And So I Go: Yesterday, Today and Tomorrow

>>Some Unexpected Effects of Obamacare by Dr. Joe Guarino

Posted on: April 16, 2010

Dr. Joseph Guarino  ( Joe Guarino )  is one of the finest bloggers in Greensboro, NC and I am proud to claim him as a friend.  He has of course kept very close watch over the health care debate and final passage of the bill and today I thought I would bring one of his posts to my readers.

We in Greensboro are fortunate to have several doctors in our blogging community who have kept us informed with pertinent insights all thru this process.  Some have their own blog sites and some prefer to remain as commenters.

You might find the referred Youtube  video offered by  Beau Jackson in the first comment interesting.  I certainly did.  BB

April 15, 2010

Some Unexpected Effects of Obamacare

There are many adverse effects associated with Obamacare that have already been discussed and anticipated.

But nestled within a bill that runs approximately 2700 pages, there are bound to be numerous unexpected, largely undiscussed impacts.  Here are just a few of those that have been discussed over the last week:

1. Remember that Obamacare is a rough approximation of Romneycare from Massachusetts.  And it has been recently reported that the Massacusetts Governor, Deval Patrick, is engaged in a battle with health insurers to stop them from increasing their premiums because of the effects of Romneycare.  Of course, if you artificially force a price down, the product will be offered less often; and some private insurers will withdraw.  This will also happen with Obamacare, unless Congress allows premiums to raise dramatically:

The companies lost a first-round court battle yesterday (in Massachusetts). They say they will lose hundreds of millions of dollars and could go out of business if they can’t raise their rates to at least cover their costs.

2. Another piece of information from the same post is that the individual states under Obamacare will be required to ensure the provision of “the care and services themselves” under the Medicaid program.  Obamacare expands Medicaid dramatically, forcing huge costs on the states.  But now the states are also legally compelled to assure that the beneficiaries will actually receive services under the program.  How can the states guarantee that?  The article points out that Obamacare invites lawsuits against the states if beneficiaries cannot access care.

3. It was discovered over the past week that Obamacare leaves members of Congress and their staff members bare, without coverage.  Why?  It requires them to get care through plans created under Obamacare, or through the insurance exchanges to be created.  The problem is that these plans will not be available for a long while.  This amusing glitch was caused by the sloppy manner in which the bill was drafted.

4. Obamacare creates all kinds of problems for HSA-style health care plans, which the national Democrats detest.  It limits the manner in which your HSA money can be used; and reduces the amount you can contribute.  It increases certain penalties.  And it imposes additional administrative requirements on insurers offering HSA’s that could have the effect of making this insurance vehicle less viable.

There are lots of other little details that have been coming out that demonstrate various shortcomings of the new law.  Folks across the country are becoming increasingly disappointed as they learn Obamacare is not immediately available to them, and is not the “free health care” they thought it would be.

We will be learning much more as time unfolds.

Posted at 11:06 AM | Permalink


Beau D. Jackson

I think you might find this interesting……… Beau

Posted by: Beau D. Jackson | April 15, 2010 at 12:45 PM

Dr. Mary Johnson

Joe, that’s what happens when lawyers draft the bill, and NO ONE voting on the bill actually READS it.

It’s very hard these days not to hurl explicatives at the power-obsessed/short-sighted IDIOTS & MORONS who pushed this thing through . . .

. . . almost as hard as not verbally eviscerating all the high-minded know-it-alls and journalists who were not interested at looking at what is really wrong with medicine – or listening to those of us who’ve been trying to tell them all along.

Let’s skip merrily forward over all the dead bodies and pretend we don’t notice the smell.

Posted by: Dr. Mary Johnson | April 15, 2010 at 03:28 PM

Joe Guarino

Mary, I think you probably know intuitively that there are going to be a fair number of “surprises” that are going to be discovered over the next several weeks or months. You are right– the media was not terribly interested in vetting the proposals fully. Oh, they loved the horse race aspect of things– is it winning? is it losing?

Posted by: Joe Guarino | April 15, 2010 at 10:11 PM

Dr. Mary Johnson

The bill is a boon for trial lawyers and a black hole for more saps like me.

The mainstream media – here, there and everywhere – is a joke. And because it’s a joke, we’ve all lost.


Posted by: Dr. Mary Johnson | April 15, 2010 at 10:58 PM


“Learning more as time unfolds” is what scares me. We are not in a position as a nation to gamble on what could be. I’m still hot as fire about the bailouts. It’s a bit to much for me to look at my local politics as well as national without throwing up in my mouth. What’s nor who’s popular isn’t working no matter what class a person/family is. From local to nationwide levels everyone is getting nailed and there is no immunity. Perhaps NOW is what it took for everyone to take a closer look at who they were placing in office and why. Attending forums and being informed as much as possible and formulating an independent decision, I believe, will change our course.

Posted by: Vivi | April 16, 2010 at 12:39 AM

Joe Guarino

Vivi, I agree people need to become more engaged. I just hope it is not too late.

Mary, the provision about the states having to assure that care and services be actually provided is a bit worrisome. Yes, it is a lawsuit generator. But does it mean the states will have to feel compelled to require that “providers” participate with Medicaid, and see Medicaid patients? Of course, that is one direction this whole big turkey can take– compelling providers, like serfs, to participate with whatever structures they create. That is one way they could achieve the social vision they want to attain– at the price they would like to pay.

Posted by: Joe Guarino | April 16, 2010 at 06:46 AM

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Brenda Bowers

Joe I am taking this post and comments home. Was starting my own post but you have done it much better than I could. Besides, I’m lazy 🙂 BB

Posted by: Brenda BowersApril 16, 2010 at 12:00 PM


2 Responses to ">>Some Unexpected Effects of Obamacare by Dr. Joe Guarino"

Of course ObamaCare will prove to be problematic and create (most likely, like technological advances also) just as many problems as it may intend to address. It’s the nature of problems for which we have no pragmatic solutions, and in the eyes of many means that we really do not have a health care issue / problem.

However, to the extent that either side of the aisle has an interest in improving the health of citizens through any means possible, it is necessary to recognize two very fundamental issues:

1) The politicalization of the issue, or utilization of an ideological approach, will not result in an effective solution, because most human beings are not sufficiently self-motivated to pursue optimal health. It’s just not going to happen.

2) Because of our (minimum of) two party governmental system, ANY bill generated will be ineffective because it is a moderate, piecemeal, compromised approach to health. Imagine giving kids a vaccine which has been diluted, watered down, or adulterated with all sorts of ingredients not essential to attacking the disease.

Why do ANYTHING if it is not going to be effective? Why waste the time and the money pursuing goals through ineffective means?

This issue will NEVER be resolved by either side as long as people have freedom of choice. It’s the nature of human beings.

As Dirty Harry once said, “A man (or humankind) has to know his (or its) limitations.

I quite agree with most of your comment Reggie. There is only one problem with your comment and that is the undiluted fact that this was not a “two party” bill. It was entirely a one party bill. All the infighting was done within one party (Democrats) who all wanted the bill and the big government involvement in our lives thus the power over our lives to some extent. The struggle was merely over how much involvement because there was so much opposition from the population and even the state governments.

If the bill had been a compromise between the two parties; if the two Republican bills that had been submitted in the House had even seen the light of day then it would not have been a 2400 page monstrosity and taken over of 16% of our economy.

Already we are seeing what is in it as Nancy Pelosi said we would after we had it passed and stuffed down our throats. And what we are seeing so far is all bad. BB

really good to hear from you. Brenda

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