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My mother is not one to seek attention by complaining, so her recent woeful Facebook post caught my eye: "The poor get poorer." It diverged from the more customary stream of inspirational quotes, recipes and snapshots from her tiny cottage in Pierce County, Wash.
The post continued: "I just received a notice: 'In order to comply with the new healthcare law, your current health plan will be discontinued on December 31, 2013.' Currently my premium is $276 and it is a stretch for me to cover. The new plan . . . are you ready . . . projected new rate $415.20. Now I can't afford health insurance."
The unaffordable ObamaCare-compliant plan that her insurer offered in a Sept. 26 letter is not what makes my mother's story noteworthy. Countless individually insured Americans have received such letters; many are seeing more radical increases in premiums and deductibles.
But most of these people are still being offered the chance to choose what health-care insurance they will receive, or to opt out before they are automatically enrolled in a state program. Not so my mother, Charlene Hopkins, as I soon discovered when I called after seeing her Facebook post.
Since she couldn't afford the new plan offered by her insurer, she told me she was eager to explore her new choices under the Affordable Care Act. Washington Healthplanfinder is one of the better health-exchange sites, and she was actually able to log on. She entered her personal and financial data. With efficiency uncommon to the ObamaCare process, the site quickly presented her with a health-care option.
That is not a typo: There was just one option—at the very affordable monthly rate of zero. The exchange had determined that my mother was not eligible to choose to pay for a plan, and so she was slated immediately for Medicaid. She couldn't believe it was true and held off completing the application.
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Instead, almost mockingly, her "Eligibility Results" came back: "Congratulations, we received and reviewed your application and determined [you] will receive the health care coverage listed below: Washington Apple Health. You will receive a letter telling you which managed care plan you are enrolled with." Washington Apple Health is the mawkish rebranding of Medicaid in Washington state.
The page lacked a cancel button or any way to opt out of Medicaid. It was done; she was enrolled, and there was nothing to do but click "Next" and then to sign out.
Of course, Medicaid is not a new option for my mother; she knew that she was poor enough to qualify for cost-free health care. It was a deliberate choice on her part to pay that monthly $276 out of her own pocket. Clearly she had judged that she received a personal benefit from not being on Medicaid.
"I just don't expect anything positive out of getting free health care," she said. "I don't see why other people should have to pay for my care, whether it be through taxes or otherwise." In paying for health insurance herself—she won't accept help from her family, either—she was safeguarding her dignity and independence and her sense of being a fully functioning member of society.
Before ObamaCare, Medicaid was one option. Not the option. Before this, she had never been, in effect, ordered to take a handout. Now she has been forced to join the government-reliant poor, though she would prefer to contribute her two mites. The authorities behind "affordable care" had erased her right to calculate what she was willing to spend to preserve her dignity—to determine what she thinks is affordable.
That little contribution can mean the difference between dignity and despair.
Forced into a government handout she didn't want robbing her of her dignity. Good work Mr. President.