30 distinguished conservative economists wrote to Congress<\/a> explaining why the individual mandate (also expressed as the health insurance tax penalty) was essential for building an affordable health care system. They explained that \u201cthe mandate expresses a basic obligation of citizenship as well as an economic reality. Without the mandate, some people will choose to gamble or to free-ride, undermining the fairness and financial stability of the health insurance system.\u201d In other words the individual mandate is the corollary to the fundamental principal of fairness; it\u2019s about paying whatever you can in to the system so that when you need medical attention, you will have contributed. It\u2019s about personal responsibility. It\u2019s about contributing, not just receiving. It did not arise out of a desire to limit freedom but out of fairness and the necessity to not turn away the uninsured at the emergency room.<\/p>\nEven conservative Mitt Romney gets that the individual mandate is driven by economic fairness and underpins affordable health care. When signing Massachusetts\u2019 equivalent of the individual mandate he noted, \u201cSome of my libertarian friends balk at what looks like an individual mandate. But remember, someone has to pay for the health care. Either the individual pays or the taxpayers pay. A free ride on the government is not libertarian.\u201d Surely, Senator Murkowski can recognize that unless you want emergency rooms to turn away the uninsured that health care is not a personal choice, it is a collective investment.<\/p>\n
In standing up against repealing the ACA, Murkowski often cited how Alaskans pay the highest price for premiums in the country. How does Murkowski square this concern square with the finding by Congressional Budget Office (CBO), the nonpartisan budget scoring agency, that eliminating the individual mandate would raise health insurance premiums for all Americans by about 10 percent in most years over the next decade? Now, in a moment of misguided libertarian principles she apparently supports an effort that will increase premiums for Alaskans?<\/p>\n
Murkowski\u2019s biggest contortion on her health care stance, comes at the end of her op-ed when she proclaims her support for the bipartisan legislation introduced by Senator Lamar Alexander and Senator Patty Murray. She says, \u201cI strongly support enacting the bipartisan compromise Alexander\/Murray into law as fast as possible to stabilize our markets, provide more control to states and more choices to individuals.\u201d Guess what? This healthcare compromise legislation maintains the individual mandate to purchase health insurance.<\/p>\n
After eliminating the individual mandate was added in the tax reform bill, Murray issued a press release claiming that Senate Republicans are \u201csneaking devastating health care changes into a partisan bill at the last minute; completely counter to the bipartisan spirit in which we worked on our stabilization bill.\u201d So now Murkowski is suddenly OK with undoing the very bipartisan effort she supports?<\/p>\n
My head is spinning as I try to follow all her efforts to have it multiple ways. Being a champion for those who would lose health insurance, a strong voice for Alaskans facing high premiums, an advocate for \u201cregular order\u201d of Senate proceedings, and a stalwart for bipartisan solutions \u2014 absolutely none of this squares with her support for repealing the health insurance mandate.<\/p>\n
Since the budget bill which contains the open ANWR provision is now attached to the tax reform bill, could it be that she is willing to completely contort her values for the sake of opening up ANWR to oil and gas drilling? If so, imploding health care and a bipartisan effort to stabilize costs is a high price to pay for development that given the low price of oil and the world\u2019s move toward a low-carbon economy, is speculative at best.<\/p>\n
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\u2022 Kate Troll is a former Juneau Assembly member with 22 years experience in climate and energy, fisheries, coastal management policy. She is the author of \u201cThe Great Unconformity: Reflections on Hope in an Imperiled World.\u201d This piece originally appeared in the Anchorage Daily News and is reprinted here with permission.<\/b><\/p>\n
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A contortionist is one who bends their body is strange and unnatural ways. While U.S. Sen. Lisa Murkowski, R-Alaska, is not bending her body, she is bending her stance on health<\/a> care in strange and unnatural ways. First, she shows tremendous strength of character in being one of a few Republican Senators to protect health […]<\/p>\n","protected":false},"author":107,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_stopmodifiedupdate":false,"_modified_date":"","wds_primary_category":8,"footnotes":""},"categories":[8],"tags":[],"yst_prominent_words":[],"class_list":["post-33850","post","type-post","status-publish","format-standard","hentry","category-opinion"],"_links":{"self":[{"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/posts\/33850","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/users\/107"}],"replies":[{"embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/comments?post=33850"}],"version-history":[{"count":0,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/posts\/33850\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/media?parent=33850"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/categories?post=33850"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/tags?post=33850"},{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/www.juneauempire.com\/wp-json\/wp\/v2\/yst_prominent_words?post=33850"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}