Peter Ferrara - The Obamacare Disaster (2010).pdf - 01 - USA(1) - bogg

The

Obamacare

Disaster

An Appraisal of

the Patient Protection and

Affordable Care Act

Peter Ferrara

Heartland Policy Study #128

The Heartland Institute

The

Obamacare

Disaster

The Heartland Institute

Published by The Heartland Institute

19 South LaSalle Street #903

Chicago, Illinois 60603

phone 312/377-4000

fax 312/377-5000

www.heartland.org

this report or portions thereof in any form.

Opinions expressed are solely those of the author.

Nothing in this report should be construed as necessarily

reflecting the view of The Heartland Institute or

as an attempt to influence pending legislation.

Additional copies of this report

are available from The Heartland Institute

for the following prices:

1-10 copies

$5.95 per copy

11-50 copies

$4.95 per copy

51-100 copies

$3.95 per copy

101 or more

$2.95 per copy

Printed in the United States of America

Contents

Introduction .................................. iv

1. A Government Takeover of Health Care ........... 1

2. Increasing Health Costs ........................ 4

3. Government Rationing of Health Care ............ 12

4. Higher Taxes ................................ 28

5. Runaway Spending and Deficits ................. 34

6. Broken Promises ............................. 40

7. The Path Not Taken: Patient Power .............. 44

Conclusion ................................. 53

End Notes ..................................... 55

About the Author ................................ 65

About The Heartland Institute ...................... 66

iii

Introduction

“We have to pass the bill so that you can find out what is in it,” House

Speaker Nancy Pelosi said at a meeting of the National Association of

Counties on March 9, 2010. 1 Now that the Patient Protection and

Affordable Care Act (henceforth “the Act” or “Obamacare”) is law, “what

is in it” is revealed by 3,256 pages of legislative text, counting the 858

pages of the reconciliation bill (as printed at my local library).

This study is a comprehensive review of the Act and an early appraisal

of its likely effects. It is the second report by the author on Obamacare, the

first being a critique of bills still being debated by Congress in August

2009. 2 Most of the bill’s provisions, except its tax increases, do not go into

effect until 2014. So what follows is like a visit from the ghost of Christmas

Future, shadows of what will be, but do not have to be, if we will change it.

Obamacare instead could be repealed and replaced with far superior reforms

… which in fact are the author’s recommendations.

A summary of principal findings follows this introduction. Part 1

reviews the provisions of Obamacare and how they expand government’s

authority over health care providers and consumers. Part 2 explains how

Obamacare will lead to higher health insurance premiums and health care

costs. Part 3 explains the comprehensive system of government health care

rationing created by Obamacare, including how the Act eviscerates

incentives for investment and innovation in health care.

Part 4 describes the new taxes and higher tax rates imposed by

Obamacare. Part 5 explains how Obamacare will cause runaway

government spending and sharply increase the deficit, contrary to the

promises and rhetoric used to pass it. Part 6 explains how Obamacare will

break many of the central promises made by Obama and leading Democrats

used to pass it, including the promise that if you like your current health

insurance you can keep it, and the promise that if you like your doctor you

can keep him.

Peter Ferrara - The Obamacare Disaster (2010).pdf

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