As I write, the House is debating a bill that would repeal the CLASS Act, one of two new entitlements created under ObamaCare. It’s hard express just how awful this program is. Here’s my attempt from back in October, when the Obama administration admitted CLASS is a bust:
The idea behind CLASS was that the government would run a voluntary and self‐sustaining insurance plan to help the disabled pay for long‐term care, including nursing home care…
Congress required CLASS to set each applicant’s premiums according to the average applicant’s risk of needing such long‐term care, rather than her individual risk. But averaged premiums are only attractive to people with above‐average risks. Since few people with below‐average risks would enroll, the average premium would rise. That would encourage more people with below‐average risks not to enroll, and the vicious cycle would continue until the program collapsed.
As it turns out, CLASS collapsed even before its 2012 start date. The same thing happened when Obamacare imposed the same sort of price controls on health insurance for children in September 2010: the markets for child‐only coverage collapsed in a total of 17 states, and are slowly collapsing in even more.
Everyone with a rudimentary understanding of insurance saw this coming. The government’s non‐partisan actuaries warned of “a very serious risk” that CLASS would be “unsustainable.” One wrote, “Thirty‐six years of actuarial experience lead me to believe that this program would collapse in short order and require significant federal subsidies to continue.”
The Democratic chairman of the Senate Budget Committee called CLASS “a Ponzi scheme of the first order, the kind of thing that Bernie Madoff would have been proud of.” An Obama administration official wrote, “Seems like a disaster to me.” One of President Obama’s own cabinet secretaries called the program “totally unsustainable” and echoed a presidential commission on fiscal responsibility by recommending it be “reformed or repealed.”
Sen. Tom Harkin (D‑IA) has diagnosed the fatal flaw in this most ill‐conceived government program. I swear, I am not making this up:
The problem with CLASS is that it’s voluntary.
Harkin isn’t the first person to wistfully lament that CLASS would be such a great program if only we could put non‐participants in jail. He’s just the first person I know of who has said so explicitly. Others have said that the collapse of the CLASS Act should inspire confidence in the rest of ObamaCare, which imposes the same type of price controls on health insurance, and then threatens to put people in jail if they don’t buy it. Here’s how I described that strategy back in October:
Obamacare inspires confidence in its supporters, then, because one part of the law throws a Hail Mary pass to prevent another part of the law from stripping Americans of the insurance that currently protects them from illness and impoverishment. Feel safer?
Rather than make the CLASS Act compulsory, Congress should make the rest of ObamaCare voluntary:
[Ezra] Klein writes, “One way of looking at the administration’s [CLASS] decision is that it shows a commitment to fiscal responsibility.” If so, then let’s handle the rest of Obamacare exactly the same way. Congress should require Obamacare’s health insurance provisions to be voluntary and self‐sustaining, just like CLASS: no individual mandate, no taxpayer subsidies. Or is fiscal irresponsibility part of the plan?
Harkin and other ObamaCare defenders have a profound lack of respect for other people’s freedom and dignity. The problem with that is that it’s voluntary. If it were a medical condition, it might be excusable.