Big Talk and Slow Walk in Texas Move to Restrict Obamacare Enrollment

Health Care

Texas_stethoscope_0New Orleans  There seem to be no lengths to what some states, and we’re talking about Texas now, will go to in order to try and block enrollments under the Affordable Care Act desperately sought by so many families.  Governor Rick Perry, like a number of dug-in anti-Obamacare Republican governors with Presidential ambitions, was finally able to persuade the state insurance department to promulgate a number of rules to particularly obstruct the work of navigators in helping people, especially hard to reach groups in lower income and working as well as minority and Hispanic communities, access the program.

            The final rules were not as bad as Perry wanted as the insurance department and others wilted under the fire of the obvious discrimination in both financial and testing requirements for the navigators and the impossible time constraints on certification, but they were bad enough.  By March 1st in order to continue to act as a navigator, one had to get a precise application into the state with fingerprints from a state certified source that could be reviewed by the FBI.  By May 1st to continue as well the navigator would have to complete some additional testing and instruction to continue.

            When the rubber hit the road though, the big Texas talk and the slower Texas walk exposed an unhelpful contradiction for Perry and his state’s rights, anti-federales gang.  For a state to trump the federal government it has to prove it is more competent to do something that the Washington bureaucrats.  If there is anything that the whole process of rolling out the Affordable Care Act on both the federal and state level has proven is that this is a heckuva complex and hard job.   Of course Governor Perry had to learn the hard way himself rather than by watching others stumble and fall.

            First, there were delays in the long queue to get fingerprints from state certified sources.  In Dallas, there was no problem and only day’s wait, but in Houston it was taking up to two weeks to get an appointment to have finger prints.  Secondly, though even small toe stubs and traffic problems decades old kicked the approvals back for more explanation, letters, and so forth stalling the process even more with March 1st looming ever nearer.

            Finally, the Texas Department of Insurance realized they were potentially the rock in the road.   If they had not finished certifying people at this simplest level, the whole enrollment process in Texas would be crippled, and the mess and all the attendant political consequences would be at their door.  Over the last week they hired people like crazy and worked the overtime so that at least some people would be certified by March 1st so that weekend events, long scheduled could go forward. 

            The Insurance Department says it will be working all of the first weekend in March overtime to get more certifications done with the enrollment deadline of March 31st on final countdown.  Orell Fitzsimmons, state director of Local 100, described to me a conversation he had with an employee of the insurance department on Thursday as the first chat he had ever had with any state official who was in a “total hurry.”  As for the testing face by May 1st, no one of course has a real clue yet!

            People are enrolling in Obamacare.  The numbers are now at 4.2 million or so.  The Wall Street Journal finally reported for the first time on insurance companies crunching the numbers and believing that the 25% younger enrollees may in fact be more than enough to handle the oldsters who have enrolled.  People are voting with their feet and the bureaucrats at all levels, just like in Texas, are getting the message:  politicians come and go, but the people want government to perform for them, so no matter the slow talk, there better be fast walk in responding to their demands.  The tide is turning and no one wants to be accused of getting in the way as the water is rising.