
Associated Press
BuzzFeed Ben Smith published a much-discussed piece today with a story on health care that falls right in Ben's wheelhouse. The provocative headline is intended to drive clicks: "Obama Prepares To Screw His Base."
Well, the president must have done something pretty shocking to generate a headline like that one, right? Maybe there's some massive giveaway planned for the State of the Union? Perhaps the White House intends to trade away some important progressive priority? No, in this case, Ben Smith thinks President Obama is "screwing" his base through the Affordable Care Act.
President Obama's enemies often accuse him, in the starkest political terms, of crudely acting to shift resources toward his political base: green-energy donors, single women, Latinos, African-Americans.
But the next 12 months are likely to reveal the opposite. Imminent elements of Obama's grandest policy move, the health-care overhaul known as ObamaCare, are calculated to screw his most passionate supporters and to transfer wealth to his worst enemies.
It's well documented that Obama has thrived politically thanks to the support of younger voters, but as Smith sees it, the administration's signature domestic policy punishes those same voters due to a nefarious scourge known as ... actuarial science.
Just at the surface, the BuzzFeed charge may itself seem strange. After all, the Affordable Care Act allows young adults to stay on their family health care plans through until 26 -- one of Obamacare's most popular features. Indeed, the only segment of the adult population in which the rate of uninsured is falling is 18 to 25 year olds. It's the same law that covers preventive care -- including contraception -- without a copay, which appears to be of some interest to young adults.
If the president intends to "screw" this part of his base, he has a funny way of showing it.
But just below the surface, Smith's charge is not without a substantive policy foundation. Indeed, it's one that's been explored at length, many, many times, over the last several years.
The biggest beneficiaries of the Affordable Care Act -- which is to say, those who'll get the biggest bang for their health care buck -- are those who are most likely to need medical care that they might otherwise be unable to afford. But the further we get from the needlessly inflammatory, please-Drudge-link-to-me BuzzFeed headline, the less outrageous the Obamacare policy is.
It's pretty straightforward when you think about it: on average, as people age, they're not as healthy. It's just an unpleasant fact of life: the older we get, the better the chances we'll need a doctor.
For Ben Smith, that means young people are getting screwed by the president they helped elect: that rascal in the White House is forcing those young people -- the folks Obama brought health care coverage to -- to pay into a system that they probably won't need as much as their older counterparts.
For those who understand the passage of time, and the fact that those young people will get older and begin to need more medical attention, the notion that the president is "screwing" them over is a little silly.
I'll gladly concede that, before the Affordable Care Act, younger, healthier people could get away with cheaper insurance because insurers assumed, correctly, that they're likely to need less coverage. Under Obamacare, they'll pay a little more, but get better insurance and have the assurance that the protections will continue as they get older.
Indeed, all social-insurance programs work this way. By Ben Smith's logic, young people who celebrate Medicare and Social Security are "screwing" themselves by paying into a system that they probably won't produce any benefits for them from for many decades. And yet, those same Obama-voting young people tend to support Medicare and Social Security as pillars of modern American life, which must be protected against Republican privatization efforts.
Either they're fools, blind to their own priorities and interests, or -- I hope you're sitting down -- young adults are capable of thinking about short- and long-term considerations when evaluating parties, candidates, and policy agendas.
Jeffrey Young had a good piece on the larger policy.
What may seem like a contradiction or an unintended consequence of the massive health care overhaul is in fact one of its chief aims: Mandating a minimum set of benefits that go beyond what skimpy plans sold to younger and healthier people now offer. Those current plans don't always cover needed medical services and can leave customers exposed to high health care costs or even financial ruin.
The law also seeks to guarantee coverage at lower prices to people as they get older and sicker, but in exchange, it is possible they will pay more into the system when they are young and healthy and need less medical care. Tax credits will be available to many poor and middle class people to subsidize their insurance costs.
Linda Blumberg, a senior fellow at the Urban Institute, told the Huffington Post, "When you are adding some benefits to what people have today and you're adding value to the insurance they're buying then, yes, we're talking about premiums going up. Whether or not that's a positive or a negative for them, I think, depends a lot on perspective."
Quite right. And if you're Dorian Gray, you may have the perspective of someone annoyed by how social-insurance programs work. If you age, however, you are not getting "screwed" by the Affordable Care Act.





One of the really nice things about the internet is that so many sites have been created that need people who can spell three words right in succession, that even "typists" like Ben Smith can get jobs that before would only have gone to writers when the number of jobs were fewer and the qualifications more than the driving determination of the talentless to succeed.
Obama extended the age when youngsters could still be covered by their parents.
And as opposed to Obama the alternate plan was? Oh that's right Mr. Smith, there was NO alternate plan. The only alternate was what was already in place. So is what was in place better or worse than what youngsters can now get?
The Republicans insist that Medicare, Social Security and ObamaCare do not work. And in order to prove that fact, the Republicans want us to put them in charge of those systems. They will fix everything.
I hope you can hear my laughter.
And they don't like public education and the public post office either! Wars are good though!
Repulsive.
They're self-entitled socialist lampreys! Eek!
I think young people like the idea that they won't have to go to the poor house to pay for Grandma or Mom's medical bills. That's a bit reassuring.
An early contender for most idiotic headline of the year.
Regarding Ben's suggestion that Obamacare will screw his most ardent supporters, I would say there is one thing in the plan that may support this. Obamacare has no teeth that I know of to force insurance companies to offer fairly priced, legitimate premium pricing. The companies can set their price as high as they want. This assumes the markets are free, but in reality they are fixed monopolies. The insurance companies can sandbag Obamacare if they want to, and I think they will.
Look, I'm for this legislation, -at least I'm for it's intent. I only wish it went further and that it had real teeth to force the intent of the law into reality.
But the company that gives consumers the best deal gets ALL the profits. Can't imagine any corporation walking away from such a monopoly.
It's true that (AFAIK) there's no limit on what an insurance company can charge, thus making it possible that they'll charge "the Earth". OTOH, there is a bit of a rein on that, in that they have to spend 85% of what hey charge on actual, honest-to-goodness, medical care (not administrative costs). That, in tandem on various ways of limiting the actual medical spending (also in the ACA), might very well produce "bearable" rates.
I kept asking that question of our representatives before the ACA was passed, and I could never get a straight answer from any of them. Either they didn't know or didn't care.
Poor Oscar Wilde. Everybody thinks Dorian Gray lived forever and a day because he had a magic portrait of himself, but in fictional reality he doesn't even make to the age of 40. The portrait does spare Dorian the effects of the passage of time, but that's not the main thing, which is that the portrait suffers the effects of Dorian's vanity, selfishness and depravity instead of Dorian himself.
A Growing Trend: Young, Liberal and Open to Big Government
By SHERYL GAY STOLBERG
In a trend that is surprising pollsters and jangling the nerves of Republicans, a majority of young people embraces President Obama's notion that government can be a constructive force.
The GOP is fighting a losing battle just like the Confederacy did.
Thanks for that link - a good piece, well worth reading.
I love the quote in there: "When you ask young voters what caused the recession, this whole idea that there wasn’t enough regulation, or it was George W. Bush’s fault, is present" ... yeah, right, it's just an "idea" that is "present". Could it perhaps be that this idea which is present is based on actual REALITY? I honestly don't know how the GOP is ever going to bounce back (not that i really want them to) if they are still, after 4 years, so completely incapable of owning up to the disaster that was the Bush administration.
The world is passing the GOP by! Things are way to up-to-date for them!
I think you're suffering from Obama Stockholm syndrome; that incurable to desire to be unquestioning. Read this and respond to what you think is wrong vs what you know
http://www.counterpunch.org/2013/02/05/obamacare-a-deception/
Sure fella, healthcare was all peaches and cream till evil Obama the usurper came into town... The quality of our trolls sure is taking a big hit lately...
Oh those poor put upon selfish people, forced by a tyrannical government to have access to health care. They are horrified by the Thought that someone else might be sicker than they are and consume more of the health care money pool. Oh what to do? (insert hand wringing here) Might I suggest to those for whom this is a concern, that they can take immediate steps to make sure that they get their fair share of health care dollars. First let me suggest that you never wash your hands. Anytime you touch a public door knob or shake someones hand, immediately sick your fingers in your nose and mouth. Second hug and kiss anyone you see who looks sick. Third and this one is important, eat a meat only diet. never under any circumstances eat a vegetable. As I am sure you know, too much nutrition can cause health. Just follow these simple steps, and before you know it you will be receiving more than your fair share of the health care dollars. Hooray the free market triumphs again!
LOVE IT!!!
To those who are concerned about not getting their fair share of health insurance dollars. you are probably worried about other insurance coverage as well. Car, home and life insurance can also be poor returns on investment. If I might suggest that in many life insurance policies, the suicide contestability clause only lasts two years. If you were to say kill yourself as soon as the suicide contestability clause expires in a way that involves running your car into your house. you could hit the trifecta, thus maximizing your return on all three policies, and guaranteeing that you receive your fair share of your insurance dollars. Oh but if you can fix it so you don't die immediately, and run up a big health care bill before you pass, well you will surely get a high place in heaven, and the tea party will sing your praises for generations.
Dang! I wish I'd thought of this. How to make sure those lucky duckies don't get more than their share!