President Obama, who opposed a health insurance mandate during
the campaign and has vowed not to support a middle-class tax
hike, has come out in favor of a mandate that would raise taxes
on those in the middle class who do are uninsured.
During an exchange with George Stephanopoulos on Sunday,
President Obama tried to deny that a mandate was the same as a
tax increase, even when confronted with a dictionary definition:
STEPHANOPOULOS: I — I don’t think I’m making it up. Merriam
Webster’s Dictionary: Tax — “a charge, usually of money,
imposed by authority on persons or property for public
purposes.”
OBAMA: George, the fact that you looked up Merriam’s
Dictionary, the definition of tax increase, indicates to me
that you’re stretching a little bit right now. Otherwise, you
wouldn’t have gone to the dictionary to check on the
definition. I mean what…
STEPHANOPOULOS: Well, no, but…
OBAMA: …what you’re saying is…
STEPHANOPOULOS: I wanted to check for myself. But your critics
say it is a tax increase.
OBAMA: My critics say everything is a tax increase. My critics
say that I’m taking over every sector of the economy. You know
that.
Look, we can have a legitimate debate about whether or not
we’re going to have an individual mandate or not, but…
STEPHANOPOULOS: But you reject that it’s a tax increase?
OBAMA: I absolutely reject that notion.
Yet the idea of a mandate as a tax does not merely come from
Stephanopoulos, or critics, or Merriam Webster, but from language
in the current draft of the Baucus bill itself. In fact, on page
29, the Baucus proposal reads,
“The consequence for not maintaining insurance would be an excise
tax….The excise tax would be assessed through the tax code and
applied as an additional amount of Federal tax owed.”
Obama argues at another part of the interview that, “right now
everybody in America, just about, has to get auto insurance.
Nobody considers that a tax increase.” But there are many reasons
why this is a flawed analogy. Most importantly, car insurance
mandates, which apply at the state level, only apply to people
who drive a car on public roads. If I don’t drive, I don’t have
to purchase car insurance. By contrast, the health insurance
mandate would apply, with few exceptions, to everybody in the
United States. Also, people aren’t forced to report car insurance
in their federal tax returns, and fines are not assessed through
the federal tax code. And if car insurance mandates are the
model, then they certainly aren’t effective, with an
estimated 13.8 percent of drivers going without coverage in
2007, according to the Insurance Research Council.
Obama also argued:
You and I are both paying $900, on average — our families —
in higher premiums because of uncompensated care. Now what I’ve
said is that if you can’t afford health insurance, you
certainly shouldn’t be punished for that. That’s just piling
on.
If, on the other hand, we’re giving tax credits, we’ve set up
an exchange, you are now part of a big pool, we’ve driven down
the costs, we’ve done everything we can and you actually can
afford health insurance, but you’ve just decided, you know
what, I want to take my chances. And then you get hit by a bus
and you and I have to pay for the emergency room care,
that’s…
So, Obama is saying that nobody who can’t afford health insurance
will be forced to buy it, but he has an odd definition of
“affordable.” Under the Baucus plan, individuals would face a tax
of at least $750 if they do not purchase health coverage. And
while the proposal would provide subsidies to lower-income
Americans, those subsidies would stop at 300 percent of the
federal poverty level. What that means is that a family of four
with a household income above $66,150 would face a tax of $3,800
if it does not obtain health insurance, while an individual with
income above $32,490 would face a tax of $950. While the proposal
would in fact waive the requirement for individuals who can prove
they can’t afford a minimal health insurance policy as defined by
the government, to qualify for the exemption, premiums would have
to exceed 10 percent of adjusted gross income — or somewhere in
the neighborhood of $3,000 for somebody with income of $32,490.
Then there’s this larger idea of uncompensated care. While it is
true that some people end up showing up in emergency rooms
without paying and that imposes costs on others, there’s two
things that Obama isn’t taking into account. First, just because
you mandate coverage it doesn’t mean you eliminate the
uncompensated care. Second, if you have to spend hundreds of
billions of dollars on subsidies enabling people to purchase
insurance, then that costs far more than whatever would be saved
by reducing uncompensated care.
In a prior
article for our magazine, I looked at the Massachusetts
example — the only state with a health insurance mandate:
In 2006, Massachusetts enacted a landmark health care reform
that increased coverage by expanding Medicaid eligibility and
providing subsidies for citizens to purchase coverage on a
state-run insurance exchange. As more people obtained insurance
to comply with a mandate, uncompensated care declined by 38
percent between 2006 and 2009 (projected), saving the state
$246 million. However, the Commonwealth Care subsidy program
created as a result of the 2006 reform is projected to cost
$820 million in 2009 alone, and during the same time period,
the state’s expanded Medicaid program saw its price tag swell
by $1.1 billion. So in other words, while costs declined by a
quarter of a billion dollars in one area, they increased by
nearly $2 billion in other areas.
The other thing to keep in mind is that while Obama likes to
describe those who are uninsured by choice as freeloaders,
there’s a flip side to this. Many of those who are currently
uninsured simply have very low health care costs, which they are
willing to pay out of pocket when they get sick. The reason why
Obama supports a mandate is that he wants to be able to force
insurers to cover those with preexisting conditions, and the only
way to do that is to bring uninsured healthy people into the
system. So really, this isn’t about eliminating freeloaders, it’s
about forcing healthy people to pay for more health care than
they need to so that they can make premiums more affordable for
the sick.
I think candidate Obama had this one right when he talked about
mandates last year. “In some cases, there are people who are
paying fines and still can’t afford it, so now they’re worse off
than they were,” candidate Obama
said during a February 2008 debate, referring to conditions
under the Massachusetts mandate. “They don’t have health
insurance and they’re paying a fine.”
Pingback| 9.21.09 @ 12:16PM
Twitter Trackbacks for The American Spectator : AmSpecBlog : The Obama-Baucus Middle links to this page. Here’s an excerpt:
Ken (Old Texican)| 9.21.09 @ 12:17PM
Mr Klein
I am so glad you listen carefully to Obama's slick lies.
I get ACID REFLUX when the guy comes on the air.
He is obviously into "State Truth" (PRAVDA).
...instead of "aw shucks" truth like the rest of us must utilize to make informed decisions.
anonymous| 9.21.09 @ 2:37PM
Sick lies?
Obviously you are not well versed on this Health Care Reform bill. Have you read it? Do you know the in's and outs? I doubt this is true considering it is over 1,000 pages. Your information must be based on a series of replican-biased news sites. If you'd actually like some information about the bill you should follow this link http://docs.house.gov/edlabor/.....071409.pdf
AtheistConservative| 9.21.09 @ 2:50PM
That's hilarious: someone urging us to 'read the bill' when they can't even read the comment. It was 'slick lies', not 'sick lies'. Although Obama's lies will make us all sick.
Don't get mad because we know more about this than you. Just grow up and admit you were wrong. We'll forgive you.
anonymous| 9.22.09 @ 9:26AM
Fortunately, we don't need the Republican vote to get the bill passed.
velcro | 9.21.09 @ 3:52PM
‘‘DIV A, TITLE IV, SEC. 59B. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
(a) TAX IMPOSED.—In the case of any individual who does not meet the requirements of subsection (d) at any time during the taxable year, there is hereby imposed a tax equal to 2.5 percent of the excess of—(1) the taxpayer’s modified adjusted gross income for the taxable year, over(2) the amount of gross income specified in section 6012(a)(1) with respect to the taxpayer."
LW| 9.22.09 @ 9:18AM
Subtitle A—Shared Responsibility PART 1—INDIVIDUAL RESPONSIBILITY 9
SEC. 401. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE 10
HEALTH CARE COVERAGE. 11 etc..
from: http://docs.house.gov/edlabor/.....071409.pdf
Look who doesn't have the facts straight.
Pingback| 9.21.09 @ 12:40PM
Michelle Malkin » When is a tax not a tax? links to this page. Here’s an excerpt:
Trackback| 9.21.09 @ 1:06PM
The American Spectator : The Obama-Baucus Middle-Class Tax Hike, on PunditKix, links to this page. Here’s an excerpt:
Anonymous| 9.21.09 @ 1:17PM
Much of the "uncompensated care" at emergency rooms is given to illegal alien work thieves who use the services and then walk away.
But Obama has a cure for that, too -- make 'em all citizens!
Two parts of his agenda accomplished!
Pingback| 9.21.09 @ 1:19PM
The American Spectator : AmSpecBlog : The Obama-Baucus Middle … | Class update today links to this page. Here’s an excerpt:
boyydz| 9.21.09 @ 1:23PM
People hate health insurance companies, in part because they won't cover people who are already sick (despite the fact that buying health insurance after you are diagnosed with cancer is analogous to buying fire insurance while the house is burning down). Obama sees that people hate the insurers for this reason (among others) and decides he will end the practice. The problem is that the insurers can't afford to pay for people who buy insurance only when they are already sick without requiring people who carry continuous coverage to pay more (a lot more). Of course, Obama then fans the flames of insurer hatred by claiming that they make excessive profits (despite the fact that (a) their industry profit margin in Aug 2008-Jul 2009 was less than the S&P 500 average and (b) they need the profitable years to offset the years when costs increase more than expected).
The mandate is a bad idea, but it's the only way to issue health insurance to individuals without medical underwriting (that is, to those with pre-existing conditions) without causing enormous increases in premiums. A far better solution is to extend Medicare or Medicaid benefits to those persons who cannot qualify for private insurance. However, that will require a tax increase, and it thus enriches those persons who took the risk of not carrying health insurance and then became sick by placing the costs of those losing gambles on the taxpayers.
While it may seem heartless, the only mandateless and taxless solution to this problem is to force these people into bankruptcy when they can't afford their own medical care. Then they will qualify for Medicaid. Is that the just outcome of taking such a financial risk and losing the gamble?
This is a key question that must be answered to answer the question of mandates: should society subsidize this risk taking, or do we force the unlucky losers to live with the consequences?
ibid| 9.21.09 @ 2:46PM
shuck and jive
Mike M.| 9.21.09 @ 3:13PM
Well, at least those who hoped for a change and put a stinking radical socialist thug into the White House on the basis of what he lied about throughout his campaign - cannot claim they didn't get it. (When, in fact, they didn't 'get it' and likely never will...) ION, Impeach Obama Now!
Pingback| 9.21.09 @ 3:40PM
The American Spectator : AmSpecBlog : The Obama-Baucus Middle … | kozmom news links to this page. Here’s an excerpt:
Velcro | 9.21.09 @ 3:50PM
Reply to Anonymous #1: ‘‘Div A, TITLE IV, SEC. 59B. TAX ON INDIVIDUALS WITHOUT ACCEPTABLE HEALTH CARE COVERAGE.
(a) TAX IMPOSED.—In the case of any individual who does not meet the requirements of subsection (d) at any time during the taxable year, there is hereby imposed a tax equal to 2.5 percent of the excess of—(1) the taxpayer’s modified adjusted gross income for the taxable year, over(2) the amount of gross income specified in section 6012(a)(1) with respect to the taxpayer."
Pingback| 9.21.09 @ 4:08PM
Barely A Blog » Updated: Big Daddy Dodges Questions About Healthcare Diktat links to this page. Here’s an excerpt:
Chuck| 9.21.09 @ 4:18PM
Who said there are lies, damn lies and then there are statistics? The president's spin goes on and on.
2Anglico| 9.21.09 @ 4:21PM
Re: "Without Acceptable Health Care Coverage"
What do we do since we "Don't Have Acceptable Representation in Washington, D.C."?????
edward del colle| 9.21.09 @ 4:32PM
the bamster is awfully whimisical and frivolous throwing a figure aroundthat our premiums are $900 higher because of uncompensated care. there is no way to know that. we should call him out on that tidbit. peter ferrara of this website has some of the best ideas in his piece this month in the magazine!
Pingback| 9.21.09 @ 4:34PM
Obama Snafu on Stephanopoulos | Axis of Right links to this page. Here’s an excerpt:
Pingback| 9.21.09 @ 4:49PM
The Enlightened Redneck » The Obama Dictionary links to this page. Here’s an excerpt:
Liberal Reader| 9.21.09 @ 7:07PM
Folks, the Baucus bill will pass this Congress IF pigs fly, the ocean turns to yogurt, and the Virgin Mary herself appears above the Capitol Dome and commands that it be done.
Short of this, Baucus's completely silly sell out doesn't stand a chance.
We had an ELECTION last November. Democrats won. Now Democrats have to remember what it's like to GOVERN and pass the bill they were sent to Washington to pass.
Stop all this nonsense about consensus and bi-partisanship.
Nick| 9.21.09 @ 9:35PM
Marxist Reader,
Lame attempt at democrat spin. Did you forget that we here at AS are actually INFORMED?
This has nothing to do with bi-partisanship. B.O. doesn't have enough DEMOCRAT votes, capisci?
The house bills don't have a chance to pass either. Lincoln, Bayh, Dorgan, and Dusty Reid aren't going to vote for any of them. Even Feingold might not vote for it. They are all up for re-election next year.
It must drive you batty to have this many votes and not get a public option, huh? And"single-payer" wasn't even on the table, ha-ha!
I shouldn't do this, but I will try to alleviate your pain. Some of the marxists in the house think they can get to "single-payer"stealthily through the public option. You know how much liberals lie, don't cha?
Nobama| 9.21.09 @ 7:21PM
How can democrats remember how to do something they've never done? ObamaCare is dead and so is Zero's presidency. lol
We will own you losers in 2010.
anonymous| 9.22.09 @ 1:55PM
We shall see.
Pingback| 9.21.09 @ 8:45PM
Health Care BS - OBAMA’S FLIP FLOP ON INSURANCE MANDATES links to this page. Here’s an excerpt:
Jenah| 9.22.09 @ 5:52AM
Those of us on the far left couldn't agree more with you on the right on this issue--one reason why we hate the Baucus plan.
Pingback| 9.22.09 @ 7:51AM
UK Baby Parenting Directory Listings links to this page. Here’s an excerpt:
Dogbadger| 9.22.09 @ 11:38AM
So Jenah, you agree that Pres. Obama lied misspoke or whatever other flower you want to call a rose (other than a rose of-course)?
Pingback| 9.22.09 @ 4:29PM
“When I use a word,” Humpty Dumpty said, in rather a scornful tone, “it means just wh links to this page. Here’s an excerpt:
Pingback| 9.22.09 @ 11:08PM
Baby name meaning and origin for Azad links to this page. Here’s an excerpt:
philfl63| 9.23.09 @ 3:47PM
This guy just wants another means/method/program to extort the hard-earned money of us evil white people to pay for all of the welfare-collecting lay-about minority (black, Hispanic) trash.
Trackback| 9.27.09 @ 12:28PM
Best Homeowners Insurance, on Best Homeowners Insurance, links to this page. Here’s an excerpt:
Pingback| 9.27.09 @ 9:28PM
Healthcare Summary « Tai-Chi Policy links to this page. Here’s an excerpt:
Trackback| 9.28.09 @ 1:04AM
Homeowners Liability Insurance, on Homeowners Liability Insurance, links to this page. Here’s an excerpt:
Trackback| 12.21.09 @ 3:24AM
massachusetts credit repair, on massachusetts credit repair, links to this page. Here’s an excerpt:
Trackback| 12.27.09 @ 5:55PM
massachusetts credit repair, on massachusetts credit repair, links to this page. Here’s an excerpt:
Pingback| 4.23.10 @ 6:28PM
CBO: 3 Mil Middle Class Americans will suffer Tax Penalty due to Obamacare links to this page. Here’s an excerpt: