Monday, July 09, 2012
Contempt for consumers in Frankfort
Fear the government
Sunday, July 08, 2012
Kentucky's bogus Medicaid talking point
The report, issued by Kaiser Commission on Medicaid and the Uninsured, saw immediate statewide distribution primarily through public news sites (here and here) and business publications (here and here) and at least one newspaper (here).
Only one tiny problem with that: the report was dated May 2010. These numbers are ridiculously outdated and and the ranking is meaningless, released now as a clumsy attempt to score political points. The fact Kentucky media outlets seem to have swallowed this whole should be incredibly embarrassing for them.
The truth is the massive Medicaid expansion under the Affordable Care Act would very likely result in significant numbers of privately insured low-income people dropping coverage and signing up for Medicaid, according to another old report.
Hope this changes the conversation in Frankfort this week as Beshear weighs whether or not to drive the state to insolvency faster with this easily avoidable government expansion.
Thursday, July 05, 2012
Frankfort GOP coming around on ObamaCare
A video released by Kentucky House Republican Leader Jeff Hoover shows the first real sign of life from Frankfort's GOP leadership in support of health freedom in the Commonwealth.
The striking lack of any mention of health insurance exchanges in the video was cured by House Republican Director of Communications Michael Goins, who pointed to a press release mentioning the need to opt out of the exchange at the end of its last sentence.
The effort fits in the "better late than never" category, but not by much. Most Republican legislators voted to give Beshear $50 million to expand Medicaid under ObamaCare. Forcing Beshear and the Democrats to fight on the record for ObamaCare during budget negotiations would have been campaign gold this fall, at the very least.
We need to hear more from Rep. Hoover and other GOP legislators about specific steps to get out from under ObamaCare. A very easy move with a big payoff for consumers would be to expand the Religious Publications Exemption in the Kentucky Insurance Code so Kentuckians could be more confident in the option provided by religious-based health sharing organizations, which are exempted from federal mandates under ObamaCare.
Wednesday, July 04, 2012
Is Beshear reconsidering ObamaCare?
Tuesday, July 03, 2012
Judge Wingate flip-flops on health freedom
They aren't likely to meet soon.
The Beshear administration has the people of Kentucky in an ObamaCare headlock and intends to keep us there. Governor Beshear and his minions in the legislature don't want a public discussion about this, so they are pulling all the strings to keep it quiet.
Will we let them succeed?
Monday, July 02, 2012
Kentucky most important health reform state
All kidding aside, it will take a huge effort to rein in the Kentucky Department of Insurance and help create an environment for free market health care in Kentucky. And the federal effort for real reform won't mean anything if we don't get it right in Frankfort.
But if we can make headway in Kentucky, we can help the rest of the nation get out from under government control of healthcare. Kentucky is unique in its constitutional protection of citizens from absolute and arbitrary government. (See Section 2 of the Kentucky Bill of Rights.)
Insurance regulation in the states is almost universally arbitrary in that the laws are too broad and then are applied haphazardly. This chaotic regime is much like having a crazy despot who lets his friends get away with murder but attacks his enemies on a whim. That's no way to regulate anything, much less an industry which such an important impact on the lives of all citizens.
If we can overturn insurance regulation in Kentucky, we can show what a waste of resources government regulation of insurance is. That's because prices will do down and quality of service will go up. When Kentucky does this, people in other states will want to follow suit.
This effort can snowball quickly, but it will take a lot of people spreading the word. Will you help?
Sunday, July 01, 2012
If John Yarmuth is only source, you're biased
The article described a program through which the federal government provided $58 million to fund a scheme created by the "Affordable Care Act" to create a new health insurance co-op in Kentucky.
With supposedly independent programs like this, who needs government run insurance or the so-called public option?
But when the Courier Journal had time last week to talk to anyone with a point of view on this very controversial approach, it seems they could only manage to reach ObamaCare cheerleader John Yarmuth.
Needless to say, he is in favor of it.
In other news, certainly unrelated to bad, unbalanced journalism, the Courier Journal on Sunday pulled down their pay wall that had been telling readers to subscribe or face being shut off from their quality news source.
Friday, June 29, 2012
Kentucky regulators hunting more Christians
The two companies, Christian Healthcare Ministries and Samaritan Ministries, can't win a cat-and-mouse game with state insurance regulators. Changing Kentucky law to better follow our constitutional protection against arbitrary government power is the only way for this health insurance alternative to escape black market status in Kentucky.
Just letting these companies off the hook is no solution. In fact, doing so would only make the situation worse by increasing the sense of uncertainty in an environment with no fixed rules.
Christians should band together quickly to ensure Kentuckians have unfettered access to greater choices as ObamaCare destroys the more traditional ones. Non-Christians clearly have a stake in this too. They should push state government to restrict the definition of "insurance" in state law to better allow for the creation of a vibrant market in alternative financial products for them as well.
Thursday, June 28, 2012
Beshear wants Tea Party rematch
Governor Beshear's Health Cabinet Secretary Audrey Haynes told CN2's Ryan Alessi today they are going to give it another shot.
Stay tuned for updates. It will be on their turf again, on their terms. But they still can't answer the tough questions.
What's that in Mitt Romney's punch bowl?
Justice Roberts' vote to uphold ObamaCare can be explained, but that's not the end of the story.
I think Romney's biggest problem isn't with the constitutionality of ObamaCare, which he has already addressed substantially. His problem is in the philosophical details of any kind of government takeover of healthcare and in the implementation of this one through health care "exchanges," a heinous bureaucracy capable of doing much more damage than even the individual mandate.
Federal funding has already been distributed to the states to set up these exchanges, of which Romney has gone on record in support. Don't think the Obama campaign will fail to let that detail slip out a few times before November.
Beshear burns us in ObamaCare fire
Avoiding a state-run exchange is the surest option left to prevent the Affordable Care Act from bankrupting us with unfunded mandates. Despite what Beshear will say, federal law explicitly allows states to opt out of setting up an exchange. The law also clearly gives the federal government control of so-called state health insurance exchanges, so the line he will give us about maintaining local control should be ignored.
Make sure you get your legislative candidates on the record for or against ObamaCare. In Jessamine County, House Democratic Caucus Leader Bob Damron is for ObamaCare and his Republican opponent Matt Lockett is opposed to it.
Kentucky Christian health story takes off
Wednesday, June 27, 2012
"Kentucky versus Christians" escalates
At issue is the marketing of health sharing plans by Christian HealthCare Ministries and Samaritan Ministries in conflict with state law. Both entities fail to meet the extremely narrow "Religious Publications Exemption" in Kentucky's Insurance Code that would allow them to operate here. This Code also defines "insurance" so broadly as to make nearly anyone fall under its jurisdiction.
The Commonwealth has been battling a third health sharing group, Christian Care Medi-Share for more than a decade. Their case has come to an odd standstill.
Given that health insurance consumers' interests would be better served by more competing firms in an open and transparent marketplace, a solution would be to expand the "Religious Publications Exemption" to allow any church or religious organization to act as an unregulated health insurer.
A better solution would be to change the definition of "insurance" in state law from anyone engaged in shifting risk to anyone who voluntarily signs up with the Insurance Department to be regulated as an insurance company.
That way, we could have two insurance markets: one with direct government oversight and one without in order to maximize consumer choice and also to gauge the efficacy of alternative regulatory schemes.
The Public Protection Cabinet is expected to send out a second round of letters tomorrow, demanding a response and threatening fines and further legal action.
Tuesday, June 26, 2012
Extreme Frankfort inaction leaves us hanging
Friday, June 22, 2012
What's your health regulation tax?
One very important element in the cost of health insurance that doesn't usually come up is the cost of regulation. The point seems moot because we think of health coverages all being regulated the same way, so there is no reason to consider what those costs are.
But there is more to the story.
No matter how the U.S. Supreme Court rules on ObamaCare, the nearly certain shake-up in the health insurance market that results may send you hunting for a new way to pay for your medical needs. If you are a Christian, you might want to take a long look at Christian health sharing plans.
And that's where the cost of regulation comes into the equation in a big way.
Christian health sharing plans (Christian Care Medi-Share, Samaritan Ministries and Christian Healthcare Ministries to name three) don't fall completely under state regulation. Also, they are mostly exempt from regulation under the Affordable Care Act -- the part of the law most likely to survive even if the individual mandate is thrown out.
The relative lack of government regulation results in dramatically lower pricing for the sharing plans. That's not to say that they are automatically superior to government-approved plans, though. And this distinction is extremely important.
State regulators across the country, probably without exception, hate Christian health sharing organizations and have taken pains to keep us from flocking to them. I'd love to be proven wrong on this point, but I'm not holding my breath waiting for it to happen.
Every state law I have seen that mentions them takes pains to limit the ability of health sharing organizations to operate to their full potential. The standard approach requires them to state explicitly that there is no promise claims will be paid. That could seem pretty scary, but really only if you haven't done much research into health sharing plans or government-regulated plans.
"Regular" health insurance is just a one year contract. That should be horrifying for anyone on one as well as motivating for anyone who learns health sharing plans are not limited as to their terms.
The lack of legal support for health sharing plans is the only thing really holding them back. Kentucky's schizophrenic approach to them may be worse than any state's in the nation, but they all appear to be pretty bad.
Christian health sharing organizations are alternatives to health insurance that are barely, if at all, legally permissible in Kentucky. The problem has much more to do with bad law than with the organizations and their health plans.
A bill to expand the Religious Publications Exemption to the Kentucky Insurance Code would be a big help. Specifically, striking all of KRS 304.1-120(7) except for (c) would get the government off the backs of these good organizations and allow a strong self-regulating market to develop to benefit Christians all over Kentucky who would otherwise be victimized by the coming exploding costs in government-regulated health insurance.
What amounts to a "health regulation tax" really just benefits government health regulators. We can't afford their taxes anymore.
Thursday, June 21, 2012
Judge to rule against Kentucky Christians
Franklin Circuit Judge Thomas Wingate said through a spokesperson that his ruling on a Department of Insurance motion to find Christian Care Medishare in contempt of court will come soon.
Wingate has no choice but to rule against Kentucky Christians under state law and despite an exemption for such groups in the federal ObamaCare law.
The solution to this mess is to change Kentucky law in favor of health care freedom right away.
Tuesday, June 19, 2012
Indiana could have Christian health problem, too
Effective July 1, Indiana joins a collection of mostly conservative states who have taken legal steps to secure the rights of Christians to gain private healthcare regardless of federal government actions.
Kentucky has completely missed this opportunity so far, possibly because health sharing lobbyists mistakenly thought they had already changed Kentucky law.
But Indiana Christians may be operating under a false sense of security. You can look at the language of the new Indiana law here.
A court could very easily rule that any of the major health sharing organizations violates Sections 4 or 5 of the law if the organization takes possession of any member sharing funds at any point or if the court views penalties against failure to make timely payment between members as a form of breach of contract and, therefore, part of a failed "promise to pay" that puts the organization back under Indiana Department of Insurance regulation.
Christians really are going to have to look beyond little legislative tweaks and narrow exemptions if they really want to protect their health care freedoms at the state level.
Kentucky can lead on this issue by calling a special legislative session and changing the definition of "insurance" to include only companies that are registered as such with the Department of Insurance.
Health sharing group responds, but still incorrectly
Monday, June 18, 2012
A 9 year old mistake in Christian health debate
I just figured out what the problem is.
The Alliance of Health Care Sharing Ministries reports on its web site that Kentucky passed a law in 2003 to allow health sharing entities to act as a conduit for funds. Such a change in the law might clear up a major problem regulators and the Kentucky Supreme Court have with these organizations.
The only problem with this is the bill failed to pass. Never even got a floor vote in the House, where it originated.
This mistake appears to be what is causing the Christian health sharing organizations to think they are on solid ground in Kentucky. They would do well to check the facts and reconsider their failing strategy right away. It's an embarrassing screw up, to be sure, but the best solution is to join in and fight against the flawed reasoning of insurance regulation.
Given the substantial uniformity of state insurance regulation, making Kentucky a focal point for reform could yield fantastic results.
The ObamaCare U.S. Supreme Court decision coming any day now is really just the beginning of the health care freedom battle in America. Getting with the program, therefore, presents a very powerful opportunity for marketers of Christian health sharing programs.