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Massachusetts insurance commissioner: MassCare will be "a train wreck"

If you want to know what ObamaCare will look like in a few years, you don't need to look any further than Massachusetts. As Joseph Rago notes in the Wall Street Journal, President Obama himself pointed to the Massachusetts model and said his reforms were "essentially identical."

Since the Massachusetts health care system is what we can expect from ObamaCare, how's it been working out? According to career state insurance commissioner Robert Dynan, Massachusetts' health care system is in his words "a train wreck," or several of them actually:

As events are now unfolding, the Massachusetts plan couldn't be a more damning indictment of ObamaCare. The state's universal health-care prototype is growing more dysfunctional by the day, which is the inevitable result of a health system dominated by politics.

In the first good news in months, a state appeals board has reversed some of the price controls on the insurance industry that Gov. Deval Patrick imposed earlier this year. Late last month, the panel ruled that the action had no legal basis and ignored "economic realties."

In April, Mr. Patrick's insurance commissioner had rejected 235 of 274 premium increases state insurers had submitted for approval for individuals and small businesses. The carriers said these increases were necessary to cover their expected claims over the coming year, as underlying state health costs continue to rise at 8% annually. By inventing an arbitrary rate cap, the administration was in effect ordering the carriers to sell their products at a loss.

Mr. Patrick has promised to appeal the panel's decision and find some other reason to cap rates. Yet a raft of internal documents recently leaked to the press shows this squeeze play was opposed even within his own administration.

In an April message to his staff, Robert Dynan, a career insurance commissioner responsible for ensuring the solvency of state carriers, wrote that his superiors "implemented artificial price caps on HMO rates. The rates, by design, have no actuarial support. This action was taken against my objections and without including me in the conversation."

Mr. Dynan added that "The current course . . . has the potential for catastrophic consequences including irreversible damage to our non-profit health care system" and that "there most likely will be a train wreck (or perhaps several train wrecks)."

Well, this is not at all what Barack Obama, Nancy Pelosi, and Harry Reid said ObamaCare would be like. They insisted that their health care reforms would bring the American people nothing but rainbows and unicorns.

Anyone who has any knowledge of economics knows that when you expand coverage, you can't contain costs unless you do some serious rationing, which is what is now happening in Massachusetts and what will inevitably happen throughout the entire country with ObamaCare. Which means the only way the Democrats could pass the thing was to use the oldest scheme in the book: bait and switch (emphasis mine):

"If you're going to do health-care cost containment, it has to be stealth," said Jon Kingsdale, speaking at a conference sponsored by the New Republic magazine last October. "It has to be unsuspected by any of the key players to actually have an effect." Mr. Kingsdale is the former director of the Massachusetts "connector," the beta version of ObamaCare's insurance "exchanges," and is now widely expected to serve as an ObamaCare regulator.

He went on to explain that universal coverage was "fundamentally a political strategy question"--a way of finding a "significant systematic way of pushing back on the health-care system and saying, 'No, you have to do with less.' And that's the challenge, how to do it. It's like we're waiting for a chain reaction but there's no catalyst, there's nothing to start it."

In other words, health reform was a classic bait and switch: Sell a virtually unrepealable entitlement on utterly unrealistic premises and then the political class will eventually be forced to control spending. The likes of Mr. Kingsdale would say cost control is only a matter of technocratic judgement, but the raw dirigisme of Mr. Patrick's price controls is a better indicator of what happens when health care is in the custody of elected officials rather than a market.

Technically, the bait and switch scheme didn't work since the vast majority of the American people saw through their scheme and were overwhelmingly against the bill from the very beginning. But the Democrats passed it anyway in an act of outright defiance.

Interestingly, it seems the Democrats led by their ridiculous leader Nancy Pelosi are planning on running their reelection campaigns on health care reform using the same bait and switch tactics they used in the run up to the vote. We'll have to wait and see if it works this time. Their facing an uphill climb with polls today still showing at least 60 percent of the American people want ObamaCare repealed.


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Comments (39)

So what you're saying is th... (Below threshold)

So what you're saying is that a health care program that has failed everywhere it's been implemented is failing?

Next step - getting voters to actually care and do something about it instead of just talking about whether they want their lives (willingly) run by Apple or Google.

(Dude, I just downloaded a new iLife.

What'd you pay?

$7,500.

Really? I had Google put a new Android brain in me for $6,400 and I can view porn 150 times as fast as you and calculate tips in my head now! Plus I got to pick my new skin and I can recharge at any household outlet!

Yeah? I just got this glossy white thing...I was wondering why you're like...what is that, some kind of purple?...now. Anyway, I made my mom promise to get me refurbished when my battery dies instead of trading me in. Besides, you're totally made in China.

China? Hmmm...nothing in my memory banks about anything called 'China'...did you mean 'George Bush worst president in history'?)

Rev Lee Ward Wright<p... (Below threshold)
retired military:

Rev Lee Ward Wright

Here let me save you the trouble.

look, an article that doesnt worship the Annointed One. RRRRRRRAAAAAACCCCCCCCCCCIIIIIIIIIIISSSSSSSSSSSSSSSSSTTTTTTTTTTTTTTTT

Socialism fails everytime i... (Below threshold)
914:

Socialism fails everytime its tried..

Got that Barry..

Lets see, so far Barry's sk... (Below threshold)
914:

Lets see, so far Barry's skills have brought us 1/3 stock market value loss, a train wreck, an unprecedented disaster in the gulf, 10 million vanished jobs that even illegals cant do, a Depression.

All this and he dares to critisize Arizona for being successful without his permission?

The unmitigated clown cant even recite a script without being prompted yet wants to jump in where he's not wanted and fuck that up too.

I hope all you dullards out there who voted for this shit are proud of yourselves. You can pay my and my kids share of the debt.

Why is November so far away.

Lee really knows how to pol... (Below threshold)
GarandFan:

Lee really knows how to polish shit and make it shine.

Tell us Lee, why are MassCare rates going UP? I thought they were going to bend the cost curve DOWN.

Or in your ObamaWorld is up now down? And down now up?

Here ya go Lee, polish this... (Below threshold)
GarandFan:

Here ya go Lee, polish this:

The Massachusetts fiscal crisis is extraordinary because the state has been raking in the bucks from federal stimulus money for its healthcare experiment. The nonpartisan Massachusetts Budget and Policy Center noted:

Nationally, one of the largest single allocations within the American Recovery and Reinvestment Act (ARRA) is more than $128 billion provided to states for health care. Massachusetts will receive an estimated $17.7 billion through ARRA programs, grants, and direct benefits.

This means Massachusetts, with just two percent of the nation's population, will receive nearly 14 percent of stimulus money for healthcare, seven times its share.

But that hasn't been enough money for the burgeoning Massachusetts healthcare budget, already under assault by high premiums for state employees and Medicare and Medicaid premiums.

Massachusetts State Treasurer Tim Cahill warns that Romneycare "is bankrupting the state and would have bankrupted our state if not for the federal government being overly generous with Medicaid reimbursements over these last four years. They've really propped the system up to keep it in place."

Yet, over in Washington, D.C., Democratic leaders trumpeted the similar healthcare package on the federal level as a deficit reducer.

Calling a socialized medici... (Below threshold)
Caesar Augustus:

Calling a socialized medicine program a 'train wreck' really is an insult to train wrecks.

psst... lee weird... do you... (Below threshold)
Marc:

psst... lee weird... do you know whatobummer had to say about MassCare?

Probably not, you had dreams of sniffing hillary's ass about then.

Lets recall shall we... then Senator Barack Obama called it a "bold initiative" that it would "reduce costs and expand coverage" and as recently as early this year, now President Obama called his initiative, "essentially identical" to that of Massachusetts.

Essentially identical, did obummer lie lee?

And BTW asshat, there's a valid reason companies are failing and not just the few you claim are the problem.

Gov. Patrick has arbitrarily capped insurance premiums denying 235 of 274 rate increases submitted by the states major health insurance companies.

A state appeals court reversed his decision as a result premiums have sky-rocketed and the system would be bankrupt without being bailed out with billions of Fed cash.

Rev Lee Ward Wright<p... (Below threshold)
retired military:

Rev Lee Ward Wright

Personally I think everyone who wants free healthcare can have it. All they have to do is do what is needed to get it.

Join the military.

Now there is a novel idea. You want something and you take the nescesary steps to get it.

Lee,You conflate 3... (Below threshold)
jim m:

Lee,

You conflate 3 small insurance companies being run poorly to mean that all insurance companies are run poorly and that is why MassCare is failing.

Additionally the article you link to suggestes that the financial problems the insurers are experiencing is due to the state regulations capping (or in essence forbidding) rate increases.


The real problem is not that insurers are facing financial ruin, it is that the hospitals are not being paid. The insurers are cutting back reimbursement and the state already pays less than the insurers. The hospital I work for is facing a decrease in revenue of $84 MIllion for just this year and next year they are expecting over $100 Million. The declining revenue can't go on forever. Sooner or later even this place will go out of business.


Who gives a crap about the insurers when MassCare is putting the hospitals out of business?

I know the libs don't care. It doesn't matter how many people's lives and careers they ruin. It doesn't matter how many people don't get treated for their illnesses. As long as the libs get to remake society in their idea of a socialist Utopia everything is fine.

Libs think that this is all about the insurers what they don't tell you is that this is also about paying providers. They think health care should be free and that health care professional should work for free. Assholes.

lee weird - "Nice opi... (Below threshold)
Marc:

lee weird - "Nice opinion piece, GF. It has nothing to do with the phony "train wreck" that Priestap is talking about,"

Really, you mean GF just pulled the part about Massachusetts receiving $17.7 billion through ARRA programs, grants, and direct benefits out of his ass?

Prove it nitwit.

lee weird - "Cahill is running for Governor as an independent, his running mate is a Republican. He's going to say whatever he has to say to win votes."

He's just following the obummer model.

He repeatedly said, "if you like your plan, you can keep your plan."

He LIED to gain votes and sell a buttload of snake oil.

"Internal administration documents reveal that up to 51% of employers may have to relinquish their current health care coverage because of ObamaCare.

"Small firms will be even likelier to lose existing plans.

"The 'midrange estimate is that 66% of small employer plans and 45% of large employer plans will relinquish their grandfathered status by the end of 2013,' according to the document.

"In the worst-case scenario, 69% of employers -- 80% of smaller firms -- would lose that status, exposing them to far more provisions under the new health law.

"The 83-page document, a joint project of the departments of Health and Human Services, Labor and the IRS, examines the effects that ObamaCare's regulations would have on existing, or 'grandfathered,' employer-based health care plans."

Is it November yet? ... (Below threshold)
914:

Is it November yet?

HusseinCare is all full of rainbows and Unicorns.

There's that pot of gold at the end of the rainbow that can never be reached no matter how hard you work and try and the spiked horn the government shoves up your ass when you dont want to play thier game.

"Nice opinion piece, GF."</... (Below threshold)
GarandFan:

"Nice opinion piece, GF."

Yeah? So figures lie? Keep polishing that turd Lee. Changing topic? You're so full of shit.

Lee Ward,Companies... (Below threshold)
hcddbz:

Lee Ward,

Companies sell good and services.
Customer buy these good and services.
Companies need to make a profit to stay solvent hire people and grow their business.
When the government comes in and makes mandates this raise the cost of doing business. In order to cover that cost , maintain an asset pool , companies will need to raise their price.

A company needing to raise prices to keep out of the red is not a bailout.

"You conflate 3 small in... (Below threshold)
Lee Ward:

"You conflate 3 small insurance companies being run poorly to mean that all insurance companies are run poorly and that is why MassCare is failing."

Oh, great. Another home-schooled moron.

I did not.

Dynan's reference to a "train wreck" is not a reference to MassCare overall. MassCare is not "the train wreck." Some poorly-run insurers may go under because they can no longer jack up the rates at will every time their CEO wants to buy a new corporate jet - THAT is the train wreck.

In an April 30 message, Dynan, deputy commissioner of financial analysis, wrote to Murphy: "We recently placed three Massachusetts [insurers] under Administrative Oversight and plan to assess the situation and most likely will be placing more companies into Administrative Oversight in the next few weeks. The prospect of these companies' surviving is called into question under a rate cap scenario.''

Three are under oversight because they are failing, and more may fail. Heaven forbid that bad insurance companies will fail - it's much better to let them jack rates up all they want, right?

Hard to tell which came first - the moronic posts or the moronic audience that reads them - but clearly they go hand-in-hand.

"The real problem is not that insurers are facing financial ruin, it is that the hospitals are not being paid. The insurers are cutting back reimbursement and the state already pays less than the insurers. The hospital I work for is facing a decrease in revenue of $84 MIllion for just this year and next year they are expecting over $100 Million. The declining revenue can't go on forever. Sooner or later even this place will go out of business."

Massachusetts is requiring government oversight for those insurers who are claiming financial hardship.

Massachusetts is approving rate increases where the records show legitimate premium increases are warranted.

Hospitals are going to have to be run more efficiently. They can't just raise rates anytime they feel like it anymore.

Welcome to Hope and Change.

Ward-"Hospitals... (Below threshold)
914:

Ward-

"Hospitals are going to have to be run more efficiently. They can't just raise rates anytime they feel like it anymore."


So you believe in efficiency in private business but not Government? Or is it that you feel powerful when Barry usurps the constitution and gets even with big bad capitalists?

Turd brain.

"Massachusetts is approving... (Below threshold)
GarandFan:

"Massachusetts is approving rate increases where the records show legitimate premium increases are warranted."

But..but...but...Lee, that's IMPOSSIBLE! They were going to bend the cost curve DOWN. You remember DOWN, don't you. Down = less cost.

What happened?

And why do they need federal dollars to prop up their system. Wasn't it touted as being 'self-supporting'? What happened.

......I'm not expecting an answer.....

You're such a bullshitter you never answer.

lee weird - "Bullshit... (Below threshold)
Marc:

lee weird - "Bullshit. Nothing but bullshit. Nice try, marc. You have a future as a Wizbang blogger - you can make factless claims like "the system would be bankrupt without being bailed out."

Factless? You mean they didn't receive billions in Fed cash. Put down the crack pipe asshole it's effecting your brain function.

A state appeals court DIDN't reversed his decision?

Really got proof?

Might you attempt to opine on the system's financial status WITHOUT those billions of Fed dollars?

Not surprising you avoided comment on obummers LIES.

That's what you do best.

Face it, if Lee's Obamassia... (Below threshold)
GarandFan:

Face it, if Lee's Obamassiah said pink was really yellow and blue was really orange, Lee would be right there nodding his head in agreement.

If Lee doesn't agree with it, it didn't happen.

Like I said, he's a bullshitter.

Who gives a crap a... (Below threshold)
Jay Guevara:
Who gives a crap about the insurers when MassCare is putting the hospitals out of business?

Next stop: government hospitals.


Hospitals are going to have to be run more efficiently.

Am I the only person who hopes that Flea Ward gets his pay capriciously capped at an uneconomic level, so we can tell him he needs to run his life more efficiently?

Lee-"Oh, gr... (Below threshold)
914:

Lee-

"Oh, great. Another home-schooled moron.

I did not."

Good for you but Your still a moron.


Tell us Reverend-O-racist, ... (Below threshold)
914:

Tell us Reverend-O-racist, what are the odds you once had a blog site and enacted the fairness doctrine???

Thats right 0%

So why R.O.R. should you be extended the priveledge O-racist one?

"...factless as in you have... (Below threshold)
GarandFan:

"...factless as in you haven't shown that the MassCare system would have been bankrupt without the federal support you now claim saved it from bankruptcy,"

So the Treasurer of the State is full of shit? Or is it you that's full of shit?

Since Mass has deficit woul... (Below threshold)
hcddbz:

Since Mass has deficit would it b better fort them to take their accountants and review their own Budget?

No, Lee. You are spreading... (Below threshold)
Rick Caird:

No, Lee. You are spreading the crap. As is clear from the story:

"In April, Mr. Patrick's insurance commissioner had rejected 235 of 274 premium increases state insurers had submitted for approval for individuals and small businesses. The carriers said these increases were necessary to cover their expected claims over the coming year, as underlying state health costs continue to rise at 8% annually. By inventing an arbitrary rate cap, the administration was in effect ordering the carriers to sell their products at a loss."

That is not three small insurers. Without the rate increase almost all of the insurers would go bankrupt. The only issue is how fast they would go bankrupt. You have to be pretty obtuse and economically illiterate to claim this is merely a problem with three insurers. Your silly illiterate argument that it is better to let a few insurers fail is, well, stupid. If there are three insurers who are over priced, well, then they will have no customers. Surely, even an economic illiterate like you can understand that unless you always select the high price provider yourself.

Second, if Mass is receiving $17.7 billion from the feds for health care, unless you are going to argue it is for some kind of "enrichment", then clearly Mass is defraying $17.7 billion it would have to fund. Mass is denying the rate increases because it cannot pay the costs. That is a problem with Mass, not the health care insurers.

So, Lee, another epic fail, but I liked "No, asshole, factless". I always like your self descriptions.

If suicide were offered fre... (Below threshold)
Don L:

If suicide were offered free by the government, half the stupid country would vote for it.

Remember, people - as Lee W... (Below threshold)
Sky Captain:

Remember, people - as Lee Wuss begins the personal attacks, he is losing his argument.

.30)That would be ... (Below threshold)
914:

.30)

That would be the blue states.. Right Lee.

"You cretins make crap u... (Below threshold)
914:

"You cretins make crap up and spread the bullshit around - making wild-ass claims without a basis in reality."


We'd have to throw the race card around to be in your reality so count your blessings.

Lee you dumbass.Yo... (Below threshold)
jim m:

Lee you dumbass.

You said:
"Hospitals are going to have to be run more efficiently. They can't just raise rates anytime they feel like it anymore."

Wrong. Now you are confusing Hospitals with Insurers. Hospitals have to pay for labor which means that they have to occasionally give raises. Of course this year in MA most are not becauset their revenues are being cut so sharply.

Hospitals have to pay for goods like surgical instruments and disposables like wound dressings and test tubes. Those are still going up in price. So hospitals need to recoup their costs in order to stay open. What do you think that everything is donated?

You show such amazing ignorance. You have no idea how health care works or who pays for it. Your statements reveal what appears to be a belief that hospitals are just preying upon the sick and injured and soaking them for as much money as possible.

Actually, hospitals are some of the largest employers in MA. By squeezing hospitals the government is ensuring that incomes don't rise for several hundred thousand families in the state.

As to your asinine statement that hospitals need to be run more efficiently, how much more efficient would you like them? They are far more efficient than the government. They are more efficient than many manufacturers. They are heavily regulated and scrutinized. You want to make it less expensive. Try cutting back on the regulatory mix that hospitals have to deal with. The labs for instance deal with these regulations and regulatory bodies: CLIA, FDA, CAP, Mass, Dept of Public Health, Joint Commision, FBI, State Dept of Nuclear Safety, AABB, AATB, FACT and that's just off the top of my head. That does not include all the OSHA, and other labor rules that they have to follw. Cut the red tape. Most of these regulatory bodies duplicate their work or impose ridiculous restrictions on the work of the lab.

STFU unless you want to educate yourself on how hospitals are run. The only hospitals that are really poorly run are the VA hospitals in this country.

Oh, and Lee... when a hospi... (Below threshold)
jim m:

Oh, and Lee... when a hospital needs to reduce costs, they stop performing medical procedures. In other words, get yourself on a waiting list because when we run out of money you are going to wait until we have enough to buy the supplies and pay for the labor to make you well again.

So when you smugly say that it is OK that hospitals just need to be more efficient, the fact is that they can only do so much and they have been getting more efficient for many years now. Most have very active LEAN and 6 Sigma programs. There isn't really that much left to trim except trimming therapy. Maybe you should volunteer your next family member to help reduce costs. Hypocrit.

"You cretins make crap up a... (Below threshold)
retired military:

"You cretins make crap up and spread the bullshit around - making wild-ass claims without a basis in reality."

Speaking from experience there Rev Lee Ward Wright.

What do you think would have happened if those billions in fed aid hadnt been there? Would they have had to raise rates sooner or would more businesses had gone bankrupt? Your choice there twerp.


Bullshit. Nothing but bu... (Below threshold)
James Cloninger:

Bullshit. Nothing but bullshit. Nice try, marc. You have a future as a Wizbang blogger

Well, it would be a damned sight better than your tenure as one...

Folks, you can give Lee fac... (Below threshold)
Jim Addison:

Folks, you can give Lee facts until you are blue in the face and it won't make a bit of difference. He doesn't care about the truth. Ask anyone who tried to present a dissenting view on Blue when he ran it.

He lives for the day when a leftist dictatorship rules, imagining himself a Commissar, ordering dissenters shot or off to reeducation camps. Of course, fat chance they would entrust any power to a pathetic creature like him, but a boy's gotta have a dream . . .

"Factless? You mea... (Below threshold)
Brett:
"Factless? You mean they didn't receive billions in Fed cash."

No, asshole, factless as in you haven't shown that the MassCare system would have been bankrupt without the federal support you now claim saved it from bankruptcy, you two-bit moron.

You cretins make crap up and spread the bullshit around - making wild-ass claims without a basis in reality.

So, Lee, as a leading progressive intellectual, could you please explain to us all why, in almost every debate with liberals, they very quickly resort to finger-pointing, name-calling, ad hominem attacks, and foul language? It's not just you, it's a remarkably consistent reaction. I find it astonishing that such brilliant and sophisticated, even nuanced, minds find it impossible to logically and rationally make their points and instead spew emotional and hysterical nonsense on such a consistent basis.

Jay Tea, et. al. - I find guys like Lee briefly amusing from time to time, and I have absolutely no problem debating with even the most hard-over leftist when they stick to the subject. I have even argued, God forgive me, that he be left to his own devices as a great But it seems to me that Lee no longer even attempts to debate, and instead just goes after people. Maybe he's off his meds again, maybe he sees his socialist utopia rapidly headed to the dustbin of history starting Nov 2 and can't handle it, but the time may have come to put an end to this.

But this has to be one o... (Below threshold)

But this has to be one of the most dishonest posts I've seen. Amazingly dishonest, in fact.

Oh, noes! Lee, does that mean I'm not your favorite any more?

More oversight and more regulatory control - specifically, requiring rate increases be approved - is going to save taxpayers thousands and eliminate those inefficient insurers who just keep jacking up rates to make up for their bad management.

"We'll make it up on volume."

Perhaps Kim didn't discuss this because... oh, I dunno... I have already?

And I know you read them. I just don't recall -- was that when you were still crying "liar" at every single thing I said, or "racist?" I forgot just when you made the switchover.

(shrug) Either way, I'm toying with the idea of taking some of your comments and replacing each use of "racist" with "wolf."

It has nothing to do with the phony "train wreck" that Priestap is talking about, but it's natural for you to change the topic.

MiniObamaCare is a train wreck in many ways. Hell, it'd be easier to list the ways it isn't.

Cahill is running for Governor as an independent, his running mate is a Republican. He's going to say whatever he has to say to win votes.

Cahill was elected Treasurer as a Democrat, and was a lifelong Democrat.

Three are under oversight because they are failing, and more may fail. Heaven forbid that bad insurance companies will fail - it's much better to let them jack rates up all they want, right?

What about the heretical notion that the market be allowed to dispose of these companies? That the company's customers be allowed to decide if they want to pay the higher rates, or shop around?

Oh, yeah. People might make choices without the government's permission. Cant have THAT, can we?

Massachusetts is approving rate increases where the records show legitimate premium increases are warranted.

Hospitals are going to have to be run more efficiently. They can't just raise rates anytime they feel like it anymore.

Welcome to Hope and Change.

Ah, Lee's inner fascist emerges. (short trip -- it's always just under the surface.) The government is the ultimate arbiter of efficiency, always ready to tell people that they can do more with less. Nice to see Lee's got his latest talking points.

Here are some hospitals that are suing the state over ObamaCare.

So, Lee, wanna prove you're smarter than the professionals who currently run those hospitals?

Never mind. You think you are, but you don't take challenges.

That is the face of ObamaCare, folks. The government will simply tell medical professionals to "do more with less."

It is inevitable. As commenter Jay Guevara put it so, so much better than I could have:

Socialism always ultimately resorts to coercion. It has to. Individuals naturally put their interests (including their families) ahead of those of the collective, as socialism requires them to do.

Read his whole comment. It's brilliant.

And it captures would-be tyrants (or, rather, failed has-been tyrants) like Lee Ward perfectly.

Lee, you'd have been a GREAT little Stalinist. Pity you were born too late...

But there's still hope for you. How's your Spanish? I hear Venezuela's turning into just your kind of place...

J.

lee weird - "No, assh... (Below threshold)
Marc:

lee weird - "No, asshole, factless as in you haven't shown that the MassCare system would have been bankrupt without the federal support you now claim saved it from bankruptcy, you two-bit moron."

You know what asswipe, it's possible I did make it up.

But I must say it's damn easy - almost as easy as your ban-hammer at Blue - to concoct a story based on MassCare that's already massivly sucking financially and a thought balloon forming a picture of it crumbling if the system were minus 17 BILLON more dollars the Feds gave it.

Now ASSHOLE you tell me how it possible for it to be a viable program without it.

Maybe they're not rationing... (Below threshold)
Oyster:

Maybe they're not rationing with their eyes open. Ya know that'll fix everything.

"Three are under oversight ... (Below threshold)
jim m:

"Three are under oversight because they are failing, and more may fail. Heaven forbid that bad insurance companies will fail - it's much better to let them jack rates up all they want, right?"

Let me understand this...3 are under government supervision because they are ailing. They are ailing because the government will not allow them to raise rates to cover their insurance payouts. The government does not believe that this is an evidence of bad policy but must be evidence of financial malfeasance on the part of the company.

Does that sound about right to you Lee?

So I must ask when the government will start applying the same standard to itself? When any part of the bureaucracy says that it does not have enough money for it's mission will the government send in some inspector general to determine where that department is wasting its money?

It's a farce for a government that never bothers to try to reduce waste to come to a business of any sort and claim that it is an expert in efficient operating practices. In government if it doesn't work right the answer s to throw more money at it and hire more people. In business if it doesn't work right you have to make it right with less money and fewer people because that's the way the market works. When you are inefficient the market forces you to become efficient or go out of business. Government never faces those pressures and knows nothing of how to deal with them.




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