Obama, the Great Defunder

Jane M. Orient, M.D. 

Obama has announced that he will defund the entire government rather than sign a bill that does not contain funding for ObamaCare. Senator Harry Reid has said he will not let the U.S. Senate pass a continuing resolution that does not contain funding for the program that he rammed through despite the opposition of the majority of Americans.

Now Obama, denying the need for congressional approval, is defunding part of his own program all by himself.

Delaying the employer mandate has the effect of losing the revenue from the penalties. But not to worry. In a July 31 article in the generally pro-Obama New England Journal of Medicine, Mark Pauly and Adam Leive state that the lost revenue amounts to a mere $10 billion, “a small fraction of the eventual cost of the exchange subsidies.” The Congressional Budget Office expects those to reach an annual $153 billion by 2023.

The Administration’s rationale for the postponement is to reduce a burden on employers. More importantly, say Pauly and Lieve, it gives them an opportunity to help employees “take maximum advantage of exchange subsidies.”

Less revenue in, more spending out: isn’t that the functional equivalent of defunding other programs in a zero-sum government budget?

Moreover, “crowding out of fully paid private insurance by more generously subsidized coverage”—already documented in Medicaid—poses an even greater threat to the government budget for financing the Affordable Care Act (ACA). The annual subsidy bill could nearly triple, Pauly and Lieve suggest.

Not verifying eligibility for subsidies is still another way for Obama to effectively increase the program’s drain on the Treasury. There is no guarantee that the money spent for such “liar loans” can ever be recouped.

The ACA is of course the great defunder of private insurance companies, hospitals, doctors, medical device manufacturers, and all the other entities subject to the premium price controls, fee cuts, and new taxes. Senator Reid finally admitted to the Las Vegas Sun that the plan is to purge the private sector from health care.

What a situation for the American system of government! We have two men, a President and a senator, each asserting the power to singlehandedly defund the entire government, shutting down everything that the people’s House has voted to fund—unless funds continue to flow to ObamaCare implementers and promoters, such as Planned Parenthood’s Navigators.

Spending on these implementers and promoters is leveraging the defunding of other items in the federal budget, as well as the private sector. All of ACA’s funds come from defunding businesses’ hiring and expansion plans, research and development, and the hopes and aspirations of current and future taxpayers.

Obama is a great pretender—pretending that all is well with the American economy. We will surely hear from those cronies who are getting funded by his redistributive largesse— and not so much from the invisible ones who are defunded, sucked dry, exhausted, or silenced.

Obama is the Great Defunder. Congress can either defund his pet program, or stand by as the PAC-Man-like program defunds and eats out America’s substance until it collapses. Maybe with a bang, maybe with a whimper.


Dr. Jane OrientDr. Jane M. Orient, M.D., has appeared on major television and radio networks in the U.S. speaking about issues related to Healthcare Reform.

Dr. Jane Orient is the executive director of the Association of American Physicians and Surgeons, a voice for patients’ and physicians’ independence since 1943.

She is currently president of Doctors for Disaster Preparedness and has been the chairman of the Public Health Committee of the Pima County (Arizona) Medical Society since 1988.

Dr. Jane Orient has been in solo practice of general internal medicine in Tucson since 1981 and is a clinical lecturer in medicine at the University of Arizona College of Medicine. Her op-eds have been published in hundreds of local and national newspapers, magazines, internet, followed on major blogs and covered in the Wall Street Journal and the New York Times.

Dr. Jane Orient authored YOUR Doctor Is Not In: Healthy Skepticism about National Health Care, published by Crown; the second through fourth editions of Sapira’s Art and Science of Bedside Diagnosis, published by Lippincott, Williams & Wilkins; and Sutton’s Law, a novel about where the money is in medicine today.

She is the editor of AAPS News, the Doctors for Disaster Preparedness Newsletter, and Civil Defense Perspectives, and is the managing editor of the Journal of American Physicians and Surgeons.

Dr. Orient’s position on healthcare reform:

“The Healthcare plan will increase individual health insurance costs, and if the federal government puts price controls on the premiums, the companies will simply have to go out of business. Promises are made, but the Plan will deliver higher costs, more hassles, fewer choices, less innovation, and less patient care.”

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