Affordable Care Act

If ACA subsidies are gutted by Supreme Court, what will Ducey do?

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Crossposted from DemocraticDiva.com

ACA

While many legal experts express confidence that the upcoming King v Burwell Supreme Court decision will be in favor of the Affordable Care Act, the Court did cause alarm by agreeing to hear it in the first place. Here is what is at stake:

At the heart of the King case are the tax subsidies offered by the federal government to those who cannot afford their own insurance. These subsidies are critical to achieving Obamacare’s goal of insuring even the least well off. At present, those eligible for subsidies can get them whether they purchase on the federal exchange or a state one. That could change on account of a glitch in the ACA, which can be read to say that you can only get a subsidy if you signed up on a state-managed exchange. If the Supreme Court signs off on this interpretation, the federal government cannot subsidize insurance for the less well-off in any state that has declined to set up its own exchange.

In King v. Burwell, a unanimous decision by a panel of the U.S. Court of Appeals for the 4th Circuit sided with the Obama administration, rejecting the challengers’ argument that the provision of the ACA that authorizes tax credits for insurance purchased on an exchange “established by the State under section 1311” doesn’t authorize tax credits for insurance purchased on an exchange established by the federal government. Supporters of the ACA call this a mere “drafting error.” Opponents claim this is a clear case of statutory interpretation: The law says “state” exchanges, and that is what was intended. If this interpretation prevails, more than four million people lose those subsidies.

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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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Protest Planned to Greet Boehner at $500/plate Fundraiser for McSally & Tobin

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Boehner
As announced earlier this week, the worst-ever Speaker of the US House of Representatives, John Boehner, is coming to Marana on Saturday to be the headliner at a $500/plate fundraising dinner for CD2 candidate Martha “I got no opinions” McSally and gubernatorial candidate Andy “I heart the Christian Right” Tobin.

These three Regressive knuckle-draggers are perfect for each other: anti-abortion, anti-woman, anti-gay, anti-education, anti-immigration-reform, anti-healthcare-reform, pro-military-industrial-complex, pro-NRA, pro-Christian-Taliban, pro-Wall-Street. It’s a menage-a-tois made in heaven… er… backroom deals with the Koch Brothers.

By refusing repeatedly to offer opinions on just about any issue except the fate of her old aircraft,  the A10, McSally has been playing it even safer with her campaign in 2014 than she did in 2012. But actions speak louder than words. Her alignment with Teapublican Tobin (who has been in the thick of Arizona’s anti-gay and anti-woman legislation and personally tried to stop the Equal Rights Amendment this year) speaks volumes. Campaigning with one of the Arizona Legislature’s Christian Taliban adds to McSally’s street cred as a Teapublican “Regressive”. 

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Hey Doug Ducey, don’t be coy about your health policy advisor!

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It must be true, since the National Journal picked up the press release from the Arizona Democratic Party and published it online.

For Immediate Release: March 18, 2014 Phoenix, AZ-DJ Quinlan, executive director of the Arizona Democratic Party, released the following statement today regarding comments made by former U.S. Congressman,John Shadegg, a top healthcare advisor to Doug Ducey: “Last night during a tele-town hall conducted by gubernatorial candidate Doug Ducey,Ducey’s top healthcare advisor, former U.S. Congressman John Shadegg, called Governor Brewer’s expansion of Medicaid a ‘Ponzi Scheme’ and suggested that we should ‘get rid of Medicaid’ and ‘should not have a single government-run healthcare program, period.’ Government-run healthcare programs that Arizonans rely on today include Medicare, Veterans Administration healthcare, and Medicaid.”

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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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