How Obamacare Could Flatline: Employers are doing their best to exploit loopholes in the ACA ......
from In These Times:
How Obamacare Could Flatline
Employers are doing their best to exploit loopholes in the ACA, and thats just one of many perils.
BY David Moberg
Since it was signed into law in 2010, the Patient Protection and Affordable Care Act (ACA) has survived a constitutional challenge before the Supreme Court and 37 attempts by congressional Republicans to kill it. Now, as the deadline for implementation of the legislation looms, Obamacare faces another hurdle: making the ambitious, byzantine plan actually work.
By October 1, the Obama administration must have the people and procedures in place to administer the vast new program mandated by the ACA. That could turn into a train wreck, warns Sen. Max Baucus (D-Mont.)who, as chair of one of the committees writing the legislation, made a wreck hard to avoid. The plan then needs to sign up as many of the 49 million uninsured Americans as quickly as possible, especially the young and healthy, to make the new system financially viable.
Even if the agencies involved clear the initial hurdle of enrollment, a host of other problems loom. Fundamentally, the ACA could fall short of its goal of providing better and more affordable healthcare for most Americans. And at the same time that the new plan provides insurance for millions of uninsured Americans, for many others its implementation could spell trouble: slashed work hours, a proliferation of burdensome insurance plans with expensive deductibles, and the dissolution of the multi-employer health plans that provide stable insurance to many union members.
Obstacles to Obamacares successful launch stem from five sources: how Congress wrote the law, continued Republican sabotage attempts, employers using the laws provisions to cut costs (and hurt workers), the regulations the federal government is writing to implement it, and concessions the administration made to opponents. Republicans have stridently opposed Obamacare, and employers have focused on maximizing their own advantage, but even some stalwart defendersespecially labor unionsare now criticizing the implementation of the ACA as falling far short of its limited promise. ...............................(more)
The complete piece is at:
http://inthesetimes.com/article/15092/obamacare_how_it_could_flatline/