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Tag Archives: Continuing Resoution

Ann Wagner: Wrong about BJC Healthcare, wrong about Obamacare

24 Tuesday Sep 2013

Posted by Michael Bersin in Uncategorized

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ACA, Affordable Care Act, Ann Wagner, BJC, Continuing Resoution, GOP propaganda, missouri, Obamacare

In an earlier post I copied Ann Wagner’s email response to me after I wrote her asking that she respect the needs of her constituents and stand up to the faction of her party that wants to defund Obamacare or else. I was pretty amazed by her double-talk when she tried to pretend that she had “voted to keep the government open” by sending a DOA Continuing Resolution that defunds the ACA to the Senate.

What didn’t amaze me, though were her distorted claims abut the ACA. They’re familiar to anyone who has paid attention to Republican anti-Obamacare jabber. To her credit, though, Wagner did try to give a local example of what she deems the disastrous consequences of Obamacare:

As each day passes, more and more families are feeling the pain of Obamacare right here in the St. Louis region. Many of you might have heard a few days ago that BJC Healthcare can no longer afford to provide health insurance to its part-time employees. This is just another example of the coming economic disaster Obamacare poses when a large, highly respected healthcare company such as BJC Healthcare cannot afford healthcare for its own workers.

 

What Wagner does not tell us – although the St. Louis Post-Dispatch story she links to hints at it – is that BJC has been having plenty of problems other than Obamacare, problems which earlier resulted in 160 layoffs and are pretty likely to be behind their efforts to cut costs on employee health care:

Like other health care systems across the state and country, we are not immune to what is going on in the health care environment,” she said. “We’ve made cost-cutting measures to offset the impact of sequestration and to prepare for the impact of not expanding Medicaid.”

Aside from sequestration and the Medicaid expansion issue, BJC’s reductions are necessitated by a drop in elective medical services among health care consumers. Because they now face higher out of pocket payments for care, some consumers are putting off care for the time being, she said.

Let’s see. If the Republican-dominated Missouri legislature had only expanded Medaid, BJC would have  been better off. If GOP politicians in Washington hadn’t forced the sequestration cuts down our throats, BJC wouldn’t be better off still. And finally, if our free-market insurance delivery system – the one that the GOP is fighting tooth-and-nail to defend – wasn’t unable to control costs without resorting to higher out-of-pocket costs for patients who then defer care, things would be all ducky for BJC. But let’s, Ann Wagner, blame it all on Obamacare; it makes a much simpler and, for Republicans, a much more conveneint story.

Nor am I the only person who thinks the GOP jobs and Obamacare narrative is a bit empty when it comes to actual content. Kaiser Health News reports that some employers are using Obamacare as an excuse for cost-cutting measures that were underway long before the law. Others may actually be considering cutting part-timers hours back in order to weasel out of the ACA employer mandate as some claim BJC is doing, but as business advisor Juliana Reno observed on the PBS newshour earlier this evening:

If you, as an employer, try to crunch down hours below 30, you are going to lose some employees. The second problem is, it’s not going to cost you in terms of penalties, but it’s going to cost you a lot more in terms of recruiting and training and administrative stuff, because now you have to hire more employees to have the same amount of man hours worked.

As a consequence, economists don’t expect to see large numbers of employers who might be tempted to try this ploy – also bearng in mind that this part of the employer mandate affects only a small number of business to start with. Actually, if anti-Obamacare fanatics in congress would give the repeal-the-law refrain a rest and get down to some real work, glitches of this sort, insofar as they are a real problem, could be easily remedied.

But a note of caution: don’t expect the facts of the situation to keep GOPers like Rep. Wagner from desperately grasping at all potential anti-Obamacare straws. They’re starting to get frantic as Obamacare is set to become real – no longer the bogeyman in the next room, but soon to be a fairy godmother wavng a right-to-healthcare wand over the uninsured.

Ann Wagner wants to eat her cake and have it too

23 Monday Sep 2013

Posted by Michael Bersin in Uncategorized

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Tags

ACA, Affordable Care Act, Ann Wagner, Continuing Resoution, GOP propaganda, Government shutdown, missouri, Obamacare

I wrote earlier about how Roy Blunt was making subtle signs that he didn’t really want to be associated with his party’s drive to shut down the government over Obamacare. Not so Rep. Ann Wagner (R-2) who seems determined to go full tilt toward the crazy. Her stance is perhaps a bit surprising to those of us who detected a bit of GOP relief in the belief that they had fielded an almost sane replacement for erstwhile Rep. Todd Akin; Wagner impressed many as a smooth operator who could put a more respectable face on a party that is rapidly rebranding itself as home sweet home for rightwing kooks. Evidently, though, Wagner, even more than Blunt, sees her interests best served as red meat for the base.

Below the fold I reproduce the text of an email I received from Wagner in response to comments I sent her on shutting down the government in order to fight off the dread (to GOPers) Obamacare. The money portion of her effort to justfy her vote largely echoes press releases on her Web page and presents one of the most flagrant examples of political double-talk that I have ever seen:

With the deadline approaching to prevent a government shutdown  – the American people want Congress to do two things:  keep the government open and stop ObamaCare from destroying our economy, lowering the quality of our care and putting the Federal Government between you and your doctor.  That is why I voted last Friday to keep the government open, while protecting the people of the 2nd District from the devastating consequences of ObamaCare.  Now it is up to Senators Ted Cruz and Mike Lee to answer the calls of the American people, and lead the fight in the Senate to defund ObamaCare and keep the government running.

Did you get that “I voted last Friday to keep the government open … “. Isn’t that like tellng frantic parents after you’ve kidnapped their children for a ransom too costly for them to pay, that you only took the kiddies to give the parents a chance to save them by paying up – ergo, you’re the one acting to keep the children well and safe. This is what I mean about trying to have your cake and eating it too – which we all know nobody can really manage to do.

And did you also get the note of seeming hero-worship Wagner directed toward toward Senators Ted Cruz and Mike Lee – the Senate hostage executioners who, according to Wagner’s reasoning, are also doing their best to keep the government operating by demanding a pound of bloody Obama flesh? Shouldn’t respectable, pearl-clutching “tradtionalist” Republicans shy away from nutjob demogogues?

Nothing, though, is actualy what it seems. Wagner’s shout-out to the chief Senate agitators on the topic may just be short-hand for “I did my part to impress the yahoos – now it’s your turn to bear the nasty load,” an indirect salvo in a “fight between House and the Senate — neither of whom want to be left holding the bag when this effort to defund Obamacare fails.” They all – and this where Wagner’s particularly cloying brand of cynicism manifests itself – want the savage Tea Partiers at home to think they did their best.

ADDENDUM: Here’s Ed Kilgore on the type of shutdown double-talk I reference above on the part of Ann Wagner:

What’s really bizarre is the effort (by Cruz at least) to pretend that Obama and/or congressional Democrats are responsible for risking a government shutdown or a debt default because they are (so far) refusing to make major concessions to the party that does not control the White House or the Senate. This cynical gambit needs to be mocked relentlessly. If Republicans evade total responsibility for the chaos currently gripping Washington, it will be a historic injustice. They lost the 2012 elections, and consequently their activists want to pitch a hissy fit and kick over as much furniture as possible. I wish someone could design a video game where they could work out their frustrations and recommit themselves to the imagined America of the distant past without ruining the neighborhood.

Wagner’s email missive – the survey link at the very bottom works if you want to let Wagner know what you think abou shutting down the  government:

Keeping the Government Open

Dear xxxxxx,

Do you remember when Nancy Pelosi said you had to pass ObamaCare to find out what’s in it?  Well – it didn’t take the American people long to find out what’s in ObamaCare: more taxes, fewer choices, skyrocketing premiums and unaffordable care.  

One of the main reasons I ran to be your Representative is because I believe ObamaCare needs to be repealed and replaced with free-market based solutions that expand access without destroying our economy and lowering the quality of our care.

As each day passes, more and more families are feeling the pain of Obamacare right here in the St. Louis region. Many of you might have heard a few days ago that BJC Healthcare can no longer afford to provide health insurance to its part-time employees. This is just another example of the coming economic disaster Obamacare poses when a large, highly respected healthcare company such as BJC Healthcare cannot afford healthcare for its own workers.

With the deadline approaching to prevent a government shutdown  – the American people want Congress to do two things:  keep the government open and stop ObamaCare from destroying our economy, lowering the quality of our care and putting the Federal Government between you and your doctor.  That is why I voted last Friday to keep the government open, while protecting the people of the 2nd District from the devastating consequences of ObamaCare.  Now it is up to Senators Ted Cruz and Mike Lee to answer the calls of the American people, and lead the fight in the Senate to defund ObamaCare and keep the government running. Bear in mind that Cruz is either so unhinged or so determined to emerge as the Teajadist leader that he has excited the contempt of most of his Senate GOP colleagues:

As always – it is truly an honor to serve the people of the 2nd District, and I look forward to speaking with you again soon.

Sincerely,

Ann Wagner

Member of Congress

P.S. Take My Survey

Do you think we should shut down the government if the Senate fails to defund ObamaCare?

Yes

No

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