Saturday, August 07, 2010


Show Me ObamaCare
...Earlier this week, the Congressional Research Service reported that the new bureaucracy the bill created is so complex and indiscriminate that its size is "currently unknowable." Capitol Hill's independent policy arm added that among "the dozens of new governmental organizations or advisory bodies," it is "impossible to know how much influence they will ultimately have."

No wonder Missourians rebelled, as with voters in Massachusetts, New Jersey and Virginia last year. There will be more such what-have-they-done ObamaCare moments. Wait until the public discovers the government is now literally determining what qualifies as "health care" in America.

That isn't a typo. ObamaCare mandates that insurers spend a certain percentage of premium dollars on benefits, but Democrats never got around to writing the fine print of what counts as a benefit. So a handful of regulators are now choosing among the tens of thousands of services that doctors, hospitals and insurers offer. Few other government decisions will do more to shape tomorrow's health market, or what's left of it.

This command-and-control mechanism is the bill's mandate for insurance "medical loss ratios" (MLR) of 85% for large employers and 80% for small businesses and individuals. The MLR is an accounting statistic that measures the share of premiums paid out in patient claims ("losses"). In the individual market, MLRs typically run between 65% and 75%, and Democrats like Jay Rockefeller and Al Franken think this is evidence of excessive profits, executive pay, marketing and other supposedly wasteful overhead....