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Jewish World Review Oct. 4, 2013 / 30 Tishrei, 5774 The GOP should speed Obamacare's demise. Right now, it's not By Michael Gerson http://www.JewishWorldReview.com | After much struggle and internal strife, Republicans seeking to block Obamacare have arrived at this achievement: Much of the government is closed — except for Obamacare. The national parks are deserted but the health exchanges sputter and wheeze to life. For the most vigorous critics of President Obama’s health reform, this failure is a point of ideological no return. “The administration’s plan,” said Sen. Ted Cruz (R-Tex.), “is to get as many Americans as possible addicted to the sugar, addicted to the subsidies. And in modern history, there has never been a major entitlement that has been implemented that has ever been unwound. . . . If we don’t defund it now, how do we ever successfully get rid of this train wreck of a law?” Cruz went on to argue that the administration’s decision to delay the employer mandate is instructive. “If Obamacare were going well, if it were working, he would want it to kick in before the election. The fact that he and Democrats are very, very concerned about being held accountable at the polls for the train wreck that is Obama­care is very revealing.” There are two very different arguments being made here, leading to a clash of metaphors. Americans, apparently, are on the verge of being addicted to a train wreck. Voters are about to become hooked on a political disaster that Democrats wish to delay. Tea party conservatives have not only embarked on a legislative confrontation without an endgame, they have also made a hash of their Obamacare critique. Both their apocalyptic urgency before implementation and their fatalism after it are rooted in a misunderstanding of the law itself. Obamacare is not primarily an entitlement program. The entitlement component — the exchange subsidies — will involve about 2 percent of Americans during the first year. (Others will be added to Medicaid, which has been around since 1965.) About 20 million Americans will eventually get subsidized insurance — a check that goes not to the individual but to insurance companies. The remaining 170 million Americans will not experience Obama­care as a sugary treat but as a series of complex regulatory changes that may make their existing insurance more costly, less generous and less secure. The main problem with Obamacare is not its addictive generosity; it is its poor, unsustainable design. Its finances depend on forcing large numbers of young and healthy people to buy insurance — yet it makes their insurance more costly and securing coverage less urgent. (Because you can get coverage during each year’s enrollment period at the same price whether you’re healthy or sick, the incentive to buy coverage when healthy is much diminished.) Heavy insurance regulations will lead some employers to restructure their plans, dump employees into the public exchanges or make greater use of part-time workers. In order to meet a few worthy goals — helping the poor buy insurance and covering preexisting conditions — Obamacare seems destined to destabilize much of our current health system. As a political matter, Obamacare will not keep many of its initial promises. It promised universal coverage — but the Congressional Budget Office estimated it will cover only about 40 percent of the uninsured. It promised lower premiums for families — but premium costs for families look likely to broadly increase. It promised lower health costs for government — but those costs are not coming down. The Health and Human Services actuaries expect health inflation to return strongly in 2014, largely because of Obamacare. “By going about this large change themselves,” said Yuval Levin of the Ethics and Public Policy Center, “the Democrats are taking ownership of the health care system, and that is a system that most people don’t much like and will probably like less in the next few years. . . . So I’m not inclined to think that the public will take this as an addictive drug.” This presents Republicans with a political opening. But it is equally true that politics — the securing of a Senate majority and the presidency — is their only option to repeal and replace Obama­care. There are no shortcuts. The task will require a substantive critique, effective political strategy, democratic patience and market-oriented policy alternatives that deal with preexisting conditions and cover more of the uninsured. The task will not be accomplished by hyperbole, shallow analysis, political breath-holding and extravagant, immediately disappointed pledges of repeal. And oh, by the way, it also doesn’t help to dismiss millions of your fellow citizens — some in genuine need — as welfare-state junkies. < Every weekday JewishWorldReview.com publishes what many in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here. Comment on Michael Gerson's column by clicking here. Previously: 10/04/13 The tea party's revolt 09/30/13 The end of compromise? 09/17/13 A state of paralysis: Congress, Obama need to act 09/12/13 In full retreat on Syria 09/10/13 Obama misunderstands wartime leadership 09/09/13 Rallying around a gesture 08/30/13 The preacher and the politician 08/27/13 Is Obama's oft-cited best-case scenario in Syria still even possible? 08/23/13 Jordan's wary welcome 08/20/13 The hardest goodbye: A parent letting go 08/16/13 For GOP, opposition shouldn't only mean obstruction 08/13/13 Crazy, humane determination creates breakthrough for millions 08/09/13 America's bubble of complacency 07/01/11 The GOP's ideal America 03/04/11 The last doughboy and the emergence of a great nation 03/01/11 Conservatives shouldn't be so surprised by freedom 02/22/11 The progression of pain 02/18/11 The seriousness primary 02/11/11 Do Egypt's protests mean American decline? 01/27/11 No-bend Obama 01/21/11 Two good arguments for civility -- and passion -- in politics 01/11/11 Obama's staff changes give him a second chance 01/11/11 Is Arizona shooting an empty search for meaning? 01/07/11 WikiLeaks gives dangerous ammunition to a tyrant 01/04/11 Michael Vick: Symbol of the second chance 12/28/10 Social Security reform is the answer to Obama's problems --- and the nation's 12/21/10 When foreign policy realism isn't realistic 12/17/10 When it comes to politics, Obama's ego keeps getting in the way 11/26/10 Libs resort to conspiracy theories to explain Obama's problems 11/19/10 With Holder at the helm, detainee policy is a disaster 11/12/10 Blue-state budget crises spell even more trouble for Dems 10/19/10 Obama the snob 10/12/10 Seeds of victory in Afghanistan 10/05/10 Believers' remorse 10/04/10 Pound-foolish on national security 09/28/10 Babylon on the Potomac 09/27/10 Our reluctant commander in chief 09/21/10 Blue strongholds are becoming Democratic graveyards 09/17/10 For the GOP, a bittersweet brew from the Tea Party 09/15/10: Insanity's great enablers 09/13/10: The lost communicator 09/08/10: Will 2010 midterms be 1994 all over again? 09/01/10: Obama's economic wandering 08/27/10: Miracles from abroad 08/25/10: Address these issues in order to strengthen the Tea Party 08/20/10: The lost promise of Barack Obama 07/23/10: Obama's greatest nightmare 02/04/09: The Reality of Innocence 01/07/09: The Risks in Obama's Ambitions 12/31/08: Support Obama Will Need 06/13/08: Prince Charles, Organic Conservatism Icon 06/11/08: No longer a bankrupt political joke but still overshadowed 04/23/08: McCain's anger management 04/10/08: A Country for Old Men 03/06/08: Does the America Need a Hug? 03/06/08: Obama's First 100 Days 02/29/08: Words Aren't Cheap 02/22/08: He Said, They Said 02/20/08: Dying silently in Zimbabwe 02/15/08: Hillary's Unappealing Path 02/13/08: NATO's Afghan Stumbles 02/08/08: Why McCain Endures 02/06/08: One surge that led to another 02/01/08: In North Korea, Process Over Progress 01/30/08: Compassionate to the end © 2008, WPWG

Columnists Mitch Albom Jay Ambrose Bruce Bialosky Lori Borgman Ben Carson Mona Charen Linda Chavez Richard Z. Chesnoff Alicia Colon Ann Coulter Greg Crosby Diane Dimond Larry Elder Suzanne Fields Christine Flowers Michael Gerson Bernie Goldberg Jonah Goldberg Paul Greenberg Argus Hamilton Victor Davis Hanson Froma Harrop Ron Hart Nat Hentoff A. Barton Hinkle Jeff Jacoby Paul Johnson Jack Kelly Ch. Krauthammer David Limbaugh Rich Lowry Michelle Malkin Ann McFeatters Dana Milbank Jeanne Moos Dick Morris Jim Mullen Judge A. Napolitano Kathleen Parker Star Parker Dennis Prager Wesley Pruden Tom Purcell Sharon Randall Michael Reagan Robert Robb Dave Ross Debra J. Saunders Martin Schram Culture Shlock David Shribman Roger Simon Lenore Skenazy Michael Smerconish Thomas Sowell Mark Steyn John Stossel Cal Thomas Dan Thomasson Bob Tyrrell Diana West Dave Weinbaum George Will Walter Williams Byron York Cathy Young Mort Zuckerman Toons Eric Allie Robert Arial Baloo Pat Bagley Nate Beeler Lisa Benson Chip Bok Dry Bones John Branch Daryl Cagle Patrick Chappatte John Cole Paul Combs J. D. Crowe John Darkow Bill Day John Deering Bob Englehart Brian Duffy Everything's Relative Randall Enos Mallard Fillmore David Fitzsimmons Glenn Foden Jake Fuller Bob Gorrel Walt Handelsman Joe Heller David Hitch Jerry Holbert David Horsey Taylor Jones Lee Judge Steve Kelley Mike Keefe Jeff Koterba Dick Locher Chan Lowe Jimmy Margulies RJ Matson Gary McCoy Rick McKee Paresh Nath Jack Ohman Jeff Parker Milt Priggee Michael Ramirez Rob Rogers Steve Sack Bill Schorr Drew Sheneman Kevin Siers David Ray Skinner Jeff Stahler Scott Stantis Danna Summers Gary Varvel Kirk Walters Christopher Weyant Larry Wright Dan Wasserman Adam Zyglis Lifestyles Tech Q&A Mr. Know-It-All Ask Doctor K Richard Lederer Frugal Living Bookmark These Bruce Williams