The ACA, to put it gently, is already on shaky ground. Just last week, for example, the LA Times reported that UnitedHealth, the nation’s largest insurer, is dropping out of California’s individual market. Similarly, Blue Cross Blue Shield will not participate in the exchanges in Iowa and South Dakota in 2014. And the WSJ puts the delay of the employer mandate in its discouraging context. Along with the Supreme Court ruling that invalidated the Medicaid expansion (28 states haven’t yet agreed to expand) and the refusal by many states (over 30) to set up their own health exchanges, the delay is the third major challenge to the central goal of the law: expanding access to insurance.
“You’ve got three body blows toward expansion of coverage,” said Paul Keckley, executive director of the Deloitte Center for Health Solutions, a research unit of Deloitte LLP. “It’s three punches in a row.”
Ultimately, this will be decided in sixteen months. Without RomneyCare to muddy the waters, it will be a much better issue for Republicans.
Yes. “Elections are necessary but not sufficient for a democratic republic. You also need limits on state power, and civil society. Frankly, what’s most impressive to me is how resilient and robust Egyptian civil society has been in the face of the Muslim Brotherhood’s clear effort to establish an Iran-style theocracy.”
I’d also add that a republic (which per Franklin’s famous statement after the convention, we have, or at least had until the last few decades) is not a democracy, either.
The Affordable Care Act’s Section 1513 states in black-letter law that “(d) Effective Date.—The amendments made by this section shall apply to months beginning after December 31, 2013.” It does not say the Administration can impose the mandate whenever it feels it is politically convenient.
This selective enforcement of laws has become an Administration habit. From immigration (the Dream Act by fiat) to easing welfare reform’s work requirements to selective waivers for No Child Left Behind, the Obama Administration routinely suspends enforcement of or unilaterally rewrites via regulation the laws it dislikes. Now it is doing it again on health care, without any consultation from, much less the approval of, Congress. President Obama probably figures business and Republicans won’t object because they don’t like the law anyway.
Probably. But it’s a mess, and it’s only going to get worse.
I’ve long advocated that a part of commemorating the nation’s birthday should be a reading of the declaration, and not just celebrating with beer, barbecue and fireworks. It seems particularly important in light of events of the past few years.
[Update late afternoon, as we’re slow-grilling ribs]
To think that it does is akin to, in the president’s words, being part of the Flat Earth Society. And unlike when the president said it, when I say it, it’s true.