As the deadline for implementation of the Affordable Care Act nears, President Barack Obama’s signature health care legislation looks less and less like what the public was promised, Karl Rove writes in The Wall Street Journal
And the blame falls on the shoulders of the Obama administration, he says, not Republican governors, as Health and Human Services Secretary Kathleen Sebelius testified to Congress last week.
“Team Obama's tendency to blame someone else for its shortcomings is tiresome,” Rove writes.
The law, dubbed Obamacare, requires HHS to set up health care exchanges in states that opt not to set up their own. Rove says that if HHS won’t have them ready it is Ms. Sebelius’ fault. Even the exchanges being set up by states may not be in place by the Oct. 1 deadline, Rove notes, because HHS has lagged giving guidance and approval.
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HHS has missed dozens of deadlines, Rove writes, including the one for small businesses that would allow employees to select from a menu of health plans. While the program has been set up, employees will have a “choice” of only one plan until 2015.
And the fund to ensure coverage for the uninsured who have pre-existing conditions is almost used up, though only 135,000 have been signed up. The program was supposed to cover 270,000 to 350,000 people.
Another program has been scrapped and the president has yet to appoint anyone to a panel intended to reduce Medicare spending, though its first recommendations are due on Jan. 1, 2014.
“The Affordable Care Act may be unworkable in the aggregate, but it is also dogged by incompetent implementation,” Rove writes, and even members of the president’s own party are worried.
Sen. Max Baucus, D-Mont., told Sebelius during her testimony, "I just see a huge train wreck coming down.”
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