ACA

Top 20 Reasons Why Republicans Want to Repeal Obamacare (video)

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elysium-NLIn Elysium, Matt Damon’s 2013 post-apocalyptic drama, the 1% are safely ensconced on a idyllic floating space station (Elysium). In contrast, the 99% toil in poverty and grime and suffer from police oppression on Earth, which has been destroyed by pollution and over-crowding.

Early on in Elysium, Damon, a former thug who works in a giant factory with no safety equipment, workplace regulations, or human resources protections, has an industrial accident and is exposed to a lethal dose of radiation. Fellow workers hear his screams from the radiation chamber and try valiantly to get him out, but the supervisor tells them to leave him in there and go back to work “because he’s already dead”. After the exposure, they drag Damon out (literally) and take him to the factory clinic. When the CEO sees him, he tells the supervisor to send Damon home before he soils the sheets. At several junctures in the movie, the dire, dirty conditions on Earth are juxtaposed with the gleaming perfection of Elysium, but the contrast in healthcare is the most stark. On Elysium, people have high-tech, full-body scanners that can cure all diseases. On Earth, people are left to die.

At one point, the CEO says to a worker whose daughter is dying, “This isn’t Elysium. We can’t just heal her.” This movie is the Koch Brothers’ wet dream and our nightmare. If the Republican Party could get away with it, this is where we will be by 2154 (the date of the movie) or sooner. Getting rid of the Affordable Care Act and social safety net programs are the first steps.

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ACA Update: Are Insurance Companies Ill-Equipped for ‘Obamacare’ Roll-Out?

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HealthNet stock prices from Bloomberg News. Note the stock price on Nov 8, 2013 was 27.7 (a few days after the ACA began), and the stock price for March 10, 2014 was 35.09.Someone is making money.
HealthNet stock prices from Bloomberg News. Note the stock price on Nov 8, 2013 was 27.7 (a few days after the ACA began), and the stock price for March 10, 2014 was 35.09.Someone is making money.

Since October 2013, Americans have been enrolling for health insurance under the Affordable Care Act (ACA) on Healthcare.gov or through insurance agents and brokers. With only a few weeks to go before the March 31, 2014 ACA enrollment deadline, the US Department of Health and Human Services has reported that more than 5 million Americans have enrolled for health insurance through the state-based exchanges.

Enrollment in the ACA and in expanded Medicaid has been patchy because states were given too much leeway regarding what care would be available, how people should enroll, and how much money and effort would be invested into educating residents about enrollment. Some states (like California) have well-developed online insurance exchanges of their own, while other states (like Arizona) allowed the federal government to create their ACA exchange websites and did little to educate residents about health insurance enrollment.

During the final weeks, non-profit groups and volunteers in Arizona have been scrambling to enroll people, while the Arizona Republican Party is scrambling to spread misinformation to discourage enrollment– with multiple speaking engagements and mass distribution of an editorial entitled Obamacare: To Enroll Or Not To Enroll? That Is The Question by local doctor, Elizabeth Lee Vliet. And on the national level millions is being spent to dissuade Americans from enrolling, while Republicans in the House offer bait-and-switch alternativesto the ACA which would cost more and cover fewer people.

As both sides of the political spectrum work hard to sway the public, my question is: Are the insurance companies really up to the task of providing care for so many new enrollees? 

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The “Managerial Republican” is mostly a fantasy

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I will say that Ronald Brownstein’s recent column in the National Journal is a bit better than what we’ve been getting lately from the hordes of DC pundits attempting to analyze Arizona. In particular, I liked this bit at the end:

After Arizona’s tax revenues plummeted with the housing market collapse, Brewer backed a temporary 1-cent sales-tax increase to limit spending cuts. But even so, since 2008, the GOP majority’s commitment to squeezing government has produced the nation’s third-largest reduction in per-student K-12 spending; the largest percentage reduction in per-student support for public higher education; and the biggest public tuition hikes. No other choices capture as starkly the contrasting priorities of a ruling GOP coalition that still receives almost all of its votes from whites (many older, rural, and exurban) and a minority population that now represents the clear majority of students in Arizona’s public schools.

It’s refreshing to see a conservative admit outright that Arizona Republicans have slashed public education funding (instead of doing the Goldwater Institute song and dance about how the schools are really funded quite generously if you look at all these charts and squint) and that the cuts are ideological and not fiscal in purpose.

Brownstein’s main thesis is that Arizona’s politics operate along fault lines of age and race, with the older whites voting overwhelmingly GOP and the Democratic base being younger and browner. I take no issue with that assessment. What I do dispute is this:

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Boo Hoo: Two Sick Babies Hurt AOL’s Bottomline… Not

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by Pamela Powers Hannley AOL Chairman and CEO Tim Armstrong reported that the highly profitable, multi-million-dollar company was forced to cut employee benefits because of  increased insurance costs under the Affordable Care Act (ACA) and the cost of care for two sick dependent children born to AOL employees.  Armstrong (who made $12 million in 2012) said because … Read more

Shopping the ACA Marketplace: One Small Business’ Route to ‘Affordable’ Healthcare

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ACA-paper12-sig-sm72by Pamela Powers Hannley

With full implementation of the  Affordable Care Act (ACA), January 2014 marks the beginning of a new era in health insurance in the US.

For the chronically uninsured and for those with pre-existing conditions, it's been a long and financially perilous wait for all of the ACA benefits to kick in.

For anti-government, conservative ideologues, the three-year waiting period gave them time to mercilessly attack reform that will provide insurance for millions of Americans, spread layers of misinformation about "Obamacare," hold dozens of meaningless repeal votes in the Republican-controlled House of Representatives, and hold the country hostage for 16 days in a multi-million-dollar government shutdown fiasco.

Today, December 23, 2013 is the cut-off date for enrollment in ACA insurance plans which begin January 1, 2014; the final deadline for ACA enrollment is March 31, 2014. Since the beginning of December, I have been shopping the healthcare marketplace on behalf of the ultra-small business that I work for–The American Journal of Medicine. On Friday, I submitted our final paperwork to our insurance broker.

This is the story of one small business' route to "affordable" care.

Our Journey

Our journey began long before the premier of Healthcare.gov, the much-maligned ACA enrollment website, and even before the ACA was signed into law in 2010. At the Journal, we had been unhappy with our health insurance plan through Aetna for years. Like clockwork, the cost went up 10-25% each year, forcing us to rethink coverage multiple times in order to live within our budget.  We also were dissatisfied with the limited number of even more expensive alternative plans offered to us. The Journal's editorial pages have been pushing for Medicare for all for years and broke the stories about medical bankruptcy in 2009 and continued medical bankruptcy under Romneycare in Massachusetts in 2011. Consequently, we were ready for the public option back in 2009; today, we're just glad that the ACA made it through the Republican gauntlet and the Supreme Court. Unlike recent news stories about people and small businesses wanting to keep their existing healthcare plans, we were waiting with baited breath for three years to dump our plan.

The bottomline is that with Obamacare, the Journal — and the emplopyees– will pay less for healthcare insurance. Read about our ACA Marketplace experiences and lessons learned after the jump.