Trump’s Radical Reform of Medicare, Part II


Donald Trump is using his executive authority far more aggressively than Obama ever did. He is not just circumventing Democrats. On health care, he is circumventing the entire GOP. Republicans in Congress, their special interest friends and think tank supporters have shown almost no enthusiasm for any of this. On the Hill, there have been no hearings. No legislation. No briefings. Not even a speech or two. In the meantime, the Trump administration is reforming the entire health care system. John Goodman and Lawrence Wedekind describe the changes in a two-part post at Forbes. More at:

John Goodman and Lawrence Wedekind, Trump’s Radial Reform of Medicare, Part I

John Goodman and Lawrence Wedekind, Trump’s Radial Reform of Medicare, Part II

Goodman: Trump is unleashing personal and portable health insurance


An Obama regulation stipulated that employers caught giving their employees pre-tax dollars to purchase their own coverage could be fined as much as $100 per day for each employee, or $36,500 a year. This was the highest penalty in all of Obamacare regulations. Thankfully, the Trump administration is eliminating this penalty and much more. Beginning next January, employers will be able to use HRAs to help employees obtain their own coverage with the administration’s blessing. More.

The Anti Science Party

Could everyone in America live above the poverty line if only employers were less greedy? Bernie Sanders thinks that. He also thinks that Medicaid, Food Stamps and other poverty programs are subsidizing corporate greed — because they make it possible for employers to pay low wages. Alexandria Ocasio-Cortez (AOC) calls the federal minimum wage of $2.13 an hour for people with tip income “indentured servitude.” What’s her answer? The government should force employers to be more generous. More.

Goodman: Why the left doesn’t understand health care


In one case, an insurer prevented a woman from getting a CT scan her doctor ordered. In another, a mother couldn’t afford the full regimen of special bags needed to clear her cancer-stricken daughter’s lungs. In a third case, a woman lost her health insurance and could not afford end-of-life chemotherapy. These examples come from National Nurses United, the country’s largest nurses’ union. To prevent further incidents like these, the union favors a universal, government-run health care system. A lead editorial in the New York Times last week appeared to endorse their thinking. Here is what these folks are missing.

Goodman: Why the left has no new ideas

At first glance you might think that the Democratic presidential campaign is boiling over with one new idea after another. Free health care. Free education. No more carbon emissions. There have been so many pronouncements, it’s hard to keep track of them. But that’s just at first glance. If you delve deeper, you will discover these are not ideas at all. They are feelings. Strongly held feelings, mind you. But feelings, nonetheless.

Why Employers Pay Too Much for Health Care


Employers are paying hospitals more than twice as much as what Medicare pays. At some hospitals they are paying four times as much. So, who’s to blame? John Goodman says employers are to blame. More.

Wedekind on Trump’s Reform of Medicare

Accountable Care Organizations are President Obama’s attempt at stealth privatization — 10.4 million people think they are in a fee-for-service system, when in reality their doctors have economic incentives to reduce care. And it has been illegal for doctors to inform their patients of this fact. John Goodman and Laurence Wedekind explain the development and what Medicare director Seema Verma is doing about it.