March 15, 2010 11:15 AM

Will "Obamacare" Create Two Americas?

By
CBSNews

 

(The New Ledger)  Ben Domenech is editor of The New Ledger.

Here's the worst thing you probably haven't heard about President Barack Obama's health care plan, which he and his allies are about to force through the Congress despite enormous opposition from the American people: it makes everything onetime vice presidential nominee John Edwards once said about the class divide of "two Americas" come true.

The dirty little secret of this plan-which wouldn't be a secret if opponents of this legislative package weren't distracted by a dozen other wrongheaded policies in it-is that it will bring a major and irreversible upheaval to America's labor markets. In a time of economic tension, this plan will displace millions of workers and push more people into becoming contract employees, resulting in increased instability for working families.

One of the many original stated goals of the White House's health care reforms was the promise that you can keep your health plan if you like it. However, the White House wanted to give businesses much-needed relief from burdensome health costs. Like the desire to create a new entitlement while reducing the budget deficit, these aims are nearly impossible to reconcile, so Obama chose a path that accomplishes neither.

The president's plan penalizes an employer for not providing insurance, but the government will subsidize the health care of workers without employer-provided insurance. This effectively allows workers to receive the same compensation package they get today, but with government footing the health-benefits part of the bill, so employers have no need to make up the difference in cash.

The economic benefits of that subsidy far outweigh the penalties-for low income workers, it can result in an enormous difference of over $17,000 per year.

It's obvious what will happen under this plan: it will not make economic sense for any small business which employs lower-income workers to offer health insurance. And any small business which does so will almost certainly fail, burdened by higher costs than their competitors.

This dilemma could be solved by making the penalties more draconian, but that too would cause business failures, and as with the individual insurance mandate, too steep a penalty would make the plan even more coercive and unpopular.

As John Goodman of the nonpartisan National Center for Policy Analysis recently described it, "High-paid workers with employer-paid insurance will cluster in some firms, while average- and below-average-wage workers will cluster in others. Overall, ObamaCare will create irresistible economic pressure to restructure the entire labor market."

The only likely outcome of this plan will be for companies to drop coverage entirely. Younger, lower-income workers will be eligible for a subsidy and forced into the health exchanges. That will compel them to do something that doesn't make economic sense. Most young workers don't use health care much-unless you give them an incentive to over-consume care by paying for it up front for them.

There's a final step here, though, that's critical to understand: once those younger and lower-income workers are forced into a system that eliminates rational decision-making, they are made beholden to these taxpayer funded subsidies, and face massive penalties if their income rises such that they lose the subsidies. The marginal tax penalty for an individual moving up from to $40,000 a year to $45,000 is massive, as also for families earning $95,000 versus $90,000, creating an artificial cliff that dramatically penalizes success.

Thus a new picture of Obamacare emerges: it will force people to pay for what they don't want and purchase what they don't need, in a massive expansion of the size and power of government. The entire proposal functions not as a method of improving care or lowering premiums but as a massive regressive tax falling disproportionately on the young and those on the lower end of the income scale. And once in place, it will trap its supposed beneficiaries in ways that cannot be undone.

Combine this regressive tax with a massive increase in spending via a government entitlement which will only grow, and you have a recipe for long-term economic stagnation and the permanent enshrinement of two Americas into our national social policy.

By Ben Domenech:
Reprinted with permission from The New Ledger.

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Add a Comment See all 105 Comments
by DougJ March 21, 2010 7:27 AM EDT
I see a lot of teabag and corporate bashers, here, but nobody saying the analysis is wrong. Your employer is going to pay the penalty and drop your health care. AND, Not give you a raise to buy your own. Enjoy Obamacare!
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by noloyalisti March 16, 2010 10:21 PM EDT
There is the 99% of us against the top 1% who own over 50% of the wealth in America. And the top 1% are INCREASING their share.

So we have a CLASS WAR on our hands. That is the two Americas.
Reply to this comment
by lakota2012 March 16, 2010 6:22 PM EDT
bjbda:
"We have many larger issues that are facing this county"
------------------


Hmmmm....first, a dictatorship is defined as an autocratic form of government, in which the government is ruled by an individual. Calling the passage of health care reform, "establishing a US dictatorship" is certainly ignorant and juvenile, since we have three branches of government, not a ruling individual. That's a fact!

Secondly, with a $107 Trillion unfunded future liability, of which $74 Trillion is Medicare as 80 million baby boomers retire over the next 2 decades, driven mainly by out-of-control health care costs, President Obama actually can see the largest issue facing the U.S. -- probably the single largest issue that will continue to drive future deficits!

While I certainly don't agree with expanding PRIVATE for-profit INSURANCE as a way to cut health care costs, especially since the insurance industry skims 30% off the top as middlemen extortionists providing no health care, our health care debacle needs major reforms, and this current bill does have some good points supported by the majority. It's just too bad the GOP had a need to make health care reform fail, in order to regain power, since Washington just doesn't have the will to cut these massive deficits, and the GOP will always vote for the status quo.
Reply to this comment
by noloyalisti March 16, 2010 5:02 PM EDT
Chip, the Repub party wants to go back BEFORE the '60s. When there were no civil rights, environmental regulation or anti-war movement.

It is soooooooooooo obvious they cannot stand that a (half) black man is the President. It all comes down to racist hatred because anything bad that Obama does (like spend money) was done in the extreme by the Bushoccio Crime Family.

And the racist Tea Bag wingnuts were nowhere to be seen.
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by chipotlejr March 16, 2010 2:48 PM EDT
I know that these terms socialist, communist and fascist have been bandied about by the tea baggers and other lunatic fringe of the Republican party lately. They definately don't seem to know the meaning of any of the terms and seem to be desperately groping around to gain a base among the un-educated trogladites.
The supremely irritating thing is that they know so little about protest that they are hypocritically ripping off terminology and rhetoric from the 60s leftist radicals.
This is especially painful when we know that this was the exact same group that called us un American and subversive any time there was a civil protest.
Our protests were motivated by righteous indignation about senseless slaughter. Their protests are funded by the Corporate fat cats and only serve to perpetuate their baseless rhetorical eufemisms and insults.
The most insulting part to me is actually seeing people pretending to align themselves with the freedom loving founding fathers only to perpetuate an unequal system of selective elitist health systems.
Extreme hypocracy.
Reply to this comment
by inketolstoy March 16, 2010 3:27 PM EDT
"Their protests are funded by the Corporate fat cats and only serve to perpetuate their baseless rhetorical eufemisms"

Talk about baseless rhetorical eufemisms. You call your opponents tea baggers, lunatic fringe, and un-educated (sic)trogladites (sic), and accuse them of using baseless rhetorical eufemisms (actually spelled euphemism, as an uneducated troglodyte would tell you). Talk about hypocrisy.
by stychokiller March 16, 2010 11:58 PM EDT
@chipotljr:
-- Just because "Tea Party" members do not know what to call their opposition, does NOT mean that they have no valid grievances!
As an "uneducated trogladite", I believe you should learn to spell "hypocracy" correctly -- it's Hypocrisy, and learn how to posit a valid logical argument! Check your premises, and lay off that Decepticratic koolaid, my friend!
by noloyalisti March 16, 2010 2:12 PM EDT
The Republikkklans and conservatives are afraid of anything that is not fascistic right wing domination by big corporations like those running "health" insurance. This started with the absolute disastrous failure of Reagan.

So they get hysterical and scream socialism even when it is not true and they don't even know what it is. That's why they mix up socialism, communism, fascism, Marxism, etc. I would say they are as dumb as a chicken but that insults the chicken.
Reply to this comment
by chipotlejr March 16, 2010 1:47 PM EDT
The whole controversey that surrounds the issue is full of ignorant rhetoric from the new right wing.
The whole idea that the health care reform consititutes anything subversive, socialistic, communist or fascist are mere fantasies of the hopelessly uneducated groups of mindless neocons.
If the truth be told, there is no grand government takeover of anything.Roughly two thirds of all health care are already handled by medicare and other similar programs and are all highly regulated.
Who in their right ming would think that our present system dominated by deregulated price gougers is more efficient than anything else?
What reason do they have for assuming that other countries have it so bad?
I can tell you that I live in Lima Peru where I enjoy much lower medication prices(the meds are made in the exact same Swiss labs as the ones sold in the US. I worl half of the year in Taiwan where we also have very good health care and inexpensive medecines.
8 years ago, I attended graduate school in Spain where we also had very good medical coverage, wonderful service and even cheaper high quality medication.
The HMOs in the US don't want you to know this and they play off the high emotional Nazi youth atmosphere created by the neo cons to maintain their valuable cat bird seat.
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by IndepTex20 March 16, 2010 2:22 PM EDT
So tell me chip, why does the bill include new tuition funding legislation? Particularly legislation that mandates priority status to minority students who seek tuition grants for nursing school and medical school? This bill, and I use that term loosley" is not about healthcare reform at all............and healthcare costs, premiums and taxes will be higher than ever before and for what, to say that the Marxist in the White House finally achieved one of his campaign lies.....er, promises!?

Come on November!!
by stychokiller March 17, 2010 12:03 AM EDT
@chipotlejr:
-- [quote]Roughly two thirds of all health care are already handled by medicare and other similar programs...[/quote]
This statement directly contradicts your previous statement: [quote]If the truth be told, there is no grand government takeover of anything.[/quote]. Or perhaps you did NOT know that Medicare/Medicaid are previous attempts by the US Govt to takeover Health Care. I suggest that you live in the US for more than one year, BEFORE you criticize any US Citizen that's been paying taxes (oops, I meant wasting money on Govt. largess!), for over 40 years.
by noloyalisti March 16, 2010 1:02 PM EDT
Since the big corporations own and run the government for their own profit (at our expense) what would you expect? Since the disaster that was Reagan, the rich have been getting richer and the poor poorer. And the middle class disappearing.

We have to get used to big corporate domination like it was in Germany in the '30s. It worked so well at first that Adolph Hitler was named Times Magazine Man of the Year in 1939. We all saw how this ends up...
Reply to this comment
by leepoe1 March 16, 2010 11:50 AM EDT
The most one-sided pile of steaming propaganda I have ever read. Not one thing in it is factual. Instead, it "projects" what is "likely" to happen. If we rely on this guys projections we need to look back at that huge Republican tax cut for the very rich that made them even richer during the Bush years, you remember, the one that was "projected" to bring prosperity.
Reply to this comment
by rocketjl March 16, 2010 12:10 PM EDT
You are not giving us anything to support your argument. If he is wrong, tell us exactly how it will be and add your name.
by tsigili March 16, 2010 10:58 AM EDT
Precisely why the bill should be killed. DOA.
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