Do you think that you will be better off in 2011 than you were in 2010? If you answered yes, you must not be a doctor, insurance company, or any sort of user/provider of healthcare.
On January 1, 2011, several new elements of Obamacare came into effect. These measures lay the groundwork for higher premiums and the eventual government takeover of healthcare.
Your HSA and FSA is a lot less valuable
In the past, you could purchase over the counter medical supplies – such as Advil, allergy pills, and cold medicine – using your Health Savings Account (HSA) or Flexible Savings Account (FSA). No income tax was paid on the money that you saved in either of these accounts.
Thanks to Obamacare, you can no longer purchase over the counter medications using these accounts unless you get a doctor’s prescription.
This will have two big effects:
1. Increase the real cost of over the counter drugs because you cannot easily purchase them with pretax dollars
2. Waste doctors’ time and increase the price of health insurance because doctors will be asked to write prescriptions for over the counter drugs just for the tax benefits.
A Provision Now Limits How Insurance Companies Use your Premiums
This one is unbelievable – a game changer in the insurance business. This is a leap towards the government takeover of healthcare.
Insurance companies now are forced to spend at least 80% of the insurance premium on patients. If a company or group purchases a healthcare plan, this number jumps to 85%.
The remaining 15%-20% of your premium may be spent on advertising, sales, administrative salary, profit, etc..
This provision will have numerous effects – some of which are:
1. It will force insurance companies out of states where administrative costs are higher – simply because these states will be unprofitable.
2. It changes the insurance business model – typically your insurance company will take big profits from healthy patients (who consequently, don’t make large insurance claims) and lose money on customers who get sick. Obviously, insurance companies want their customers to stay healthy (fewer claims). Now, they need their customers to get sick to meet this government requirement.
This will drive ‘cadillac’ plans out of existence. Insurance companies have no benefit from high margin plans – the only way to increase profit is to cover more people (you can no longer increase margins). Plans will be designed to fit the needs of large groups of people - individually tailored plans designed to fit your specific needs are a thing of the past.
Claim service and doctor payments will all be affected too. Companies will reduce their administrative staff to the bare minimum (one of the few ways to affect profit margin). Be prepared to sit on hold for several hours only to talk to someone in India when you call your insurance company.
This provision sets up an incredible moral hazard that should be unimaginable in America – the government telling a private company what its profit margin must be. If the company is charging too much, competitors will take advantage of the situation by offering lower prices. Perhaps the government should limit grocery store margins too – we all need food. This is the absurdity of big government.
3. The new model is impossible – companies can only use 15%-20% of their margins on advertising, administration, and profit – so they need as many customers as possible. Yet they need to spend more on advertising and administration to pay for all of the new customers. This will inevitably decrease profits and the number of companies participating in the health insurance market.
Don’t worry – once provisions like these eliminate all of the private insurance companies, I’m confident that President Obama and the Democrats will have a solution – government run healthcare.
If you don’t want the government running healthcare, there is only one option: REPEAL.

