Tuesday, July 31, 2012
Eat more capitalism
The federal healthcare law carves out a money-saving (and possibly life-saving) exemption to its mandates for members of religious health sharing ministries, but under Kentucky law such membership is a felony. As ObamaCare's 2014 implementation draws closer, a lot more Kentuckians will be looking for a way out. Encouraging state lawmakers to expand the Religious Publications Exemption by striking KRS 304.1-120(7)(d)(e)(f) eliminates the worst of this threat.
It's a guilt-free, low sodium solution to a problem we don't need to have. Please spread the word right away. And if you like getting heads up like this on issues no one else reports on, please consider contributing to the effort by clicking here and making your most generous contribution. No amount is too small, and anything you can do is greatly appreciated.
Monday, July 30, 2012
Medi-Share debacle endangering Christians
Kentucky's Insurance Code, KRS 304, defines insurance to include activities of not only health sharing groups like Medi-Share, but also their members.
In a March 1, 2011 permanent injunction ruling, a Franklin Circuit Judge prohibited Medi-Share and its members from operating their health sharing program in the Commonwealth, specifically mentioning KRS 304.11-030(2), which prohibits the health sharing activities of both the company Medi-Share and its members.
KRS 304.47-020(2)(b) provides for punishment of imprisonment between one and five years and fines of tens to hundreds of thousands of dollars.
Judge Thomas Wingate says he can't rule on a year-old contempt of court motion against Medi-Share and it's members until the state's Department of Insurance and Medi-Share agree on a hearing date. Despite either weeks or months of negotiating on a date, none has been scheduled as of Monday afternoon. While the judge, the state and Medi-Share play hot potato, innocent Kentuckians are put at risk. There is a simple fix for this, though it would surely be more satisfying at this point to run the whole bunch of them out of the state and force them to talk their way back in.
Is Kentucky moving toward marijuana?
Sen. Perry Clark made headlines earlier this month when he admitted to recent marijuana use, a very poorly kept secret in Frankfort. His Republican opponent, Louisville businessman Chris Thieneman, condemns Sen. Clark for smoking on the job but said he supports changing state law to allow Kentuckians who gain relief from physical problems by smoking marijuana to do so.
A year ago, nervous state politicians called industrial hemp, a natural product with multiple uses and no hallucinogenic effects, a gateway drug to harder substance abuse until Agriculture Commissioner James Comer, a Republican, won election statewide on a platform including advocacy for industrial hemp cultivation.
It will be interesting to see how quickly other politicians' views toward medical marijuana evolve now that Thieneman has stepped up on this issue. President Barack Obama admitted smoking marijuana on many occasions and campaigned on leaving medical marijuana users alone. In office, he has instead aggressively prosecuted medical marijuana use, to the consternation of former supporters.
In October, the U.S. Court of Appeals in Washington D.C. will hear oral arguments in a case against the Department of Drug Enforcement's efforts against marijuana use.
Catholics expand fight for health freedom
Solidarity HealthShare, a new health-sharing organization, will help Catholics avoid ObamaCare health insurance mandates.
The Catholic Church has been outspoken in its opposition to government mandates for insurance coverage of abortion and this effort is clearly motivated by that. As more people of faith see the wisdom in fighting back against federal or state regulation of health insurance, we grow closer to gaining true health freedom for everyone.
With Catholics on board, health freedom gains a powerful new ally.
Friday, July 27, 2012
Tea Party storms Frankfort over ObamaCare
Winning the battle for health freedom has to be the top tea party issue until candidates in any party are terrified to run on any platform that does not include health freedom as one of its key planks.
Thursday, July 26, 2012
Kentucky's War on Christian Health going national
"Christian health sharing ministries are largely unregulated, except by themselves. This means members cannot go to an insurance commissioner with a complaint, rates aren't reviewed by an independent regulator, and there is no way to ensure they are following anti-discrimination laws."
Just as some states are fighting back against ObamaCare from the right, others are pulling it faster to the left. One of their approaches is to effectively shut down Christian health sharing ministries' exemption in the federal law and Kentucky is way ahead of the curve on this.
It's simple: we fight back or we lose. I will be speaking in Louisville tonight about how we can fight back to win our health freedom in Kentucky. Join us at 6pm ET at Ernesto's, 10105 Dixie Highway if you can.
If you would like to help get the message out, please consider donating whatever you can here. Thanks for all you do.
Wednesday, July 25, 2012
An ObamaCare amendment we all need
Kentucky is gaining increased national attention for its long-standing hostility toward Christian health sharers. While we pursue a legislative correction to that misguided animosity, federal representatives should also implement a small change to the ObamaCare law to improve the efficiency of health coverage alternatives not regulated by public employee bureaucrats.
ObamaCare bill H.R. 3590 exempts health sharing from federal mandates but also limits the market to religious organizations in operation since 1999. Simply eliminating this arbitrary limitation allows for new competitors in the market just as the rest of the federal law reduces choices in the government-controlled market.
The change involves striking out this part of the law:
While the benefits of a more competitive free market in health care coverage are obvious for Christians, less obvious is the opportunity for others who may, for political reasons, want to support the idea of ObamaCare but don't want to be stuck holding the bag when the government sector of the health market blows up.
I'm thinking a health care sharing ministry for the Church of the Left-Handed Bicycle Riders might come in handy at some point.
Tuesday, July 24, 2012
Kentucky tying up Christians for sharing, promising
That's not likely.
Medi-Share was found to be an unregistered health insurance company in 2010 by the Kentucky Supreme Court. The Court ruled the company failed to meet all requirements of the Religious Publications Exemption in KRS 304.1-120 (7), specifically the one requiring health sharing members to pay each other's medical bills "directly from one (1) subscriber to another."
Whether that requirement is met under current operations is somewhat open to interpretation. Medi-Share members now send monthly funds to a credit union account the member and Medi-Share control jointly. The Kentucky Department of Insurance and the Supreme Court claim such an arrangement does not constitute direct subscriber-to-subscriber payment.
But even if the Department and the Court change their minds and decide that this method is direct enough, there is at least one more problem for Medi-Share. Gaining the exemption also requires that there can be "no assumption of risk or promise to pay either among the subscribers or between the subscribers and (Medi-Share)."
Medi-Share's many advertisements (like the one above) are full of eye-popping numbers like an average family month commitment of $282 and a claim of $625 million in savings. Also, anyone who has had to call around to find an agreeable doctor has to be impressed by the idea of having the freedom to "use any provider."
All this is suggestive of a "promise to pay," but the fact that is going to get them is that members who don't pay their monthly fees for two months will be dropped from the program and will not have outstanding medical needs presented for payment. That sounds obvious, but the fact of a requirement to pay in order to benefit is the legal definition of a "promise," which is prohibited under the law.
The ridiculous hoops we require these people to jump through to enjoy some measure of health freedom need to be eliminated. But they can't be wished away or shouted away. We need to change the law.
Monday, July 23, 2012
Kentucky dawdling wastes health money
Religious health sharing organizations in continuous operation since 1999 and their members are exempt from dictates of the Affordable Care Act. Kentucky's hostility toward this simple alternative to health insurance, however, predates federal health insurance reform.
The state's 2002 lawsuit against Christian Care Medi-Share is still not resolved, mainly due to Department of Insurance inaction. Failure to even begin addressing legal issues facing members and prospective members of the only two other federally exempt organizations -- Samaritan Ministries and Christian HealthCare Ministries -- until forced to do so six weeks ago, very poorly serves Kentucky's insurance consumers.
Hundreds of thousands of Kentucky Christians are overpaying for health coverage because of this legal mess, which could be cleared up easily.
Sunday, July 22, 2012
Kentucky waffles again on Christian health
A Department spokesperson said a meeting may take place in August.
The state's newly found interest in openness on the issue of religious health sharing organizations and their superiority to government-regulated health insurance doesn't immediately address the organizations' real legal problems, but the response to tea party pressure is a welcome one.
Health freedom can be won in Kentucky and then spread to the other states. Stay tuned for updates.
Saturday, July 21, 2012
Frankfort should defund ObamaCare ads
Kentucky's Cabinet for Health and Family Services Secretary Audrey Haynes just appeared this morning on Bill Bryant's WKYT Newmakers program in Lexington touting the coming bureaucracy.
She also stated the 2014 roll out of the expensive program will be "heavily advertised."
Wasting money on advertising to promote this waste of money should be against the law, right? Looking for a way to do that in the 2013 General Assembly could be both fun and productive for the cause of Liberty.
The first place in statute that comes to mind as a vehicle for prohibiting government from spending our money to advertise the expansion of itself is KRS 121, campaign finance law.
I'm a little nervous about opening up campaign finance with the current legislature given than Senate Republicans have been at least as bad as House Democrats on the issue. Proposed legislation to prohibit the state from using any state resources to promote any element of the Affordable Care Act, though, could be worth the risk. A pre-filed bill with this objective this summer could be used as a campaign tool against House Democrats stuck between their party's damaging policies and their desire to win re-election in November.
Friday, July 20, 2012
Kentucky still abusing health consumers
Wednesday, July 18, 2012
This can't be good
I'm not going to go Alex Jones on you, but seeing this did kind of give me the willies.
Steve Beshear will be surprised in 2015
Beshear flatly stated the ObamaCare health insurance exchange won't cost the state anything, that the exchange will pay for itself. This is absolutely false. Increased fees or taxes will be necessary to fund the new bureaucracy after federal funds run out at the end of 2014.
Tuesday, July 17, 2012
Beshear takes the bait on ObamaCare
From the release: "Governor Steve Beshear today issued an executive order establishing the Kentucky Health Benefit Exchange, a requirement of the federal Affordable Care Act (ACA)."
The ObamaCare exchanges are optional. Further, refusing to play along is the only way Kentucky could hope to survive the rapid tax, penalty and fee increases for Kentuckians in the federal law.
Federal funding for the Kentucky exchange will dry up at the end of 2014. At that point, Beshear claims the "Exchange will be wholly funded with revenues it generates."
That means either a new tax or some kind of fee increase on health insurance will be necessary. Governor Beshear should be made to explain exactly how much he anticipates the state will spend on the exchange annually and where precisely that money will come from.
Monday, July 16, 2012
Family Foundation of KY still wrong on health law
At issue is an apparent unwillingness to accept reality of Kentucky's arbitrarily applied prohibition of an otherwise very viable Christian health insurance alternative called health sharing. This failure is preventing them from doing much good on a key front in the fight against ObamaCare.
The reality is that health sharing is against Kentucky law and it is no matter how much anyone repeats that it is not.
In 2007, the Family Foundation touted a court ruling they thought might put to rest the controversy over health sharing in Kentucky. It did not.
The problems health sharing organizations face in Kentucky will persist at least until the Religious Publications Exemption in the state's Insurance Code is greatly expanded.
The legislative fix is easy. We need to amend KRS 304.1-120(7) like this:
This change would allow all the Christian health sharing organizations currently exempt from ObamaCare to function in Kentucky without fear for themselves or their members of being shut down and possibly charged as unauthorized insurers and jailed as felons.
This should be a simple discussion and not an embarrassing mess full of personal attacks and missing the point. Failure to resolve this quickly and amicably only benefits those who want the government to control all of our health care.
Friday, July 13, 2012
Odd bedfellows can win health freedom fight
And that means clarifying the value of a free economy for the Christian Right and Left to bring their powerful voices into the fight.
Lots of work to do, but if you look carefully for subtle progress here and here, you just might see where I'm going with this.
Thursday, July 12, 2012
Black market Christian health company puts Kentuckians at risk; illegal under federal law
According to the company, Altrua was formed in 2000, which means it can't help you under federal law. The Affordable Care Act doesn't specify penalties for operating as an illegal insurer under that statute, but under Kentucky law, the company and even its members could be charged as felons.
Wednesday, July 11, 2012
Health reform for Rand Paul and John Yarmuth
From the Affordable Care Act on page 128, we find the following passage:
What we need more than anything is more alternative forms of protection for Americans, rather than fewer or a fixed number. President Obama and congressional Democrats had to like this passage or they wouldn't have it in their bill, right? Surely they wouldn't mind making it better.
Limiting the exclusion to religious organization who started their health sharing activities on or before December 31, 1999 is discriminatory and arbitrary. If a group of gay left-handed communists want to set up a church and start their own health sharing organization, they should be allowed to under federal law. It is only fair.
Please encourage your member of Congress to amend the Affordable Care Act to strike both references to December 31, 1999 in the Health Care Sharing Ministry section of the bill so that they may do so.
Tuesday, July 10, 2012
Might Medicaid migration hurt Kentucky?
Of the seven states surrounding Kentucky, only Illinois and West Virginia seem likely to go for the budget-busting entitlement expansion mandated by ObamaCare but made optional by the U.S. Supreme Court.
Beshear's delay on Medicaid expansion is odd for someone who has supposedly been "studying" these issues for a long time.
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.
Thursday, June 14, 2012
Sen. Mike Lee swings too hard for Romney
Lee dismissed worries about the fact that Leavitt was profiting from the implementation of President Obama’s health care law.“If the rule were, you cannot be considered a conservative, or even palatable to any conservatives under any circumstances if you have operated in or especially made a profit in any area that isn’t 100 percent governed by free market, no one would qualify,” Lee said. “The truth is there are so many things, especially in the post-Obamacare world, where the market isn’t really free.”
Commonwealth of Kentucky v. Christians begins
The organizations are Samaritan Ministries and Christian Healthcare Ministries. The Department demanded, on Monday June 11, a response from them within two weeks.
Such religious-based health sharing organizations are exempt from ObamaCare mandates, sparing their members at least some of the negative effects of the federal law euphemistically dubbed by Congress the "Patient Protection and Affordable Care Act."
At issue is Kentucky law, which defines insurance as "a contract whereby one undertakes to pay or indemnify another as to loss from certain specified contingencies or perils called 'risks.'" This means essentially that most human interactions could constitute "insurance" and invite regulation under the state's insurance code.
An example I have been using is that if I sell you an umbrella on a cloudy day, I could be considered your insurance company under state law. It sounds ridiculous, but it applies to a law that is so overly broad as to be hazardous to our liberties.
A "religious publications exemption" found in state law has been cited as a way for these religious health sharing organizations to escape state regulation. But the Kentucky Supreme Court ruled in 2010 (Commonwealth v. Reinhold) that "the (sharing organization) must be set up so that one subscriber sends the money for assistance to the other subscriber without the money passing through an intermediary."
Both organizations fail on this point, though Samaritan in most cases at least usually operates merely as an information source linking financial needs with payors and suggesting payments.
So, in the eyes of the law, both sharing organizations are insurance companies and should -- again, under the law -- be regulated. Given Kentucky's overzealous regulatory regime, that means shutting them down.
The point of this exercise is that insurance regulation has proven in dramatic fashion to be at least counter-productive by providing an illusion of consumer protection as well as an impossible to miss negative impact on pricing of services. Before we fall for giving near-total control of our health care system to federal and state governments, we should take a closer look at how such control is and has been handled in Frankfort.
If we do that, we ought to agree to dismantle insurance regulation altogether.
Wednesday, June 13, 2012
Let's rock the health care debate
In 1994, after the failure of HillaryCare, Kentucky destroyed its individual health insurance market by requiring insurers to accept all applications regardless of health status. Dozens of health insurance companies immediately left the state, leaving only one. The legislature subsequently restored some sanity to the marketplace, but some big problems remain.
Enter ObamaCare.
A small corner of the ObamaCare debate has escaped the national spotlight. That corner is occupied by religious-based health sharing organizations, which are exempt from the so-called Affordable Care Act.
Three such organizations, Christian Care Medi-Share, Samaritan Ministries and Christian Healthcare Ministries are at the center of a very quiet debate running right to the heart of what is wrong with the idea of government regulating health care.
In 2002, Kentucky filed a lawsuit against Christian Care Medi-Share, alleging that the company fit the state’s definition of an insurance company and needed to be regulated as such. This effectively destroys the company’s ability to operate in the state because their ability to avoid the state’s crazy quilt of mandates and their much lower premiums are what could make them a better choice for some consumers.
To their credit, Medi-Share refused to just go away quietly. They won exemptions in court while the state kept appealing. In 2010, the Kentucky Supreme Court ruled against Medi-Share and the state moved then to remove them from Kentucky.
To their credit, again, Medi-Share refused to leave. And this is where it gets really interesting.
Perhaps realizing they don’t want to get caught on the wrong side of the Affordable Care Act — actually worse than ObamaCare! — just as the fire gets really hot, Kentucky has stopped fighting to remove Medi-Share. They still tell callers to the Department of Insurance consumer information line that Medi-Share is operating illegally and shouldn’t be trusted to serve citizens’ health care financing needs, but there has been no official action against the company for almost a year.
And the sad truth is that, given the way the state law is written, Kentucky is on solid ground in persecuting the Christians who seek refuge from federal overreach through Medi-Share.
And that’s where the other Christian health sharing companies enter the story. A Kentucky Department of Insurance spokeswoman told me almost three weeks ago that further action against Medi-Share was imminent and that while Samaritan and Christian Healthcare had previously been investigated and found to be properly operating outside the bounds of state insurance regulation, they would be investigated again.
There has been no apparent official action since then. And the truth is Samaritan and Christian Healthcare also operate in conflict with Kentucky law.
Arbitrary application of the law is prohibited by Kentucky’s Constitution. State regulators have created a chilling effect on consumers and Christian health sharing organizations with their actions. The proper action is to enforce the law universally or to repeal it and allow this opportunity for health freedom to flourish.
Kentucky needs to repeal this worse-than-ObamaCare provision in state law by redefining “insurance” in KRS Chapter 304 to exclude health sharing organizations and we need to do it this summer in special session to prevent further harm to Kentucky Christians.
And if, in doing so, we expand those freedoms beyond just Christians, then so much the better. But to do any of this, we need to draw national attention to this fight. Please spread the word as widely as you can.
Monday, June 11, 2012
Score one for NFIB, sort of
The results are so staggeringly bad they should give anyone looking at this issue without much prior understanding serious reservations about allowing Frankfort politicians to proceed with what will surely be a disaster.
In the report, titled Stakeholder Perspectives on Health Benefit Exchanges, surveys were sent out to 45 groups and individuals the Governor wanted to weigh in on ObamaCare. Of the 45, only 24 responded to any of the questions on the survey. Question number one asked if Kentucky should set up an exchange. Only 18 stakeholders answered that. Fifteen said yes. Most of those stated flatly that they wanted Kentucky to enable ObamaCare in the state by setting up an exchange without giving any reason for their answer. Most disappointing, the Kentucky Association of Manufacturers, which should know better, did elaborate. The KAM stated "Kentucky should operate its own Exchange to keep the governance close to home."
This position represents a fundamental misunderstanding about the structure of ObamaCare. State-run exchanges will only remain state-run at all as long as their actions please the federal government. Also, the Kentucky Farm Bureau apparently answered some of the survey questions, but took a pass on this one. Both KAM and KFB should know better than this.
The National Federation of Independent Business answered the question in unique fashion:
"Kentucky should hang back and watch the effects of Exchange development in other states. Draw contingencies for a variety of structures, but wait until the last possible moment to choose a path."
I don't know what is so hard about issuing a definitive "no" to a concept as bad as this, but at least the NFIB came close.
Why Kentucky Republicans folded on ObamaCare
These organizations and the politicians they own are far more concerned with power and the massive flow of tax dollars into their preferred pockets than they are with citizens' rights, finances or ability to gain access to medical care.
Refusing to set up a state-run exchange is critical to avoiding the ravages of ObamaCare, even if the individual mandate is found unconstitutional later this month by the U.S. Supreme Court. Other states whose officials claim opposition to ObamaCare while quietly implementing it are starting to get noticed. Let's hope more people lend their voices to shutting down all implementation activities in Kentucky.
A special session of the legislature this summer to get this right is not too much to ask.
Beshear administration officials have been sitting on this report for nearly a year.
Friday, June 08, 2012
Forcing Steve Beshear to fish or cut bait
I filed the complaints and wanted to explain to you why.
Governor Steve Beshear is arbitrarily opposing a single Christian health cost sharing organization, Christian Care Medi-Share, for working to protect innocent Kentucky Christians from the ill effects of insurance regulation at the federal and state levels. To be fair, the state lawsuit against Medi-Share was initiated by the Paul Patton Administration in 2002 and the 2010 Kentucky Supreme Court ruling is on very solid ground in its ruling that Medi-Share was functioning in the state in violation of state law.
But that's where the case gets complicated. Medi-Share has not only asserted that the company should not be regulated as insurance, they have continued up to now to provide services and even advertise for new members on Christian radio.
The Beshear Administration had knowledge of Medi-Share's activities then and filed a July 27, 2011 motion for a contempt of court ruling with the Franklin Circuit Court. Since then the state has moved carefully so as not to draw attention to the case, however employees at the Kentucky Department of Insurance continue to tell citizens asking about the program that Medi-Share is not operating legally, implying that it should be avoided.
Meanwhile, other companies operating similarly to Medi-Share have not escaped the Governor's notice but have escaped any legal action.
Two weeks ago, a Department of Insurance spokeswoman told me two other companies -- Samaritan Ministries and Christian Healthcare Ministries -- had been examined and found to not be violating state law as Medi-Share has been, but that further review would be taken to see if they were still operating in accordance with state law. In the two weeks following that conversation, no such review appears to have taken place.
Based on the wording of the law and the opinion of the Supreme Court supporting the law and the state's action, both Samaritan and Christian Healthcare should not be allowed to operate in the state either. More on that here.
By operating quietly and not following up but telling interested callers to avoid Medi-Share, the Beshear is creating a chilling effect on the operations of Christian Care Medi-Share. The motive appears to be to damage the ability of some Kentucky Christians to escape the mandates of insurance regulation at the state and federal levels without attracting much attention to the effort.
And that is why I filed the complaints. Whether ObamaCare survives this month's U.S. Supreme Court ruling or not, consumers' needs to protect themselves against overzealous government regulation of healthcare will likely only grow. Christian health sharing programs such as these present a form of that protection. Forcing them to operate halfway in and out of the shadows serves only to exacerbate the chaos caused by government dictates in our health care decisions.
The Beshear administration and all of state government need to be dragged out in public and forced to explain why they should be able to harass innocent Christians and the service providers trying to help them survive in today's hyper-regulatory environment. When they are, their arbitrary enforcement of state law in this case will surely be found unconstitutional and the arbitrary nature of the entire insurance regulation scheme in Kentucky may be as well.
Thursday, June 07, 2012
Call Steve Beshear on this, please
Beshear has left consumers in the lurch for nearly a year by refusing to enforce or renounce the court ruling in Commonwealth of Kentucky v. Reinhold. Of course the legislature has been no help either, but it's Beshear's court case.
The Commonwealth of Kentucky won its case against Christian Care Medi-Share, a religious based health cost sharing program, back in August 2010. The ruling, that the program should be regulated as an insurance company, effectively ran Medi-Share out of the state since coming into compliance with existing state insurance laws and regulations would eliminate any purpose for the program.
Medi-Share has continued to operate in Kentucky in violation of the law as have other similar cost sharing programs. Something has to give and it is the Governor's responsibility to see that it does. Beshear doesn't want to get caught attacking Christians before an election and taking away what little health freedom they have left.
But it is clear he wants to attack Christians and take away what little health freedom they have left. Otherwise, he wouldn't leave us all hanging so long waiting for a resolution on this issue. Beshear needs to come clean and either act to allow Christians to work around the already arbitrary and capricious state insurance regulations or admit that he wants the ability to control your health care decisions and doesn't want to hear you complaining about it.
Please call Governor Beshear at 502-564-2611 and tell him to either move to shut Christian Care Medi-Share down or to get out of their way and let them serve the health care needs of Kentucky Christians.
Certificate of Need: Kentucky's "Big Gulp" ban
We need to keep asking because Big Medical is running away with the game, regardless of what the Supreme Court rules later this month on the mother of all Big Medical bills, ObamaCare.
Every time you see hospitals and medical practices consolidate, you are seeing the end result of this over-regulation. Oh, and the higher prices less competition provides as well.
Essentially under Kentucky law, we are doing something much like Mayor Michael Bloomberg of New York is doing to his citizens who like soft drinks. Only with a much higher price tag.
New Yorkers who want a 64 ounce Double Big Gulp of Mountain Dew now go to 7-11 and walk out with one cup. Under Bloomberg's intervention, the same gulper will need to buy four 16 ounce Mountain Dews for the same sugar and caffeine buzz, certainly at a higher price.
Under certificate of need, just as advancing technology could provide us innovations in healthcare in one big "cup," we are being forced out the door juggling four of them to make some politician happy.
If you live in Kentucky and hate the idea of Mayor Bloomberg's nanny state nonsense, please understand that we already have that and worse in Kentucky healthcare because of our certificate of need laws.
It's ironic but telling that Kentucky has been ushering in ObamaCare through its Department of Certificate of Need.
Maybe that has something to do with why Kentucky Republicans have been so squishy on ObamaCare.