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Question of the Week

Can the healthcare system be fixed, and will it impact your vote on November 8th?
Post your answer below.

Morning Commentary

Obamacare’s October Surprise

By Charles Payne, CEO & Principal Analyst
10/26/2016 6:26 AM

It remains to be seen if this is the big political October surprise. It is for sure the inevitable healthcare conundrum - Obamacare premiums surge.  Ironically, when the plan was cobbled together, the number crunchers at the Congressional Budget Office (CBO) saw this coming.

2017 Unsubsidized Obama Care Premiums
Silver Plan 

CBO 2010 Estimate

$5,538

Actual

$5,586

The reality is that premiums were held back the last couple of years because insurance companies could no longer count on the government to back bills above $60,000 to $250,000.  Essentially, insurance for insurance companies is gone; and now, 21% of the nation is left with only a single choice while hundreds of towns have no options. 

The biggest sticker shock includes a couple of so-called swing states:

Proponents of Obamacare are quick to point out that 85% of users qualify for subsidies and there are other plans available with less care:

Employer-provided plans will edge above $18,000 from $13,770 in 2010. While this might keep premiums in check for many at the end of the day, these plans must be paid for. That means  businesses, especially smaller businesses with fewer employees or investments in growth. The reality is that our medical care system is broken and in need of greater competition, limited legal verdicts, and frivolous lawsuits.  I would suggest drug companies get longer exclusivity periods after spending billions on new drug developments.

Runaway Medical Inflation

September Inflation
Medical Component

 

Change Y/Y

Hospitals

6.0%

Commodities (drugs)

5.2%

Physicians

4.8%

US CPI

1.5%

Note: The only segment of inflation rising faster than medical care is motor vehicle insurance, and I blame that on texting.

This is a major political issue made more critical because of broken promises. In fact, finding the sweet spot is going to be difficult, particularly because pre-existing conditions are expensive. Allowing young adults to stay on parents’ plans removes the healthiest folks whose premium payments might have helped offset the cost of older patients. 

Market & Apple Earnings

The market continues its gingerly stroll through earnings season. This feels more like whistling past the graveyard as any moment could see a great stock become a clunker by missing Wall Street’s consensus and/or offering lower guidance. There are more and more signs and hope that this quarter is the inflection point that sees a year-over-year improvement in bottom line results. 

After the close on Tuesday, Apple (AAPL) beat the Street by a penny, although the gross margin was a slight miss. The company sold more phones than it officially expected, but there were some after-hours whining that it should have been more.  Management offered revenue guidance for the current quarter- as much as $78 billion versus the Street’s $75.3 billion.

Apple Product Performance

Actual

Estimate

iPhone

45.5 million

44.8 million

IPad

9.3 million

9.1 million

Mac

4.9 million

5.1 million

I am not worried about the Apple results. However, the shares were a little ahead of themselves, but this is still an undervalued stock and a long-term hold.  I would like to see an even more aggressive move into other areas, including services.

Today’s Session

The bouncing around continues this morning with the market poised to open lower on mixed earnings results and mixed earnings reactions.   There is nothing shocking about the news in general, although the trade deficit of $56.1 billion is down from $59.1 billion as exports declined $1.1 billion and imports -$2.3 billion. For the most part, there isn’t any news that changes minds or quickens pulses.  


Comments
Repeal/replace is the only answer. Unfortunately our one chance to do so appears to be gone, and single payer is probably on the way in our lifetime.

kev on 10/26/2016 10:15:46 AM
Obamacare needs a complete overhaul. Trump's proposals make a lot of sense. But I can't understand how this can qualify as an October surprise unless the American voters are completely out to lunch. The evidence against Hillary is monumental compared to Trump's pecadillos. If she wins, it's because the majority are totally brainwashed. I've never seen anything like this, and I've been voting since 1952.

Dennis Howard on 10/26/2016 10:24:37 AM
GREAT write-up Charles. Can I post a link to it on Facebook?

Mike H on 10/26/2016 10:39:11 AM
Yes, AHA can be saved via Trump AND tort reform AND elimination of medicare/medicade fraud and errors. A public option would be made wvailable but the private sector plams would cost less via competition.

Gregory Quedenfeld on 10/26/2016 10:44:22 AM
No. It's a sad shame. America has become addicted to other peoples money.

Kenna Jones on 10/26/2016 11:14:53 AM
All our university students now know about U.S. history, is our forefathers had slaves.... PERIOD. So, we are ALL bad and need to be Democrats. Watching Waters ask questions of high-end university students simple history questions is sickening to watch. Our country is in deep trouble. Putin sees what we are raising.... weaklings, lemmings and socialists. Very problematic for all of us old enough to have served, owned a small business and lived under the rule of Constitutional law.

Barry Gold on 10/26/2016 11:19:27 AM
The real October surprise for Republicans is the one sided media reporting, zero negatives regarding Hillary and zero positives for Trump. Sadly, the only thing necessary for healthcare was tort reform. No mention from either candidate supporting that.

Patrick Murry on 10/26/2016 12:04:15 PM
I totally agree with Barry!

Chris DeGhelder on 10/26/2016 12:17:28 PM
I grew up in a land of growth,harmony and plenty. The two party system worked for the majority and we all worked! With big government where are the incentives? Even NPR supposedly public radio with every spokesperson they are bleating Hillary lemmings--I have had it, It should be National Socialist radio.

Lin Eldridge on 10/26/2016 2:06:05 PM
The American electorate are a bunch of lemmings...being lead by news media who no LONGER believe in the original journalistic principle of being OBJECTIVE in reporting. It is DISGUSTING to watch daily news reports, as Trump gets BASHED over and over again (no matter WHAT he does, or says) and Hillary Dillary Dock is ALWAYS "in fashion"/in the lead (no matter HOW the polling is conducted) and a "darling" to ALL (no matter WHAT she says IN PRIVATE.) We all KNEW Obamacare was going to be a catastrophic failure...and now that it IS...we are wondering: "What do we do NOW?" I, personally, am just about at my wits end regarding political leadership in what USED to be the United States of America and ready to throw in the towel and get dual citizenship SOMEWHERE ELSE!!

James Warlin on 10/26/2016 2:31:58 PM
Obama Care suffers from just about every possible weakness - motivational and organizational weakness, real-world implementation issues, grossly flawed math. Like in car wrecks, there's a point at which it's sensible to write it off and get a new one.

Patricia Flynn on 10/26/2016 5:33:51 PM
I have been diagnosed with Glaucoma. I keep control of my internal eyes balls pressure by dispensing 1 drop per eye per day of a medication. My Texan ophthalmologist prescribed a medication manufactured in Waco Texas.
I live in Thailand; my Thai pharmacist sells this medication, which also comes from Waco Texas, it is the same medication.
In Houston where I lived before my retirement, this 3 Milliliter bottle cost me $170. My Thai Pharmacist sells the same bottle, 3Milliliter, from the same manufacturer for $17. I need 1 bottle per month.
I have to believe that the malpractice insurance on this medication is 10 times the cost of producing the medication. This is totally unacceptable. Minimum, if the user has reservations on the medication he or she takes should be given the choice of purchasing a medical malpractice insurance covering all medical interventions or medication, a side of the regular medical insurance covering all sickness. This malpractice insurance should be facultative.


Philippe on 10/26/2016 8:06:31 PM
All members of congress that voted for Obama Care should be run out of Congress. Nancy Pelosi should be deported to Syria. I was a Trump supporter from the start but, if I wasn't this would be a game changer. You can't fix something with all the structural problems that Obama care has. You can keep a boat a float with one or two holes but, 100 is more than anyone can overcome no matter how much money you throw at it.

Bob Marsh on 10/26/2016 9:37:24 PM
No, healthcare can not be fixed, and yes it does impact my vote. As written the bill destroys private insurance companies. If those specific provisions were removed the bill would cease to exist, therefore it must be repealed. However, repeal may not be possible given the bill's unconstitutional passage. We just need to stop doing it and legislatively provide a clear path for private insurance companies to rebuild.

Charles Smith on 10/29/2016 5:56:31 AM
 

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