As I’ve
noted in a previous
post, when it comes to interpreting reports about how well the Affordable
Care Act is doing, Sen. Fred Thomas is very good at being both selective and
creative. This talent was on full display at a meeting of the Revenue and
Transportation Interim Committee in Helena this week. During the discussion of
some arcane tax issue, Thomas (no doubt aware of the TV camera in the room) engaged
in the following exchange with the committee chairwoman, Sen. Christine Kaufmann:*
Thomas: “The
insurance premiums available on the new Affordable Care Act are significantly higher
than what’s available in the market today…, so people are going from a lower
costing health plan to a much higher one… We’ve done some analysis on these
rates and these very significant rate increases…”
Kaufmann: “The new insurance rates are not
significantly higher; in fact they are quite good rates for Montana consumers… I
work daily with these insurance plans and rates and there are very good ones
out there”.
Thomas
(tapping on a paper): “We’ve got the
study that indicates that’s not accurate ... I don’t agree with what you
concluded.”
Kaufmann: “And I don’t agree with what you’ve
concluded.”
Thomas (still tapping): “Forty percent is a pretty big increase.”
Gosh! You
mean we’re all going to be paying 40 percent more for health insurance? But wait a second! Who is this “we” who’s got
this study? What study is it? Can we read it for ourselves? What does it say?
Well, it
turns out that it is a study by the Legislative Auditor, performed at Sen. Thomas’
request but on the taxpayers’ dime. Since it is a public document, we can have
it and read it for ourselves.** And when we do we find that it doesn’t say at all what Thomas claims it does.
It is not a
comparison between what people are paying today and what they will pay in the
future.
It does not
say that “people are going from a lower costing health plan to a much higher
one.”
It does not
say that there are going to be very significant rate increases or that rates
are going up by 40 percent.
What it does
do is compare the published prices of health insurance policies on the exchange
with the anticipated prices of comparable policies bought off the exchange, and
the very broad conclusion it reaches is that “premiums will generally be the
same for plans on and off the exchange.”
It also notes that people whose income falls at or below 400 percent of
the Federal poverty level***, and who buy insurance on the exchange, will get a
tax credit which will lower the effective cost of the insurance, in many cases
by quite a bit. And it creates four different “scenarios” comparing the anticipated
prices of on-exchange and off-exchange insurance for four different families, in
different circumstances, and eligible for different tax credits.
In three of
these scenarios, the family is eligible for the tax credit and will be able to
purchase insurance at substantially lower cost on the exchange than off. In one
scenario, in which the family earns enough not to be eligible for the credit, buying
on the exchange would cost about 40 percent more. That’s apparently what Thomas calls a “40
percent increase.” But it’s no such
thing. It’s not how much more a
family in that particular scenario will pay, compared to what they pay today. It’s
how much more that family would pay in the future if, in a catastrophic failure
of common sense and good judgment, they chose to purchase insurance on, rather
than off, the exchange.
It’s pretty
obvious that Thomas was using the opportunity of the committee hearing to try
to scare people about the terrors of Obamacare! And since the report he requested from the
Legislative Auditor, read objectively and in its entirety, wasn’t at all scary,
Thomas had to read it creatively and selectively to try to make it say what he
hoped it would.
If Thomas wants
to use the public’s money and a public forum to gun for the ACA, is it too much
to ask that he at least shoot straight?
* Talk about
being selective! That’s obviously what I am doing here, and I am leaving out
the part of the discussion relating to taxes, so you might want to check out
the audio
minutes of the meeting. The conversation I am quoting starts at about
01:07:45, if you want to cut to the chase (and you should!).
** I don’t
think this study is available on line yet, but you can request a copy from the
Legislative Auditor’s office. Here’s the contact
information.
*** For a
family of four, 400 percent of the Federal poverty level is an income of
$94,200.