While I do think part of the motivation for putting forward what became the PPACA was an attempt to "fix" the thoroughly dysfunctional healthcare delivery system in the United States, I also think that there has been an unspoken agenda, which is to sever the relationship between employers and their employees insurance.
If you talk to most economists, and all of the conservative "freshwater" economists, they will vehemently maintain that employer provided healthcare is economically unjustified, and so should be abolished.
When you look at the implementation of healthcare reform, it seems that one constant is that the employer mandate has been repeatedly delayed and weakened.
And today, they did it again:
For the second time in a year, the Obama administration is giving certain employers extra time before they must offer health insurance to almost all their full-time workers.Of course it's unfair.
Under new rules announced Monday by Treasury Department officials, employers with 50 to 99 workers will be given until 2016 — two years longer than originally envisioned under the Affordable Care Act — before they risk a federal penalty for not complying.
Companies with 100 workers or more are getting a different kind of one-year grace period. Instead of being required in 2015 to offer coverage to 95 percent of full-time workers, these bigger employers can avoid a fine by offering insurance to 70 percent of them next year.
How the administration would define employer requirements has been one of the biggest remaining questions about the way the 2010 health-care law will work in practice — and has sparked considerable lobbying. By providing the dual phase-ins for employers of different sizes, administration officials have sought to lighten the burden on the small share of affected employers that have not offered insurance in the past.
As word of the delays spread Monday, many across the ideological spectrum viewed them as an effort by the White House to defuse another health-care controversy before the fall midterm elections. The new postponements won over part, but not all, of the business community. And they caught consumer advocates, usually reliable White House allies, by surprise, particularly because administration officials had already announced in July that the employer requirements would be postponed from this year until 2015.
Congressional Republicans seized on the announcement as the latest justification for scrapping the health-care law. In particular, they renewed their opposition to the law’s requirement that most Americans have insurance, saying it is unfair to delay rules for businesses and not for individuals.
That's a feature not a bug.
It is my belief that the goal of these actions is to create a space which will allow the minimization, and eventual elimination, of employer provided healthcare, because ……… freedumb and free markets.
This also explains why Obama has been so eager to cut a "grand bargan" with the 'phants, and why he is so enthusiastic about trade deals like the TPP where freedumb and free markets trump democracy, labor rights, and environmental protections.
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