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Wall Street Weekly | 06/19/2009 12:15 pm

Obamacare Gets Poor Diagnosis From CBO, by Liz Peek

By Liz Peek
© Shutterstock

Bears, Bulls, Chickens and Pigs: wOw’s Wall Street Weekly with Liz Peek (Week of 6/15) 

Editor’s Note: Liz Peek is a financial columnist and the author of wOw’s SHEconomics.

Here’s a shocker: According to a Rasmussen poll conducted last week, Americans now trust Republicans more than Democrats to manage the economy. Considering that the GOP brought the country to the brink of financial collapse just a few months ago, I would call that an amazing turnaround.

Americans are justifiably concerned about the looming budget deficits brought on by the government’s (needed) stimulus spending. They are more perturbed, I imagine, by the prospect that the myriad proposals streaming from President Obama are going to make those deficits permanent. Perhaps the biggest element of uncertainty is the effort to overhaul our healthcare system.

I don’t know about you, but I don’t fully understand the health-care proposals working their way through Congress. President Obama has spoken of the need to cut medical expenses, but for the life of me I can’t connect that ambition with the bills currently under construction. Since this is proposed legislation that will impact one sixth of our economy, and every single American, I am amazed at how vague the discussions have been. Amazed, that is, until I read the reports coming out of the nonpartisan Congressional Budget Office.

Earlier this week the CBO sent a letter to Sen. Kennedy’s committee indicating that their proposals would jack up the federal deficit by an estimated $1.0 trillion between 2010 and 2019, and would extend coverage to roughly 16 million people, leaving an estimated 37 million people uninsured by 2019, instead of 54 million.

Say what? In other words, we are going to disrupt the 150 million nonelderly Americans that are now covered by insurance programs to add just 16 million more? At a cost of $1 trillion?

The CBO also sent a letter about the health-care proposals to Kent Conrad, Chairman of the House Budget Committee. It throws the whole notion of large-scale health-care savings into question. For instance, note that the government today directs almost 60% of our country’s spending on health care. This includes Medicare, Medicaid, veteran’s health programs and so on. These outlays will total more than $1 trillion this year alone. Will it surprise you to hear that these costs are basically out of control? Federal outlays, according to the CBO, have increased from 1% of GDP in 1970 to 5% in 2009; they are projected to exceed 6% in 2019.

I ask you – since the feds have done such a miserable job reining in government outlays for health care, do we really want to hand over the rest of the country’s programs to them? Heaven help us! Maybe the government should get its own house in order before tackling the private sector. The CBO notes that any step-up in insurance coverage would “represent a permanent increase of roughly 10% in the federal” expenditure level.

Here’s one concern, which may well be misplaced. As a safe, competent and maybe lucky driver for many years, I object to “no-fault” auto insurance. I don’t like subsidizing reckless speed demons. Similarly, as someone who works out and consumes far less ice cream than I would choose, I dislike the idea that I will be subsidizing the health-insurance costs of someone who doesn’t exercise, who eats terribly, who smokes and who doesn’t get regular checkups. In short, why don’t we require Americans to take some responsibility for their health? People tend to be economic animals; if there were incentives for people to adopt healthy practices, would not at least some respond?

432 Reader Comments (so far…) Sign In or Register to comment

MK P

Specialization pays so much more — that’s why the shortage of family practicianers.    When my 95 year old mother had surgery last year — no fewer than four specialists had to sign off before the surgery could be done.

By MK P on 06/20/2009 9:19 am
phyllis Doyle Pepe
Once again we get a report from one source and if we don’t do our own research, if we don’t question, we gobble it up like a good meal. The Condom conundrum is a study re: Aids research. 
By phyllis Doyle Pepe on 06/20/2009 10:59 am
Murphy Mac
Thank you, phyllis, for filling in the "missing link". Wonder why it was "left out"? That’s a big piece of information to be left out.
By Murphy Mac on 06/20/2009 12:18 pm
Bill Lee

The Condom conundrum is a study re: Aids research.

And that fact gives it merit, why? I hate to sound heartless, but let Darwinism take its course here…

Let’s hear it for personal responsibility! 

By Bill Lee on 06/21/2009 4:43 pm
Libra Lady

I don’t see this study talking about the spread of aids?

Researchers at Indiana University’s Kinsey Institute, with funding from the National Institutes of Health, are investigating why "young, heterosexual adult men" have problems using condoms. The study will include "skill-based intervention" to teach grown men how to use protection.

The first phase of the two-year study called "Barriers to Correct Condom Use" will be a simple Q&A, but doctors say the second phase will plumb uncharted territory.

"The second phase involves a laboratory study, and focuses on penile erection and sensitivity during condom application," reads the abstract from Drs. Erick Janssen and Stephanie Sanders, both of the Kinsey Institute.

"The project aims to understand the relationship between condom application and loss of erections and decreased sensation, including the role of condom skills and performance anxiety, and to find new ways to improve condom use among those who experience such problems."

By Libra Lady on 06/21/2009 9:29 pm
deber B
As always, Libra, excellent post and good research.   The government is so out of whack they have dug their own grace in 5 months at a cost of $11 trillion and pulsing higher every day.   I pity the next president coming in in 2012.
By deber B on 06/20/2009 3:28 pm
Susan Easterday
Liz, Thank you for giving us the straight talk and holding Pres Obama accountable.  I believe his idealogy and maybe potential legacy has affected his senses.  He is going so fast and furious, he has no idea the impact of his Keynesian economics and the damage he may do to our healthcare system by implementing universal coverage.  Much more informed and smarter women have commented on the many problems with the proposal and I can’t say much more.  But this rush makes absolutely no sense, and I can’t wonder if he is just using his political capital while he can.  And then he goes down in the history books.  I will say he and the Dem Congress are better at getting things done then the Reps were.  I can continue to see why our forefathers (especially G. Washington) abhorred political parties.   
By Susan Easterday on 06/19/2009 5:15 pm
phyllis Doyle Pepe
It would be interesting to hear your take on "…the impact of his Keynesian economics…" Another person, an economist named Krugman, says this: IF you were going to turn to only one economist to understand the problems facing the economy, there is little doubt that the economist would be John Maynard Keynes. Although Keynes died more than a half-century ago, his diagnosis of recessions and depressions remains the foundation of modern macroeconomics. His insights go a long way toward explaining the challenges we now confront.
By phyllis Doyle Pepe on 06/20/2009 11:28 am
Susan Easterday
I’ve read Krugman and he totally aligns with JMK and received a Nobel prize for it, but then so did Milton Friedman who eventually became more opposed to government deficit spending to fight unemployment.  I believe that it is difficult for govt. to drive employment—because it takes a long time to "turn that wheel" and by then the free market has often righted itself.  I’m sure the stimulus money has helped some people, but not likely to get jobs.  The markets keep shedding more.  If you want companies to hire more, than give them incentives (lower taxes, whatever).  Then your businesses have more money to hire, advertise and bring in more business, then hire again…it’s not a tough concept (we are small business owners).  I’ve heard of some jobs coming (when?) because of loans for "green" projects (such as green cars), but they won’t last for long if folks don’t buy the product.  Commerce can’t be driven by the idealogy of any administration.  Anyway, how about we try to do more of both—spend and lower taxes?  The problem is now that the administration is trying to be responsible and try to find ways to fund their programs, they are looking at more taxes.  That is NOT stimulating and won’t encourage businesses to hire.  Let’s hope I’m wrong. 
By Susan Easterday on 06/24/2009 11:31 pm
Susan Easterday

Here is an article that sets the actually uninsured (and can’t get insurance) at about 8 million.  The rest of the 46 million?  Illegal aliens, people who make over $50K and just don’t buy it, children and adults who are eligible but not enrolled, etc.  I know people like this.  Read up on the history of TennCare (TN)—it’s been a disaster that almost bankrupted TN.  Lots of people dumped their insurance to go on cheaper and better TennCare (exactly what would like happen with ObamaCare).  Let’s hope Pres Obama and Congress can use some sense and find ways for the states to enroll and cover these 8 million. 

http://spectator.org/archives/2009/03/20/the-myth-of-the-46-million

By Susan Easterday on 06/19/2009 5:32 pm
Mel Berg
Why would I take seriously anything written in that republican rag?
By Mel Berg on 06/19/2009 5:57 pm
Susan Easterday
Hmmm—if you would expect the more conservative of us to give any merit to the Huff Post or other liberal publications, then you would need to give some merit to more conservative pubs.  There are smart people on both sides of the debate, but our party system ruins that potential dynamic.  That’s the problem with both sides—no listening, no empathy, no real compromise. 
By Susan Easterday on 06/19/2009 9:26 pm
Marjorie C.

Susan:  Let’s hope Pres Obama and Congress can use some sense and find ways for the states to enroll and cover these 8 million. 

Obama wants to go down in history as the president who implemented health care.  Period.  Nothing to do with sensible.

Massachusetts managed to absorb their uninsured, but some of the uninsured had to be forced to participate.  Young, healthy adults working part-time someplace do not see the need for health insurance — but they are coerced into the system.  The reason for that is to keep the premium costs down.

Individual states are in a better position to manage their uninsured.  A lot of unexpected things crop up that will be overwhelming in a huge system.   

By Marjorie C. on 06/20/2009 6:02 am
deber B
Majorie C, "Obama wants to go down in history as the president who implemented health care"  -   so far that’s the only plan he has had so far.
By deber B on 06/20/2009 7:13 am
Susan Easterday
Marjorie - I’d like to give him the benefit of the doubt, but I think you may be right.  It seems like many of his decisions are purely idealogical and that comes from what he has spent his life developing—idealogy.  And when you have little experience, you’ll push what YOU think is utopia—at least for some.  I would certainly like better the states to handle this issue, but TN has done a horrible job and ending up dropping people that needed it, along with LOTS of fraud.  It’s interesting to google TennCare and see the results of "universal care."  One issue TN had is that is started with minimal benefits, until the liberal TN Supreme Court intervened.  Then they kept covering more and more until the system was bankrupting the state. 
By Susan Easterday on 06/20/2009 1:51 pm