Category Archives: health care

Immediate Repeal Of Obamacare Mandates And 10% Tax On Repatriation Of Overseas Funds

February 24, 2017

Dear President Trump;

Congratulations on your election victory. I am a Harvard Law School graduate with more than 50 years experience as a practicing securities, corporate, tax and estate planning attorney. I self-published two virtually unread books and a blog at sjfeconomics.com relating to homeland security and economic prosperity which I believe have important ideas that can be extremely helpful to your team. I delivered copies of my books to you with my letter of support in March 2016.

I have reviewed your first 100 day plan and strongly approve of most of it. For your program to be successful you must also win the political game for public approval of your actions that will be played against Democrats led most likely by President Obama and the liberal press. We know that they will rely on fake news, misleading statements and lies. Many of your proposals like your cabinet appointments will get delayed in Congress.

You are off to a good start. It is important that you do not lose the momentum. This letter will deal only with immediate steps to take relating to two of the items included in your 100 day plan that will impact job growth, namely, the manner in which Obamacare should be repealed and replaced and the change in the corporation tax laws by lowering the tax rate for repatriating capital held overseas to raise revenues to finance infrastructure construction.

1. THOUGHTS ABOUT THE REPEAL AND REPLACEMENT OF OBAMACARE

I am writing as a game player to suggest a strategy to win the approval of the minds of voters in the game of repealing and replacing Obamacare. I note that my factual knowledge about Obamacare comes primarily from TV and newspaper reports, discussions with friends and doctors and internet searches and must be fact checked. I know that millions of hours have been spent by people more qualified than me to expose the evils of and to guide Congress in developing a replacement plan for Obamacare.

OBAMACARE IS NOT FIXABLE. It is disguised as a health insurance program, but is primarily a welfare platform to provide tens of billions of dollars of healthcare benefits annually for people with pre-existing conditions that are disregarded in setting premiums. It is an intricately designed hodgepodge of laws that create uniform healthcare coverages entwined with Medicaid, Medicare, prescription drug and tax provisions (that further burden the middle class) included to make it appear attractive and to make it difficult to repeal. It was fraudulently promoted as a program that would cover everyone and reduce healthcare premiums. It is very unpopular and is failing primarily because of its excessive and often unaffordable premiums to employers who are the major purchasers of healthcare coverage and the outrageously high premiums and deductibles for healthy young people whose income level does not permit them to qualify for the subsidies. The high deductibles even make it worthless for many low-income people who qualify for premium subsidies. Ignoring pre-existing conditions is like offering fire insurance for your home after a fire has occurred or auto insurance after the accident. It is like telling homeowners that their fire insurance rates are being doubled or tripled so that uninsured owners whose homes have already burned down can buy a policy and collect hundreds of thousands of dollars to rebuild their homes. Trying to trick middle class young people and their employers to pay for such excessive benefits for others is outrageously unfair. The death spiral we are witnessing was inevitable. It has been accelerated because young healthy middle class people learned they were being targeted.

From its inception President Obama acting like a snake oil salesman has time and again lied about Obamacare to prevent successful young healthy people from learning that they were intentionally being grossly overcharged to pay for the welfare benefits of others. It was the only game in town and many people bought Obamacare coverage. Now President Obama and other Democrats make misleading claims about the number of people covered under Obamacare, but fail to acknowledge the many millions of people bought Obamacare plans because they lost their former plan or thought they had to or who are without coverage because they lost their employer paid coverage when they changed jobs or their work week was reduced to under 30 hours by their employer to avoid the Obamacare coverage mandate. President Obama didn’t tell Americans that a high percentage of the people who signed up for Medicaid or for Obamacare policies are receiving a welfare benefit. Now former President Obama and his cronies who designed Obamacare want to increase the penalty. In other words, if young people continue to elect not to purchase overpriced Obamacare insurance they should be punished by paying a penalty that the Supreme Court permitted as a tax to subsidize the welfare payments for others. The very existence of the penalty is proof that President Obama and the draftsman knew when they adopted Obamacare that the premiums and deductibles of Obamacare insurance plans offered to young middle class taxpayers were grossly unfair and that many young people would refuse to buy such plans even if they were given names of precious metals, namely, Silver, Gold, Copper and Platinum, to make them appear valuable. They wanted buyers to think they were being given a choice of coverage when there is no choice. They differ only in the choice of paying higher premiums to get smaller deductibles. Obamacare is so unfair that millions of people have elected to have no coverage and be subject to the penalty.

Every American needs access to healthcare. People with chronic conditions need the most expensive treatments, procedures and drugs. Prior to Obamacare we provided subsidized healthcare benefits for the elderly, the poor and the sick under Medicare and Medicaid and at hospital ERs, but many people were unable to afford health insurance because of ratings. We sought ways to assist such people by designing high risk pools. Obamacare was designed to ignore pre-existing conditions when setting premiums. But, we cannot afford to give and no-one should expect to receive unlimited healthcare for a small fraction of its predictable cost, which is what Obamacare attempted to do. A large number of people with pre-existing conditions now have coverage under Obamacare. Many of them were covered and continue to be covered under employer plans. Some of them are receiving hundreds of thousands of dollars of welfare benefits annually for a relatively small premium or co-pay. Those receiving excessive benefits under Obamacare, the Democrats, including President Obama, some Republicans who fear being involved with reducing a welfare benefit and the liberal press will protest loudly against any attempt to reduce the welfare benefits of Obamacare. Even if a special high-risk pool is created and the US government (and not the middle class and employers) contributes a substantial welfare benefit to subsidize those with pre-existing conditions, it will still be painful to people whose benefits are reduced when Obamacare coverage is not renewed and ends. To paraphrase Shakespeare, if it must be done, better it were done quickly. No-one was dieing in the street prior to the adoption of Obamacare. Hospital ERs have long been required to treat all patients and they currently treat many people with Obamacare, Medicare or Medicaid coverage who do not have immediate access to a doctor. Hospitals provide a significant portion of all healthcare benefits and their services must be paid for. Hospitals pass on the cost of all unpaid ER care (and all Medicare and Medicaid underpayments) by increasing the charges to those who pay. As a result the middle class and their employers were, prior to Obamacare, paying a substantial portion of the healthcare benefits provided at ERs for the sick and the poor, including documented and illegal immigrants. Rising healthcare costs paid by employers (which, including employee co-pays, now exceed $20,000 per employee) are largely responsible for the lack of wage increases during the last 10 years. Many ER patients work off the books and claim they are unable to pay. We should seek ways to collect ER payments due from those who hide their income.

Even if Obamacare is repealed, increasing ER, Medicare and Medicaid underpayments to healthcare providers threaten to continue to cause an increase in healthcare premiums and deductibles and further erode the quality and availability of care. The problems of Medicare which has many trillions of dollars of unfunded liabilities have been masked by the obvious failures of Obamacare. Medicare is a needed program for the elderly, but must be reformed before it causes more serious harm to our economy.

DON’T WAIT A FEW MONTHS OR LONGER TO PRESENT A PLAN TO REPEAL AND REPLACE OBAMACARE. DEAL WITH OBAMACARE IN STEPS. I APPLAUD YOUR EXECUTIVE ORDER TO END THE OUTRAGEOUSLY UNFAIR OBAMACARE TREATMENT OF YOUNG MIDDLE CLASS TAXPAYERS. YOU ARE CLEARLY CORRECT THAT ALL OBAMACARE MANDATES AND PENALTIES ARE UNFAIR AND SHOULD NOT BE ENFORCED. BUT, DO NOT RELY SOLELY ON THE EXECUTIVE ORDER. WE ARE A COUNTRY OF LAWS THAT SHOULD BE ENACTED, MODIFIED AND REPEALED BY CONGRESS. FOLLOW UP YOUR EXECUTIVE ORDER BY HAVING CONGRESS REPEAL ALL OBAMACARE MANDATES AND PENALTIES, EFFECTIVE IMMEDIATELY AND PHASE OUT REBATES AFTER 2017. IT CAN BE DONE IN A MATTER OF WEEKS. PRESIDENT OBAMA AND THE LIBERAL PRESS WILL ATTEMPT TO SET UP ROADBLOCKS AND WILL CRY THAT PENALTIES AND SUBSIDIES WERE AN INTRICATE PART OF OBAMACARE AND THAT REMOVING THEM WILL DESTROY OBAMACARE. PRESIDENT OBAMA CLAIMS THAT OBAMACARE IS A WONDERFUL IMPROVEMENT IN OUR HEALTHCARE LAWS WHICH HAS PROBLEMS THAT CAN BE FIXED BY RAISING THE AMOUNT OF THE PENALTY AND MAKING OTHER MINOR CHANGES. THAT IS JUST ANOTHER OBAMA LIE (LIKE YOU CAN KEEP YOUR DOCTOR OR YOU CAN KEEP YOUR PLAN) THAT MUST BE STRONGLY CRITICIZED. THE HIGHER THE PENALTY THE MORE UNFAIR OBAMACARE WOULD BE. RISING HEALTHCARE COSTS HAVE DESTROYED THE MIDDLE CLASS AND LEFT MILLIONS OF PEOPLE WHO REFUSE TO PAY THE EXCESSIVE PREMIUMS AND BE SUBJECT TO THE HIGH DEDUCTIBLES OF OBAMACARE WITHOUT HEALTH INSURANCE. FACE DEMOCRATS AND THE PRESS HEAD ON IN THE BATTLE OVER THE REMOVAL OF THE MANDATES, PENALTIES AND REBATES. READ MY ARTICLE ENTITLED PRESIDENT OBAMA’S DECEITFUL AND RELENTLESS SISYPHEAN TYPE PUNISHMENT OF THE MIDDLE CLASS AT SJFECONOMICS.COM. YOU MIGHT WANT TO COMPARE THE PUNISHMENT OF SISYPHUS TO OBAMACARE’S PUNISHMENT OF THE MIDDLE CLASS. OBAMACARE IS JUST ANOTHER SOCIALIST ATTEMPT TO TAKE FROM THOSE WHO EARN AND GIVE IT TO THOSE WHO NEED.

Without mandates insurance companies who conspired with President Obama by participating in the sale of grossly unfair Obamacare plans on the exchanges will incur even more significant losses on Obamacare policies due to expensive benefits given to people who had pre-existing conditions when they bought Obamacare plans. On the other hand, with the mandates removed, insurance companies, which were prevented by the Obamacare coverage mandates will be allowed to immediately start to design new insurance products to compete with Obamacare and seek the approval of state insurance departments to sell such policies. I expect that within a year no insurance company will offer an Obamacare policy. It will confirm and you should explain loudly and clearly by tweets that Obamacare was a hoax conceived and carried out by President Obama and the socialist Democrats with the assistance of the insurance companies to provide a secret welfare program for people with pre-existing conditions and a way for hospitals and other healthcare providers to recover some of their Medicare, Medicaid and ER underpayments (discussed below) by greatly overcharging the young healthy middle class and their employers.

Millions of people will be without healthcare coverage after the self-destruction of Obamacare, but the numbers will be exaggerated by Democrats. The outrage of Democrats claiming that you will be depriving 20,000,000 to 30,000,000 people of coverage has already begun. I believe that about 12,000,000 of them are on Medicaid most of whom should be allowed to keep their coverage as a welfare benefit. Many people with pre-existing conditions are covered by employer plans and will not lose their coverage. On the other hand millions of young people are currently without coverage or they or their employers are paying excessive amounts for coverage. Demonstrate that you seek to be the savior of the young middle class and their employers. We can expect that if healthcare costs decline raises will follow. Put together a group of brilliant actuaries to expose the truth about Obamacare. Have them present examples of young middle class individuals who are paying premiums of more than $10,000 with high deductibles that make their coverage worthless. Have them demonstrate that on an actuarial basis (and assuming a fair billing rate) young healthy middle class people should have paid only a few thousand dollars for a similar plan with a low deductible and including catastrophe coverage to protect against sickness and injury during the one year term. Have the actuaries give specific examples of individuals who were previously uninsurable and received hundreds of thousands of dollars of benefits under Obamacare while paying a subsidized premium of only a few thousand dollars.

AFTER REPEALING THE MANDATES, PENALTIES AND SUBSIDIES, IT WOULD BE A NO-WIN SITUATION TO TRY TO REPLACE OBAMACARE WITH A LAW THAT WILL BE BRANDED AS TRUMPCARE. LET AMERICANS KNOW THAT YOU ARE RELYING ON A REPUBLICAN CONTROLLED CONGRESS TO FIND A WAY TO REPEAL AND REPLACE THE REST OF OBAMACARE ASAP, BUT HAVE LEARNED THAT IT WILL BE EXTREMELY DIFFICULT. OBAMACARE HAS NOT ONLY INCREASED THE COST OF BUYING HEALTHCARE COVERAGE, BUT HAS ALSO SEVERELY HARMED MEDICAL PROVIDERS, REDUCED THE AVAILABILITY AND QUALITY OF CARE, AND INTERFERED WITH THE RELATIONSHIP OF DOCTOR AND PATIENT. REPLACE OBAMACARE BY BRINGING BACK FREE MARKET COMPETITION AMONG INSURERS UNDER STATE INSURANCE DEPARTMENT SUPERVISION. MINIMIZE THE ROLE OF THE FEDERAL GOVERNMENT TO RUNNING MEDICARE AND SUBSIDIZING MEDICAID AND TO A LIMITED EXTENT SUBSIDIZING COVERAGE FOR PEOPLE WITH PRE-EXISTING CONDITIONS. MAKE EVERYONE AWARE THAT OUR HEALTHCARE SYSTEM IS FAILING BECAUSE IT IS OPERATED AS AN OUT OF CONTROL WELFARE SYSTEM WITH ENORMOUS WASTE AND INEFFICIENCY. DOCTORS INCUR EXPENSIVE LONG TERM TRAINING AND SERVE AS UNDERPAID INTERNS AND THEN FACE RECORD KEEPING REQUIREMENTS AND PAYMENT LIMITS THAT PREVENT THEM FROM EARNING DESERVED COMPENSATION. THOUGH MOST HOSPITAL BUILDINGS ARE PAID FOR BY CHARITABLE CONTRIBUTIONS FROM WEALTHY INDIVIDUALS, MEDICARE AND MEDICAID PAYMENTS TO HOSPITALS ARE ON THEIR FACE INADEQUATE TO COVER OPERATING COSTS FOR THE SERVICES PROVIDED. AS A RESULT PROVIDERS CHARGE AN EXCESSIVE AMOUNT FOR THE SAME SERVICES PROVIDED TO OTHERS .

You should encourage Congress, the insurance companies and the healthcare providers to work together to promptly deal with replacing Obamacare, but stay out of the extremely complicated mess that Obamacare has created. It will continue to haunt healthcare for many years. We do not know if most employers will return after the elimination of the mandates to 40 hour work week jobs or offer healthcare coverage to low-income employees after the mandates are abolished. No matter what reasonable approach Congress makes to create high-risk pools, the press will report incessantly about the sad stories of people with pre-existing conditions who lost their Obamacare policy and died, or can no longer afford their healthcare coverage or a needed expensive drug. Parts of Obamacare that make sense like coverage under your parent’s policy until age 26 or the doughnut hole and Medicare and Medicaid changes included as part of the Obamacare can be expected to be considered by Congress and the insurance companies when they are creating new policies. Congress by finally enacting laws limiting malpractice claims will both reduce healthcare costs and make the practice of medicine more profitable and less stressful. We should also consider including sales across state lines, which will require controls on risk taking and adequate capitalization of insurers plus guarantees against the bankruptcy of insurers.

You have only a few months to get the insurance companies to come up with new policies and present them for approval to the state insurance departments if you wish to minimize the number of uninsured people at the end of this year. Get insurance companies to offer inexpensive catastrophe policies as soon as practicable in as many states as possible to healthy young people to offer them protection (even if the are currently covered by an Obamacare plan) against the risk of becoming subject to a pre-existing condition in the interim period while Obamacare is being replaced. We must get patients and healthcare providers involved with benefit choices and place reasonable coverage limits for all plans to encourage wellness programs and avoid wasteful healthcare demands. One way is to encourage expanded use of tax-favored HSAs and tax DEDUCTIONS to supplement healthcare plans with high deductibles. We might also allow HSAs that encourage savings for use with low deductible plans.

Employer plans often cover employees with pre-existing conditions, but the employee must remain well enough to continue to work. Portable catastrophe coverage insuring against acquiring a sickness or injury that would be viewed as a pre-existing condition should be required as part of all future insurance plans. Such requirement will, over time, reduce the number of people who acquire pre-existing conditions and are thereafter unable to afford healthcare coverage. Congress should determine whether employees who lose their coverage because their employment is terminated and who have become subject to a pre-existing condition should be entitled to remain on the employers plan at their own expense (that may be paid in whole or part by their new employer) or become entitled to purchase comparable insurance from a government subsidized high risk group.

Doctors have struggled with declining incomes and quality of life as a result of Medicare, Medicaid and Obamacare under-payments and complex paper work needed to comply with federal regulations and get paid for services. Many doctors have left the practice of medicine. Others have become employees of large hospital groups or medical practice organizations. We can greatly lower healthcare costs and improve outcomes. We should make greater use of clinics staffed by nurses and clinicians to reduce cost and alleviate the overcrowding of ERs by permitting hospitals to treat patients at clinics as well as ERs. Hospitals can improve care and reduce duplicate and unnecessary procedures by assigning a clinician, a nurse or a doctor to co-ordinate the treatment of each patient. To encourage students to become doctors we should expand the program offered by the armed services by providing medical school scholarships for individuals who commit to provide a designated number of hours of service before and after graduation at ERs and clinics.

EXPLORE A MAJOR CHANGE IN HEALTHCARE BY AUTHORIZING A 90 DAY STUDY TO CONSIDER PERMITTING HOSPITALS AND OTHER HEALTHCARE PROVIDERS TO CREATE INSURANCE SUBSIDIARIES AND OFFER INSURANCE COVERAGE OR A VARIETY OF CONCIERGE PLANS (THAT MIGHT BE TAX DEDUCTIBLE) TO COMPETE WITH THE PLANS OFFERED BY INSURANCE COMPANIES. HOSPITAL GROUPS ARE ALREADY EXPANDING TEAMS OF EMPLOYED DOCTORS THAT COULD PROVIDE THE SERVICES FOR SUCH PLANS. TO ENABLE HOSPITALS TO SPECIALIZE INSURANCE COVERAGE OR CONCIERGE PLANS COULD INCLUDE SERVICES OFFERED BY PARTNERSHIPS OF MULTIPLE HOSPITALS OR GROUPS OF PHYSICIANS.

In conclusion, I ask myself why a program so fraudulent as Obamacare can be defended by a large number of intelligent and successful people. Many of them are earning more than $250,000, are satisfied with their lives and are willing a contribute a small portion of their income to improve the lives of the sick and the poor. Many of them are clueless as the the damage to the middle class caused by such excessive premiums. Most of them have growing investment portfolios and have their healthcare paid by their employer. Unlike American capitalism which has relied on hard working individuals and endured for more than 200 years, no socialistic country has succeeded in the long run. Most people believe that we are a rich country. They ignore the surge in the National Debt to over $20 trillion coincidental with the increases in welfare and disability payments and the large number of people not working or paying income taxes. The slow conversion of our economy to socialism must be reversed and we must grow the GDP before our National Debt becomes unsustainable and our economy collapses.

2. THOUGHTS ON INFRA STRUCTURE CONSTRUCTION AND AN INTIAL CHANGE IN CORPORATE TAXATION

I urge you to ask Congress to immediately reduce the corporate income tax to 10% on repatriation of foreign earnings. It is a “no-brainer”. Make this a stand alone proposal with a sundown provision after two years unless modified in the expected comprehensive corporate tax legislation. Getting the remainder of your tax reduction plan through Congress expeditiously is important, but it may take more time than you think to do so. Hopefully the tax revenues from the repatriation of funds will immediately provide funding of about 100 billion dollars that can be applied to increase transportation infrastructure spending and propel GDP growth without increasing the federal deficit. Act quickly because the extra tax revenues are going to be offset in large part by two factors that have occurred following the presidential election, namely (i) the spike in US interest rates that will raise US government interest costs by $100 Billion for each 1/2% increase in rates as the National Debt is refinanced and (ii) the negative impact on the US trade deficit and corporate profits resulting from the increase in the value of the US Dollar. Bringing the money back to the US may further stimulate capital spending but the cash might be used for dividend increases and stock buybacks that provide lesser stimulus for the GDP. That is why I proposed corporate income tax changes in my book published a few years ago entitled “Perpetuating American Greatness After the Fiscal Cliff” (see pages 64 to 77 in the enclosed copy) to encourage corporate and private investment in partnership with government spending on transportation infrastructure through the purchase of “Jump Start America Bonds” which might now be called “Make America Great Again Bonds”. Individual and corporate balance sheets are much stronger than governmental balance sheets and are better prepared to finance transportation infrastructure.

I will in future letters comment on other parts of your 100 day plan and describe my plan for an interstate fresh-water pipeline project that could be the most important economic development of this century. Constructing a privately owned and financed fresh-water pipeline would create hundreds of thousands of jobs, add tens of billions of dollars to the GDP, reduce the federal deficit, provide water for farming and controlling wind fires, assist in flood control and lower ocean levels to mitigate any potential climate change. I will also propose a very simple proposal for a corporate income tax credit that will encourage immediate wage increases for non-executive middle class workers to stimulate economic growth, help recreate a middle class and generate increased long-term federal income tax revenues.

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President Obama’s Deceitful And Relentless Sisyphean Type Punishment Of The Middle Class

In Greek mythology Sisyphus was a deceitful king who was punished after death by being compelled to roll an immense boulder up a hill only to watch it roll back down, and to repeat this action forever. He deserved the graphic punishment. Middle class Americans are being subjected to a different type of Sisyphean punishment as a result of our government’s failed policies which prevents them, despite a lifetime of hard work and achievement, from being able to earn and save enough to pay for their children’s education, purchase a home, or build a fund for retirement. The middle class is the back bone of American capitalism. They produce our products and services and their spending is vital to GDP growth. It is no wonder that the US economy is sputtering. This article will examine how from the start of his presidency, President Obama’s fiscal, healthcare and immigration policies have exacerbated the undeserved and increasingly severe Sisyphean punishment of the middle class. It will also explore the various actions our federal government can take to improve our economy and our safety and at the same time alleviate the punishment of the middle class.

President Obama calls the socialist economic system developed by liberal Democrat entitlementists, his “Middle Class Economics”. His intent is to deceive voters into believing he cares about the middle class. He talks about creating middle class jobs, but, except for favoritism toward destructive unions that support him and other Democrats, has shown a total disregard of the middle class. We know that the compensation problems of the middle class began before the election of President Obama who inherited a deep recession, but despite a continuing series of stimulus programs from the Fed that reversed the decline, his fiscal policies, or “Obamanomics”, have failed to grow the US economy sufficiently to generate middle class wage increases. In fact, his policies have extended the decline in middle class wages during his presidency. Unemployment is down as a result of the growth of low-paying jobs and people leaving the work force. But, under Obamanomics we have too many middle class or former middle class Americans who are underpaid, unemployed, under-employed or have given up looking for work.

President Obama has raised federal income taxes on many of the middle class by eliminating their Bush tax cuts and imposing a Obamacare income tax on their capital gains income. He talks of spending on transportation infrastructure to grow the economy and create middle class jobs but he failed to do so when Democrats controlled both houses of Congress and he had the opportunity. Nor did he promote adequate spending on defense to maintain our military superiority that also would have created middle class tax-paying jobs. Instead he squandered trillions of dollars on predictably ineffective fiscal stimulus programs that included unsound loans to green energy companies and supported expansion of unproductive welfare programs, including Obamacare which is harming the economy. His claimed Keynesian stimulus programs failed because they were not aimed at creating tax-paying jobs that would have stimulated further economic growth and generated substantial tax revenues. Increased spending on food stamps increases the GDP and provides a short-term benefit to the recipients, but has a low multiplier effect because it leads to the creation of mostly part-time minimum-wage jobs. It increases the National Debt because it fails to generate increased tax revenues.

For decades members of the middle class enjoyed more financial success than their parents. With the decimation of the middle class that is no longer true. The most significant economic problem in the US today is not the growing income of the wealthy who are living the American dream, but the elimination of the gap in discretionary after-tax income after spending on food shelter, transportation, education and healthcare, between the unproductive poor and the productive middle class. The Obamacare subsidies, whether they are intended to do so or not, have narrowed or eliminated the gap. They have even made it possible for families who become skilled at maximizing welfare benefits, legally or illegally, to have higher discretionary income than the hard-working middle class achievers whose wages are declining. A family living of four in New York City can qualify for welfare benefits exceeding $70,000 per annum. Why haven’t more voters recognized that liberal Democrat entitlementists have created a welfare state that makes it financially desirable for many Americans to have children out-of-wedlock to be able to maximize benefits from the wide variety of available welfare programs than to get married, form a family unit and work hard to support it? That situation is unlikely to change as long as a Democrat occupies the White House.

Defining the middle class and the upper-middle class is difficult. Reasonable people can disagree as to what constitutes middle class and upper-middle class income. It varies greatly from city to city. In many cities pre-tax incomes of $70,000 to $100,000 before deducting healthcare, housing and transportation costs might be considered as middle class and $125,000 to $150,000 as upper-middle class. Others like New York, LA and Dallas require much higher income levels like $150,000 or $250,000 for an individual to be considered middle-class or upper middle class and an additional $30,000 to $50,000 for a family of four. Since the cost of living is higher in cities where middle class and upper-middle class incomes are higher, the Sisyphean type punishment applies to virtually all middle class and upper-middle class families. It also applies to many upper income families living in high cost areas.

Middle class and upper-middle class families generally encourage their children to work hard in school to get into the colleges of their choice. Unlike children from poor families who generally get full tuition scholarships if they get accepted at a college, middle class children generally do not qualify for need scholarships and have to bear a large part of the cost of college. Accumulating savings to pay for college has become more difficult during the past decade as the cost of tuition has soared due to government guaranteed loans and middle class incomes have declined. The problem became exacerbated because the savings of many middle class families was decimated when their home and other investments declined in value during the Great Recession. Students and their families have been relegated to taking out college loans in ever-increasing amounts at excessive rates of non-deductible interest. Upon graduation most of the students, except for those graduating college with the most desired skills or who are athletes or entertainers, even if they are hired in good tax-paying jobs that qualify them to be immediately counted in the middle class or upper-middle class, find themselves living with their parents, unable to repay their college loans or form a family unit. Many college graduates are unemployed or under-employed and unless substantially modified many of the current student loans are likely to be defaulted.

President Obama chose Obamacare as his most important Obamanomics initiative. He knew when he proposed Obamacare that it would place a yoke on the shoulders of the middle class and make them pay excessive premiums and deductibles. Although he knew the truth about Obamacare when it was first proposed, he disgracefully lied repeatedly for political gain about the cost reduction of $2500 per year for Obamacare plans and about keeping your doctor and your plan. He also claimed Obamacare would reduce the use of ERs as doctors for the poor. However, many poor people are expanding their demand for free treatment at hospital ERs. Where else can they find a doctor who will immediately treat them or their children 24 hours a day? He lied because he knew that if he told the truth about Obamacare, it would not have passed in Congress. President Obama’s long-term objective is clear. He is an entitlementist who wants to secure votes for Democrats from the people who benefit from Obamacare’s expansion of Medicaid and who receive premium subsidies, the new entitlements. As a socialist he wants the federal government to control healthcare which represents more than 15% of the GDP. Socialists believe that government can provide healthcare better and more efficiently than the private sector. We are already seeing strong evidence to the contrary.

President Obama’s lies also succeeded in preventing most voters from learning prior to his re-election and even to this day that Obamacare requires the middle class to pay grossly excessive premiums and deductibles to help pay for the enhanced mandated benefits given to the poor, the sick and the low-income workers whose coverage is free or highly subsidized. He also failed to disclose that young taxpayers are required to pay even higher premiums to help keep down the rise in costs for the older middle class individuals whose healthcare costs are predictably higher. He deliberately concealed the future rise in premiums and deductibles for the middle class, who are not eligible for subsidies. Such a rise is inevitable as a result of the increase in Obamacare insurers’ outlays as their statutory protection is phased out over a three-year period and as the sick learn how to make greater use of their Obamacare policies that can be purchased without regard to pre-existing conditions, but offer up to $2 Million in benefits. Helping people with pre-existing conditions to obtain improved healthcare is a desirable goal that was being pursued prior to Obamacare. Offering them a Rolls Royce healthcare plan at substantially below cost and requiring the middle class to pay for it, is outrageously unfair. Prior to Obamacare many middle-income families, unless their children qualified for large scholarships, used most or all of their life savings to pay for their children’s college tuition and related costs. After Obamacare they are likely to have little or no savings to pay for education.

Employers, many of whom offer healthcare benefits, are also subjected to the horrors of Obamacare mandates and rising premiums. To avoid Obamacare burdens, many employers are converting full-time to part-time jobs and will pay penalties rather than Obamacare premiums, while encouraging their low-income employees to seek subsidies under Obamacare. Corporate executives facing a long-time stagnant economy and obsessed with increasing profits to please shareholders and to justify their excessive compensation will continue using increasing healthcare costs as an excuse for limiting wage increases.

President Obama is now claiming Obamacare is a success because an increased percentage of Americans have healthcare coverage. The increase results from people taking advantage of Obamacare’s new welfare entitlements that give coverage for free or at below cost to (i) poor people signing up for expanded free Medicaid, (ii) sick people, who couldn’t previously obtain coverage, taking advantage of the opportunity to purchase insurance at standard rates which pay for only a small fraction of their high-cost care and (iii) low-income people buying expensive Obamacare policies because they are offered discounts in the form of subsidized premiums and deductibles. President Obama ignores the evils of Obamacare, which include the hundreds of billions of dollars of costs to offer these new entitlements or the harm to doctors and other healthcare providers and the reduction in the quality of care resulting from attempts to limit cost increases for those who pay. Some healthy middle class people have been tricked by Obamacare ads into signing up for insurance to avoid paying a penalty. They are not told that the penalty is less than the over-priced premium for a Obamacare policy that may be worthless to them because of the exorbitant deductibles. He considers it a success because more people have coverage and once you give an entitlement it is difficult to take it away. He obviously doesn’t care about the spiraling cost of Obamacare premiums for the unsubsidized middle class, the damage to the healthcare system, or the size of the National Debt. That’s for the next president to worry about.

President Obama believes that even if the Supreme Court rules that a major portion of the subsidies are being paid illegally, Republicans will be afraid to enforce the law and will grant a waiver to those receiving subsidies. Republicans in Congress should go to the aid of the middle class by voting to eliminate all the Obamacare subsidies and mandates regardless of the Supreme Court’s decision and  immediately propose a replacement for Obamacare even though they know it will be vetoed by President Obama. Republicans should make the repeal of Obamacare a major 2016 campaign issue. Republican control of the White House may be required to appeal Obamacare.

Obamacare and the skyrocketing costs of other welfare entitlements are likely to prevent most of the middle class from ever again accumulating meaningful wealth despite a lifetime of hard-earned achievements. They virtually guaranty that the Sisyphean punishment of the middle class will persist from generation to generation unless we find a way to grow the GDP at more than 5% per annum and Congress (i) reins in welfare spending as a percent of the GDP, (ii) modifies welfare benefit rules to discourage bearing children out-of-wedlock and encourage family formations or at least identification of fathers, (iii) creates incentives to work, (iv) repeals Obamacare, or at least its subsidies and mandates, (v) deals with future unfunded Medicare obligations and (vi) modifies and enforces our immigration laws. The horrendous growth of the National Debt resulting from welfare costs, including Obamacare subsidies, has to date gone almost unnoticed because, due to Fed low-interest rate policies, it has not yet significantly impacted taxpayers. The people who qualify for the Obamacare subsidies pay little or no federal income tax and many receive negative income tax payments, another form of welfare for the poor paid for by tax-payers.

Most Americans are oblivious to the dangers posed by the National Debt which exceeds $18 trillion. They know that we are a rich country. They observe our amazing technology, the continuous growth in stock market indexes and the financial success of many Americans and the top 1% in particular. The number of millionaires and billionaires is skyrocketing. They do not understand that if the National Debt continues to grow much faster than the GDP (as it has during the entire term of the Obama presidency) which is likely because our government faces tens of trillions of dollars of unfunded entitlement liabilities, and if interest rates return to prior levels, a time will come when our government has to raise taxes, confiscate wealth or print large amounts of dollars to pay the annual interest charges. Since the tax burden of middle class taxpayers is already excessive, socialist entitlementists are beginning to make demands to substantially increase the tax rates on the upper class and the wealthy and eventually will demand confiscation of wealth. Such tax increases or confiscation of wealth inevitably will likely lead to an economic decline further harming the middle class and jeopardizing the survival of American capitalism. Our country’s financial condition could change suddenly if the National Debt spirals upward and the US dollar is abandoned as the world’s exchange currency and collapses in value.

President Obama argues for a higher minimum wage, which is of questionable overall benefit. It will help some workers working for the minimum wage and hurt others and does not help the middle class. Walmart and others have recently increased wages of their mostly low-income employees, but middle class wages are unlikely to rise significantly unless we have much stronger economic growth that spurs demand for labor or corporations elect to treat their non-executive employees more favorably. Henry Ford believed that raising the wages of his employees would enable them to purchase cars. President Obama has made no meaningful effort to convince corporations to share a portion of their increasing cash flow with middle class employees rather than using it to pay grossly excessive executive compensation and giving it to shareholders in the form of increased dividends and stock buy-backs. He could have tried to encourage voluntary middle class wage increases or proposed changes in the federal corporate tax laws to give tax credits to entities giving salary increases to middle class and other non-executive employees. He might also have proposed legislation to give workers a voice in management by requiring the election of an employee representative to the board of directors.

Socialism has a long history of failure. Some might argue it is beneficial in countries with an educated and motivated work force and only a limited number of people in need of welfare benefits. However, it becomes destructive as the number of families relying on welfare grows to unsustainable levels.

The middle class is not the only group to suffer from excessive welfare entitlements. Although poor families (a large number of whom are single parent families) are singled out for preferential treatment by President Obama’s socialistic policies, quality of life for welfare dependent families has declined. Children from poor families often fail to achieve in school for any number of reasons despite trillions of dollars of government funding provided for food, housing, education and other benefits. Too few of them learn about personal responsibility and self-reliance from a parent, grand-parent or from religious training. Only a limited number of them achieve in school and become eligible for available fully paid college scholarships. Some, whether or not they finish high school, achieve the American dream by working part-time (or full-time) beginning at low pay and with effort advance up the jobs ladder to achieve middle class status or higher. However, under our failing system, a large number of people in our inner cities have turned to the welfare system as their principal means of support. Young girls often become un-wed mothers and live off the wide assortment of welfare benefits which they maximize by avoiding marriage and having additional children with the same or another unidentified father. Too many young men find a way to share the welfare benefits given to women who bear their children out-of-wedlock. Others, relieved of the obligation of supporting a family, are satisfied with part-time dead-end jobs. Many turn to joining gangs and selling drugs as their main source of income.

Recent developments have reminded us of the problems faced by many of our largest cities and how unsuccessful our efforts to improve the lives of the most needy Americans have been. Socialists do not understand that a poor person is better off being given a fishing pole than a handout of a few fish. We are learning from inner city unrest that people can’t live with dignity on welfare by choice or because there are no available tax-paying jobs. Our long list of well-intended housing programs, costing more than a trillion dollars over a more than 50 year period, have often temporarily improved housing conditions for the poor, but have over time destroyed more communities than they have helped. Instead of recognizing the negative effects of our socialistic welfare system on the lives of the poor, President Obama and other Democrat liberal entitlementists are now attempting to expand welfare benefits and shift the blame for their failed leadership on alleged police racism. They have promoted hatred of, and attempted to criminalize the efforts of, the men and women in blue who risk their lives daily to attempt to prevent crime in our inner cities. Almost every incident involving a killing of an unarmed person of color by the police becomes a sensationalized national news event prompting a large protest, whether or not justified. Too often the protests are provoked and get out of control leading to looting and arson because the police are told by local politicians and police chiefs to stand down. The inner city destruction that results leads to a demand for increased welfare to clean up the damage and rebuild. Most of the cost of rebuilding will fall on middle class taxpayers. Crime and murder rates are now on the rise in the areas inhabited by the poor in many cities where the police, prevented from performing their job and facing the risk of being personally attacked or unfairly charged with wrongdoing, become less confrontational to protect their own safety.

The middle class and the poor have also suffered from President Obama’s wanton failure to enforce US immigration laws which has enabled illegal immigrants to work at millions of jobs at below the minimum wage. Many of such jobs had previously been tax-paying middle class jobs available for legal residents. Liberals argue that these are jobs that Americans do no want. That is true in some cases, but is clearly not true for many desirable jobs involving manual labor where language and mechanical kills can be learned on the job. The long list of jobs includes building, improving, repairing and maintaining homes, apartments, sidewalks, driveways, landscaping and pools. Although employers benefit from the cheap source of labor, these are the types of potentially tax-paying jobs we need to rehabitate the middle class and lift the inner-city poor out of poverty and reduce the number of people needing welfare.

The illegal immigrants entering into the US across our borders or overstaying their visas are using their children born in the US and eligible for food stamps and other welfare benefits as their anchor to remain in the US and as their personal ATM to fund their family’s basic financial needs. Illegal immigrants are able to further improve their way of life by working at or even below the minimum wage without paying withholding taxes or receiving healthcare benefits. They get free healthcare for their families at the hospital ERs which causes crowding and adds tens of billions of dollars to the annual cost of operating the ERs. The costs, borne by tax-payers are a further burden on the middle class. We do not know the aggregate cost of providing welfare benefits to illegal immigrants and their US born children. We do know that there has been an enormous rise in the number of people receiving food stamps during the Obama presidency to approximately 50,000,000 at an aggregate cost of about $80 billion per year. A significant portion of that amount is paid to illegal immigrants families.

Unless President Obama’s current blatantly unconstitutional effort to change the immigration laws is stopped by the Supreme Court, it will result in the elimination of even more middle class jobs to the tens of millions of illegal immigrants who are already in our country. Why aren’t voters and the press demanding to know why President Obama is enabling illegal immigrants to take jobs from Americans workers? Although we are a land of immigrants and welcome more than a million people into the US as legal residents annually, as long as we recognize children born in the US to illegal immigrants as citizens eligible for welfare benefits, we will not be able to stem the flood of illegal immigrants. Nor will we prevent people overstaying their visas and going into hiding until we issue everyone an US identification card (“USID”) of a type as described in my book entitled Homeland Security and Economic Prosperity published in 2003. A USID would enable us to track illegal immigrants and serve the even more important purpose of identifying, preventing entry and limiting the movement of Islamist terrorists within our country.

Upper-income individuals and the wealthy are generally able to bear the costs of our welfare entitlements including Obamacare. However, we are already hearing almost daily from socialist entitlementists about the excessive income and assets of the top 1%. It is not the growth in the income of the top 1% that is the problem. The industrial revolution, that created wealthy industrialists, generated the middle class and made it possible for almost all Americans to have the opportunity to achieve a comfortable way of life. We should appreciate the important role now played by our most financially successful individuals who have amassed multi-billion dollar fortunes that are beyond the amounts their descendants will ever need. They currently pay a significant portion of all federal income taxes. Their capital investments are spawning new entities and their personal spending on homes, yachts, jets, cars and other luxury items propel economic growth. They and the entities they own are responsible for the creation of many millions of tax-paying jobs. Their charitable foundations are feeding the hungry, caring for the sick and finding cures for diseases worldwide. We should note that much of the income growth of the 1% results from the asset bubble caused in large part by the Fed stimulus programs that have lasted for over five years because of the failed Obama fiscal policies.

Socialists demands for confiscatory tax policies are not the answer, but changes in the tax laws to make them fair should always be under consideration. Without making income tax rates excessive, unfair and counterproductive we might consider higher, but not confiscatory, marginal rates for people earning in excess of $5,000,000, $10,000,000 or $20,000,000 per year averaged over a 3-5 year period. Investment bankers should pay ordinary income tax not capital gains taxes on disposing of their carried interest. We might also change our estate tax laws to take into account that many of the great fortunes accumulated in recent years came in the form of capital appreciation of assets that has for good reasons never been subject to income taxation until it is sold. That is why Warren Buffett pays a lower-income tax rate than his secretary. The Federal Estate Tax is designed to collect a death tax on such appreciated property. However, permitting the wealthy to donate all of their assets to charitable foundations prevents the US government from ever collecting taxes on such capital appreciation. Federal estate and gift tax laws can be changed to enable the US Treasury to recover such previously untaxed income with the remainder of the estate available to be given to a charity.

Economic growth in the US has been feeble. We need more than a trillion dollars to be spent on transportation infrastructure and increases in defense and homeland security expenditures to generate economic growth and create millions of tax-paying jobs. Many conservatives argue that only the private sector and not government creates jobs. How wrong they are. Adequate spending on infrastructure and defense by governments can lead to the creation of millions of tax-paying jobs and substantially increased tax revenues to enable the GDP to grow at a higher percentage rate than the National Debt. However, many Republican Congressman, who have for six years been unfairly abused by President Obama at every opportunity, are obsessed with the size of the National Debt and have good reasons to dislike the president. They have made no attempt to impeach him for his outrageous conduct, but we should not expect them to cooperate with him during the remainder of his term. However, the Sequester and other forms of austerity pushed by conservative Republicans are not the answer. Our goal should be to grow the GDP at 7 to 10 percent yearly while reducing welfare as a percent of the GDP. A decaying infrastructure coupled with defense and homeland security needs, available raw materials and technology and an underemployed work-force give us the opportunity to do so.

Many Republicans favor tax cuts for corporations which might help to stimulate investment. But, corporations have strong balance sheets and are not investing because they do not see a need to increase their productive capacity. They might just use the tax savings to increase dividends, stock buybacks and executive compensation. They have strong balance sheets and will begin to spend when they see the increased government spending. We should look to the wealthy and our cash rich multi-national corporations to partner with our federal and state governments and invest in and help jump-start our economy by financing transportation infrastructure construction. It can be accomplished by changes in the federal tax laws which permit corporations to bring home the trillions of dollars of cash deposited overseas if they invest it in expanding production capacity or to partner with states to finance transportation infrastructure. We could give a fair return, financial guarantees and naming rights to entities investing in America.

Republicans should take the lead in immediately promoting increased defense and homeland security spending. They should pass legislation to do so even if it is vetoed by President Obama. Although the US remains as the world’s leading military superpower, China is closing the gap and will soon equal the US militarily. China like Russia will continue to seize territory unless we take deterrent actions to prevent it or are prepared to confront them. However, they are unlikely to attack our homeland because of fear we will retaliate. A majority of Americans are war-weary and don’t want to fight to protect the citizens or territory of other nations. But, that is no excuse for decreasing and not materially increasing our military strength and preparedness. President Obama’s inept foreign policy has created a new urgent need to be prepared to defend our homeland from immediate and rapidly expanding security threats.

Throughout his presidency he has failed to recognize the threat of Shiite Islamic terrorism supported by Iran. He falsely claimed that Al Qaeda’s Sunni Islamic terrorists were on the run and diddled when they re-appeared on the scene as ISIS, savagely killed tens of thousands of people and in record time established a rapidly expanding caliphate in Syria, Iraq and elsewhere. Although Iran and ISIS have each made it clear that their goal is to rule the world, our president has downplayed the danger to our allies and our homeland and failed to develop a military strategy to deal with the threat of either Iran or ISIS. He stubbornly refuses to use US troops on the ground, even special forces to stem the rise of ISIS. It is no longer a question of trying to build democracies in Iraq and Afghanistan. We must prevent ISIS from using its caliphate to train Islamic terrorists to attack our allies and our homeland. We must also prevent Iran from developing a nuclear bomb and from gaining control of most of the Middle East. Fortunately President Obama appears to be listening to Congress and public opinion relating to verification of Iran’s current capability and delay in removing sanctions prior to such verification in negotiating his Iran nuclear deal. Our president is placing unjustifiable reliance on ill-equipped countries to retake the territory seized by ISIS and paying lip service to the Iranian risk. Apparently he is prepared to allow Iran to assume control of defeating ISIS and, if it succeeds, become the major political force in the Middle East to the chagrin of Saudi Arabia and other Sunni dominated countries who are taking actions to prevent it and to confront the danger a nuclear Iran will cause.

Meanwhile ISIS is using social media to encourage a significant number of US residents to join its cause. There are potential domestic terrorists who might commit horrendous and financially devastating damage within our country. Our constitution guarantees freedom of speech, but that does not include the right to participate in an Islamic terrorist conspiracy of the type currently being orchestrated by ISIS. The necessary evidence to prosecute the conspirators is available from their Internet communications.

We greatly improved homeland security after the World Trade Center attack on 9/11 and occasionally prevent a terrorist act. But when we examine the terrorist attacks around the globe and listen to daily news reports, it is clear that our anti-terrorist preparedness is woefully inadequate. Incompetence is rife and ignored at most government agencies. Our borders have not been sealed because our President doesn’t want to stop the flow of illegal immigrants to gain votes for Democrats. We must not wait for events that disrupt our economy or cause the death of large numbers of Americans. We must immediately recognize the danger and greatly expand the effort needed to prevent any type of domestic terrorism anywhere in the US and to respond in the event of a catastrophic event caused by a weapon of mass destruction or an attack on the Internet, our power grid or our banks. That will include hiring, training and equipping a large number of additional anti-terrorist specialists to work with current anti-terrorism forces and within local police units. We should increase the number of our military personnel so that we are prepared to fight on three fronts if necessary. Hopefully it will serve as a deterrent so that we will never have to call upon them to do so. We should address our doctor shortage and strengthen homeland security by offering free medical school to military enlistees who agree to serve as military doctors for five years after graduation. Just as the extraordinary World War II military build-up strengthened our economy and enabled us to escape the Great Depression, the effort to upgrade our military strength and to protect our homeland against terrorism, if undertaken, will enable us to jump-start the American economy and re-establish a strong middle class and permit others to escape poverty.

Republicans Must Take Immediate Control Of The Economy

Early in his presidency, President Obama introduced and the Democrat controlled Congress adopted what they believed was an $850 billion Keynesian stimulus plan. However, it predictably failed to grow the US economy as he expected. There are multiple reasons for its failure. Not enough was directed to infrastructure construction spending. Taxpayers struggling with excess debt used the extended tax reductions to pay off credit card balances. Giving away many billions of dollars in the form of food stamps and other welfare payments and as loans (which later defaulted) to reward green energy companies rewarded his political base. Although almost all welfare payments are spent, they have an insignificant multiplier effect. They grow the National Debt because they stimulate the creation of mostly non-tax-paying jobs and do not generate significant tax revenues for the federal government or the states to offset the expenditures.

His stimulus program should have been designed exclusively for projects that would have generated hundreds of thousands of tax-paying jobs and income for the tax-paying entities receiving the contracts. One way to do so would have been to use a large percentage of the stimulus to subsidize shovel-ready state infrastructure projects to repair and improve our decaying highways, bridges, tunnels and airports.

Despite the failure of his stimulus plan, the Obama administration continues its unprecedented expansion of welfare benefits for the poor leading to the unending rise in the National Debt. His main effort after adopting the stimulus plan went into adopting Obamacare which is an abomination. It is not only destroying the healthcare industry, and causing the conversion of forty hour per week jobs to part-time jobs, but also creates new types of welfare subsidies for people with pre-existing conditions, the poor, and low-income workers that have to be paid for. Obamacare was passed and President Obama was reelected based on an elaborate series of lies which were intended to, and with the aid of a politicized press, succeeded in preventing the American voters from learning the truth about the required major changes in healthcare policies and the outrageous excessive Obamacare premiums and deductibles required to be paid by the young and healthy middle class and businesses to fund the cost of the Obamacare subsidies.

Fortunately, while the president’s economic policies were failing, the low-interest rates maintained by the Fed over many years promoted a rise in stock prices that promoted spending that grew the GDP and generated tax revenues that contributed to the reduction in the deficit. A major stimulus to our economy was also supplied by fracking. Although conducted only on private land and impeded by President Obama because of his generally unfounded environmental concerns, fracking generated enormous revenues and created millions of tax-paying jobs in the oil and gas, steel, pipe-line, auto and railroad industries. Fracking grew the GDP and limited the rise in the deficit because it produced a multiplier effect on our GDP that the president’s stimulus program failed to achieve.

We now face a serious danger that our economic growth will stagnate because the increases in oil and natural gas production from fracking in a stagnating world economy has caused a temporary glut of supply and a precipitous drop in oil and natural gas prices. The expected large economic benefit from increased consumer spending and reduced costs to business resulting from hundreds of billions of dollars of reduced energy costs may be more that offset by reduced capital expenditures for drilling new wells, employee layoffs and debt defaults in the oil and gas industry, reduced demand for steel pipe and pipeline and rail services and trucks.

Now, after his inept policies have added many trillions of dollars to and doubled the size of our federal debt, President Obama is proposing a true Keynesian stimulus by seeking funding for transportation infrastructure. He blames Republicans in Congress, whom he has refused to negotiate with on most issues and consistently mocked and abused throughout his presidency, for creating grid lock and being the cause the government shutdown that he encouraged and exacerbated for political reasons. Looking back, we see that President Obama has repeatedly violated the Constitution and acted like a “banana republic” dictator while dangerously steering our economy toward socialism and communism.

The Republican controlled Congress will have the opportunity to take control of and stimulate the economy by (i) funding the repair and upgrading of our decaying transportation infrastructure, (ii) strengthening our military, (iii) improving homeland security and (iv) eliminating the Obamacare mandates. Despite his veto threats, President Obama will find it difficult to prevent passage of spending to improve our economy and our safety. However, if Republicans listen to the inept economists who insist on austerity to reduce the budget deficit and the National Debt or if they politicize the spending as the Obama administration does, they will fail.

Even though the spending programs proposed above will provide a Keynesian stimulus to our economy, we will need enormous amounts of capital to pay for the needed transportation construction projects across the country. Instead of complaining repeatedly as President Obama does about growing wealth discrepancies we should be seeking ways to encourage privately held wealth to partner with government to finance infrastructure construction projects. Our safety, domestic production and quality of life will clearly benefit from the improved infrastructure.

I attempted to address the financing problem in my book published in March 2013 entitled “Perpetuating American Greatness After The Fiscal Cliff”. I proposed changing our tax laws to enable the creation of “Jump Start America Bonds” to encourage American corporations with trillions of dollars parked overseas to finance domestic transportation infrastructure construction projects. Perpetuating American greatness is at issue.

“An Abundance Of Caution” When Dealing With Ebola

The Obama administration and the CDC keep reassuring us that they are using “an abundance of caution” in dealing with Ebola. Like so many other statements made by President Obama and his administration these words sound good but can’t be trusted.

Treating Ebola with an abundance of caution will vary over time. It currently requires:

1. That we prevent entry into the US of anyone who has been in a West African nation within the past 21 days, (the period during which a person may be incubating the disease even if not yet feeling sick or being contagious. The passports of all persons seeking entry must be checked to determine whether such condition exists. Otherwise they may become contagious after arriving in the US and infect multiple people before we recognize the symptoms. Ebola is so dangerous and difficult to treat that we must use our best efforts to keep it out. The argument that a travel ban will increase the risk of the disease getting out of control in West Africa is specious. We can and should greatly increase our effort to control Ebola at its sources to prevent it from becoming a pandemic that will reach South and Central America and Europe and inevitably to the US. To help them deal with Ebola, we must also give much greater financial assistance to the governments and people in West Africa whose lives and economies are being destroyed by the Ebola epidemic. If we fail to restrict entry many people, who fear that they have been exposed to Ebola, will lie to be able to come to the US for potential treatment. If we do restrict entry, those same people may attempt to come to the US indirectly through countries that do not restrict entry. However, if our border agents are diligent in examining passports of incoming travelers to determine whether they have been within West Africa within the past 21 days, the risk of a person entering the US who is infected with Ebola will be reduced.

2. The hospital employees who treat Ebola patients or are otherwise involved with Ebola should not have any contact with any other patients or perform any other services within the healthcare facility. They should all be monitored from the time of their first potential contact with the Ebola virus until 21 days after their service ends. Ideally all Ebola patients should be transported by specialized teams and treated at designated Ebola facilities by dedicated personnel.

3. Every person who is at risk of having been exposed to Ebola should be monitored and subject to restricted contacts and movement or quarantine as necessary (beginning about 10 days after first exposure and until the end of the 21 day incubation period) to limit the possibility of the spread of Ebola if they become contagious. No-one who is being monitored should be permitted to visit any public places or take any form of public transportation. They should limit their contacts with other people or animals. The apparent failure of the CDC to prevent a person being monitored because of Ebola patient contact from taking a commercial flight was grossly negligent and clearly inconsistent with a claim that it was requiring “an abundance of caution”.

4. Airplane passengers on a plane where Ebola symptoms have been detected should be quarantined until Ebola had been ruled out. If a passenger is confirmed to have Ebola, then all passengers and crew should be kept in quarantine for 21 days at special facilities to be constructed for such purpose. If a passenger is diagnosed with Ebola within a few days after a flight all fellow passengers should be notified and monitored.

5. All safety protocols should be constantly reviewed and healthcare personnel involved with Ebola patients should be properly trained and retrained in safety procedures.

6. Removal of protective clothing and waste disposal by healthcare facility personnel should be supervised using video and two-way communication equipment.

Although we have not used an abundance of caution, there is some apparent good news relating to Ebola and certainly there is no need to panic at the current time. The patients who have survived Ebola may have been helped by an experimental vaccine and have antibodies in their blood which is apparently helping others survive. We are nearing the end of the 21 day incubation period for the 48 people (and possibly more) who had contact with the first Ebola patient and none of them have yet shown symptoms. This is indicative that Ebola is not spread easily despite the failure to properly diagnose the initial Ebola patient’s illness on his first hospital visit. The two nurses treating such patient were apparently infected as a result of outrageous breaches of protocols which will become less likely over time. Our healthcare system has successfully dealt with other infectious viruses in the past.

Restricting Entry Into The US And Quarantining People Exposed To Ebola To Control Its Spread

The actions being taken by the incompetent Obama administration to control the spread of Ebola in our homeland are insanely inadequate. The first person who was an Ebola carrier to come into the US without a medical escort should not have been permitted entry. He had been in contact with a person dying of Ebola in a West African country only a few days before he boarded a plane and began his journey here. He lied about his Ebola exposure and like other infected persons who are not yet contagious or showing other symptoms, had no temperature. That enabled him to gain entry into the US. Within a week he become contagious and put at least 50 other people including family, neighbors, first responders and hospital personnel at risk of exposure. The number of people potentially exposed was increased because of a failure due to human error to properly diagnose the Ebola carrier on his first visit to highly classified hospital in Dallas.

His entry should have been denied. The questionnaire he filled out was meaningless. We cannot trust a person who has been exposed to Ebola to tell the truth. This person had to know he was exposed to Ebola and might soon become ill and face death. We know that the Ebola incubation period is 21 days. Taking the temperature of a person before they board an airplane or prior to their entry into the US is worthwhile, but it does nothing to detect a person who has in fact contacted and is incubating Ebola and is bringing it into the US. As the word spreads that the best way to survive Ebola is to get to a hospital in the US, the more likely it is that people who have been exposed to Ebola will lie when filling out a questionnaire to get into the US. The greater the number of cases in West Africa, the greater the risk of plane passengers bringing it into the US becomes.

As we get into the flu season, it will become more difficult to make and early diagnosis of Ebola. We are taking a risk that, like in parts of West Africa, our capacity to contain Ebola may be strained or exceeded. Hundreds, thousands, hundreds of thousands or millions of Americans may die as a result.

What should we do to reduce the risk of an Ebola plague in the US?

NO PERSON SHOULD BE PERMITTED TO ENTER THE US (EXCEPT UNDER APPROVED MEDICAL SUPERVISION) WHO HAS BEEN IN A COUNTRY, OR A SPECIFIED AREA WITHIN A COUNTRY, WITHIN THE PREVIOUS 21 DAYS THAT HAS BEEN IDENTIFIED BY THE US DEPARTMENT OF HEALTH AS SUBJECT TO AN EBOLA EPIDEMIC AS DEFINED. ALL SUCH PERSONS ARRIVING AT US CUSTOMS SHOULD EITHER BE RETURNED TO THE COUNTRY OF ORIGIN, BE PLACED IN QUARANTINE OR, IF THEY HAVE A HIGH TEMPERATURE, THEY SHOULD BE HOSPITALIZED TO DETERMINE IF THEY HAVE BEEN EXPOSED TO EBOLA.

IN ADDITION, IF SUCH A PERSON IS TESTED AND FOUND TO HAVE A HIGH TEMPERATURE OR SHOWS OTHER EBOLA SYMPTOMS UPON ARRIVAL IN THE US, THEN ALL PASSENGERS ARRIVING ON THE PLANE WITH SUCH A PERSON SHOULD ALSO BE PLACED IN QUARANTINE UNTIL IT IS DETERMINED IF SUCH PERSON IS INFECTED WITH EBOLA. IF SUCH PASSENGER IS CONFIRMED TO HAVE EBOLA, ALL SUCH OTHER PASSENGERS SHOULD BE KEPT IN ISOLATED QUARANTINE.

SIMILARLY, IF A PERSON IS IDENTIFIED AS BEING INFECTED WITH EBOLA ANYWHERE WITHIN THE US, THEN ALL PERSONS WHO ARE IDENTIFIED AS AT RISK OF BEING INFECTED WITH EBOLA BECAUSE OF CONTACT WITH SUCH PERSON OR THEIR BODILY FLUIDS, AFTER, OR, AS A PRECAUTION, FOR A DAY OR TWO PRIOR, TO THEIR BEING DIAGNOSED AS CONTAGIOUS WITH EBOLA, SHALL BE PLACED IN ISOLATED QUARANTINE.

ALL SUCH PERSONS PLACED IN QUARANTINE SHOULD BE KEPT IN ISOLATION FOR 21 DAYS AT A SPECIAL RESIDENCE BUILT AT OR NEAR OUR IMPORTANT AIRPORTS AND SERVICED BY SPECIALLY TRAINED PERSONNEL.

IF ANY OF SUCH PERSONS HELD IN QUARANTINE DEVELOP A HIGH FEVER OR SHOW OTHER SYMPTOMS OF EBOLA, THEY SHOULD BE TRANSFERRED TO A HOSPITAL FOR TESTING AND TREATMENT.

BECAUSE OF THE HIGH RISK TO HEALTHCARE PROVIDERS WE MUST DEVELOP IMPROVED PROCEDURES TO AVOID BREACHES OF PROTOCALL (INCLUDING BY CAMERA OBSERVATION) AND TAKE STEPS TO INCREASE SUPPLIES OF PROTECTIVE CLOTHING AND IMPROVE WASTE DISPOSAL AND CLEAN-UP PROCEDURES AT ALL HOSPITALS AND CLINICS.

THE NAMES AND METHOD TO CONTACT ALL PLANE PASSENGERS AND EMPLOYEES WHO HAVE SHARED A FLIGHT WITH A PASSENGER DETECTED TO HAVE EBOLA-LIKE SYMPTOMS, BUT WHO HAS NOT WITHIN THE PREVIOUS 21 DAYS VISITED AN AREA SUBJECT TO KNOWN EBOLA CONTAGION, SHOULD BE RECORDED FOR LATER USE IF NECESSARY.

The argument that prohibiting the entry of persons to keep Ebola from entering our country will likely cause great financial hardship in the countries currently effected and increase the risk that Ebola will spread worldwide is ridiculous. We are sending in military personnel to construct housing for potential Ebola patients and are supplying financial assistance, trained medical personnel, food, medicines and medical products to help countries attempt to deal with the Ebola epidemic. We can  attempt to stop the spread of Ebola within such countries by increasing financial and medical and humanitarian assistance to help offset losses to their economies, but the risk is too high of an Ebola epidemic within the US if we do not prohibit such entry. There are estimates that one million will die in Africa from Ebola within six months. We may not be able to prevent that, but that is an even greater reason to prevent people exposed to Ebola from entering the US.

There is a strong likelihood that Ebola will soon spread to South and Central America. It is therefore imperative that we seal our southern border now. We should have sealed it long ago. We know that many of the children and families that illegally entered the US with President Obama’s encouragement, and surrendered to border agents, had a variety of detected illnesses, but were nevertheless recklessly transported for political reasons throughout the US without being quarantined for at least a 30 day period. They were permitted to enter our schools without appropriate vaccinations. We do not yet know the source of enterovirus 68D which has hospitalized large numbers of our children at least two of whom have died. It seems highly likely that the illegal immigrants, who have different immunities to local viruses than US residents, were the source of enterovirus 68D. We cannot afford the risk that Ebola may be spread in the US as a result of illegal immigration. The press must speak out and Congress must act quickly because we cannot trust the Obama administration to acknowledge its prior errors and quickly close our borders on its own.

The failure to prevent entry of persons infected by, but not yet displaying Ebola symptoms, will very likely, in a short time, disrupt US air travel and cause panic in many American communities and damage our economy as Ebola cases are diagnosed. We must act now to prevent it.

Congress Should Immediately Declare War On ISIS And Adopt A Trillion Dollar Defense and Homeland Security Spending Program

Since President Obama has indicated that he will not go to Congress to request that it declare war on ISIS, Congressmen must begin to act like adults and perform their constitutional function to protect our country. They should as soon as they return for the next Congressional session, declare war against ISIS (which has openly declared war on us). It should be approved by bi-partisan, almost unanimous votes in both the Senate and the House.

Our country is threatened and our president makes light of it. Congress should also assume the task ignored by our president of restoring our declining military superiority and upgrading our homeland security by initially allocating at least a trillion dollars for such purpose. An enormous sum, but at least that amount will be needed to enable our military to fight the necessary war against ISIS and attempt to prevent, defend against or recover from the terrorist attacks that are likely to be planned or carried out on our shores by Islamic terrorists and their followers.

We must reverse the deliberate decline in our military strength orchestrated by President Obama during the first six years of his presidency in order to be able to provide government funding for Obamacare and other rapidly growing welfare entitlements and his politically oriented green projects. We must develop and have available a broad array of new and improved offensive and defensive weaponry to defend against attacks on our citizens and our infrastructure.

We must begin by currently repairing and upgrading and taking further steps to protect and provide redundancy and back-up for all aspects of our infrastructure (including our transportation infrastructure, water supply, power grid and the Internet) and added protection for all of our strategic places. Our cities and states with CIA and FBI assistance have since 9/11/2001 upgraded their anti-terrorist preparedness. We have placed reinforced cement or steel pillars around many of our strategic places to prevent an attack. However, the Boston Marathon bombings and other acts of Islamic sponsored terrorism demonstrate how difficult the task is. As was also true for the 9/11/2001 attacks, we always seem to miss the available clues that could have led to the prevention of the terrorist acts.

We need enhanced federal financial assistance to the cities and states and a USID card with constantly updated electronic linkage to the CIA, FBi and other security agency databases to assist in identifying potential terrorists and preventing their attacks. I refer you to the book I published in 2003 entitled “Homeland Security and Economic Prosperity” that proposed and described a USID card. We should be strengthening the relationship of the police, our first responders, with the residents they are hired to serve and protect. We should not be stirring up and promoting antagonism, for political purposes, against our local police forces for protecting the property of law-abiding people in their communities from looters.

Some people look at our $17 trillion deficit and ignorantly blame it on the wars in Iraq and Afghanistan. Most people do not understand that increased military spending on those wars generated millions of tax paying jobs and as a result of a multiplier effect, resulted in GDP growth and federal income tax revenues that financed them. The increase in the National Debt is largely attributable to the Great Recession that resulted from wrongful and ridiculously stupid mortgage lending practices, excessive use of leverage by our bankers investing other people’s money, and failed government regulatory actions that promoted the wrongdoing.

President Obama’s naive and inept foreign policy decisions have led to the growth of Islamic terrorist groups throughout the world and encouraged Russian and Chinese aggression. Combined with the opening of our southern border to terrorists and criminals following the illegal invasion, encouraged and welcomed by President Obama, of infants and families from Central America, they have placed our homeland in jeopardy.

The ISIS land and weapon grabs in Iraq and Syria, barbaric acts, and open declaration of war on the US, coupled with Russia’s outrageous takeover of Crimea and other parts of eastern Ukraine, is serving as a wake-up call to an increasing number of Americans. However, even though our homeland is threatened, most Americans still remain oblivious to the dangers we face. They are unaware of the extent to which our military strength and homeland security have been weakened.

President Obama, who got reelected by concealing the truth from voters and spent months acting like “Mr. Cool”, as the crises developed, does not seem prepared to deal with them. When Russia moved into the Ukraine, he chose to ignore our prior commitment to give the Ukraine military assistance if attacked. When we had the chance, why didn’t we bomb the Russian tanks moving inside Ukraine’s border? No risk, no gain. A coward is afraid to take the risk. JFK responded to Russian aggression by blockading the Russian ships during the Cuban missile crisis. President Obama’s only response to the Russian advances in Ukraine was to threaten and then take what have turned out to be ineffective sanctions that are also harming the European and indirectly our economy.

After the sudden rise of ISIS occurred President Obama acknowledged that he had no strategy to deal with ISIS in Syria. We now know that he should have been prepared. He had been briefed for more than a year by our military leadership, the CIA and his cabinet members. Maybe he just didn’t want to acknowledge that almost all of his prior foreign policy decisions during his years as president, including his failure to negotiate an agreement to leave troops in Iraq, were wrong. He is a commander-in-chief of our military who always favors personal political considerations over the taking of appropriate military action to protect our homeland.

This is not the time for political rhetoric and gamesmanship. President Obama constantly tells the enemy what he will not do and often tips his hand on what he will do. Even a child knows that you greatly hinder your chances of winning in a game of war if you tell your strategy to the enemy. ISIS is attracting thousands of followers and getting stronger each day.

Now, after dallying for months, President Obama says he wants coalitions with our allies, including NATO members and Sunni controlled countries, to provide ground combat troops. However, he is not leading by example by offering to include American troops in the force. In what appears to be a domestic political ploy rather than a useful military strategy, he is moving 5000 free Syria Army fighters, who had been fighting against the Assad forces, to Saudi Arabia for 6 months to a year of training.

We know that bombing ISIS in Syria and ultimately obliterating ISIS will require significantly more US troops on the ground. However, our president plays semantic games by insisting that he will not place troops on the ground, meaning combat troops. How can we gain the respect of our enemies or even maintain the strength of our awesome army if we keep reducing its size and we commit in advance not to use it? We should be putting together a force comprised of US combat troops, fighting along-side Kurdish and Free Syria Army combat troops and those from Sunni controlled countries to take the war to ISIS now! As we ready the force we should use our special operations forces to wipe out ISIS command posts and positions and then immediately withdraw. The longer we delay, the more difficult it will be to wipe out ISIS and other Muslim terrorist groups and the more casualties we will ultimately incur.

The situation is complex. Some of our friends have in the past befriended ISIS. Attacking ISIS in Syria may improve the chances of an Assad victory and be interpreted as our favoring Shiites over Sunnis. It happens that ISIS consists of Sunni terrorists who have been funded in the past by the Sunni countries, whose support we now seek. We seek Turkey’s assistance in stopping the growth of ISIS, but Turkey has been helping ISIS and is happy to see the Kurds destroyed by ISIS. Assad is not threatening to attack the US homeland, but defied international law and President Obama by gassing his own people. His principal sponsor, Shiite controlled Iran, is developing a nuclear bomb that it has threatened to use to attack Israel, and is supporting Shiite Islamic terrorist groups, Hezbollah and Hamas. We must not make foolish concessions to Iran to enable it to develop a nuclear bomb that will be a threat to the US as well as Israel and should clarify that we will also take steps to curtail the terrorist acts of Hezbollah and Hamas.

We need imaginative thinking. Might there be an opportunity for President Obama, who wants to be remembered as the man of peace, to immediately attempt (independent of Iran and Russia) to use secret diplomacy to work together with Turkey to broker a cease-fire followed by a peace treaty between Assad and the Free Syria Army and Kurdish forces we support (the “Grand Middle East Peace Treaty”)  The could then join with our air and ground support and other coalition air and ground forces of Sunni dominated countries, including Turkey to eliminate the ISIS peril? Assad, whose future role, if any, in the Syrian government could be discussed, could be granted immunity from war crimes. Syria could become the showcase country where Shiites and Sunnis share power over identifiable parts of the country. Shiites would have control of the federal government, but they would recognize the historical borders of tribal dominated areas and guarantee that local control of such areas be retained by the tribal leaders.

Regardless of the actions we take or fail to take in Syria, we should immediately take steps to strengthen our military and secure our homeland. Our country has faced and immediately responded to previous wake-up calls. In the years that followed the attack on Pearl Harbor on December 7, 1941, we rose to the challenge. Our parents and grandparents were drafted into and enlisted in the military to fight to preserve our freedom. Others worked day and night to develop a superior military capacity that enabled us to defeat our enemies in World War II in less than four years. When the war ended we had developed not only a great military, but also an unparalleled industrial complex that enabled us to escape from the Great Depression and establish American exceptionalism.

How many Americans know this aspect of American history? Not many of us have done anything to earn our freedom. It has been won and defended by heroes of prior generations whose efforts established American military superiority, defeated our enemies, and handed us our freedom as a gift. Now, a majority of voters take it for granted. Millions of Americans never learned in school about the history of military conquests over thousands of years. Most Americans are upset as they learn of the terrible atrocities being perpetrated by Islamic terrorist groups throughout the world, but they think that the current military superiority of the US guarantees that our homeland is secure. They seem to have already forgotten that Al Qaeda recruited, sent to the US, and financed the terrorists who carried out the attacks on 9/11/2001. We had adequate available information to have prevented those attacks. We remain vulnerable to an ever more dangerous variety of attacks against our infrastructure and our population.

The attacks on 9/11/2001 should have been a wake-up call. We stirred for a while and then fought two long wars foolishly aimed at establishing western type democracies in Iraq and Afghanistan. In 2008 we elected a president who promised hope and change. He naively believed that all wars must end, and sought to eliminate the role of the US as the world’s only reliable defender of freedom. He downplayed, even refused to acknowledge, the spread of Islamic terrorism throughout the world. President Obama used the Great Recession, the winding down of the war in Iraq and then sequestration as an excuse to reduce the size and preparedness of our military. The American public, our press and politicians talk about being war-weary. What does that mean? We spent a lot of money and sustained injuries over a long period of time. Yet, our foolish disengagement from Iraq has made us vulnerable to what might be an imminent attack on our homeland. Our president and most Americans do not want “boots on the ground”. That’s gibberish. We have boots on the ground. They mean that they do not want to use our infantry in hand-to-hand combat. Even though we have a volunteer army, they don’t want to bear the costs of war.

They are misled by the president’s repeated talk about the trillions of dollars spent on the wars in Iraq and Afghanistan, Americans do not understand that it was our bankers and not the wars in Iraq and Afghanistan that created the Great Recession. Wars create jobs and prosperity. Ending the war in Iraq was counter-productive to our economic recovery.

President Obama has enlarged the risk of terrorist acts within our homeland by ignoring and thereby allowing the rise of ISIS and by weakening border security to permit large numbers of children from Central America to enter our country for his own political purposes. We must postpone immigration reform and concentrate on the immediate need to control our borders to keep out terrorists, weapons of mass destruction and the diseases that might be brought into our country.

President Obama knew that his policies relating to Iraq, Syria and Afghanistan would ultimately lead to disaster, but obviously felt the problem would not deteriorate until after the end of the term of his presidency. He therefore misled voters about our military problems and concentrated his efforts on domestic issues. A majority of Americans care principally about the US economy and jobs and their own favorite social issues. President Obama and members of his administration wrongfully use their governmental authority to silence their opposition and to sensationalize racial and immigration issues to gain political advantage.

His obvious aim is to create a single party system that a majority of voters rely upon for financial support. He doesn’t seem to care about the detrimental effect of Obamacare on the middle class who are paying excessive premiums and deductibles to finance the subsidized benefits for the poor and the sick. Nor does he seem to care about the negative impact on healthcare providers who are receiving reduced fees for services. He and his administration have lied repeatedly and withheld information to prevent voters from discovering the truth about Obamacare. He wants employers to convert full time 40 hour per week jobs into less that 30 hour per week jobs and stop paying for healthcare, when the employer mandate becomes effective. The low-income employees will be forced to seek and become dependent upon Medicaid and subsidized Obamacare policies.

It is probably not be too late to stop the spread of terrorism overseas. We must mobilize the effort. If we spend to significantly upgrade our military capability to deal with the growing terrorist threats we will at the same time create millions of full-time tax-paying jobs and stimulate the mediocre and disappointing economic recovery from the Great Recession. The trillion dollars we spend will generate the greatest prosperity in our history. We need a spokesman to step forward and lead the effort. We should coordinate such spending with our European allies who should also be convinced to spend to grow their military capability and ward of terrorist and Russian threats to their and their neighbors’ security. We might lead by example by offering to purchase the French aircraft carrier being built for sale to Russia.

We should immediately take steps to make our oil and natural gas available for export to Europe to break our allies dependence on Russian sources. It is commonly believed that even if we change our export laws, we will be unable to deliver significant amounts of oil and natural gas to Europe for years. That’s nonsense. Let’s change the laws and find out how fast we can supply energy for Europe by using American ingenuity and capability. I think we will be pleasantly surprised.

President Obama has recently shown signs of awakening by authorizing limited bombing of ISIS forces. It’s time for him to take the reins and act like a commander-in chief. However, he appears to be doing just enough to try to hold on to control of the Senate this November and to pass the risks of terrorist attacks to the next president. History will frown on his presidency if he fails to prevent serious acts of terrorism by Islamic terrorists and their supporters within our homeland.

I note that although I refer in this article to the Muslim terrorist group as ISIS, our president for some inane political reason, before the be-headings and other atrocities committed by ISIS in Syria and Iraq and his decision to bomb ISIS elected to call the group, and continues to call it, ISIL to avoid referring to Syria in its name.

Obamacare Is A Giant Step Along The Path To American Communism

Preliminary Note- I expect that a majority of the readers of this article do not believe there is any danger that our economic system will ever be converted to communism. I hope for the sake of our great country that they are right. However, I fear that the conversion to American communism is already well on its way. Obamacare is a giant step along the path to American communism. Conversion to communism need not be effected by an uprising. It can and is being legislated as the law of the land by our elected Democrat representatives. Even though Russian and Chinese communism, are incorporating aspects of capitalism, American communism is different. Our federal government hasn’t seized outright control of production. Instead it has passed laws, rules and regulations to give itself indirect control in selected areas. It has been taking property, in ever-increasing amounts, from the middle class and the wealthy and giving it or applying it for the benefit of sick, low-income and poor people.

The development of American communism began before Obamacare. Providing free healthcare for the poor at hospital emergency rooms and recovering the cost by increasing the charges to those individuals and employers who paid hospitals for healthcare was a precursor of Obamacare. Charging a fee to cell phone users to fund free cell phones for the poor and increasing transit fares to gives free rides to the poor are other examples of American communism. Requiring the construction of wheelchair accessible bathrooms and ramps, though generally commendable, is requiring spending by those who have, for the benefits of people with disabilities.

What other moves toward American communism will Democrat liberals propose for the benefit of poor and low-income people when they next get the opportunity? Will they (i) require electric utilities to give free electricity or air conditioners, (ii) require landlords to allocate a portion of their properties to offer free housing, (iii) require bicycle renters to pay a higher payment to pay for free bike usage, (iv) require restaurants to give free meals, (v) require theatre owners to provide free access to movies or shows, (vi) require hotels to give free rooms, (vii) require airlines to give free travel, or (viii) require car rental companies to provide free rentals. They may not require such welfare benefits to be given for free. Instead, they might require discounts or provide poor and low-income folks with Obamacare type US government subsidies to be paid for by taxpayers. The Obama administration has found a way to confiscate and transfer wealth by extorting unfair or excessive settlements from banks growing out of misconduct by bankers relating to the collateralizing of mortgages, and redistributing a portion of the penalties collected for the benefit of the poor and organizations that support Democrats.

President Obama and other Democrats seeking political gains constantly complain about growing income inequality. It may be true with respect to the gap between the middle class, whose incomes have stagnated due in large part to the inept federal fiscal policies of the Obama administration, and those of us who have capital to invest and are benefitting from a rising stock market. Stock prices have been increasing in large part because of short-term interest rates that the Fed has kept near zero for years because of the failure of our fiscal policies. However, the gap is overstated because most employers have been paying increasing healthcare costs for their employees. While such payments do not increase cash compensation or take home pay, they have materially increased aggregate employee compensation. The income inequality gap between the middle class and low-income people and the poor is not growing, but is narrowing because of ever-increasing welfare benefits, including Obamacare subsidies, being given to the later groups. President Obama and liberal Democrats also complain that many of our highest income individuals or corporations pay little or no income tax because of tax loopholes. They could eliminate the problem, but because the beneficiaries of the income tax loopholes are major campaign contributors to both parties, our politicians do not eliminate tax loopholes every year as was done routinely in past Congresses.

President Obama believes that our rich Americans, even though they earned it, have much more wealth than they need. He ignores the fact that the industrialists who created great wealth for themselves during the 19th and 20th centuries, reinvested it in a burgeoning US economy and created millions of blue-collar jobs that led to the formation of the middle class. A faster growing US economy sparked by capital investment would create millions of jobs and strengthen the middle class.

Instead of concentrating on growing the economy and improving employment opportunities for the middle class and the poor to give them an opportunity to narrow the income gap, the Obama administration adopted (i) an inept fiscal stimulus plan that exploded the size of the National Debt, (ii) rules and regulations that stagnated our economy and (iii) adopted Obamacare, a communistic type law, to take property from those who are succeeding to provide underpriced healthcare for sick and low-income people.

Obamacare Is A Cancer.

Obamacare was adopted by Democrat Congressmen at the urging of President Obama for political gain. President Obama promoted Obamacare based on deliberate lies to mislead the voters about its affect on the middle class. He did so to conceal the fact that the Obamacare mandates require the healthy middle class or their employers and the wealthy, to purchase overpriced insurance or be charged a penalty to pay for a significant portion of the healthcare offered on a highly subsidized basis to sick and low-income people. He obviously expected that once the sick and the poor received Obamacare’s subsidized benefits it would be politically impossible to eliminate them. He believes that the ends justify the means. Now that his repeated lies have been exposed he ignores them and lies about the success of Obamacare.

Obamacare is proving to be a malignant cancer that was inserted into and is causing great harm to our healthcare system, the US economy and the middle class. President Obama and the Democrats who created it knew or should have known of the terrible damage it would cause. Its thousands of pages of regulations are adding excessive costs to healthcare providers. They don’t care. Their goal was to seize governmental control of our healthcare system, expand Medicaid for the poor and create a giant new welfare entitlement to provide greatly expanded benefits for sick and low-income people. They thought they could trick the young and middle class to purchase overpriced Obamacare policies to pay for it.

Obamacare does not create a single payer system making the US government the sole payer. Instead it uses the insurance companies as the middlemen, leaving them to take the blame for the inevitable premium increases and declining quality and availability of healthcare. Obamacare mandates straight jacket insurers. It requires insurance companies to disregard pre-existing conditions and offer greatly expanded benefits, including preventive care that is exempt from deductibles. As a result, they must offer outrageously below cost coverage to sick people that requires insurers to raise premiums, deductibles and co-pays for everyone else or reduce payments to providers or some combination of both. Since low-income people receive federal government subsidies of up to 80% of their premiums, the extra costs incurred by insurers resulting from the Obamacare mandates are in large part borne by the middle class and their employers. To limit the premium increases for the older (but not yet Medicare eligible) middle class they targeted the unsubsidized young middle class for maximum increases by mandating that older people could not be required to pay more than three times the amount paid by young people. They knew, based on actuarial tables, that the rate should be five times higher. Furthermore, since most of the subsidies will be paid for by the taxpayers, the middle class (who pay the bulk of our income taxes) will ultimately be paying for most of the subsidies as well.

Prior to Obamacare, healthcare policies were designed to offer a broad range of benefits subject to cost constraints. Health insurance policies were offered for a one year term. They generally did not include catastrophe coverage that would have entitled you to coverage in later years, but would have greatly increased the premium. Various forms of insurance were available prior to Obamacare to protect against acquiring a pre-existing condition. However, few people bought such coverage. Disability insurance was available to help by providing partial income continuation, but also was purchased by only a small percentage of our population. Some people lived a healthy lifestyle that helped avoid pre-existing conditions, but for various reasons, often beyond their control, or because they made a mistake, developed pre-existing conditions. Others were born with a genetic defect, abused their bodies or took undue risks that increased their chances of becoming subject to pre-existing conditions. If you acquired a serious medical problem prior to the time of renewal of your healthcare insurance policy it was treated as a pre-existing condition. As a result your renewal premium, as determined by insurance company actuaries, may have greatly increased or become unaffordable. Irregardless of the cause, healthcare policy costs for a person or family with a serious pre-existing condition were often $100,000 or more per year.

One’s ability to purchase the best and most expensive healthcare to treat one’s medical problems, like the purchase of an expensive home, car or vacation, was available only to those who could pay. Steps were being taken at the state level to assist people with pre-existing conditions in obtaining limited coverage. Insurers in various states were offering special types of coverages to give limited relief to people with pre-existing conditions. Business group insurance with large pools of healthy workers were often able to include coverage without ratings or with limited ratings for people with pre-existing conditions. However, most people (unless they had acquired adequate catastrophe or disability insurance or had received a large damage award following an accident case) had to limit their care or spend all or a portion of their savings to pay for their healthcare costs. People were responsible for taking care of their own bodies.

We must recognize that the patient must have some skin in the game to encourage wellness, prevent the cost of healthcare from becoming prohibitive and avoid long waiting periods for treatment. We should require significant co-pays. Healthcare needs are often discretionary. If a person has to pay for a portion of a treatment or procedure he may choose to forgo it. Similar consideration should be given to modifying Medicare to make it viable in the long run, instead of the multi-trillion dollar burden it will soon become.

President Obama and the Democrat leadership saw an opportunity for political gain by offering greatly expanded benefits for everyone, including people who had pre-existing conditions. They knew that low-income individuals would be unable to afford to pay the required increases in premiums needed to pay for the trillions of dollars of additional costs to take care of the sick and to cover the Obamacare mandated benefits over a 10 year period. They therefore included very high subsidies for the people they affectionately refer to as low-income folks. The subsidies are so large that they cover not only the increased costs resulting from the Obamacare mandates, but also cover a large portion of the remainder of their premiums, thereby creating a gigantic new welfare program for low-income people. They expected such generous subsidies to be available within a few years, after the employer mandate kicked in and many, if not most, employers dropped coverage, for a majority of all Americans. They knew that if they told the American people the truth about the enormously increased healthcare costs which would have to be paid by everyone who did not receive a large subsidy, namely the middle class, the employers and the rich, Obamacare would never have passed.

President Obama with the assistance of the Obamacare draftsmen  and paid advisers like Gruber carefully concocted a plan of deception to prevent the American people from learning the truth about the cost of Obamacare and who was going to pay for it. They started by creating new types of insurance plans and named them after valuable metals to fraudulently give them the appearance that purchasers were getting a meaningful choice between good healthcare plans. In fact, the exchange offered plans available to most people require them to buy very expensive mandated coverage they may not want or need. Choices between plans deal with choices between higher premiums and lower deductibles and vice-versa. The differences between the plans are meaningful only to people who will be receiving large subsidies or who can reliably predict their healthcare needs.

President Obama and the draftsmen knew that the aggregate of the premium charges, deductibles and co-pays for all of the plans, to be determined by the insurance companies, would have to be substantially higher than prior plans that did not have to meet the very expensive Obamacare mandates. They took money from Medicare and adopted 18 new taxes to pay for a portion of the governments’ administrative costs and the cost of providing the subsidies for low-income people and expanded Medicaid benefits for the poor. Some of the Obamacare taxes will be passed on to consumers and further increase healthcare costs. The revenues from the new capital gains tax are treated as Obamacare revenues, but have nothing to do with Obamacare. They are merely a supplemental income tax on upper income taxpayers allocated to Obamacare to make it appear to be costing the US government less. Few people realize that the Obamacare capital gains tax, coupled with the expiration of the Bush tax cuts, increased marginal income tax rates on upper income taxpayers by almost 10% in one year. Yet, many economists wonder why the recovery in the American economy is so tepid.

Obamacare was passed by left-wing Democrats who didn’t understand and didn’t care how it would work. At the urging of President Obama, who withheld the truth from them, they rushed to adopt Obamacare while they had the minimum votes for passage. President Obama is still lying to prevent the middle class from learning the truth about Obamacare. The middle class is only beginning to understand that it is required to pay for (i) the very expensive benefits Obamacare gives at way below fair market rates to people with pre-existing conditions, (ii) the greatly expanded and costly to provide benefits mandated (mainly for political reasons) for all Obamacare exchange offered policies and (iii) the subsidies for low-income workers.

Prior to the passage of Obamacare we were making progress in solving our healthcare problems. It had been determined years ago that the poor needed medical care, and a compassionate America was giving it to them. Everyone who lived within a radius that enabled them to reach a hospital emergency room had access to quality healthcare. Emergency rooms were required by law to treat everyone. You didn’t need to have insurance coverage or be able to pay. The use of emergency rooms became a healthcare safety-net entitlement. Although emergency rooms were not the most efficient way to provide run-of-the-mill healthcare in most cases, over time people who lived near hospitals, including illegal immigrants, used emergency rooms for their routine healthcare needs. However, the federal and state governments didn’t offer to pay for the new welfare benefit. To recover their emergency room costs, hospitals charged higher fees for patients who had insurance or could afford to pay. Such charges and the cost of newly developed treatments, procedures and drugs were rapidly increasing aggregate healthcare costs that were driving up the cost of healthcare insurance. When we look back we can see that providing free healthcare for the poor at emergency rooms resulted in the middle class and the employers indirectly paying for the cost of providing healthcare for the poor.

A large portion of employee healthcare insurance costs was (and is currently) paid for by employers. As a consequence, employers were not increasing cash compensation and in many cases were passing along an increasing portion of the costs to employees in the form of policy limits, premium contributions, deductibles and co-pays. Healthcare insurance for individuals was seeing similar cost increases. As a result of Obamacare, businesses are increasing employee deductibles and co-pays, eliminating full-time jobs and creating part-time jobs, outsourcing or delaying hiring as they grapple with Obamacare regulations and costs as a result of or in some cases in preparation for the delayed employer mandate.

Hospitals were permitted to require proof of insurance or payment before providing treatments and procedures requiring patient admission to the hospital. Expensive surgery and treatments were often not sought or were unaffordable because of cost constraints in cases where there was no insurance or high deductibles or co-pays. Nevertheless, using capitalist principles and relying on American exceptionalism, we were able to develop the world’s best healthcare system and provide ever-improving healthcare to increasing numbers of people.

President Obama and the Democrats fraudulently claim that when everyone has insurance it will lower the cost of providing healthcare by reducing emergency room visits. It is true that clinics that can be staffed with nurses and other trained medical personnel are being established at or near hospitals to perform routine procedures at lower cost. The use of clinics is an important step in lowering the cost of providing good healthcare for the poor. However, that was being accomplished independently of Obamacare, financed, in large part, by charitable contributions to hospitals from rich donors. But, where is a parent going to take their ill child if a doctor or a clinic is not readily available after office hours or because of increased waiting time to see a doctor? Moreover, the savings (particularly if clinics remain open 24 hours) will barely dent the outrageous costs of the Obamacare mandates.

Instead of honestly acknowledging the outrageous burden on the middle class, President Obama took to the airwaves as the chief salesman for Obamacare and deliberately lied (beginning before its passage) about the effects of Obamacare by stating repeatedly that your premiums would decline, and if you liked your doctor, or if you like your plan, you could keep them. He apparently believed that low-income people would accept having to use another plan, doctor or hospital when they learned they were paying reduced premiums as a result of their subsidies. He obviously felt that a significant number of young middle class liberals, who were attracted by his promises of hope and change and blindly supported him, would be confused and prevented by the Obamacare lies from understanding that Obamacare provides for a transfer of wealth from the middle class, their employers and the rich to sick, poor and low-income people and that they were deliberately targeted to pay for President Obama’s new welfare program. The repeated failures of the Obamacare websites and the lack of criticism from the liberal press served as a further barrier that prevented the middle class from learning the truth about Obamacare. However, the VA, IRS and numerous other scandals that even the pro-Obama press are finding impossible to ignore, have caused them to question the truth of statements from and the competency of the Obama administration.

The draftsmen made all preventive care exempt from the deductibles. Therefore, many people will not discover that they their coverage is subject to a deductible or co-pay until after they have a medical need which is subject to them. We do not yet know how many low-income people chose lower premium plans because they did not know they were subject to higher deductibles. Nor do we yet know how many people are being denied treatment for failure to pay a deductible in advance or what will happen if hospitals, doctors and other healthcare providers provide services and the deductible is not paid. Many people, whether or not their premium is subsidized, will elect not to have a treatment or procedure if they have to pay out-of-pocket for all or a significant portion of its cost. Hospitals may elect to perform expensive surgery, even if the deductible or co-pay prove to be uncollectible, because the insurance companies will be obligated to pay all charges in excess of such amounts.

For political reasons, the effectiveness of many of the Obamacare provisions (including the required purchase of a Obamacare policy) were delayed until after the 2012 presidential election so that the Obamacare lies would not be exposed until after the election. Since the Democrats didn’t have the votes in the House of Representatives to modify Obamacare, President effected such delays by issuing executive orders, that are likely to be found to be unconstitutional. President Obama knew that the unfair treatment of the middle class would be discovered over time, after the presidential election. However, he expected that so many low-income people would sign up for the new welfare benefit that it would be political suicide for Republicans to try to take away the subsidies. Being an entitlementist, he believed that the new welfare program would gain more votes for Democrats than it would lose. Now, President Obama stresses the millions of people who have gained coverage because of Obamacare. Many of them have signed up for expanded Medicaid programs which are free and paid for by the federal and state governments and should not have been linked to Obamacare. They were included in Obamacare to coerce the states into creating Obamacare exchanges and give the federal government control of healthcare. Large numbers of low-income people will flock to Obamacare after the employer mandate kicks in and they lose their full-time jobs and their employer paid coverage. However, they may not do so, and will be left with no coverage, if they are unable to receive a subsidy because their state in one of the majority of states that has not established a state Obamacare exchange. In an attempt to coerce the states to create Obamacare exchanges, Obamacare specifically limits subsidies to people who sign up on a state established exchange. However the Obama administration that wants to grant subsidies to as many people as possible to encourage Obamacare sign-ups, has chosen to ignore the very precise wording of the Obamacare law and is granting subsidies to people signing up on the federal exchange. Such subsidies are being challenged in a case to be heard next year by the US Supreme Court. Unless the Supreme Court finds the Obama administration’s payment of subsidies to low-income people signing up on the federal Obamacare exchange to be unconstitutional, we can expect Obamacare premiums for the middle class to rise substantially. If the US Supreme Court rules that no subsidies can be paid to purchasers on the federal exchange, then the number of uninsured individuals will skyrocket.

The draftsmen of Obamacare knew that when the middle class discovered the extent that they were being overcharged for a Obamacare policy many of them would refuse to purchase or refuse to renew a Obamacare policy and go without coverage. Why should anyone pay for insurance coverage they were unlikely to need knowing that if the became ill or injured and needed coverage, they would be able to obtain coverage at the next enrollment period? They therefore included a penalty (that the Supreme Court called a tax) that increases over each of the first three years, rising to 2.5% of income, to trap the middle class into paying an unfair amount whether or not they purchased a Obamacare exchange policy. Whether you call it a penalty or a tax, it is designed to force the middle class to pay to help subsidize the greatly underpriced benefits offered to the ill and to low-income folks. The president (who claims repeatedly that he is a champion of the middle class) continues to deliberately deceive the young middle class people he needs to sign up for Obamacare exchange policies to keep premium increases from going through the roof. He told them it will cost no more than a monthly phone or cable bill. That is just another Obamacare lie unless you are a low-income person or family eligible for up to an 80% subsidy.

We do not yet know what percentage of the Obamacare exchange policy purchasers are healthy or young middle class people who get no subsidy or whose policies will prove to be worthless because of high deductibles and co-pays. We do not know how many people lied about income to be eligible for subsidies or were illegal immigrants who lied about being US citizens. President Obama and the HHS won’t tell us. Nor are they telling us whether people who signed up for Obamacare policies have paid their premiums or are paying their required deductibles to the healthcare providers. Since they make selective disclosures to make it appear that Obamacare is succeeding, it is obvious that President Obama and the Democrats are trying to withhold certain relevant information until after the mid-term elections. They are being aided in their efforts by the failure of the liberal press to talk about the Obamacare faults.

President Obama and the Democrats attempted to get insurance companies to participate in the Obamacare exchanges and to minimize premium increases during the first three years by including a provision in Obamacare (that the president, HHS and the liberal press do not talk about) that provides for subsidies for insurance companies to cover their losses during the first three years. Many insurance companies have nevertheless excluded the services of many of the best available doctors and hospitals from their groups of providers, to limit their costs of providing Obamacare policy services. They are also talking about raising premiums next year. Because, as was predictable, the insurance company losses are now expected to exceed the amount available, the administration has announced that the subsidies shall be reduced proportionately as necessary. We can expect that when the quality and availability of healthcare has declined significantly, the Democrats will blame it on the “greedy” insurance companies and demand a single payer system. We should not forget that Medicaid ad Medicare are basically single payer systems and that an increasing number of doctors are refusing to treat Medicaid or Medicare patients.

Obamacare Is Destroying The Quality And Availability Of American Healthcare.

Because Obamacare mandates will increase insurance company payments by hundreds of billions of dollars annually, insurers are squeezing healthcare providers by reducing payments for treatments and procedures. Many doctors and some of our greatest hospitals are being excluded from or are refusing to participate in Obamacare provider networks because insurance companies selling Obamacare exchange policies are seeking to contain costs to limit premium increases. The added costs of complying with Obamacare regulations and the failure of Obamacare to deal with outrageous malpractice claims are driving additional doctors from private practice. Many of them, who have or will become hospital employees, will find their compensation reduced because hospitals are paid inadequately by Obamacare exchange qualified insurers. Because of Obamacare, the number of malpractice claims and the cost of malpractice insurance are going to grow due to the increased number of patients that doctors are going to have to treat (at lower fees per patient).

We have not yet seen the expected surge in demand for healthcare services from the sick, the poor (who receive Medicaid) and low-income individuals who are eligible to receive free or highly subsidized insurance coverage under Obamacare. Healthcare expenditures during the first three months of 2014 were less than expected. This is probably due to the confusion caused by the inept Obamacare rollout. The covered benefits, that include preventive care, not subject to deductibles or co-pays, will, within a short time frame, overburden the healthcare system. It will in most cases, because of reduced payments and increased costs, make it less profitable to practice medicine unless you work longer hours. Obamacare’s adoption comes at a time when the aging of our population is also going to add demands for healthcare services from Medicare beneficiaries that will put further pressure on healthcare providers. We only have to look at the treatment of our veterans, whose service earned them premium healthcare, but have for decades received inadequate coverage despite annual funding increases, to know it is inevitable that patients will in a few years incur long waiting periods for appointments and treatment under both Obamacare and Medicare. Obamacare will make it difficult to make a doctor’s appointment or arrange for a timely hospital procedure, thereby effectively rationing healthcare (even for those who are not entitled to a subsidy and pay excessively for coverage) and subject its availability to political considerations. As in Europe and Canada, the rich will not subject themselves to the inadequate healthcare offered under Obamacare (or Medicare which is following the same path) and will pay independently for high quality healthcare. Medical groups are already offering concierge plans to provide improved quality healthcare covering a broad range of healthcare needs at an affordable price for those who decline to purchase an Obamacare policy.

We Should Repeal Or Phase Out The Obamacare Mandates And Subsidies ASAP.

The Democrats claim that Obamacare can be fixed. Like most laws, Obamacare has some provisions and regulations that can be improved, but it is impossible to fix the main flaws of Obamacare. We must start by recognizing that we simply cannot afford (i) the elimination from consideration of pre-existing conditions which may enable an individual or family to receive a million dollars or more of treatments and procedures annually and (ii) the mandate that all insurance policies provide very broad politically motivated benefits for everyone. If we taxed the rich at close to 100% of income, which even Democrats most left leaning members would not dare to propose, the remainder of the cost of the Obamacare welfare will have to be borne by the middle class.

Republicans are faced with a dilemma. They opposed the adoption of Obamacare and have from time to time demanded its repeal. However, the Obamacare cancer has already caused major changes in the healthcare system which are irreversible. We cannot repeal all of Obamacare, but we can repeal its most harmful provisions. We must, as soon as possible, repeal the Obamacare provision that prohibits taking pre-existing conditions into consideration and repeal or phase out many of the other Obamacare mandates.

Irreparable harm is occurring daily as people with pre-existing conditions take advantage of the Obamacare windfall to obtain virtually free benefits that are not paid for the the US government, but instead are paid for in large part by the middle class through increased premiums. Democrats will immediately bash Republicans for any attempt to reinstate the consideration of pre-existing conditions as a callous attack on the sick who will be deprived of needed healthcare. Since most Americans sympathize with the needs of those Americans who are suffering from untreated medical problems, it is critical that Republicans carefully explain why Obamacare is a communistic law whose benefits are being paid for by the middle class and destroying the medical profession. To do so they must remind Americans of all of the misleading and fraudulent statements and outright lies made by President Obama relating to Obamacare.

Democrats argue that Republicans have no alternative proposal to replace Obamacare. Merely eliminating the mandates would represent a major corrective step. We can then reconsider pre-existing conditions and the other mandated benefits, ab initio, using healthcare experts who understand the importance of free-market capitalism, not political entitlementists who lean toward communism. We can encourage insurance companies to offer new types of coverage that will offer various forms of limited catastrophe coverage. We can also expand former efforts to give help to people with pre-existing conditions. To reduce administrative costs and make the providing of healthcare more efficient, we should eliminate federal government involvement in healthcare administration and encourage the mergers of insurance companies with hospital and other healthcare provider networks. The Obamacare rules, that encourage healthcare providers to focus on outcomes, can be retained to improve outcomes and by so doing, reduce costs.

President Obama is now arguing that Republicans are trying to take health insurance away from millions of Americans who have signed up for Obamcare. He ignores the equal or greater number of people who have already lost or are paying excessively for their coverage, or will lose their employer paid coverage after the employer mandate becomes effective. He also ignores the tax benefits from receiving employer paid coverage that will be lost when employees receive a small wage increase (that Democrats will claim credit for) and have to pay for their own coverage on the exchanges.

If left unchanged Obamacare may destroy American capitalism. Eliminating the Obamacare mandates will greatly reduce premium costs and materially increase the disposable income of the middle class and increase business investment and hiring. Instead of working 20 to 30 days a year to pay for the healthcare of non-family members and people they do not know, young middle class people will be able to pay off their college loans, buy a car or home, or put the money in an IRA that will be worth a million dollars or more when they reach retirement age. If we can grow the economy, as is likely to happen if the burden of Obamacare is removed, the percentage of disposable income spent on healthcare will likely decrease over time.

This article is one of a number of Obamacare related articles that have been published on this blog.

We Are Going to Find Out That Eight Million Is Worse Than Seven Million

President Obama, after reporting that eight million people have signed up for a Obamacare Exchange insurance policy before the end of the extended April 15, 2014 deadline, proudly stated he has won. What did he win? Americans are not taking to the streets to celebrate his victory. Most people don’t know what he is referring to. Apparently he considers getting people to sign up for a Obamacare Exchange insurance policy to be a game for which he creates and can, at his whim, change the rules. Almost everything President Obama has said about Obamacare for the last 5 years has been an outright lie or deliberately misleading. Now, because he set up a meaningless goal of signing up 7 million registrants before the deadline, which was apparently exceeded, he claims he won. Even if all of the 8 million people have validly registered on a Obamacare Exchange and paid their premium (which is doubtful), it is almost certainly a meaningless number.

Why should the fact that eight million people registering on an exchange be a meaningful number or be something to be proud of? After all, five million people had insurance policies cancelled because of Obamacare and over 40 million individuals had no coverage before Obamacare. The percentage reduction in the number of uninsured is not significant considering the extensive and costly effort made to get people to do so. Moreover, since Obamacare is a new welfare program that offers poor, low-income and people with pre-existing conditions healthcare for free or for a price of 20% or less than its true cost, you would expect more people to have taken advantage and signed up for it. However, the insurance policies being offered on the Obamacare exchanges are so confusing and limiting as to hospitals and doctors, that, even the folks being offered a bargain, are sceptical.

Obamacare is being paid for by higher insurance premiums, deductibles and co-pays being charged to the healthy middle class and above who (i) do not qualify for a premium subsidy and (ii) who as taxpayers are going to be taxed to supplement the 18 Obamacare taxes (most of which are being paid by or will be passed on to them) adopted to pay for the US government Obamacare costs, including the subsidies, and the increased Medicaid coverage for the poor. The more sick and highly subsidized people who sign up for a Obamacare policy, the greater the costs that will have to be borne in large part by the middle class. As a result we are going to discover that the more people who sign up for Obamacare, the more disastrous it will be to the middle class. For that reason 8 million people signing up for Obamacare policies is worse than 7 million. The draftsmen of Obamacare knew how unfair it was to the middle class and that large numbers of people would opt out of coverage. They therefore included a penalty, that increases each year, to compel the purchases. The penalty, if collectible, is payable to the government (and not the insurance companies) and, therefore, will not limit premium increases.

President Obama doesn’t talk about Obamacare as a welfare program for low-income people because he is trying to induce the middle class into signing up for it to generate revenues for the insurance companies by collecting excessive premiums from low-cost customers and thereby limit future premium increases. However, the middle class, particularly those who are young and healthy and targeted by Obamacare mandates to pay the most excessive amounts for their coverage, are discovering sticker shock when they learn the cost of their premiums, deductibles and co-pays. We do not yet know for sure, because President Obama refuses to tell us, the important facts he must know about the registrants, including whether they are people who (i) are sick or had pre-existing medical conditions, (ii) were replacing their cancelled insurance, (iii) are paying little or nothing for their coverage because their premium payments are being highly subsidized by the US Government and the taxpayers or (iv) are healthy middle class people. We can expect to find out that a high percentage of the those who have registered for coverage are sick, poor or low-income folks taking advantage of the bargain. They are the only individuals who will be getting fair value for purchasing a Obamacare qualified insurance policy.

President Obama, with assistance from the liberal press, has also prevented the American people from finding out other important facts about Obamacare, including the enormous costs of (i) eliminating pre-existing conditions from consideration or (ii) providing the expanded mandated coverage of Obamacare qualified insurance policies. He stresses only the benefits, not the costs.

It should be obvious that President Obama doesn’t care what the cost of providing Obamacare is to the US Government or the taxpayers or about the excess amount being paid by healthy, middle class people. He lied about Obamacare to get reelected and is now lying to try to keep control of the Senate in the mid-term elections.
He has repeatedly tried to trick middle class, young people into signing up for Obamacare by making fraudulent statements about its cost, recently claiming it will cost no more than a monthly cell phone or cable bill. That statement is deliberately misleading because it only applies to low-income people entitled to a large premium subsidy. When the true cost of their premiums, deductible and co-pays becomes known to young people, many of them will elect to pay or risk paying the penalty and go without coverage, or will cancel or not renew their coverage and premiums are likely to skyrocket in future years.

The US is a wealthy country which can afford to give adequate healthcare to the poor and low-income people. We can set up clinics at or near hospitals to provide free or low-cost preventive care and certain types of emergency care. However, we cannot afford to give Rolls Royce or Cadillac plans to everyone, including people with pre-existing conditions whose coverage may cost hundreds of thousands or millions of dollars per year. President Obama proudly claims that as a result of Obamacare no-one will ever again lose their home because of illness. He doesn’t care whether they are rich and getting an unneeded benefit or their pre-existing condition was self-caused as a result of smoking, drug or alcohol abuse, or high carb diets causing obesity. He doesn’t tell middle class workers that as a result of Obamacare (i) they are required to pay for most of the healthcare costs of their low-income and sick neighbors, or (ii) they may never be able to buy a car, own a home, save for retirement or their children’s education or even pay off their college loans. Nor does he tell them that when the employer mandate kicks in, they may lose their full-time job or their employer paid coverage.

We must find a way to help people deal with the cost of pre-existing conditions and to help low-income people get acceptable healthcare without placing the burden on the backs of the middle class. President Obama will gladly have the government pay the subsidies to the insurance companies on behalf of low-income people to make it look like Obamacare is gaining popularity. President Obama doesn’t care about the people being harmed by Obamacare because (i) he wants the government’s providing of healthcare for the poor and low-income folks to be his legacy and (ii) because he is an entitlementist who wants to use Obamacare and government control of healthcare as a new welfare program to gain net votes for Democrats from low-income people and the poor. He is using his power as president to convert our economic system of dynamic capitalism that engenders exceptionalism into a socialist state, favoring mediocrity, that will inevitably be doomed to economic stagnation.

President Obama doesn’t care that most doctors dislike Obamacare. He thinks of them as highly paid and rich. He doesn’t care that they are facing greatly increased operating costs and reduced income as the insurance companies seek to limit their costs and future premium increases and the government reduces Medicare payments to providers. He is concealing from the American people that the quality and availability of healthcare is precipitously declining. Obamacare policy holders can expect to encounter long waits to be treated at a hospital or by a doctor not of their choosing. As in European countries, those people who can afford to pay for their own high quality and timely provided healthcare will pay extra for private doctors and hospitals operating outside of the exchanges.

Annual US GDP Growth Of Ten Percent Should Be The Goal

Annual US GDP growth of ten percent should be the goal. Not the communist goal of eliminating income inequality that President Obama keeps talking about that has never succeeded.  Ironically, the failed socialistic economic policies of the Obama administration have created an immediate opportunity for much larger annual increases in the US GDP. Years of stagnant US economic growth, despite exceptional technology advances, have resulted in a highly under-utilized  and underpaid workforce. We should be seeking the preservation of American exceptionalism by encouraging competence and hard work, not laziness or poor conduct. We should be rewarding success, not encouraging failure. We can only imagine the growth that can be generated by bringing large numbers of people back into the workforce and converting part-time jobs to full-time jobs. Each time a job is lost due to improved technology or a job is lost because production moves offshore, we have an available worker for a new job which can accelerate our growth.

We have had five years of a tepid economic recovery during the period following the Great Recession, the most severe downturn since the end of World War II. President Obama has been very lucky. The recovery has taken place despite the failed fiscal stimulus programs adopted during his administration, his raising income taxes, cutting defense spending, adopting incompetently drafted banking and business regulations that are in large part counterproductive and excessively costly to comply with, and adopting Obamacare and its 18 new taxes and thousands of pages of regulations and then changing them at his whim for political purposes. The recovery has taken place because of developments that President Obama had little, if anything, to do with. TARP loans, which originated during the Bush administration, followed by the Fed’s monetary programs were instrumental in enabling the banking system and the auto and housing industries to avoid collapse, stabilize and return to profitability.

Spectacular developments have spurred the economic recovery, including: 

* Improved horizontal drilling and fracking techniques which, despite the unsubstantiated concerns of environmentalists and interference from the Obama administration, represent the single most important economic development of this century. They have (i) caused an explosion in US national gas and oil production, (ii) created an annual demand for tens of thousands of miles of stainless steel pipe for use in connection with the drilling and transportation of such oil and gas production, (iii) created a growing demand for rail transportation to move the pipe to states such as North Dakota and Texas and the oil and gas being produced to refiners and users across the nation, (iv) created  high-paying jobs leading to increased income tax revenues and a demand for cars and trucks for use by the oil and gas industry and its employees, (v) engendered the rapid growth of new communities to house and service the production employees, (vi) led to the return to the US of industries producing plastics and other natural gas by-products, and (vii) made the US energy independent and strengthened our position as the world leading military power; 

* Rapid expansion of our international businesses throughout the world and increased sales of our exports of products and services, including food, aircraft, machinery, equipment and raw materials to the BRIC and other developing countries;

* The spawning and rapid growth of sales of wireless communications devices, the Internet and social-networking businesses; 

* The wealth effect from rising stock market prices based on increased corporate profitability stimulated by the Fed’s bond purchases and promotion of low-interest rates that enabled corporations to reduce financing costs and inexpensively finance the purchase of cost saving technology. and 

*The exceptionally large sums (financed in large part by federal and state government funding and private insurance) spent for clean-up and rebuilding of roads, infrastructure, housing, and commercial real estate and vehicle replacement following  the many natural disasters that have occurred during the period. 

Even the modest recovery in the housing market (and the related housing improvement and rehabilitation market) caused in large part by investors buying up foreclosed properties for resale and rental and rising number of international millionaires seeking to own US-based assets, has contributed to the recovery. However, private home ownership that was the most important asset owned by the middle class for more than 50 years prior to the Great Recession, has been put on the back burner by the Obama administration which favors the poor at the expense of the middle class. Housing construction offers the potential to be a leading force if future US economic growth. 

President Obama claims credit for the recovery, but he had little to do with it. The manner in which he saved the auto industry was disgraceful. He favored his friends, the unions, over secured creditors. He hampered the oil and gas industry by impeding fracking, the leasing of federal lands and pipeline development. The Obama stimulus programs concentrated on increased welfare payments and ill-conceived, failed green energy programs that squandered large amounts that greatly expanded the National Debt, but generated almost no tax-paying jobs. The Fed has repeatedly stated that it has extended QE programs because of failed fiscal policies.

I will not in this writing discuss the harm to the US economy being caused by the adoption of Obamcare. I have and will continue to write about (i) the continuous stream of outrageous, lies and misinformation promoted almost daily by President Obama relating to Obamacare’s costs and benefits, (ii) President Obama’s failure to deal with Medicare spending problems,(iii) how Obamacare is gouging and damaging the lives of the middle class by requiring them to pay for free or highly subsidized healthcare for the sick and the poor and low-income folks and for a significant portion of the healthcare costs of the elderly and (iv) the inevitable economic disaster that awaits the middle class and the US economy when the employer mandate (that has been illegally delayed by President Obama for political purposes) is allowed to become effective. Suffice it to say that if and when the egregious provisions of Obamacare are repealed it will serve as an immediate stimulus to the US economy. 

Can we envision a time soon after President Obama is out of office (i)  when Congress regains control of spending and middle class income growth and not growth in welfare and ending income inequality is the goal, (ii) when Obamacare is no longer interfering with economic growth or destroying the healthcare industry, (iii) when our transportation infrastructure is being adequately repaired and improved, (iv) when employers are investing in expansion, offering raises to current employees and seeking employees for full-time, tax-paying jobs; (v) when young middle class families can pay off their college loans and buy and make improvements in homes which develop growing equity; (vi) when defense spending and homeland security spending is increased to levels needed to protect our country and our allies from aggression and terrorist acts (vii) when the National Debt is stable or declining, (viii) when Medicare costs and welfare abuses are brought under control;(ix) when the Fed permits interest rates to rise during a period with 2 to 3% inflation and (x) when savers can get a fair return on their capital? 

It can happen if we turn away from the path to socialism and focus on GDP growth and strengthening American capitalism.

 

However, the growth will not occur if Republican conservatives insist on policies of austerity or if a needed catalyst fails to occur to get the growth avalanche started. Our international corporations have more than 2 trillion dollars held overseas that can be repatriated if we change the tax laws. Previous changes led to repatriation of overseas funds, but did not result in significantly increased domestic investment. This writer published a book last year (that has not attracted attention) entitled “Perpetuating American Greatness After The Fiscal Cliff” which proposed changes in the US tax laws to finance transportation infrastructure construction projects through the sale of “Jump Start America Bonds”. The name of the bonds tells the story of their purpose. They would serve as the needed catalyst.

Obamacare Will Cause Healthcare Chaos in January, 2014

Get ready for inevitable chaos in the healthcare industry in January, 2014. Patients are going to show up at a doctor’s office, hospital or other healthcare provider in need of care and be asked to provide proof of insurance. People with Medicare, Medicaid or employer paid insurance cards will have no problem establishing that they have current insurance. Everyone else will have to prove that they have insurance in force and that the provider is included in the insurer’s network. Even if they can do so, they will be asked to pay the deductibles in full or at least to pay up front for the cost of the treatment or procedure.

Millions of individuals are not going to know whether they have an effective insurance policy (whether a new Obamacare approved policy or a previously existing individual policy) in force. If you have enrolled for a Obamacare policy on an exchange, the provider will be at its financial peril to determine whether your policy is in force. Proof that recently applied for Obamacare policies are in force may be difficult to obtain. Because of website deficiencies, you may believe you have enrolled, but haven’t. Only a small percentage of patients will have received a Obamacare exchange insurance card that will in most cases be issued only after the initial premium has been paid. Despite requests from President Obama, insurers may be unwilling to verify that policies are in force, even if they receive notification of a valid exchange website registration, unless they have received payment from the purchaser. Many people, faced with an illness or an injury, will scramble to register on an exchange, or to pay. Insurers will face a problem in calculating the amount of the US government subsidy and the portion of the premium payable by the purchaser of the policy. However, President Obama has offered (based on questionable authority) to advance the subsidies based on estimated amounts (calculated by the insurers) to be finally adjusted at a later date.

Unless the patient has proof of a currently in force individual insurance policy, previous policies that appear in the providers records, may or may not remain in force. The providers will have to attempt to determine the status of the patient’s insurance, on a case by case basis, at the time of service.

Even if the existence of an exchange approved or previously issued individual or employer paid policy is confirmed, deductibles and co-pays become an immediate problem on January 1, 2014. The providers will have to collect the full amount of the deductible and co-pay (if they can determine what they are) in cash or face a collection and bad debt risk. Because deductibles will represent such a large percentage of their fees, providers, except in the case of an emergency, are likely to demand an immediate cash payment for the full cost of the treatment or procedure. Patients who pay cash in an amount which is later determined to be in excess of their deductibles and co-pays may have difficulty recovering such excess amount.

Healthcare providers, who have chosen a profession of providing care to patients, will often elect to take the credit risk and treat the patient in an emergency situation. Because the fees for services are so low under Obamacare exchange issued policies, some healthcare providers will be unable to bear such credit risks and operate profitably. Many providers will elect not to participate in Obamacare networks.

Many patients will be unwilling or unable to pay and will either forego treatment or go to a hospital emergency room that cannot deny treatment. The collection problem will then be transferred to the hospital. Hospitals (or other healthcare providers) may attempt to take advantage of an opportunity resulting from the large Obamacare premium subsidies to attempt to transfer a portion of the payment for the treatments and procedures they perform to the insurance companies and the US Government. They may (if it is determined to be legal for them to do so) attempt to limit their exposure by advancing the Obamacare exchange policy premium for the patient. The US Government would then become responsible for paying the subsidy. The hospital will still remain at risk for the collection of the deductible and co-pays from the patient, but fees in excess of the deductibles and co-pays (which may be large in the event of a serious illness or injury) will become the responsibility of the insurer.