Obamacare

President Trump sabotages ‘Obamacare,’ will blow up health care markets out of spite

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President Donald Trump, who promised to repeal and replace “Obamacare” on day one in office — “it will be easy” — suffered humiliating deafeats after several failed attempts by Congress. For a man fixated on erasing any legacy of Barack Obama out of jealousy and spite, he has been stewing about ways he can sabotage “Obamacare,” and with it the health care of millions of Americans, outside of congressional action. It is purposeful, malicious and amoral.

The New York Times reports that, as I predicted, Trump has gone nuclear in House v. Price, ending the Cost Sharing Reduction subsidies (CSRs) to insurers for low income Americans. Trump to Scrap Critical Health Care Subsidies, Hitting Obamacare Again:

President Trump will scrap subsidies to health insurance companies that help pay out-of-pocket costs of low-income people, the White House said late Thursday. His plans were disclosed hours after the president ordered potentially sweeping changes in the nation’s insurance system, including sales of cheaper policies with fewer benefits and fewer protections for consumers.

The twin hits to the Affordable Care Act could unravel President Barack Obama’s signature domestic achievement, sending insurance premiums soaring and insurance companies fleeing from the health law’s online marketplaces. After Republicans failed to repeal the health law in Congress, Mr. Trump appears determined to dismantle it on his own.

Without the subsidies, insurance markets could quickly unravel. Insurers have said they will need much higher premiums and may pull out of the insurance exchanges created under the Affordable Care Act if the subsidies were cut off. Known as cost-sharing reduction payments, the subsidies were expected to total $9 billion in the coming year and nearly $100 billion in the coming decade.

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This week in the GOP’s war on the civil rights of women and LGBTQ

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The House on Tuesday approved a bill banning most abortions after 20 weeks of pregnancy, advancing a key GOP priority for the third time in the past four years — this time, with a supportive Republican president in the White House. The purpose of the bill is to create a direct legal challenge to Roe v. Wade, which provides for access to abortion in the first 24 weeks.  With Trump’s backing, House approves ban on abortion after 20 weeks of pregnancy:

The bill, known as the Pain-Capable Unborn Child Protection Act, is not expected to emerge from the Senate, where most Democrats and a handful of moderate Republicans can block its consideration. But antiabortion activists are calling President Trump’s endorsement of the bill a significant advance for their movement.

The White House said in a statement released Monday that the administration “strongly supports” the legislation “and applauds the House of Representatives for continuing its efforts to secure critical pro-life protections.”

The bill provides for abortions after 20 weeks gestation only when they are necessary to save the life of the mother or in cases of rape or incest. Under the bill, abortions performed during that period could be carried out “only in the manner which, in reasonable medical judgment, provides the best opportunity for the unborn child to survive” — note, not the life of the mother — and would require a second physician trained in neonatal resuscitation to be present.

How Arizona’s congressional delegation voted:

Stricter Abortion Ban: The House on Oct. 3 voted, 237-189, to outlaw abortions after 20 weeks of fertilization on the belief that the fetus can feel pain by then. This repudiates Roe v. Wade’s ruling that abortion is legal up to viability that occurs at about 24 weeks or later. A yes vote was to pass HR 36

Voting yes: Martha McSally, R-2, Paul Gosar, R-4, Andy Biggs, R-5, David Schweikert, R-6, Trent Franks, R-8

Voting no: Tom O’Halleran, D-1, Raul Grijalva, D-3, Ruben Gallego, D-7, Kyrsten Sinema, D-9

Women’s Health Exemption: The House on Oct. 3 defeated, 181-246, a bid by Democrats to add an overall woman’s health exemption to HR 36 to go with exemptions already in the bill in cases of incest or rape or to save the mother’s life. A yes vote was to permit abortions after 20 weeks if necessary to protect the mother’s health.

Voting Yes: O’Halleran, Grijalva, Gallego, Sinema

Voting No: McSally, Gosar, Biggs, Schweikert, Franks

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The Price is Right: Tom Price resigns over use of charter flights

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The New York Times breaks the Friday news dump story that embattled Health and Human Services Secretary Tom Price has resigned under pressure on Friday after racking up at least $400,000 in travel bills for chartered flights. Don’t let the door hit you in the ass on your way out. Health Secretary Tom Price Resigns After Drawing Ire for Chartered Flights:

Already in trouble with Mr. Trump for months of unsuccessful efforts to repeal and replace President Barack Obama’s health care program, Mr. Price failed to defuse the president’s anger over his high-priced travel by agreeing to pay a portion of the cost and expressing “regret” for his actions.

In a statement, the White House said that Mr. Price “offered his resignation earlier today and the president accepted.”

It said Mr. Trump will tap Don J. Wright of Virginia to serve as acting secretary at midnight Friday. Mr. Wright currently serves as the deputy assistant secretary for health and as director of the Office of Disease Prevention and Health Promotion.

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Ducey is a disaster for Arizona

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Governor Doug Ducey, the ice cream man hired by Koch industries to run their Southwest subsidiary formerly known as the state of Arizona, self-labels himself, for purely propaganda purposes, as “the education governor.”

The governor’s label would be a joke if his misguided policies did not come with serious and dire consequences for the actual condition of public education in Arizona.

Perhaps the governor should accept responsibility for his policies making Arizona the worst — that’s right, dead last — in public education, as the Republic’s Laurie Roberts describes. Arizona ranks as worst state to be a teacher:

Quick, what is the worst state in which to be a teacher?

If you said Arizona, give yourself a gold star.

WalletHub this week released its annual rankings for the best – and worst – states in  which to spend a career in the classroom. The financial services website compared the 50 states and Washington D.C., analyzing 21 key indicators, ranging from income growth potential to class size to safety.

The best states in which to be a teacher: New York, New Jersey, Illinois, Connecticut, Pennsylvania.

The worst: Florida, Mississippi, South Carolina, Hawaii and finally, down there in our usual spot at the bottom of the barrel, Arizona.

We ranked as one of the states with the highest turnover, the highest student-teacher ratios and the lowest spending per student.

And we ranked as dead last in the number of people expected to be competing for teacher jobs by 2024. Gee, I wonder why.

Lest you think things are looking up, two years ago Arizona ranked 49th  overall. Now, we’re 51st.

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