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| @Bishtoons |
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| @AUG_RickMcKee |
Fiscal Year
| Start | End | Spending | |
7/1/03
|
6/30/04
|
$21,620,073,992
| ||
7/1/04
|
6/30/05
|
$22,337,339,707
| ||
7/1/05
|
6/30/06
|
$24,504,156,073
| ||
7/1/06
|
6/30/07
|
$26,414,003,117
| ||
Year
| GDP
(in millions)
|
2004
|
$310,476
|
2005
|
$323,301
|
2006
|
$337,723
|
2007
|
$353,329
|
Fiscal
Year
|
FY
Start
|
FY
End
|
(in millions)
|
(in billions)
| |
2004
|
10/1/03
|
9/30/04
|
$2,292,841
|
$11,676.0
| |
2005
|
10/1/04
|
9/30/05
|
$2,471,957
|
$12,428.6
| |
2006
|
10/1/05
|
9/30/06
|
$2,655,050
|
$13,206.5
| |
2007
|
10/1/06
|
9/30/07
|
$2,728,686
|
$13,861.4
| |
Year
|
State-Local
Tax Burden
|
Rank
|
Per Capita Taxes
Paid to Massachusetts
|
2004
|
10.2%
|
11
|
$3,396
|
2005
|
10.3%
|
8
|
$3,543
|
2006
|
10.2%
|
13
|
$3,705
|
2007
|
9.9%
|
17
|
$3,844
|
Spending on Medicaid, a theoretically cooperative federal-state program, is approximately 40 percent of all federal funds given to states and 7 percent of all federal spending… Under Obamacare, however, the cooperative nature of Medicaid has been radically revised in a way no state could have anticipated before becoming inextricably entangled with it.
In theory, state participation in Medicaid is voluntary; practically, no state can leave Medicaid because its residents' federal taxes would continue to help fund the program in all other states. Moreover, opting out of Obamacare's expanded Medicaid would leave millions of poor people without affordable care. So Obamacare leaves states this agonizing choice: Allow expanded Medicaid to devastate your budgets, or abandon the poor.
The Obamacare issues of Medicaid coercion and the individual mandate are twins. They confront the court with the same challenge, that of enunciating judicially enforceable limiting principles. If there is no outer limit on Congress's power to regulate behavior in the name of regulating interstate commerce, then the Framers' design of a limited federal government is nullified. And if there is no outer limit on the capacity of this government to coerce the states, then federalism, which is integral to the Framers' design, becomes evanescent.
There is, however, reason to be concerned about employer-sponsored insurance premiums because health care costs in the state continue to rise.
Five years in, Bay State residents are being told that global budgets, price controls and rationed care are not only necessary but good for their health. Terry Dougherty, director of MassHealth, said recently, "I like the market, but the more and more I stay in it, the more and more I think that maybe a single payer would be better."
Don't believe it. But do believe this — single payer is the logical and, indeed, likely extension of Romney-Obamacare.
Mr. Romney's attempt to contrast his plan with ObamaCare wasn't convincing. "I don't like the Obama plan," he said in Thursday's debate. "His plan cuts Medicare by $500 billion. We didn't, of course, touch anything like that. He raises taxes by $500 billion. We didn't do that."
These are bogus boasts: States have no authority over cuts in the federal Medicare program, so cutting Medicare never was an option with RomneyCare. Massachusetts didn't raise taxes to finance its plan because it relied on previously enacted health-insurance taxes and an infusion of federal Medicaid money to finance its coverage expansion. The state simply passed a big share of its costs to federal taxpayers.
Mr. Santorum was passionate in insisting that Mr. Romney's defense will collapse in a debate with President Obama, and the candidate would be wide open to attack. "Folks, we can't give this issue away in this election. It is about fundamental freedom," he said.
Mr. Romney has indeed backed himself into a corner by insisting on defending his health plan while attacking ObamaCare. In the Oct. 11 debate at Dartmouth College, Mr. Romney said: "[W]e all agree about repeal and replace. And I'm proud of the fact that I put together a plan that says what I'm going to replace it with."
Does he really mean that he wants to use Massachusetts as a model for his "replacement" plan? No wonder voters are worried.
Romney apparently didn't notice that the hundreds of thousands of people who showed up at the nation's capitol to protest the impending passage of Obamacare were pretty angry. In fact, after the law was passed over their vehement objections, a significant portion of the voters were so outraged by the back-room skullduggery used to pass "reform" that many Democrats were actually afraid to hold town hall meetings and face their own constituents during the run-up to the 2010 midterms. Moreover, despite the many whoppers told by the President's accomplices in the media about the "anti-incumbent mood" of the electorate, the drubbing the Democrats received in that election was obviously driven by voter indignation about being force-fed Obamacare.
Romney's reversals of position have been so frequent and transparently self-serving that a moderately intelligent preschooler could see through them. Health reform is Exhibit A. When running against Ted Kennedy for the Senate in 1994, Romney represented himself as the champion of a free market health system: "I do not believe in a government takeover of the healthcare system." After becoming Governor of Massachusetts, however, his position changed so radically that he signed a health reform law that later became the model for Obamacare. Now, he claims to oppose Obama's version of the plan, though the two laws are identical in all important respects.
Romney would also have us believe that he will repeal Obamacare in its entirety. He has made this claim in virtually every Republican debate. During his exchange with Santorum on Thursday, for example, he phrased it thus: "It's bad medicine, it's bad for the economy, and I will repeal it." Predictably, this differs from what he said immediately after the law was passed: "I hope we're ultimately able to… repeal the bad and keep the good."
When Rick Santorum's tone during last Thursday's debate betrayed annoyance at Romney's health care contortions, it was because he actually cares about the threat to basic liberty presented by Obamacare. It's not an easy thing for a man of genuine principle to tolerate an opportunist like Romney, who obviously sees the issue as just another lever that he can use to hoist himself into public office.
| Senator |
# Years
|
Total
|
Average
|
| South Dakota - John Thune (R) |
2
|
192
|
96.00
|
| Colorado - Hank Brown (R) |
2
|
191
|
95.50
|
| Colorado - Wayne Allard (R) |
10
|
940
|
94.00
|
| Florida - Mel Martinez (R) |
2
|
184
|
92.00
|
| North Carolina - Richard Burr (R) |
2
|
184
|
92.00
|
| Kansas - Bob Dole (R) |
2
|
181
|
90.50
|
| Florida - Connie Mack (R) |
6
|
542
|
90.33
|
| New Hampshire - John E. Sununu (R) |
4
|
361
|
90.25
|
| North Carolina - Elizabeth Dole (R) |
4
|
359
|
89.75
|
| Missouri - James Talent (R) |
4
|
352
|
88.00
|
| Utah - Orrin G. Hatch (R) |
12
|
1,048
|
87.33
|
| Mississippi - Thad Cochran (R) |
12
|
990
|
82.50
|
| New Hampshire - Judd Gregg (R) |
12
|
990
|
82.50
|
| Colorado - Ben Nighthorse Campbell (R) |
10
|
819
|
81.90
|
| Arizona - John McCain (R) |
12
|
935
|
77.92
|
| Ohio - George Voinovich (R) |
8
|
603
|
75.38
|
| Minnesota - Norm Coleman (R) |
4
|
296
|
74.00
|
| Oregon - Gordon Smith (R) |
10
|
737
|
73.70
|
| Alaska - Lisa Murkowski (R) |
4
|
293
|
73.25
|
| TOTAL |
122
|
10,197
|
83.58
|