There is a narrative of Obamacare as a triumphant reform of America’s medical system, engineered by the smartest technocrats in the country to create better and more affordable healthcare for us all. The obstructionist denialism of the Republicans was dealt a crippling blow with the Supreme Court’s upholding of the individual mandate last summer, and the 2012 elections finished them off. The Patient Protection and Affordable Care Act is now free to work its glorious magic on the citizenry.
There is another narrative of Obamacare as a hodge-podge, cobbled-together, bureaucratic-bloated, corporate-handout monstrosity that was just barely sufficiently greased around the edges to buy enough votes to pass an overwhelmingly Democratic Congress. The overly ambitious assumptions and interventions supporting this precarious nightmare began cracking and unraveling almost immediately, and are fast accelerating towards a tipping point that will precipitate the inevitable collapse of this inherently unstable behemoth.
Even if every exquisite detail of the 906-page master plan was executed as perfectly as comic economist Jonathan Gruber imagined, my bias still expected the results to be less satisfactory than advertised. The scope of the overhaul was too broad and too deep; the entanglement of the new bureaucracy was too complex; the manipulated inputs into the CBO’s rosy cost analysis projections were too contrived. But, of course, as with any exceedingly large enterprise, the plan has not even proceeded according to plan.
The Early Cracking
Continue reading Is Obamacare Already Beginning To Collapse?
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