and neither system works as well as it should, but in Canada the sick are not discriminated against. Within Canada's borders, everyone is in the same queue for the same treatment.

To your point, bailing out the banks and giving corporations tax breaks in the name of denying healthcare to the sick is grotesque, inhumane, uncivilized and, frankly, wrong.

Comment_arrow

235301

3:53 pm on Monday, February 6, 2012

@Victor: The problem with providing healthcare to all is the same problem we encounter with education: we spend tremendous amounts of $$$ on individuals who will either not benefit or utilize the gift they've been given. When something is free to individuals it is not valued. As unbalanced as our current system is it is a far better alternative than having the government make those decisions for us. This is why so many Canadians come here for healthcare.

There is always an inequality of access to resources in our society. It is not pretty but it is real. What level of healthcare should be available to everyone? In Canada everyone is in the same abysmal queue for services. I've worked too hard to allow the government to make decisions for me and my family's healthcare. I take personal responsibility for me and my family and providing healthcare for them. I don't expect the government to do it for me.

Comment_arrow

Victor Drover

4:30 pm on Monday, February 6, 2012

I think you are vastly over-estimating the # of medical tourists from Canada. Compared to the number of American medical tourists to India and China, it's a fraction of a percent I bet.

Healthcare can certainly be affordable. Letting the insurance companies set the rates is not the solution, as evidenced by the ever-increasing costs.

Comment_arrow

Randy1949

4:56 pm on Monday, February 6, 2012

@235301 --" no I don't. I work hard, exercise, live well within my means, don't do drugs or abuse alcohol."

Same here. I don't smoke, and my BMI is at 23. But that's no guarantee against cancer or MS. And if one of those conditions should befall me before 65 -- I will just have to decline treatment. I refuse to leave my family penniless. You seem to be fortunate in that your hard work gives you enough income to purchase catastrophic health coverage. Mine doesn't.

@Victor -- I would happily wait in line for non-urgent services in return for the peace of mind of having the urgent services not bankrupt me.

Comment_arrow

235301

5:40 pm on Monday, February 6, 2012

@Randy: you wouldn't leave your family penniless for your healthcare but you are more than willing to have the taxpayers foot the bill? The taxpayers are not some faceless entity...they are me, you, your neighbors. Now, you alone won't bankrupt the government. But there are millions out there like you that, for whatever reason, have not been able to acquire healthcare for themselves. You add all of them up in aggregate and we cannot afford to foot the bill for that. The entitlement mentality in this country just disturbs me to no end. They believe the government and taxpayers exist to provide cradle to grave support for people.

And preventative services is not what is making healthcare so expensive these days. It is the expensive procedures requiring everything from MRIs to risky surgeries. I have no problem providing preventative services for people as it could provide a huge bang for the buck. But, will it really make a difference? Will it stop people from eating high levels of simple sugars and thereby reduce the diabetes epidemic? WIll it stop people from using drugs and alcohol and turning their brains into swiss cheese? I hardly think so....

Comment_arrow

Randy1949

6:41 pm on Monday, February 6, 2012

@235301 -- Thank you for the lecture. The answer is yes, I would be just as happy for the taxpayer (of which I am one, by the way) to indemnify me against a medical catastrophe that may never happen. Just as you are perfectly happy to drive on taxpayer funded roads under taxpayer funded streetlights and flush your toilet into taxpayer funded sewers. Taxpayer funded armies keep you safe. You may choose not to send your children to public schools, but they are there for you if you couldn't afford to educate your children any other way. You're willing to let people like me pay for your healthcare indirectly through premiums and the extra cost of goods and services you provide, and if you do get sick, your insurance company reimburses the hospital a whole lot less than they would charge me until my money ran out, so I'm subsidizing you there too.

But you're like Sensenbrenner. You've got yours, and anyone who doesn't -- well it must be their own fault, right?

Victor Drover

2:16 pm on Monday, February 6, 2012

Jimmy does it again. Surprised he didn't also mention "immigrant" and "tax cuts for the wealthy" as he likes to.

Reply

Jennie Walsh

5:20 pm on Monday, February 6, 2012

Hopefully, the American people will wake up and realize that communist/socialist health care and communist/socialist anything is economic dictatorship/tyranny. Why do people trust corrupt, inefficient and dishonest public officials with their health care? The criminals in the bureaucracies and in the government in general rake in billion$ of taxpayers dollars and dole out, relatively speaking, nickels, dimes and pennies only to pocket the rest themselves. They have a great racket in communist/socialist and so-called "foreign aid" programs. STOP BEING SUCKERS FOR THE RACKETEERS WHO HAVE GOTTEN THEMSELVES INTO POSITIONS OF POWER, AUTHORITY, LEADERSHIP, OWNERSHIP AND GOVERNMENTAL POSITIONS AT EVERY LEVEL throughout America and the world. If we would stick to the constitution, America would be prosperous beyond imagination and health care would not be a problem.
Ron Paul is right. At present, there are not enough American people who are educated, informed, interested and wise enough to recognize right from wrong, good from evil, truth from lies and wisdom from foolishness in order for them to know that Ron Paul is, by far, the VERY BEST CANDIDATE RUNNING FOR PRESIDENT.
He is the ONLY candidate who knows the lawful, constitutional ways to correct the economy and to bring true prosperity to America. The other candidates are planning to simply rearrange the deck chairs on the Titanic.

Reply

Craig

5:33 pm on Monday, February 6, 2012

Depending on what illness you have, our system makes people wait also- even with private insurance. Someone I know was told by a neuroligist that he probably had ALS, based on his symptoms. He was referred to one of a handfull of MD's who specialize in this. Wait to get an appointment? 6 months! Then add another couple months for a diagnosis. Point being made here is the average person who is diagnosed with ALS dies 14 months later. That is after wasting 8-10 months seeking treatment. I wonder how NHC would treat that patient, unable to work and applying for SSI. Would they stall the diagnosis so he doesn't collect a disability check? You have the fox guarding the henhouse.

Reply

Ruth Duffrin

11:50 am on Tuesday, February 7, 2012

A little off topic but Jim needs to retire. I really don't care who takes his place except that person has to give a damn, work for his people, take some input from his constituents and quit looking like he is about to fall over when walking in parades. His little boys need to stand up to the old man and not wear the cute little blue aprons.

Reply

Don Niederfrank

9:26 pm on Thursday, February 9, 2012

U.S. health care for those who can afford it or have insurance that will pay for it is second to none, hands down. It is not only Canadians, but folks of means from every nation come here. For those of lesser means and insurance...well, there are different kinds of rationing/limiting.

Health care costs in this country have risen far faster than the cost of living and wages over the past 2 decades. This is due to increases in technology, malpractice insurance and us aging boomers. It is also the case that people in the medical fields are well-paid.

We are not Greece, but as a nation we do not produce enough goods and services to pay for the level of medical we all desire. Whether gov't or insurance companies, someone(s) will limit/ration health care in the future to an even greater degree than it is now.

I favor gov't run health care for a couple of reasons--
Insurance companies spend a lot of money trying not to pay or to pay the least amount for health care.
The era of the well (over?) paid gov't employee is coming to an end. Fiscal conservatism is on the rise even among moderate/liberals like myself. IOW, our gov't, like that of every other Western democracy, will be able to manage it. And we won't be dropping dead in the streets any more than the Germans or the Brits. Or at least fewer of our poor neighbors will.

We cannot afford to provide Cadillac health care for my demographic. Entitlements will be cut.

Reply

Leave a comment