March 31 marked the enrollment deadline to sign up for coverage through the federal health care exchanges set up through Obama’s health care reform law, the Patient Protection and Affordable Care Act, more commonly known as Obamacare.
Under the law, individuals must carry health insurance plans that meet federally mandated coverage guidelines. The administration, which has yet to release the official enrollment numbers, is claiming to have signed up 8 million people through the federal health care exchanges.
For the health care system to be viable, the administration needs 38 percent of enrollees to be between the ages of 18 and 35. This is because those in the 18 to 35 age bracket will be subsidizing the low-cost coverage the president guaranteed to the elderly, those with pre-existing conditions and those who primarily use catastrophic insurance.
Kathleen Sebelius, former Department of Health and Human Services secretary, recently announced via Twitter that 35 percent of the 8 million enrollees the White House is touting are under the age of 35.
This number is misleading, as it includes those who are younger than 18 and are carried on their parents’ insurance plans. Reports suggest the actual number of enrolled individuals who fall within the age demographic is 28 percent, short of the percentage needed. This most likely means that premiums, already high under the plans available through the federal exchange, will probably increase yet again.
Many states refused to create exchanges, meaning many are forced into buying a policy through the federal exchange. And the policies there are a misleading numbers game. The benefits are offset by incredibly high premiums, especially for the young and healthy, termed “invincibles.”
This puts young people between Scylla and Charybdis. One the one hand, it is now illegal to not carry health insurance, and those who don’t are subject to a hefty penalty. On the other hand, the federally approved policies are expensive, more so for invincibles than for other demographics.
The structure of the health care law penalizes young people simply for their age and relative good health. It puts economic restraints on those who are in not in a position to deal with it. For the most part those within the 18 to 35 bracket are either in or just out of college. They are not economically stable. And even if they are, why should their efforts underwrite the costs of others? The health care law creates a system that disincentivizes effort.
More than that, it perpetuates a system wherein society feeds off the young. Because they have the longest lives and the greatest chance to earn, they are penalized. And in doing so, undermines their chance of ever gaining economic stability. In a generation, the current invincibles will be the ones who need subsidies. This is a circuitous, cannibalistic system. It is not only illogical but morally wrong.
The idea that individuals who are stable should have to sacrifice some of their good fortune to those who are in a less prosperous position is not novel. It is a collectivistic strain of thought that the West has long shied from because at its core, it is immoral, as any who has ever experienced the pride of being able to get something for their efforts immediately recognizes. The repudiation of such thinking ought to carry through to the health care system.