In what way does this fulfill public media’s supposed role of better informing the public?

April 2, 2012

Posted by AzBlueMeanie:

Arizona Public Media is failing its viewers by interviewing guests who do not know the subject matter on which they speak and simply repeat political talking points aimed at low information voters who know even less about the subject matter than they do. In what way does this fulfill public media's supposed role of better informing the public?

Case in point, the Political Roundtable on Arizona Illustrated on Friday night invited Republican strategist Sam Stone to talk about health-care politics in Arizona, among other topics. I am told Mr. Stone is GOP congressional candidate Martha McSally's campaign manager, a fact not disclosed in the introductions.

For this example I will focus just on the Affordable Care Act topic. Political Roundtable: Health Care, Street Troubles, Bus Fares, Contraception Legislation & More.

Mr. Stone asserted that "right from the start this legislation did nothing to address the problem of rising health care costs in our system." Really? Bending the health care cost curve is primarily what the ACA addresses. Peter Orszag and Ezekiel Emanuel wrote at the New England Journal of Medicine, Health Care Reform and Cost Control — NEJM:

In fact, it institutes myriad elements that experts have long advocated as the foundation for effective cost control. More important is how the legislation approaches this goal. The ACA does not establish a rigid bureaucratic structure to be changed only episodically through arduous legislative action. Rather, it establishes dynamic and flexible structures that can develop and institute policies that respond in real time to changes in the system in order to improve quality and restrain unnecessary cost growth.

The article goes on to address the various cost containment programs. In addition, the Congressional Budget Office:

(CBO) determined that the ACA will reduce the federal budget deficit by more than $100 billion over the first decade and by more than $1 trillion between 2020 and 2030. And the Commonwealth Fund recently projected that expenditures for the whole health care system will be reduced by nearly $600 billion in the first decade.

In fact, the Commonwealth Fund's most recent study (January 2012) is projecting lower health spending over the rest of the decade. Bending the Health Care Cost Curve – The Commonwealth Fund:

CMS's estimates of health care spending through the end of the decade have been steadily falling over the last year and a half. As shown in Exhibit 1, the most recent projection of national health spending in 2020 is $4.6 trillion, or 19.8 percent of gross domestic product (GDP), compared with its projection of $4.9 trillion, or 21.1 percent of GDP, in 2009 in the absence of reform. This represents a $275 billion (5.6 percent) reduction for 2020, compared with pre-reform estimates. Moreover, that projection represents a cumulative reduction of $1.7 trillion over the 10 years from 2011 to 2020.

This reduction in projected national health spending is particularly important because the pre-reform projection of health care costs was used by the Congressional Budget Office (CBO) and the CMS Office of the Actuary in estimating the cost and impact of health reform. Already, spending is far below the trajectory projected to result from implementation of the Affordable Care Act. In fact, reduction in utilization of health services and trims in payment rates under the Affordable Care Act more than offset the projected cost of covering the uninsured.