Biden is all ad spend and no substance on healthcare

The Biden camp is preparing to launch a $14 million ad campaign attacking former President Donald Trump on healthcare policy, according to a report at NBC News. The campaign will reportedly focus in part on Trump’s previous efforts to repeal Obamacare

While 20 million people are enrolled in the Obamacare marketplace, its results as a whole have been devastating for the country’s healthcare system. It’s true that coverage increased following the passage of the Affordable Care Act, but that has mostly benefited the health insurance companies. Coverage is not care, after all, and the latter has only become more expensive with fewer options over the past decade. 

The United States is spending over 18% of its GDP on healthcare, but 90% of all dollars spent on healthcare are controlled by insurance or the government. As the bureaucrats and insurance companies get rich off our backs, premiums have doubled for individual health insurance plans since 2013 (the year before Obamacare went into effect). 

It’s time we give the people control over their healthcare and taxes. If we’re going to spend money on healthcare (and admittedly, as a libertarian, it’s a reality I still begrudge), then those dollars should go directly to the patients — not to bureaucrats, not to their buddies at the insurance companies, and not to systems. 

Currently, we’re watching our options decrease. Independent doctors are being forced into hospital associations, those associations force their practitioners to push pills and practices that financially benefit them, and the prices only keep going up. Patients need options, full information, and the ability to customize their healthcare plans. 

President Joe Biden might have a lot of money to spend on gaslighting people about the realities of our healthcare system, but he doesn’t have a plan to address them. Fortunately, others do. 

Reps. Kat Cammack (R-FL) and Greg Steube (R-FL) have introduced one such idea that would redirect current Obamacare subsidies away from the health insurance companies and into health savings accounts instead. If passed, HR-5608 would give 5 million low- to middle-income earners the ability to opt into HSA accounts — something 90% of Americans lack access to! 

HSAs save money, reduce medical inflation, and give patients more choice and control — not to mention the fact they can be used as investment accounts to help people prepare for healthcare costs as they age and retire. Think of HSAs like a 401(k) for healthcare. They enable enrollees to use tax-free dollars for a wide range of healthcare-related services, meaning people can access a far broader array of services at a cheaper price. 

Though the amounts would vary somewhat based on the plans people select and their incomes, most would expect to receive around $1,500 annually in their HSA account. That’s money that’s currently going to the insurance companies, which only use it to continue raising their prices. Instead, the money could go directly to healthcare costs and cut out the middleman.

Not only that, but using those annual contributions plus a predicted real growth rate of 6%, the amount in those accounts would equal about $55,000 after 20 years, $119,000 after 30 years, and $232,000 after 40 years. Given the massive problems we are seeing with Medicaid and Medicare, this would open up an important resource for low-income Americans to prepare for growing healthcare costs as they age. 


Obamacare is not great. But it can and should be made better with legislation like this that truly empowers people, meaningfully cuts costs, and enables people to access care instead of just coverage. 

Too bad Biden isn’t using those dollars to advance solutions.

Hannah Cox (@HannahDCox) is the president and co-founder of BASEDPolitics and a fellow for the White Coat Waste Project.

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