Mr. Speaker, ObamaCare has created a healthcare crisis for the people in my district. Not long ago, I received this letter from one of my constituents in Knoxville: ``I just read where Humana Insurance Company will not offer health…
Mr. Speaker, ObamaCare has created a healthcare crisis for the people in my district. Not long ago, I received this letter from one of my constituents in Knoxville: ``I just read where Humana Insurance Company will not offer health insurance in any of the exchanges in 2018. This puts my wife in a predicament, as there will be no health insurance companies offering health insurance in 2018 in Knoxville at this time. We need help with this mounting issue, as I am sure there are a lot more of us in the same boat. When we first signed up for ACA insurance 3 years ago, her monthly premium was $245. The second year it was $660. This year it is $963 a month. This is absolutely ridiculous for a person on a limited income.''
Many thousands in Tennessee and across the Nation have very similar stories. My constituent was right. It is ridiculous. Now, even this expensive insurance will disappear, and there are a lot of people in the same boat as my constituent and his wife.
Because there has been so much publicity about how the Republicans now control both Congress and the White House, it seems a great many people do not realize that we are still totally and completely under ObamaCare. A bill was passed in the House, but a different version is being discussed in the Senate. So Republicans have not yet done anything to change ObamaCare. So if someone is still having trouble getting health insurance or is still paying too much for their insurance, it is still because of ObamaCare.
Just today, in the nonpartisan Capitol Hill newspaper, The Hill, is this headline, ``Insurer exits bolster GOP case for ObamaCare repeal.'' Insurance companies are still pulling out right and left all over the country because of ObamaCare. ObamaCare is still imploding all over the country.
ObamaCare's allegedly compassionate regulations were supposed to guarantee access to healthcare for the sick. Instead, they have made access worse. Current propaganda seems to be persuading some people that ObamaCare is really protecting the people it claims to be, but Harvard and others are finding otherwise in their studies. They are finding that the ObamaCare regulations literally penalize insurers who offer quality coverage for the sick. This motivates insurers to offer only unattractive plans to people with expensive medical conditions.
The insurance company who offers the best plans ends up with the most--and the sickest--enrollees, and so the highest costs. Sadly, this is causing a race to the bottom. The ObamaCare regulations are causing everyone, including people with preexisting conditions, to have low- quality coverage or no insurance options at all.
ObamaCare's harmful government regulations have driven every insurer out of the marketplace exchange in 16 counties in the Knoxville region. For 43,000 Tennesseans--unless Blue Cross Blue Shield can come back into the area, which they are considering--there will be no exchange plans available after December.
But it is not just in Knoxville. Millions of Americans have only one insurer left in the exchange, if any. ObamaCare's regulations are driving out more and more insurers every day, leaving Americans with less choice and ultimately no choice.
Throwing more taxpayer money at this problem won't solve it. This will continue to happen all across this country as long as we have ObamaCare's harmful regulations on the books.
Knoxville, Tennessee, is the canary in the ObamaCare coal mine. Mr. Speaker, President Trump says he wants to repeal ObamaCare. He should send his healthcare people to Knoxville, talk and listen to our people, share my constituents' stories, show the American people that ObamaCare's regulations are the cause of our Nation's crisis and are limiting access to healthcare.
If President Trump goes before the Nation on national television and explains in understandable detail what is going on with ObamaCare now and how he is trying to fix it, the American people will rally once again to repeal ObamaCare's harmful government regulations.
Mr. Speaker, I include in the Record this Wall Street Journal article written by Michael Cannon, director of health policy studies at the Cato Institute.
[From the Wall Street Journal, Feb. 28, 2017]
How ObamaCare Punishes the Sick
(By Michael Cannon)
Republicans are nervous about repealing ObamaCare's
supposed ban on discrimination against patients with pre-
existing conditions. But a new study by Harvard and the
University of Texas-Austin finds those rules penalize high-
quality coverage for the sick, reward insurers who slash
coverage for the sick, and leave patients unable to obtain
adequate insurance.
The researchers estimate a patient with multiple sclerosis,
for example, might file $61,000 in claims. ObamaCare's rules
let MS patients buy coverage for far less, forcing insurers
to take a loss on every MS patient. That creates ``an
incentive to avoid enrolling people who are in worse health''
by making policies ``unattractive to people with expensive
health conditions,'' the Kaiser Family Foundation explains.
To mitigate that perverse incentive, ObamaCare lobs all
manner of taxpayer subsidies at insurers. Yet the researchers
find insurers still receive just $47,000 in revenue per MS
patient--a $14,000 loss per patient.
Predictably, that triggers a race to the bottom. Each year,
whichever insurer offers the best MS coverage attracts the
most MS patients and racks up the most losses. Insurers that
offer high-quality coverage either leave the market, as many
have, or slash their coverage. Let's call those losses what
they are: penalties for offering high-quality coverage.
The result is lower-quality coverage--for MS, rheumatoid
arthritis, infertility and other expensive conditions. The
researchers
find these patients face higher cost-sharing (even for
inexpensive drugs), more prior-authorization requirements,
more mandatory substitutions, and often no coverage for the
drugs they need, so that consumers ``cannot be adequately
insured.''
The study also corroborates reports that these rules are
subjecting patients to higher deductibles and cost-sharing
across the board, narrow networks that exclude leading cancer
centers, inaccurate provider directories, and opaque cost-
sharing. A coalition of 150 patient groups complains this
government-fostered race to the bottom ``completely
undermines the goal of the ACA.''
It doesn't have to be like this. Employer plans offer drug
coverage more comprehensive and sustainable than ObamaCare.
The pre-2014 individual market made comprehensive coverage
even more secure: High-cost patients were less likely to lose
coverage than similar enrollees in employer plans. The
individual market created innovative products like ``pre-
existing conditions insurance'' that--for one-fifth the cost
of health insurance--gave the uninsured the right to enroll
in coverage at healthy-person premiums if they developed
expensive conditions.
If anything, Republicans should fear not repealing
ObamaCare's pre-existing-conditions rules. The Congressional
Budget Office predicts a partial repeal would wipe out the
individual market and cause nine million to lose coverage
unnecessarily. And contrary to conventional wisdom, the
consequences of those rules are wildly unpopular. In a new
Cato Institute/YouGov poll, 63% of respondents initially
supported ObamaCare's pre-existing-condition rules. That
dropped to 31%--with 60% opposition--when they were told of
the impact on quality.
Republicans can't keep their promise to repeal ObamaCare
and improve access for the sick without repealing the ACA's
penalties on high-quality coverage.