The other day, Politico published an opinion piece arguing that Americans should be “extremely anxious about the outcome” of the Supreme Court’s decision on the health reform law. The op-ed, by Scott Atlas, the chief of neuroradiology at the Stanford University Medical Center and a fellow at the Hoover Institution, warned “the entire U.S. health care system as we know it is at risk.” He doesn’t like Obamacare very much because it:
Creates centralized social programs; interposes government into personal decisions; ensures equality in the interest of ‘fairness’ instead of incentivizing achievable excellence and quality; and mischaracterizes America’s flaws, despite the facts, as a premise for transformative social programs rather than celebrating America’s great achievements and then extending American exceptionalism.
I was most interested in the part about the facts. Since this is an op-ed, Atlas is entitled to his opinions. But it’s always aggravating when pundits support those opinions with “facts” that are wrong or have been discredited, without noting that for their audiences.
Two “facts” Atlas uses fall into that category. He argued that if the Court does not strike down the health reform law, “it will trigger a dramatic response by employers to eliminate the health insurance benefit: About 30 percent of employers anticipate dropping health insurance—more than 50 percent of employers with higher awareness of reforms.” Whoa! Atlas didn’t say where those numbers came from. But the source is a flawed and discredited study by the consulting firm McKinsey and Co. The report, released last June, caused a stir among the Affordable Care Act’s supporters and its opponents, who cited it as proof the law would not do what advocates promised.
The study found that one-third of employers would “definitely or probably” stop offering insurance once health reform was fully implemented in 2014. That number contradicted other studies, which did not find as many employers planning to drop health benefits for their workers. To quell the furor, McKinsey walked back its study, claiming it “was not intended as a predictive economic analysis of the impact of the Affordable Care Act.” Only after an inquiry from Senate Finance Chairman Max Baucus, a Montana Democrat, did the firm release some of its methodology. Julie Rovner, as credible a journalist as there is, reported in National Journal that employers were asked leading questions that made it seem logical to stop offering insurance. For example, they were told the new exchanges would become “an easy, affordable way for individuals to obtain health insurance,” and then gave example of how little those with low and moderate incomes could pay in the exchanges.
At the end of his op-ed, Atlas trotted out the old canard about America having the best health care in the world, and invoked the specter of government-controlled health care. “Continued access to the world’s best medical care.” he wrote, “is certain to dramatically decrease if the momentum for government-controlled health care is not stopped.” Campaign Desk has repeatedly noted that these same words were used to fight against single-payer health care during the run-up to the reform debate. Now opponents of reform are again using these terms to fight against the health reform law. One can only conclude that pollsters find such phrases resonate with voters.
Yet again we refer Campaign Desk readers to seminal studies by The Commonwealth Fund, which show how the U.S. lags behind many other countries when it comes to quality of and access to medical care. (Disclosure: The Commonwealth Fund has been a funder of CJR.)
The McKinsey study not only made the rounds in Politico this week but in an Atlantic blog post by Avik S.A. Roy, titled: “If Employers Stop Paying Health Care, Who Wins? (Maybe, Everyone).” In advancing his argument, Roy mentioned what he called the “now famous McKinsey survey that found that 50 percent of employers with a ‘high awareness of reform’ would ‘definitely or probably’ stop offering employer-sponsored insurance after 2014. Famous or infamous? There was no mention of the controversy surrounding the report. And there was no mention of Roy’s affiliations. He is a health policy writer for Forbes and National Review, and a senior fellow at the Manhattan Institute, a conservative think tank.

Yeah...
Now THAT'S prudent policy in Lieberman Liberal La La Land...
Just ignore those unpleasant nonpartisan "worst case scenarios", put on your rose colored glasses and wait for the Gubmint Money Fairy to sprinkle Band Aids and birth control pills on the needy masses...
Cause it's not like (also according to the CBO) Obamacare is going to cost TWICE as much to taxpayers as the Obamessiah said it would, or anything right?
And it's not like insurance premiums are skyrocketing in price instead of declining by $2500 per year like Obama said they would, right?
Because, hey, in the Liberman Liberal La La Land of Perpetual Gubmint Milk and Honey, the best estimate is that only a measly 3 or 5 million people will lose insurance because of Obamacare...
Pshaw! Just a drop in the bucket!
These are probably the hapless stupids that Lieberman's Gubmint buddies tell us are overusing unnecessary medical care anyway. Getting rid of the them, while bad for patients, will be good for the "system"... And as Trudy has made abundantly clear, what's good for the "System" is more important than what's good for patients!
Besides... We all now that Trudy thinks your average American is far too stupid to buy his own insurance anyway, without the Gubmint looking after him.
#1 Posted by padikiller, CJR on Fri 16 Mar 2012 at 07:31 PM
Is it too much to ask that you raise that your mindless rants contain one point related to the article you put them in?
This isn't commentary, it's spam.
#2 Posted by Thimbles, CJR on Sat 17 Mar 2012 at 12:23 AM
I've got to ask, now, Trudy...
Are you going to do one of your "Trudy's people" stories on one of the 3 to 5 million people who lose their health insurance because of Obamacare?
Huh?
Or one of the thousands of people laid off because of it?
Huh?
Somehow, curiously, I think not. These people don't matter in Lieberman Liberal La La Land.
Collateral damage. Cannon fodder. Sacrificial lambs surrendered to the common good.
We're not going to read about the guy who runs the donut shop in Yonkers going out of business over this commie nonsense. At least not here.
We're not going to read about the mother of four who has to wait three days to get her youngest kid treated for swimmer's ear because her employer couldn't afford to buy her insurance anymore.. At least not here.
Because these stories don't fit the Lieberman paradigm, do they?
You've acknowledged that unnamed Gubmint officials have informed you of their opinion that the ignorant rubes... The average slobs you disdain... The people you deem too stupid to manage their own affairs unsupervised by Gubmint functionairies... You've made it clear that these Gubmint officials have decided that too many of these stupid common people are overusing "unnecessary" medical services as they choose...
So the next logical step in Lieberman Liberal La La Land is for these Gubmint officials to decide first which medical services are "necessary" and then to decide the frequency with which they can be "used" right?
I mean, you wrote this, Trudy, after all... I'm just connecting the dots here.
And let's not forget your stated belief that the needs of the "system" (whatever that term means in Lieberman Liberal La La Land) outweigh the needs of patients...
You wrote that too..
So given your props as a so-called "professional journalist", when are we going to see some REALITY around here, Trudy?
HUH?
#3 Posted by padikiller, CJR on Sat 17 Mar 2012 at 12:53 AM
Good piece by Trudy. I'm very confused. Conservatives keep telling us that it's a good and desirable thing for employers to get out of the employee health benefit field and for everyone to buy coverage on their own. But at the same time they denounce the Affordable Care Act with the dubious claim that many or most employers will drop employee coverage, sending people off to buy subsidized coverage in the state health insurance exchanges, and that's a BAD thing. So which is it? Should we be appalled or excited at the alleged prospect of the Affordable Care Act pushing many more people into buying their own health insurance? Please advise.
#4 Posted by Harris Meyer, CJR on Sat 17 Mar 2012 at 02:12 AM
I love how you discount Forbes and National Review as partisan sources and then go on to cite Mother Jones to back up your thesis.
#5 Posted by JLD, CJR on Sat 17 Mar 2012 at 05:07 AM
Come now, Harris!...
How can you actually type the words "Affordable Care Act" with a straight face?
You mean the "Affordable Care Act" that our Dear Leader promised ad nauseum would cost taxpayers less than a trillion dollars (when in FACT the CBO just announced it will actually cost nearly TWICE that amount)?
THAT "Affordable Care Act"?
You mean the "Affordable Care Act" that our Dear Leader promised over and over again would reduce the premiums families pay for health insurance by $2500 per year on average (when in FACT premiums have skyrocketed since Obamacare was enacted)?
THAT "Affordable Care Act"?
You mean the "Affordable Care Act" that our Chosen One promised would create jobs (when in FACT is has cost jobs)?
THAT "Affordable Care Act"?
Because if we're talking about the same piece of legislation here, then your comment is just silly.
The people losing insurance coverage aren't being offered the option to shop in a free market to save money on insurance, as you claim they are. They are LOSING their existing insurance and will therefore have to chose to either spend more money to replace it, or instead go without it and pay the tax, er, I mean the fine... er, I mean the fee,.. er, I mean the "civil penalty" that the Gubmint collects from uninsured people.
(The Gubmint is of course entirely duplicitous in describing the money it will snatch from citizens who chose to forgo insurance coverage - the Obamessiah insists to the American people that these seized funds are not "taxes", but the Administration will make precisely the opposite argument to the Supreme Court in defending Obamacare.
Whatever one calls this snatched money, the people who lose insurance will pay it to the Gubmint, which will then waste the largest portion of it on stupid nonsense, as it always does.
How many times did Obama promise "if you like your insurance, you can keep it"?
HUH?
What does the White House have to say to these 3 to 5 million Americans it lied to?
HUH?
What is the end result of this "Affordable Care Act" of which you speak, Harris?
Taxpayers on the hook for two trillion dollars (until the CBO doubles its estimate again, that is). Health insurance premiums skyrocketing. Health care costs increasing. Millions of more people uninsured. More people out of work. More bureaucrats and red tape.
Only in Lieberman Liberal La La Land (or in the Gubmint) could anyone with a straight face utter the words "Affordable Care Act" to describe this 2000 page legislative travesty.
#6 Posted by padikiller, CJR on Sat 17 Mar 2012 at 08:30 AM
Speaking of canards, this article is based on one, apparently made up by the author. The McKinsey study didn't say that 30% of employers would drop coverage. It said 30% replied that they would weigh which option -- continuing to offer coverage or offloading it to the exchanges -- would be, net, the better outcome for the employees and the company.
It's one thing for opinion essays in Politico or The Atlantic to slant the facts. It's pretty disappointing when CJR does it.
#7 Posted by Bob K, CJR on Sat 17 Mar 2012 at 02:42 PM