How many “special deals” does Obamacare have within it?


Obamacare is a massive law with thousands of moving parts. This is a very bad thing. Laws should be simple and easy to understand. Obamacare is purposefully opaque in the same way the tax code is purposefully opaque, and likely for similar reasons.

If a law is simple and straightforward there are few places to hide special favors for friends. If a law is a jumble of undecipherable nonsense there are lots of places to hide. Was one such place in Obamacare a provision which does not allow parents of those with developmental disabilities to act as paid caregivers?

This might indeed be the case. Or it might just be good old legislative boneheadedness. Either way the end result is life is harder for a group of people for whom life is already pretty hard.

(From The Wall Street Journal)

But back to health care. The piece I linked to, by Yuxing Zheng of the Oregonian, makes quick work of a complicated subject. A woman in Cornelius, Ore., takes care of her disabled 22-year-old daughter. The daughter has cerebral palsy, spina bifida and a condition called automonic dysreflexia. She requires 24-hour care. The mother provides it, receiving for this $1,400 a month. The mother fears—and is apparently right to fear—a provision of the Affordable Care Act that will, as Zheng reports, “largely prohibit guardians from serving as the paid caregiver of an adult child with developmental disabilities.” The mother is afraid this will mean foster care for her daughter, or a lengthy and costly process in which she herself will be forced to transfer legal guardianship to someone else. The provision, the paper says, will likely cause hardship for hundreds of Oregon families in which the guardian and the caregiver are the same person.

Click here for the article.