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Thursday, August 9, 2012

Will You Return Your Obamacare Rebate Check?


E.J. Dionne Jr.
E.J. Dionne Jr.
Opinion Writer

Romney and his fictional Obama

This is just common sense. If you think free enterprise should be liberated from Washington’s interference, what right does Uncle Sam have to tell the insurers they owe you a better deal? Keeping those refunds will make you complicit with Leviathan.
Political commentary these days is obsessed with the triviality of this campaign. Most of it is rooted in the refusal of conservatives to be candid about the implications of how their beliefs and commitments would affect the choices they would have government make — and how they differ from the president’s.
In Romney’s case, this often requires him to invent an Obama who exists only in the imagination of his ad makers. So they take Obama’s statements, clip out relevant sentences and run ads attacking some strung-together words that have a limited connection to what the president said. In the welfare ad, Romney lies outright.
But this is part of a larger pattern on the right, illustrated most tellingly by conservative rhetoric around the Affordable Care Act. In going after Obamacare, conservatives almost never talk about the specific provisions of the law. They try to drown it in anti-government rhetoric. “Help us defeat Obamacare,” Romney said after the Supreme Court declared the law constitutional. “Help us defeat the liberal agenda that makes government too big, too intrusive, and is killing jobs across this great country.”
Well, the new law does intrude directly in the insurance market. It requires that at least 85 percent of large-group premiums and 80 percent of small-group and individual premiums be spent directly on clinical services and improving the quality of health care. Imagine the radicalism: The government is telling insurance companies that they must spend most of the money they take in on actual health care for the people and businesses paying the premiums.
If the insurers spend below those levels, they have to refund the difference. According to Health and Human Services, 12.8 million Americans will get $1.1 billion in rebates. That comes to an average rebate of $151 per household. In 12 states, the rebates will average $300 or more.
Here’s your chance, conservatives. Big, bad government is forcing those nice insurance companies to give people a break. From what you say, you see this as socialism, a case of the heavy hand of Washington meddling with the right of contract. You cannot possibly keep this money. So stand up for those oppressed insurers and give them their rebates back!

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