Conservatives need to hammer home four points to shift independent voters and moderate Democrats even more decisively against enactment of Obamacare.
One, Obamacare will impose substantial new costs on the already insured middle class. The bill approved by the House establishes one-size-fits-all insurance rules which will drive up premiums and raise taxes on the health-care sector which will be passed onto middle-class health-care consumers.
Two, Obamacare will destroy jobs. The House bill would impose an 8 percent payroll tax on all but the smallest employers who do not offer health insurance and a 5.4 percent income tax surcharge on higher income individuals who also own small businesses. These taxes will discourage hiring and force layoffs when the number one concern of most American voters is job creation.
Three, Obamacare will ration care. The House bill relies almost exclusively on arbitrary, across-the-board payment rate reductions for health-care providers to achieve savings. If passed, that would just be the beginning of it. Despite all of the talk of painless efficiency measures, the Democratic sponsors really have no plan to control costs except with price-setting. Always and everywhere, price controls drive out willing suppliers of services, leading to queues and waiting lists.
Fourth, Obamacare is entirely unnecessary. We can fix the problems in U.S. health care without a government takeover by pursuing sensible, targeted reforms:
1) With properly structured high-risk pools and insurance regulation, pre-existing conditions could be insured at reasonable costs.
2) With tax credits and small-business reforms (such as those implemented in Utah), most of the uninsured would have access to coverage. Letting individuals deduct healthcare premium expenses as tax credits will enable more individuals to directly purchase insurance, making it portable from job to job. This will also drive down costs by making the payer the same as the recipient of the service - thereby making them more cost-conscious consumers of health services.
3) Letting insurance firms compete across state lines will increase competition and lower costs as firms compete to be more efficient.
4) Eliminate State insurance mandates. Mandates require people (or their employers) to purchase coverage they may not want (fertility treatment, hair implants, etc) which raises teh cost of insurance. Studies have shown that states with more mandates than other states have 15%-20% higher insurance premiums.
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