The Worldnetdaily has a new series of articles written by Jerome Corsi that makes the dog-whistle argument that the Obama administration is using the Affordable Care Act to help those dirty people with AIDS (HIV, actually; most do not progress to AIDS these days if they’re on medication). It starts with this bizarre note from the editor:
EDITOR’S NOTE: This is the first article in the series on the Obama administration’s campaign to enroll lesbian, gay, bisexual and transgender citizens in Obamacare, which force private insurers to cover the high-risk population by distributing the burden to other citizens and away from government.
Wait, the Obama administration is trying to shift the burden of medical care for gay people from the government to private insurance? Wouldn’t a conservative think that’s a good thing? Of course, the overwhelming majority of gay people are not getting their medical care from the government anyway, but why let a little thing like a fact get in the way of a perfectly good dog whistle rant?
The Obama administration’s emphasis on enrolling the LGBT community in Obamacare strongly suggests it has an unspoken agenda of shifting to healthy citizens the extraordinary financial burden of providing services to the unique demographic, which is afflicted disproportionately by AIDS and other health issues.
Are they? Yes, gay men have a higher rate of HIV infection, but gay women have a lower rate than straight people. You never hear the bigots mention this when they’re making an argument based on relative health problems. And of course, this is the entire point of insurance, that you combine sick people and healthy people into a single market and the economics works out so that the insurance company makes a profit even though people with more health problems cost more than those who are healthy. That principle is no different for gay people than it is for straight people and no different for those with HIV than those with diabetes, cancer or anything else.
In effect, by eliminating health underwriting, Obamacare has transformed health insurance for the LGBT into a “guaranteed-issue,” even if the applicant has HIV/AIDS.
Right. Which is equally true of every single American with any preexisting medical condition. But apparently this suddenly matters when it comes to gay people. And remember that Corsi’s position, and that of the Worldnetdaily, is that insurance companies should be able to deny or drop coverage for anyone if they get sick — which is the only reason to have health insurance in the first place. Which means they are forced to rely on government insurance (Medicaid, mostly) or be treated without the ability to pay, which means distributing the burden either to other people or the government (which is, of course, the same thing).
A conservative should be all for this if they actually care about not shifting the burden of health care to the government or other people in the health care market. If what they really want is to let people die if they get sick, on the other hand, they would be taking exactly the position they are.