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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.”

View all comments (42) |

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:

…Klein amspec American Spectator 111 Show more Shortened Links Linking to the spectator.org page http://bit.ly/2Baue info http://bit.ly/7RrKB info   3 tweets Tweet The American Spectator : AmSpecBlog : The Obama-Baucus Middle-Class Tax Hike spectator.org/blog/2009/09/21/the-obama-baucus-middle-class – view page – cached President Obama, who opposed a health insurance mandate during the campaign…

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:

RSS Columns Photos About Contact Archives RSS Columns Photos Michelle Malkin   When is a tax not a tax? By Michelle Malkin  •  September 21, 2009 12:40 PM When the White House Tax Czar says so. Posted in: Health care Printer Friendly comments (0)      trackbacks (0) Add your opinion Note from Michelle: This section is for comments from michellemalkin.com's…

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:

Thank you for submitting this cool story - Trackback from PunditKix

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:

…a middle- collection set hike, has become discover in souvenir of a dominion that would improve taxes on those in the region collection who do are … Continued here: The dweller Spectator : AmSpecBlog : The Obama-Baucus Middle … Posted in Health, Insurance, Uncategorized | Tags: 1997-, already-missed, are-, campaign, first, has-come, Health, health-insurance, Insurance, james, president-obama,…

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:

…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 … Read more: The American Spectator : AmSpecBlog : The Obama-Baucus Middle … digg this! Stumble This! Submit to Technorati! Share on Facebook Tweet This! ← Federal College Loan Program Gets Overhauled Commentaries » Blog Archive » “Tobin tax”

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:

…some form of taxpayer-subsidized care. Not so or those of us who yearn to live free . Update: Here are a few pertinent points (which, naturally, do not address rights) made by Philip Klein of the American Spectator : 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,…

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:

…came out of Obama’s Fox-less tour of the ( yawn) Sunday shows was this exchange between Obama and former Clintonista George Stephanopoulos on the issue of whether or not the mandatory insurance fine provision in the Baucus Plan adds up to a big tax increase: Of course, this from the same guy who said no family making under $250,000 a year will see a tax increase, but will allow the Bush tax-cuts to expire…

Pingback| 9.21.09 @ 4:49PM

The Enlightened Redneck » The Obama Dictionary links to this page. Here’s an excerpt:

…from the White House. UPDATE: Stephanopoulos actually didn’t need a dictionary to make his point to the president. One of the bills now before the Senate calls the proposal in question an “ excise tax.” (Hat tip to Michelle Malkin ) Filed under: Government and Media and News & Politics and People Comments: No Comments » No comments yet. RSS feed for comments on this post. TrackBack…

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:

…care reform bill containing one. That’s certainly a “change we can believe in.” UPDATE: In addition to reiterating that Obama has done a pirouette on the mandate question, Philip Klein points out that the president’s preposterous tax claim is refuted by the Baucus bill itself: On page 29, the Baucus proposal reads, ‘The consequence for not maintaining insurance would be an excise…

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:

…again with verbal shot at ... Daily tech links for .net and related technologies - September 13 ... How To Use Pingback/Trackback To Get More Links And Contents For ... The American Spectator : AmSpecBlog : The Obama-Baucus Middle ... Suggested Products Links Baby Name Tool - Search for a baby name, or suggest your own Due Date Calculator - Find you estimated due date with our online calculator UK Baby…

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:

…September 21, 2009...2:21 pm “When I use a word,” Humpty Dumpty said, in rather a scornful tone, “it means just what I choose it to mean — neither more nor less.” Jump to Comments Posted by Philip Klein on 9.21.09 @ 11:59AM 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…

Pingback| 9.22.09 @ 11:08PM

Baby name meaning and origin for Azad links to this page. Here’s an excerpt:

…Acupressure Method For Pregnancy, Inducing Labor At Home & Getting Effective Relief From Labor Pains. Blogs related to Baby name meaning and origin for Azad World News The American Spectator : AmSpecBlog : The Obama-Baucus Middle ... THE MAGIC OF MAYA – Baby Name Blog - Nameberry Mainlining Bill Roggio - Summer 2009 - Week 13 - Volume 2 Salute to Workers Everywhere « I Love Freedom Bookmark with:…

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:

While many individual home owners believe that the best homeowners insurance policies come from those companies which represent household names, such policies are often more expensive than those offered by their smaller competitors.

Pingback| 9.27.09 @ 9:28PM

Healthcare Summary « Tai-Chi Policy links to this page. Here’s an excerpt:

…against Obamacare. Old Spin vs. New Spin. Obama: Legalize Illegals to get them Healthcare. Obama tries to claim that Healthcare won’t increase taxes – of course he then went on to argue what the definition of the word tax was. Here’s some more research on the healthcare plan. And the savings were just a theory, anyways. How do we balance our freedom with our need to look after one…

Trackback| 9.28.09 @ 1:04AM

Homeowners Liability Insurance, on Homeowners Liability Insurance, links to this page. Here’s an excerpt:

Often the best homeowners insurance policies come from smaller and mid-range companies and not from the household name giants. In addition, the plans that are available online generally represent high quality and value these days.

Trackback| 12.21.09 @ 3:24AM

massachusetts credit repair, on massachusetts credit repair, links to this page. Here’s an excerpt:

I was just browsing through and thought I would say hi!

Trackback| 12.27.09 @ 5:55PM

massachusetts credit repair, on massachusetts credit repair, links to this page. Here’s an excerpt:

I am going to add this website to my diggs!

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:

…won't cover those who end up with major illness in the emergency room and who didn't benefit from preventive care. The CBO is showing the failings of Obamacare. Quote: Throughout the health care debate, I wrote about why the individual mandate is really a middle-class tax hike. Now, the Congressional Budget Office has released data estimating that by 2016, 3 million Americans earning less than $59,000 a year…

More Blog Posts by Philip Klein

http://spectator.org/blog/2009/09/21/the-obama-baucus-middle-class

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