Conservatives were sure at every turn that Obamacare would fail, but as the numbers roll in, those convictions are looking increasingly ideological.
First they said nobody would enroll. Then they said first-year premiums would be through the roof. And later, they warned of a “death spiral,” wherein premiums would go up uncontrollably. My colleague Sam Baker has written an excellent analysis of the situation, the upshot of which is that Obamacare is on a winning streak.
The next great frontier of conservative hyperbole concerns premiums for 2015, with critics warning that costs will double or even triple next year.
As of this week, we have good evidence to the contrary. Health insurance premium rates are expected go up just 7 percent — a rate of increase much lower than what critics were predicting. And the nonpartisan Congressional Budget Office is predicting that premium hikes will be relatively modest.
“The double-rate increases we’ve been hearing are probably exaggerated,” Dave Axene, a fellow with the Society of Actuaries, told USA Today. “That’s not what we’re seeing from the actuarial organizations — I guess we’re being a little bit more optimistic.”
“A little bit more optimistic” is something of an understatement. For weeks, pundits have been spouting apocalyptic notions about the costs of insurance premiums, warning Americans that “the worst is yet to come.”
Writing in The Washington Post last month, Michael Gerson speculated that premium increases could hit triple digits. “Over the past several years, increases in insurance premiums have averaged nearly 6 percent,” he wrote. “Because of the rocky launch, age distribution, and delayed provisions of Obamacare exchanges, insurance company officials expect far larger premium increases this spring — in the double digits, if not the triple digits, in many places.”
He goes on to reprimand the Obama administration for failing to prepare Americans for these drastically increased premiums, calling it “another round of Obamacare overpromising.” In fact, it’s Gerson who’s blown the expectations game — not that he’s alone in that.
Just last week, Scott Gottlieb, a resident fellow at the American Enterprise Institute, wrote in Forbes that “health insurance premiums are showing the sharpest increases perhaps ever” and that “rate hikes have accelerated as Obamacare’s regulations have started to get implemented.”
In an appearance on Meet the Press, John Sununu cited a report from WellPoint that predicted “double-digit-plus” increases. The report startled analysts at the time, with some saying they suspected the company was “hedging bets” in case of a change in rules. But that nuance didn’t make it into Sununu’s talking points.
And conservative blogger Ed Morrissey cited a sensational headline to make his case. “Remember how Barack Obama and Democrats promised to ‘bend the cost curve downward’ with ObamaCare?” he wrote on Hot Air. “Well, they got most of that promise correct. Obamacare has bent the cost curve all right, but sharply upward — and in 2015, expect them to not just bend but absolutely ‘skyrocket.’ “
That report was widely bandied about in the conservative blogosphere. “In politics, there’s only so much massaging of the truth and flat-out lying that one can do before the headlines catch up with the deceit,” wrote National Review‘s Charles Cooke. “Here’s one that ought to scare the hell out of any Democrats who are still hoping that The Charge of the Light Brigade can be an effective electoral strategy for them: ‘O-Care premiums to skyrocket.’ ” In this case, of course, it was deceit that caught up with the headlines.
The origin of these critics’ argument can be traced to a thinly sourced article in The Hill, which quoted a former Cigna executive saying things like, “My gut tells me that, for some people, these increases will be significant.” The reports about insurance rates possibly tripling, which were widely repeated, appear to come from a single anonymous insurance executive.
The irony is that, had conservatives been a little less quick to trumpet every nugget of potentially bad news, the administration would be riding a little less high right now — and their own predictions would look a little less silly.
Nobody knows for sure what will happen next year. And there are still plenty of Obamacare supporters who envision premium increases in the double digits. But pundits like Gerson and even some straight news outlets have been far too confident that everything will be terrible.
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After spending a few minutes re-litigating the Democratic primary, Donald Trump turned his focus to Obamacare. “I inherited a mess, believe me. We also inherited a failed healthcare law that threatens our medical system with absolute and total catastrophe” he said. “I’ve been watching and nobody says it, but Obamacare doesn’t work.” He finished, "so we're going to repeal and replace Obamacare."