What's That Price Tag Again?

Greetings from the Left Coast, where we here at Left Coast Blues do the heavy thinking for those who just can’t be bothered.

A couple of weeks ago, a fellow named Douglas Holtz-Eakin wrote a very interesting column in the Wall Street Journal. His column is about the true cost of the bill that’s been put forward by the Senate Finance Committee, and the tax burden that’s about to land on the middle class if it passes. Now Douglas is a pretty smart guy. He’s a former director of the Congressional Budget Office, and a Fellow at the Manhattan Institute. And that’s just for starters – here’s a link to his full bio. So we should probably pay attention to what he has to say.

To begin with, he points to the myth that Congress is actually going to cut Medicare reimbursements. According to the Balanced Budget Act of 1997, they should already have been cut – but year after year, Congress has voted to reinstate the money. In his words, “It is beyond fantastic to promise that future Congresses, for 10 straight years, will allow planned cuts in reimbursements to hospitals, other providers, and Medicare Advantage (thereby reducing the benefits of 25% of seniors in Medicare)…The very fact that this Congress is pursuing an expensive new entitlement belies the notion that members would be willing to cut existing ones.” (Or, as Nanny Ogg, one of my favorite characters in Terry Pratchett’s Discworld novels would say, “Pull the other one, it’s got bells on.”)

The problem is, if Congress admits to that rather obvious truth, it pushes the total cost of the legislation to well over $1 trillion.

Then there’s the $400 billion in new taxes and fees that the bill plans to raise by imposing a 40% tax on “Cadillac” policies (which several Democrats are already scrambling to insure that the union members in their districts won’t have to pay), and a variety of fees on health insurers, drug companies, and device manufacturers. Excuse me, but where do you think the insurers, drug companies, and device manufacturers are going to get the money? There’s only one way – by passing their increased costs along to consumers. Holtz-Eakin points to the Senate-House Joint Committee on Taxation, which indicated that “87% of the burden would fall on Americans making less than $200,000, and more than half on those earning under $100,000.”

Complicating matters even further, he points out that Democrats chose to make many of the industry fees nondeductible. Typically, a business would be able to count these kinds of fees as a business expense, which is subtracted from the revenue of the business before the tax obligation is calculated, just as the business would subtract rent on their facilities, their monthly power bill, etc. But every dollar that is taken from a business the way the Democrats are proposing to do it is a dollar that comes directly off the bottom line, and the business must increase revenue by more than a dollar to get it back. Holtz-Eakin estimates that this will result in an increase of as much as $200 billion in insurance premiums over the next 10 years, with 90% of that increase being borne by the middle class.

Why would Congress do such a thing? I can answer that one: Because it will then give Congress an excuse to even further demonize the health insurance industry for making such awful, terrible, greedy, unconscionable increases in premiums, and use the situation they created to further justify a government-run health care system. Cynical? Yep, but do you doubt it for a minute? I’ve still got that beach property for sale…

Thanks for listening.