Category Archives: Obamacare

Boehner And McConnell: Our Way Or We Break Medicare

Boehner And McConnell: Our Way Or We Break Medicare

Boehner And McConnell: Our Way Or We Break Medicare

Despicable bullies come to mind when I see how members of Congress will stop at nothing to get their way…

TPM

Your big Obamacare story of the day is that John Boehner and Mitch McConnell won’t recommend commissioners to the Independent Payment Advisory Board — a panel designed to contain Medicare spending — as the law asks them to.

This isn’t a huge surprise given how, er, eager Republicans have been to smooth Obamacare implementation in general. But it’s more revealing, and just as ironic, as their other efforts to break or hinder the law before it takes full effect.

It’s not just that Boehner and McConnell hate Obamacare and it’s not just that they’re hypocrites about spending. What they’re saying with their actions is that if they can’t convert Medicare from a single-payer into a private insurance system, they’d rather the whole thing collapse under its own weight. President Obama’s and Paul Ryan’s Medicare plans both envision budget caps for Medicare — the difference is that Ryan wants to let private insurers enforce it while Obama leaves the task to providers, with IPAB as a backstop. The parties are actually in about the same place fiscally with respect to Medicare, but unless reaching a more sustainable trajectory means privatizing the program, Republicans will try to keep it unsustainable.

Unfortunately for them, the story’s not that simple. The GOP can’t straightforwardly nullify or hobble IPAB by withholding or blocking nominees, the way it can and does with the Consumer Financial Protection Bureau and the National Labor Relations Board. The IPAB can seemingly function with fewer than 15 confirmed members, and even if Senate Republicans filibuster all nominees, the ACA includes a backstop that basically allows the Health and Human Services Secretary to act as a one-woman payment board. So just as states’ rights-loving governors are ceding their sovereignty to the federal government instead of setting up insurance exchanges of their own, Boehner and McConnell are effectively handing power to the executive branch in lieu of doing what the law asks them and maintaining influence over the policy.

Now that may not be a power that the Obama administration wants to exercise. And its not one that’ll necessarily remain in Democratic hands forever. So it’s not a perfect alternative to IPAB. But it’s also not a win-win for Boehner and McConnell. The GOP base might appreciate it, but it’s probably counter to their substantive interests.

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Filed under Budget Cuts, Medicare, Obamacare

On Obamacare’s Third Anniversary, Here Are Three Ways The Reform Law Has Helped Real Americans

I’m totally mystified by the opposition to Obamacare

Think Progress

[Today] marks the three year anniversary of President Obama signing the Patient Protection and Affordable Care Act, the most sweeping overhaul of the U.S. health care system since the enactment of Medicare and Medicaid in 1965. While some the law’s most significant provisions won’t go into full effect until next year, many of its important reforms have already taken hold — and have already changed the lives of real Americans for the better. Here are just a few ways that the Affordable Care Act has bolstered the health and financial security of Americans from all around the country:

1. Diabetic Arthur from California finally has health coverage after being uninsured for five years.

Refusing coverage and treatments for sick Americans due to their “pre-existing medical conditions” has always ranked among the insurance industry’s most reviled practices. For decades, Americans have recounted horror stories about battling insurance companies while loved ones suffered — like 4-month-old Alex Lange, who was turned away by an insurer for being born “obese.” Thanks to Obamacare, that’s no longer legal, as the consumer protection for Americans with pre-existing conditions has already gone into effect for children. It won’t be extended to all Americans until 2014 — but that doesn’t mean Obamacare hasn’t already changed the lives of adults with pre-existing conditions, too.

Through its state-based transitional Pre-Existing Condition Insurance Plan (PCIP) — a bridge program for American adults with pre-existing conditions that will cover them until the law is fully implemented — Americans like 56-year-old Arthur Yu have already been gaining coverage that was once unavailable to them. After losing his job in 2008 and running through his COBRA benefits, Yu remained uninsured for a full five years due to his diabetes and high cholesterol. “If something major happened to me, my savings would get wiped out,” he said. But after Obamacare’s passage, he was able to enroll in California’s PCIP program in 2012, giving him enormous financial — and medical — peace of mind.

2. Connie from Arizona got a $79 rebate from her insurance company in the mail.

On Thursday, the Department of Health and Human Services (HHS) announced that Obamacare has helped seniors save over $6 billion on their prescription drug costs by closing the so-called Medicare “donut hole” — and that’s not the only way that the law is already saving Americans money.

Because of Obamacare’s “80/20 rule” requiring insurers to spend at least 80 percent of the premiums they charge customers on actual medical care rather than overhead or profits, millions of Americans have received rebate checks — totaling $1.5 billion in 2011 alone — from their insurance companies in the mail. Arizona resident Connie Kadansky spoke to CNN about her personal experience with this measure after getting a $79 rebate from her insurer last summer, saying, “It was a surprise. My insurance agent tells me that my insurance is going to skyrocket. He hates Obamacare. I read the letter and I said to myself, ‘So what’s wrong with this? This is good.’”

3. Chronically ill Jen from Illinois doesn’t have to worry about losing access to her dad’s health insurance.

One of the reform law’s most popular aspects is allowing young Americans to stay on their parents’ health plan until they’re 26. In a time of economic uncertainty, that can mean the difference between life and death, and there are bountiful stories of how this Obamacare provision has personally touched real people. Last October, teenager Jen Rubino wrote a piecefor the Huffington Post in which she recounted her struggles with a rare chronic illness, and the constant worry that she would lose access to her father’s health insurance once she got older. But as Jen put it, “everything changed when President Obama signed the Affordable Health Care Act.”

In fact, over the last several years, the percentage of uninsured young adults in America dropped by record numbers, down to 27.9 percent of young people in 2011 from 33.9 percent in 2010 — meaning that 1.6 million young Americans gained coverage in just the first year of Obamacare’s implementation.

 

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Daily Kos: Ten signs Paul Ryan is dropping acid

Of course Jon Perr of Daily Kos was not seriously implying that Rep. Paul Ryan is “dropping acid” but was simply using the dramatic title to attract readers to his very serious post:

Daily Kos

Back in the 1990s, the CEO of my former company had a simple way of questioning the wisdom of some of our more dubious business strategies. “Are we,” he would ask, “smoking the drapes?” By that standard, House Budget Committee Chairman Paul Ryan must be dropping acid. Because as a quick glance at his job-killing, Medicare-rationing, health care-gutting, tax cut windfall for the wealthy-giving and hopelessly unbalanced budget shows, Ryan was apparently hallucinating when he wrote it.

Here are 10 signs that suggest Paul Ryan is now following Timothy Leary as well as Ayn Rand.

  1. Two Million Jobs Lost in 2014 Alone
  2. $5.7 Trillion Tax Cut, Mostly for the Wealthy
  3. Zero Tax Breaks Ended
  4. Tax Hikes for the Middle Class
  5. Medicare Rationing Boosts Annual Premiums for Seniors by $2,200 in 2030
  6. 38 Million More Uninsured
  7. Slashing Medicare and Medicaid Benefits, But Keeping the Tax Revenue
  8. Non-Defense Discretionary Spending at Lowest Level in Decades
  9. Two Trillion Dollar Flip-Flop on Defense Spending
  10. Cutting Historically Small Federal Workforce by 10 Percent

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Filed under Obamacare, Paul Ryan, Ryan Budget

Ryan Budget Assumes Obamacare Repeal; Chris Wallace: ‘That’s Not Going To Happen’

Liberaland

Paul Ryan’s budget is based on a false premise.

WALLACE: Are you saying that as part of your budget you would repeal — you assume the repeal of Obamacare?

RYAN: Yes.

WALLACE: Well that’s not going to happen.

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Filed under Obamacare, Paul Ryan Lies

Obamacare is Now Officially Obamacare

Smart move Mr. President, et al…

Mother Jones

Sometime last year I gave up entirely on the Patient Protection and Affordable Care Act. Not the act itself, of course, but the name. I gave on PPACA and I gave up on ACA. President Obama himself seemed to be OK with it being called Obamacare, so I decided that’s what I’d call it too.

So naturally I’m pleased that the Obama campaign has now made it official:

The campaign launched a Facebook feed Friday featuring a big “I Like Obamacare” logo. The social network rollout also included a Twitter hashtag that the campaign reported become the top trending topic in the world within hours. On the web, an “I Like Obamacare” frontpage popped up on the Obama campaign website.

In an email to supporters, Obama campaign strategist David Axelrod said it was time for Democrats to turn the “Obamacare” insult into a badge of honor. “I’m proud of it — and you should be, too,” he wrote. “Here’s why: Because it works.”

This has always seemed fine to me. We have Pell grants and Roth IRAs, so why not Obamacare? Like it or not, that’s what everyone calls it, and it’s the only widely recognized name that PPACA has. What’s more, I never thought of it as an insult in the first place. The masses have spoken, and Obamacare it is.

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