Obama Repeals ObamaCare
Under pressure from Senate Democrats, the President partly suspends the individual mandate.
Dec. 20, 2013 6:41 p.m. ET
It seems
Nancy Pelosi
was wrong when she said "we have to pass" ObamaCare to "find out
what's in it." No one may ever know because the White House keeps
treating the Affordable Care Act's text as a mere suggestion subject to
day-to-day revision. Its latest political retrofit is the most brazen:
President
Obama
is partly suspending the individual mandate.
The
White House argued at the Supreme Court that the insurance-purchase
mandate was not only constitutional but essential to the law's success,
while refusing Republican demands to delay or repeal it. But late on
Thursday, with only four days to go before the December enrollment
deadline, the Health and Human Services Department decreed that millions
of Americans are suddenly exempt.
Individuals
whose health plans were canceled will now automatically qualify for a
"hardship exemption" from the mandate. If they can't or don't sign up
for a new plan, they don't have to pay the tax. They can also get a
special category of ObamaCare insurance designed for people under age
30.
***
So merry Christmas. If
ObamaCare's benefit and income redistribution requirements made your
old, cheaper, better health plan illegal, you now have the option of
going without coverage without the government taking your money as
punishment. You can also claim the tautological consolation of an
ObamaCare hardship exemption due to ObamaCare itself.
Related Video
Editorial board member Joe Rago on the new health-care
law's latest delay—a temporary mandate exemption for those with canceled
plans. Photo credit: Getty Images.
These exemptions were supposed to go
only to the truly destitute such as the homeless, bankrupts or victims
of domestic violence. But this week a group of six endangered Senate
Democrats importuned HHS Secretary
Kathleen Sebelius
to "clarify" that the victims of ObamaCare also qualify. An
excerpt from their Wednesday letter, whose signatories include New
Hampshire's
Jeanne Shaheen
and Virginia's
Mark Warner,
is nearby.
HHS and the Senators
must have coordinated in advance because literally overnight HHS rushed
out a bulletin noting that exemptions are available to those who
"experienced financial or domestic circumstances, including an
unexpected natural or human-caused event, such that he or she had a
significant, unexpected increase in essential expenses that prevented
him or her from obtaining coverage under a qualified health plan." A
tornado destroys the neighborhood or ObamaCare blows up the individual
insurance market, what's the difference?
The
HHS ruling is that ObamaCare is precisely such a "significant,
unexpected increase." In other words, it is an admission that rate shock
is real and the mandates drive up costs well into hardship territory.
HHS is agreeing with the Senators that exemptions should cover "an
individual whose 2013 plan was canceled and considers their new premium
unaffordable." In her reply letter, Mrs. Sebelius also observes that
some people "are having difficulty finding an acceptable replacement."
She means the new plans are overpriced.
The
under-30 ObamaCare category that is being opened to everyone is called
"catastrophic" coverage. These plans are still more expensive than those
sold on the former market but they're about 20% cheaper on average than
normal exchange plans because fewer mandates apply and they're priced
for a healthier, younger risk pool. Liberal Democrats hated making even
this concession when they wrote the law, so people who pick catastrophic
plans don't get subsidies.
Health and Human Services Secretary Kathleen Sebelius
Getty Images
What an incredible political
turnabout. Mr. Obama and HHS used to insist that the new plans are
better and less expensive after subsidies than the old "substandard"
insurance. Now they're conceding that at least some people should be
free to choose less costly plans if they prefer—or no plan—and
ObamaCare's all-you-can-eat benefits rules aren't necessary for quality
health coverage after all.
But the White
House is shredding ObamaCare's economics on its own terms. Premiums for
catastrophic products are based on the assumption that enrollees would
be under 30. A 55-year-old will now get a steep discount on care
courtesy of the insurer's balance sheet, while other risk-tiers on the
exchanges will have even fewer customers to make the actuarial math
work.
Pulling the thread of the
individual mandate also means that the whole scheme could unravel.
Waiving ObamaCare rules for some citizens and continuing to squeeze the
individual economic liberties of others by forcing them to buy what the
White House now concedes is an unaffordable product is untenable. Mr.
Obama is inviting a blanket hardship amnesty for everyone, which is what
Republicans should demand.
The new
political risk that the rules are liable to change at any moment will
also be cycled into 2015 premiums. Expect another price spike late next
summer. With ObamaCare looking like a loss-making book of business, a
public declaration of penance by the insurance industry for helping to
sell ObamaCare is long overdue.
The only
political explanation for relaxing enforcement of the individual
mandate—even at the risk of destabilizing ObamaCare in the long term—is
that the White House is panicked that the whole entitlement is
endangered. The insurance terminations and rollout fiasco could leave
more people uninsured in 2014 than in 2013. ObamaCare's unpopularity
with the public could cost Democrats the Senate in 2014, and a GOP
Congress in 2015 could compel the White House to reopen the law and make
major changes.
Republicans ought to
prepare for that eventuality with insurance reforms beyond the "repeal"
slogan, but they can also take some vindication in Thursday's reversal.
Mr. Obama's actions are as damning about ObamaCare as anything Senator
Ted Cruz
has said, and they implicitly confirm that the law is
quarter-baked and harmful. Mr. Obama is doing through executive fiat
what Republicans shut down the government to get him to do.
***
The
President declared at his Friday press conference that the exemptions
"don't go to the core of the law," but in fact they belong to his larger
pattern of suspending the law on his own administrative whim. Earlier
this month he ordered insurers to backdate policies to compensate for
the federal exchange meltdown, and before that HHS declared that it
would not enforce for a year the mandates responsible for policy
cancellations. Mr. Obama's team has also by fiat abandoned the
small-business exchanges, delayed the employer mandate and scaled back
income verification.
"The basic
structure of that law is working, despite all the problems," Mr. Obama
added. His make-it-up-as-he-goes improvisation will continue, because
the law is failing.
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