As negotiations over the staggering $3.4 trillion “Build Back Better” plan price tag continue to raise concern, the health policy agenda put forth in the plan is equally alarming.
At first glance, some might argue the Build Back Better plan takes a more modest approach on health care by avoiding the inclusion of a full-blown, government-run, single-payer proposal. Yet, the various health care provisions in the proposal taken collectively expose an agenda to use a public option to pave the way to single-payer health care.
Instead of “Medicare for All,” a congressional proposal to outlaw private insurance and put everyone on a government-run health plan, Build Back Better takes key steps in that direction. The proposal focuses on reinforcing and expanding the Affordable Care Act footprint by removing the income limitations on subsidies, making the existing Affordable Care Act subsidies more generous and creating a new, federal, Medicaid-like option.
Much of this incremental path to government-run health care hinges on the creation of the new Medicaid-like government option. The Build Back Better plan starts small by targeting this new federal program only to those individuals who reside in states that have chosen not to adopt the Obamacare Medicaid expansion.
After a transitional period, the secretary of the Department of Health and Human Services would contract with two entities to administer the government option (most likely a boon for existing Medicaid managed care plans). The benefits requirements under this new program would broadly follow those outlined under Medicaid and there would be no cost-sharing requirements for participants.
With the federal infrastructure in place, the next phase would be to gradually open access to the government option. The legislation already anticipates expansion. It includes language to realign federal payments to allow states that expanded Medicaid under Obamacare to enroll those individuals in the government option.
The bill would also move those individuals who are in the exchange but would otherwise qualify for Medicaid under the Obamacare expansion into the government option.
The bill also creates a ready reserve of potential enrollees for the government option by expanding the number of individuals that would be eligible for subsidies in the exchange by lifting this income restriction and loosening restrictions to allow those with access to employer coverage to enroll in the exchange.
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Under the rules of new program, the secretary has broad authority to administer and run the program. This means the secretary can tilt the rules in favor of the government option by making the government plan appear (at least on the surface) to be more generous and more affordable than the private competitors.
For example, the bill allows the secretary to set payment rates below private competitors. While providers might balk at the lower payment rates and refuse to participate, other government option proposals allow the secretary to require providers to participate in the public option. So, it is not out of the realm of possibility that these hard tactics could be applied under this plan as well.
Without meaningful reforms, costs and premiums will continue to rise in the Obamacare exchange. The Obamacare system today gives insurance companies more taxpayer money every time they raise prices—a recipe for the higher costs and fewer and worse choices we’ve seen in the program. Rather than take this problem head-on and address the government policies behind it, this new program papers over it with more big government.
The single-payer “solution” of course would be to open access to the government-run option. This would drive private competitors out, leave the government option as the only option, and open the gate to single-payer.
Of course, this is where the fantasy of single-payer meets reality. Generous benefits would increase demand and increased demand would increase costs. Either politicians would have to increase taxes—with some estimates predicting the need for an additional 20% payroll tax—or would begin to ration access to care as done in countries with single-payer models.
While it may appear that the push for single-payer has faded, the reality is that the Build Back Better plan continues to set a path to single-payer on the installment plan.
Image by David Mark from Pixabay. Article cross-posted from Daily Signal.
Too Few Are Telling the Truth
Not long ago, conservative media was not beholden to anyone. Today, most sites are stuck on the Big Tech gravy train.
I’ll keep this short. The rise of Pandemic Panic Theater, massive voter fraud, and other “taboo” topics have neutered a majority of conservative news sites. You’ll notice they are very careful about what topics they tackle. Sure, they’ll attack Critical Race Theory, Antifa, and the Biden-Harris regime, but you won’t see them going after George Soros, Bill Gates, the World Economic Forum, or the Deep State, among others.
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The reason is simple. They are beholden to Big Tech, and Big Tech doesn’t allow certain topics to be discussed or they’ll cut you off. Far too many conservative news outlets rely on Google, Facebook, and Twitter for the bulk of their traffic. They depend on big checks from Google ads to keep the sites running. I don’t necessarily hold it against them. We all do what we need to do to survive. I just wish more would do like we have, which is to cut out Big Tech altogether.
We don’t get Google checks. We don’t have Facebook or Twitter buttons on our stories. We don’t have a YouTube Channel (banned), and Instagram profile (never made one), or a TikTok (no thanks, CCO). We’re not perfect, but we’re doing everything we can to not owe anything to anyone… other than our readers. We owe YOU the truth. We owe YOU the facts that others won’t reveal about topics that others won’t tackle. And we owe America, this great land that allows us to take hold of these opportunities.
Like I said, I don’t hold other conservative sites under too much scrutiny over their choices. It’s easy for people to point fingers when we’re not the ones paying their bills or supporting their families. I just wish there were more who would break away. Today, only a handful of other major conservative news outlets have broken away from the Big Tech teat. Of course, we need help.
The best way you can help us grow and continue to bring proper news and opinions to the people is by donating. We appreciate everything, whether a dollar or $10,000. Anything brings us closer to a point of stability when we can hire writers, editors, and support staff to make the America First message louder. Our Giving Fuel page makes it easy to donate one-time or monthly. Alternatively, you can donate through PayPal or Bitcoin as well. Bitcoin: 3A1ELVhGgrwrypwTJhPwnaTVGmuqyQrMB8
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We are also building partnerships with great conservative sites like The Liberty Daily and The Epoch Times to advance the message as loudly as possible, and we’re always looking for others with which to partner.
Also, we could use contributions of content. If you write or want to start writing and you share our patriotic, conservative, America First ideology, contact us. The contact form on this and all pages on the site goes directly to me.
Some of our content is spread across multiple sites. Other pieces of content are unique. We write most of what we post but we also draw from those willing to allow us to share their quality articles, videos, and podcasts. We collect the best content from fellow conservative sites that give us permission to republish them. We’re not ego-driven; I’d much rather post a properly attributed story written by experts like Dr. Joseph Mercola or Natural News than rewrite it like so many outlets like to do. We’re not here to take credit. We’re here to spread the truth.
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We know we could make a lot more money if we sold out like so many “conservative” publications out there. You won’t find Google ads on our site for a reason. Yes, they’re lucrative, but I don’t like getting paid by minions of Satan (I don’t like Google very much if you couldn’t tell).
Time is short. As the world spirals towards The Great Reset, the need for truthful journalism has never been greater. But in these times, we need as many conservative media voices as possible. Please help keep NOQ Report and the other sites in the network going. Our promise is this: We will never sell out America. If that means we’re going to struggle for a while or even indefinitely, so be it. Integrity first. Truth first. America first.
Thank you and God Bless,
JD Rucker
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They’re Trying to Shut Us Down
Over the last several months, I’ve lost count of how many times the powers-that-be have tried to shut us down. They’ve sent hackers at us, forcing us to take extreme measures on web security. They sent attorneys after us, but thankfully we’re not easily intimidated by baseless accusations or threats. They’ve even gone so far as to make physical threats. Those can actually be a bit worrisome but Remington has me covered.
For us to continue to deliver the truth that Americans need to read and hear, we ask you, our amazing audience, for financial assistance. We have a Giving Fuel page to help us pay the bills. It’s brand new so don’t be discouraged by the lack of donations there. It’s a funny reality that the fewer the donations that have been made, the less likely people are willing to donate to it. One would think this is counterintuitive, but sometimes people are skeptical because they think that perhaps there’s a reason others haven’t been donating. In our situation, we’re just getting started so please don’t be shy if you have the means to help.
Thank you and God bless!
JD Rucker