In 2009, when Obama was pushing universal healthcare, he quickly realized that his dreams of a single-payer, government-run socialized system would never pass Congress. His other option was a “public option,” which most knew to be a Trojan Horse for single-payer, slowly eviscerating the private insurance industry. The “compromise” (if we can say Obama compromised with himself) was ObamaCare.
The ObamaCare debate has been overshadowed by whether the Individual Mandate is constitutional (it is not, despite what Roberts and the gaggle of liberal justices state.) What has been lost in the conversation is the States’ Health Care Exchanges.
We have an entity that will absorb 20-30 million new enrollees as Medicaid eligibility is expanded to 135% of the federal poverty level; the increase in enrollee numbers will be funded by the federal government (at least initially.)
The federal government will be writing the insurance regulations for the health exchanges. But at the same time, under ObamaCare, it will also be writing the requirements for private insurers.
Keep in mind that we are all concerned with the fact that private citizens will be required to purchase health insurance. But what we lose sight of is that they will have to purchase the “correct” insurance.
Let us set up a hypothetical situation. Let us say ABC Insurance is not particularly fond of ObamaCare. It does not have employees who donated to Obama’s campaign. But XYZ Insurance is a strong Obama supporter.
ObamaCare has already required 13,000 pages of regulations to implement the law, and that is just the tip of the iceberg for what is to come. Let us say that one of the hundreds of ObamaCare boards determines that ABC Insurance does not offer the “correct” insurance—doing this as a punishment for not supporting Obama—but only after they have sold tens of thousands of policies. Some clerk at ABC Insurance had missed some obscure rule buried in a small-print footnote.
After tens of thousands of private citizens have already purchased healthcare from ABC Insurance, they find a “penalty” (now a “tax” per the Supreme Court) from the IRS in the mailbox for 1% of their total income—let us say $2000 because ABC Insurance’s policy has been determined to be invalid. There “happens” to be a note in with the IRS bill that explains that XYZ Insurance has been found to comply with ObamaCare regulations.
As time goes on, the public becomes fearful that they will not buy the “correct” insurance from whatever company, and slowly, the public moves to the Health Exchanges (which will continue to loosen their enrollee income requirements, thus driving private insurance companies out of business.)
The Health Exchanges then become Obama’s Public Option, and when there are no more private insurers, the federal government takes over the States’ Health Exchanges, creating a single-payer system.
The Public Option via ObamaCare thus becomes a socialist Trojan Horse that can be repeated in any industry with a little tinkering.
Let us set up an analogy to show how the Public Option works.