This bill was written in a tortured way to make sure [the Congressional Budget Office] did not score the mandate as taxes. If CBO scored the mandate as taxes, the bill dies. Okay? So it’s written to do that. In terms of risk-rated subsidies, if…you made explicit that healthy people pay in and sick people get money, it would not have passed… Lack of transparency is a huge political advantage.Naturally, this revelation did not affect the love relationship between Barack Obama and all media.
Forbes, 2014 "When health economist and Obama advisor Jonathan Gruber said the Patient Protection and Affordable Care Act passed only because of a “lack of transparency” and “the stupidity of the American voter,” he did more than insult millions of people. He admitted (1) if voters had understood what the PPACA does, the opposition would be so great that it would not have passed because even Democrats would have abandoned it, (2) the law’s authors knew this, and (3) because of this, they consciously sought to deceive voters about the enormous taxes the law imposes on millions of Americans, both at the law’s inception and at every turn during the public debate. In short, Gruber admitted ObamaCare is and has always been one giant deception from beginning to end, and its architects achieved by deception what they could not have achieved honestly.
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. . .Gruber was surely referring to the non-transparent mechanism of regulating insurance companies, causing them to charge less to the sick and more to the healthy, without Congress having to carry out those transfers through direct taxes…Suppose Congress had decided not to regulate insurers but instead charged higher taxes to healthy people, and wrote checks directly to sick people. People would have hated it…