- KFF Health News Original Stories 3
- More Competition Helps Restrain Premiums In Federal Health Marketplace
- Medicare Tightens Non-Emergency Use Of Ambulances To Combat Fraud
- School District Pays For Health Care But Can't Get Itemized Bill
- Political Cartoon: 'A Searing Pain?'
- Health Law 5
- Slow Start, Scant Interest In Small Business Exchanges
- Insurer Competition In Many Counties Drives Down Premiums
- Enrollment Begins For Healthy Pennsylvania -- The State's Effort At Medicaid Expansion
- Business CEOs Raise Objections To EEOC's Handling Of Health Law's Wellness Provisions
- House GOP Lawsuit Highlights Little-Noticed Health Law Funding Provision
- Marketplace 2
- GAO Questions Hospital Pricing Deals
- Caution: Your Health Insurance Plan May Have High Deductibles
From KFF Health News - Latest Stories:
KFF Health News Original Stories
More Competition Helps Restrain Premiums In Federal Health Marketplace
In counties that are adding at least one insurer next year, average premiums for the least expensive silver plan are rising 1 percent on average, compared to 7 percent in counties where the number of insurers is not changing, KHN analysis finds. (Jordan Rau and Julie Appleby, 12/1)
Medicare Tightens Non-Emergency Use Of Ambulances To Combat Fraud
Advocates say many poor seniors who need dialysis and cancer treatments will have few transportation options. (Lisa Gillespie, 12/1)
School District Pays For Health Care But Can't Get Itemized Bill
Like most big employers, the Miami-Dade County Public School system is self-insured, but finding out just how much they are expected to pay for many health care procedures for employees is proving difficult. (Sammy Mack, WLRN, 12/1)
Political Cartoon: 'A Searing Pain?'
KFF Health News provides a fresh take on health policy developments with "Political Cartoon: 'A Searing Pain?'" by John Deering from "Strange Brew".
Here's today's health policy haiku:
OF SUPREME INTEREST...
Thanksgiving break's done!
The high court's back to work. Health
issues in the mix.
- Anonymous
If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.
Opinions expressed in haikus and cartoons are solely the author's and do not reflect the opinions of KFF Health News or KFF.
Summaries Of The News:
Slow Start, Scant Interest In Small Business Exchanges
Participation in the government insurance exchanges designed for small businesses has been minimal so far and at least in Missouri, one reason may be the scant offerings, reports The St. Louis Post-Dispatch.
The Washington Post:
Healthcare.gov’s Insurance Marketplace For Small Businesses Gets Off To A Slow Start
A year after the Obama administration temporarily shelved an unfinished part of HealthCare.gov intended for small businesses, it has opened with reports of only modest technical flaws — but with doubts that it will soon benefit the millions of workers at little companies with inadequate health insurance or none at all. (Goldstein, 11/30)
The St. Louis Post-Dispatch:
Few Choices In St. Louis' Small Business Health Insurance Marketplace
Employees of St. Louis-area small businesses won’t have many options if their employers decide to use the new online health marketplace under the federal overhaul. Missouri was supposed to be one of a handful of states to offer a highly touted “employee choice” feature, designed to let workers pick their own health plans within a designated cost-sharing tier. But, it turns out, Missouri workers won’t be able to take advantage of that option for 2015 coverage. (Shapiro, 11/29)
Politico Pro:
Obamacare Decisions Hampered SHOP Growth
The Obama administration has managed to launch the SHOP exchange for HealthCare.gov after a yearlong delay. But it could take years for the new small business marketplace to hit its stride — partly because of the Obama administration’s own decisions about phasing in the new coverage option. (Pradhan, 11/26)
Insurer Competition In Many Counties Drives Down Premiums
In Minnesota, meanwhile, Republicans who won control of the state House are looking for ways to challenge the health law there but will face checks from the Democrat-controlled state Senate and executive. And in California, insurance agents who signed people up for coverage wait to be paid.
Kaiser Health News:
More Competition Helps Restrain Premiums In Federal Health Marketplace
A surge in health insurer competition appears to be helping restrain premium increases in hundreds of counties next year, with prices dropping in many places where newcomers are offering the least expensive plans, according to a Kaiser Health News analysis of federal premium records. KHN looked at premiums for the lowest-cost silver plan for a 40-year-old in 34 states where the federal government is running marketplaces for people who do not get coverage through their employers. Consumers have until Feb. 15 to enroll for coverage in 2015, the marketplace’s second year. (Rau and Appleby, 12/1)
The Associated Press:
Split State Power Tempers GOP's Health Care Plans
After two years of vilifying the federal health overhaul and the state's health insurance exchange, Minnesota Republicans face Democratic opposition in the Senate and governor's office that will scale back their hopes for a wholesale makeover. Fresh off winning back the state House, Republicans are mapping out their plans to tweak MNsure in 2015. For now, they're leaving everything on the table: from altering its board to giving lawmakers budgetary control of the independent entity. (Potter, 11/27)
Los Angeles Times:
Many Agents Still Waiting To Be Paid For Covered California Enrollments
California's health exchange is leaning on insurance agents to enroll thousands of people in Obamacare coverage. Trouble is, some agents haven't been paid for months. In some cases, agents are owed thousands of dollars in commissions for getting folks signed up earlier this year. And they said they still face long waits on the phone to get simple issues resolved for customers. Their experiences could sap much of the enthusiasm among Covered California's most effective sales force. (Terhune, 11/26)
Enrollment Begins For Healthy Pennsylvania -- The State's Effort At Medicaid Expansion
News outlets also report on expansion efforts in Arizona and Wyoming.
The Associated Press:
Pennsylvania Launches Medicaid Expansion, Overhaul
Hundreds of thousands of Pennsylvania residents left out of coverage under the 2010 federal health care law now have a chance to get insurance as the state undertakes a massive overhaul to health care for the poor. On Dec. 1, enrollment begins in the Healthy Pennsylvania program, the name given to Pennsylvania's Medicaid expansion by outgoing Republican Gov. Tom Corbett. Coverage will begin Jan. 1, and state officials say some 600,000 people — primarily low-income, single working adults — are newly eligible for coverage under guidelines set by the 2010 law. (Levy, 11/30)
Los Angeles Times:
Unequal Treatment In Arizona, Swings In Medicaid Access Show Program's Impact
Bad timing turned Karen Slone's medical problem into a crisis. Slone, 53, a former administrative assistant with diabetes, followed doctors' advice for years, getting regular checkups. Then, last year, she lost her job and her insurance, and stopped going to the doctor. When she spotted a sore on her foot, a common complication of diabetes, Slone tried Neosporin and Band-Aids. By the time she went to an emergency room weeks later, she had a raging infection. Surgeons had to remove bones in two toes. (Levey, 11/30)
The New York Times:
Wyoming Devises Plan To Expand Medicaid
With a plan released Wednesday by the administration of Gov. Matt Mead, a Republican, Wyoming has become the latest state seeking to expand Medicaid. The plan would provide Medicaid coverage to an additional 18,000 low-income people, according to the state’s health department. If it wins federal and state legislative approval, Wyoming will join 27 states that have expanded the program under the Affordable Care Act, including nine with Republican leadership. As several other Republican governors have done, Mr. Mead wants to require some people who receive coverage under the expansion to pay something toward the cost. (Goodnough, 11/27)
Business CEOs Raise Objections To EEOC's Handling Of Health Law's Wellness Provisions
The dispute could undermine large businesses' support for the health law, Reuters reports. Meanwhile, the Wall Street Journal reports that legal immigrants are having difficulty signing up for coverage on the insurance marketplaces and several outlets examine the administration's efforts to increase enrollment.
Reuters:
U.S. CEOs Threaten To Pull Tacit Obamacare Support Over 'Wellness' Spat
Leading U.S. CEOs, angered by the Obama administration's challenge to certain "workplace wellness" programs, are threatening to side with anti-Obamacare forces unless the government backs off, according to people familiar with the matter. Major U.S. corporations have broadly supported President Barack Obama's healthcare reform despite concerns over several of its elements, largely because it included provisions encouraging the wellness programs. The programs aim to control healthcare costs by reducing smoking, obesity, hypertension and other risk factors that can lead to expensive illnesses. A bipartisan provision in the 2010 healthcare reform law allows employers to reward workers who participate and penalize those who don't. (Begley, 11/28)
The Wall Street Journal:
Health-Insurance Site Snags Immigrants
Legal immigrants are running into fresh problems signing up for insurance on HealthCare.gov, presenting a hurdle in the Obama administration’s efforts to cover more Hispanics. Immigrant groups say people born outside the U.S. who are entitled to private insurance under the Affordable Care Act are having trouble proving their identities to the federal insurance marketplace and uploading documents that demonstrate they are in the country legally. Some also are being routed first to Medicaid, the state-federal insurance for the poor, even though they don’t qualify. (Radnofsky, 11/27)
NPR:
For Some Uninsured, Simply Signing Up Is A Challenge
When the Affordable Care Act rolled out last year, Californians enrolled in both Covered California and expanded Medicaid in high numbers. But there are still millions in the state without health insurance. Undocumented people don't qualify for Obamacare benefits. And many others still find coverage too expensive — or face other obstacles in enrolling. One of those people is Leaburn Alexander. ... He says he makes just under $11 an hour, and after taxes, child support and other expenses, he brings home just enough to cover rent. ... There's no room in the budget for health insurance. (Morehouse, 11/30)
The Associated Press:
Health Insurance Sign-Ups Coming To Shopping Malls
The Obama administration will promote health insurance coverage at shopping malls starting on Black Friday and continuing through the busiest shopping days of the holiday season, officials announced Wednesday. They said more than 462,000 people selected a private insurance plan in the first week of 2015 enrollment through the online marketplace HealthCare.gov. The government's enrollment push with Westfield Shopping Centers will involve setting up outreach tables at malls in Florida, Illinois, New Jersey, Connecticut, Maryland, New York and Washington state. Separately, the California insurance marketplace, Covered California, will work with Westfield malls in that state. (Johnson, 11/26)
The Washington Post:
Democrats Have A New Internal Battle: The Middle Class Vs. The Poor
While the law was touted as a way to keep health insurance costs down and limit the growth of the nation's debt, it taxes the rich in order to pay for health insurance for the poor. When all is said and done, the Congressional Budget Office says that 13 million Americans will gain coverage under the ACA's expansion of Medicaid — a program only available for the poor. And a substantial portion of the insurance subsidies offered under the ACA flow to those earning modest wages. (Goldfarb, 11/26)
NBC News:
Half A Million Sign Up For Obamacare In First Week
What a difference a year makes. More than 460,000 people signed up for health insurance on the federal government’s website during the first week of open enrollment, officials said Wednesday. And there were no outages or other technical glitches. (Fox, 11/26)
Over the holiday weekend, Kaiser Health News aggregated earlier stories about the enrollment announcement: Administration: Hundreds Of Thousands Already Enrolled In Obamacare
House GOP Lawsuit Highlights Little-Noticed Health Law Funding Provision
The measure offers financial assistance to help low- and moderate-income people reduce their co-payments, deductibles and other out-of-pocket costs.
The New York Times:
Suit On Health Law Puts Focus On Funding Powers
In mounting the latest court challenge to the Affordable Care Act, House Republicans are focusing on a little-noticed provision of the law that offers financial assistance to low- and moderate-income people. Under this part of the law, insurance companies must reduce co-payments, deductibles and other out-of-pocket costs for some people in health plans purchased through the new public insurance exchanges. The federal government reimburses insurers for the “cost-sharing reductions.” In their lawsuit, House Republicans say the Obama administration needed, but never received, an appropriation to make these payments to insurance companies. (Pear, 10/29)
Meanwhile, the Los Angeles Times examines how President Barack Obama's recent executive order on immigrants might have implications for a case the Supreme Court is scheduled to hear about other subsidies in the health law that help customers pay their premiums --
Los Angeles Times:
With Executive Action, Obama Risks Losing Chief Justice John Roberts
Two years ago, the chief justice surprised many by joining liberals on the court to uphold the constitutionality of Obama's Affordable Care Act. And he probably holds the deciding vote in a second legal challenge to the healthcare law — one that seeks to eliminate government insurance subsidies to low- and middle-income enrollees in two-thirds of the nation.But Roberts, an appointee of President George W. Bush, has shown an increasing skepticism toward what conservatives call Obama's tendency to overreach. (Memoli, 12/1)
GAO Questions Hospital Pricing Deals
The government watchdog questions whether hospitals are properly reporting revenue received from group purchasing organizations. Meanwhile, federal investigators, posing as consumers, investigated prices of a colonoscopy and a hernia repair. Often, they had trouble getting answers.
The Charlotte Observer:
GAO Urges Study Of How Hospitals Report Some Fees
A government watchdog report says the U.S. Health and Human Services Administration should determine whether hospitals are properly reporting revenue they can receive from group purchasing organizations such as Charlotte-based Premier to make sure Medicare payments aren’t being affected. The report, released last week by the Government Accountability Office, also drew sharp criticism from a physicians group that said the findings did not address their allegations that GPOs are contributing to generic prescription drug shortages. (Rothacker, 11/26)
The Oregonian:
Hospital Costs Vary Widely In Portland, Information Difficult To Get, GAO Report Finds
Federal employees posing as consumers dialed a dozen outpatient clinics and hospitals in Portland last year, asking about the cost of two common procedures -- a colonoscopy and a hernia repair. Sometimes they got answers. Sometimes they didn't, even after calling three times. (Terry, 11/26)
Meanwhile, The Washington Post reports that many hospitals are reluctant to be designated as Ebola treatment facilities because of the cost and stigma -
The Washington Post:
U.S. Hospitals Wary Of Caring For Ebola Patients Because Of Cost And Stigma
U.S. officials trying to set up a network of hospitals in this country to care for Ebola patients are running into reluctance from facilities worried about steep costs, unwanted attention and the possibility of scaring away other patients. “They’re saying, ‘Look, we might be willing to do this, but we don’t want to be called an Ebola hospital. We don’t want people to be cancelling appointments left and right,’ ” said Michael Bell, director of laboratory safety at the Centers for Disease Control and Prevention. (Sun and Dennis, 11/28)
Caution: Your Health Insurance Plan May Have High Deductibles
High deductible plans are having an effect on whether people get care, and are just one of the things consumers should check before deciding what to buy.
The Fiscal Times:
High Deductible Plans Have More People Delaying Treatment
As the cost of healthcare rises, more and more Americans in nearly every economic class are choosing to delay medical treatment because they can’t afford it. A new Gallup poll released Friday found that about one in three Americans say they have put off treatment for themselves or a family member because of cost—the highest rate recorded in Gallup’s history. (Ehley, 12/1)
The Des Moines Register:
Check Plans Before Health Insurance Elections
Open enrollment season is your annual opportunity to review your employer-provided benefit options and make elections for the upcoming plan year. Even if you're satisfied with your current health plan, compare your existing coverage with other plans. Premiums, out-of-pocket costs, and benefits often change from year to year. (Mokosak, 11/29)
Earlier, related story:
Kaiser Health News:
Big Changes For 2015 Workplace Plans: Watch Out For These Six Possible Pitfalls
(Hancock, 11/19)
Supreme Court To Consider Case About Job Protections For Pregnant Women
Groups representing women, workers, employers and others will watch the case to see how the justices handle a company's refusal to reassign a woman to light duty during her pregnancy.
The New York Times:
Case Seeking Job Protections For Pregnant Women Heads To Supreme Court
She sued under the federal Pregnancy Discrimination Act, and the Supreme Court will hear her case on Wednesday. Women’s rights groups hope that Ms. Young’s case will snap their recent losing streak at the court, which has included decisions on equal pay, medical leave, abortion and contraception. (Liptak, 11/30)
The Washington Post:
Former UPS Driver At Center Of Pregnancy Discrimination Case Before Supreme Court
A private woman, Peggy Young didn’t want all the world to know her most intimate business, including her two failed attempts at conceiving a child with her former husband before her pregancy in 2006 cost her her job delivering letters at United Parcel Service in Landover, Md. All Peggy Young wanted, she says, was to drive. But when her bosses at UPS told her to take unpaid leave until she was no longer pregnant, Young sued, saying the company violated the federal Pregnancy Discrimination Act of 1978 and failed to treat a pregnant Young the way it treated other employees. She lost twice in courts in Maryland, which agreed with UPS that Young did not prove the company discriminated against her because of her pregnancy. On Wednesday, the Supreme Court will hear oral arguments in her appeal of the closely watched case. (Schulte, 11/30)
USA Today:
Pregnant Worker's Case To Test Justices' 'Blind Spot'
Several cases involving gender discrimination and reproductive rights have hit a 5-4 roadblock at the conservative-leaning court under Chief Justice John Roberts. Now groups representing women, workers, employers and others are watching to see how the justices handle the company's refusal to reassign Young to light duty during her pregnancy. After last June's ruling that Hobby Lobby and other employers with religious objections could deny their employees health insurance coverage for contraceptives, Justice Ruth Bader Ginsburg went so far as to suggest her male colleagues had a "blind spot" on the issue. (Wolf, 11/30)
Big GOP Gains Could Mean More Anti-Abortion Laws
Also, Colorado lawmakers ready their own birth control funding fight.
Politico:
The Coming Wave Of Anti-Abortion Laws
The big Republican gains in the November elections strengthened and enlarged the anti-abortion forces in the House and the Senate. But it’s the GOP victories in the statehouses and governor’s mansions that are priming the ground for another round of legal restrictions on abortion. (Winfield Cunningham, 11/28)
The Associated Press:
Colorado Lawmakers Wrestle Over Birth-Control Funding
Colorado Democrats who credit a drop in teen pregnancy to expanding access to long-acting birth control such as intrauterine devices have to convince Republicans next year to use state funds for the contraceptives. This summer, Gov. John Hickenlooper and his chief medical officer praised a five-year pilot program — supported with a $25 million private donation — that they said helped decrease Colorado's teen birth rate ... Abortions also decreased, officials said. (Moreno, 11/28)
State Highlights: Calif. Push For Immigrant Health Care; Costs and Hospital-Owned Doctor Practices
News outlets also examine health policy issues in Missouri, Wisconsin, New York and Florida.
The Associated Press:
California Pushes To Expand Immigrant Health Care
President Barack Obama's executive order to spare some immigrants from deportation has galvanized Democrats, immigration groups and health care advocates in California to push for expanding health coverage to a segment of the population that remains uninsured. The president's action excludes immigrants who came to the country illegally from qualifying for federal health benefits. But California has its own policy of providing health coverage with state money to low-income immigrants with so-called "deferred action" that allow them to avoid deportation. Immigrant and health care advocates say that means Obama's executive order will enable hundreds of thousands of low-income immigrants in California to apply for Medi-Cal, California's version of Medicaid. (Lin, 11/30)
California Healthline:
Study Shows Need For Payment Reform, According To California Physicians Group
The costs per patient for hospital-owned physician groups are higher than in groups owned by physicians themselves, according to a new UC-Berkeley study. (Norberg, 11/26)
The St. Louis Post-Dispatch:
States Cope With Big Bill For Hepatitis C Drugs
It’s been almost a year since federal regulators approved a new hepatitis C treatment that costs about $1,000 per pill. But time hasn’t done much to ease concerns of state officials who worry about the drug’s budget-busting potential. Missouri officials estimate the new drug therapy cost the state $30 million through October of this year. Illinois says it spent $16 million during the last fiscal year that ended in July. (Shapiro, 11/30)
Arizona Central-Republic:
Mesa Experiment With 911 Calls Could Be National Model
What began more than seven years ago as an experiment to more efficiently tackle Mesa's increasing numbers of medical calls is now a well-oiled system. In July, the federal Centers for Medicare & Medicaid Services announced it would hand the city $12.5 million to get a more formal, data-driven trial of its "Community Care units" off the ground, in the hopes that Mesa's concept could revolutionize the efficiency of emergency-response systems nationwide. (Polletta, 11/28)
Milwaukee Journal-Sentinel:
Free-Standing Emergency Departments Carry A High Price For Convenience
A controversial trend in health care may make its first appearance in the Milwaukee area, with Froedtert Health proposing to convert its urgent care clinic in New Berlin to a free-standing emergency department. The move will enable Froedtert Health to charge patients much higher rates — two to three times higher by some estimates — than its urgent care clinic receives for the same care. (Boulton, 11/29)
Reuters:
New York State Blocks Free Medical Services At Event
New York state health officials have stopped a nonprofit group from providing free medical care to thousands of patients lacking health insurance during a four-day dental conference that starts Friday. The nonprofit, Remote Area Medical, had raised $3 million and enlisted hundreds of volunteer doctors and other medical workers to offer a range of health services, including dental care, new eyeglasses and other services. The group had planned to treat about 7,000 patients at the New York Sate event. (Brodsky, 11/28)
The (Fort Wayne) Journal Gazette:
Free Clinic Battles Shortage Of Practitioners
In the green-painted basement of a former parish school, old church pews serve as waiting-room seating and long fluorescent tube lights hum quietly overhead. Cast-off office cubicle dividers separate medical exam rooms. In one of them, Dr. Teresa Tallon of Fort Wayne is busy trying to decipher the medical situation of a first-time patient. A man, who says he's homeless, tells her, in no particular order, about problems with poison ivy, injuries from old bicycle and construction accidents and a swollen leg. He also says he could use a flu shot, after being offered one. It's not a particularly busy Wednesday at Clinica Madre de Dios in Fort Wayne. A half hour into the weekly no-appointment session between 12:30 and 3 p.m., only four patients have appeared. (Rodriguez, 11/30)
The Miami Herald:
Advocates Make Early Pitch For Telehealth
Some of Florida’s most influential health care groups are urging state lawmakers to expand the use of telehealth — web and videoconferencing technology that allows doctors and other healthcare specialists to treat patients — as a way to save money and deal with a growing shortage of doctors. (McGrory, 11/28)
Los Angeles Times:
Kaiser Criticized Over Mental Health Care Staffing
Health care giant Kaiser Permanente is facing mounting criticism about the care it provides mental health patients in California. A union is accusing the company of understaffing its mental health unit, causing patients to face excessive delays before treatment. Last year, state officials fined the Oakland company $4 million for numerous violations related to patient access to mental health services. (Pfeifer, 11/27)
Kaiser Health News:
School District Pays For Health Care But Can’t Get Itemized Bill
About a year ago at a Miami-Dade County school board meeting, superintendent Alberto Carvalho was happy to announce the district and the teacher’s union had just ratified a new contract. 'I believe that this contract honors and dignifies what you do every single day,' he told the school board members. It included bonuses for most teachers and it settled how to handle health care expenses after yet another year of rising costs. (Mack, 12/1)
Kaiser Health News:
Medicare Tightens Non-Emergency Use Of Ambulances To Combat Fraud
Beginning Dec. 1, seniors living in three states will need prior approval from Medicare before they can get an ambulance to take them to cancer or dialysis treatments. The change is part of a three-year pilot to combat extraordinarily high rates of fraudulent billing by ambulance companies in Pennsylvania, New Jersey and South Carolina. (Gillespie, 12/1)
The Associated Press:
New Approach With Elderly Addicts At Nursing Home
A surge in baby boomers has driven up the number of elderly people abusing drugs or alcohol, bringing more attention to the sometimes-delicate problems involved in treating addiction in the aging. Last summer, the Jewish Home Lifecare nursing home in the Bronx set out to address those issues. Patients 60 and older who come in for rehab after a hospital stay are also screened for addiction and offered a chance at recovery. (11/30)
Viewpoints: Democrats' 'Family Feud' On Health Law; 'TRAP Laws' Threaten Abortion Rights
A selection of opinions on health care from around the country.
Los Angeles Times:
On Obamacare, Could All Democrats Really Be As Clueless As Sen. Schumer?
It's a startling admission of political spinelessness. [Sen. Charles] Schumer gets the positive impact of the legislation wrong, he gets the politics of it wrong, and he displays a shocking ignorance of the problems facing the American middle class. The only good thing about his remarks is that they confirm how bad today's Democrats are at messaging. Let's put it this way: Franklin Roosevelt would never have tried to discredit his own policies the way Schumer just did. (Michael Hiltzik, 11/26)
The Washington Post:
Charles Schumer’s Prescription For The Democratic Party
Health reform may be working better lately, but polls still show that it is broadly unpopular, ... The real questions are: Why? And, what, if anything, can Democrats do about it? ... Democrats have periodically won public favor by promising to wield federal power to address long-neglected social and political ills, then lost it again when big-government solutions proved unsatisfactory. Parardoxically, the party of government struggles to gain politically from actually being in government. (Charles Lane, 11/26)
The Washington Post:
The Democrats’ Family Feud Is Counterproductive
As a matter of political analysis, Schumer is correct. Had Democrats done more to boost the economy early on and gone after health-care reform in smaller pieces — as then-White House chief of staff Rahm Emanuel advocated at the time — they may well have wound up with more durable achievements on both and kept their majority intact to enact other priorities. The better question is why Schumer chose to reopen those wounds now. The new Republican majority will do everything it can to thwart Obama and the Democrats. Democrats hardly need to be thwarting themselves. (Dana Milbank, 11/28)
Bloomberg:
Democrats Do Have An Obamacare Problem
It's easy to be offended by Chuck Schumer's claim yesterday that Obamacare was a mistake, because it favored the interests of the poor ahead of Democrats' electoral fortunes. Harder is dismissing it, because other Democrats are probably thinking the same thing: What did Obamacare gain them? ... Obamacare has mostly been a policy success. Enrollment is high, costs are reasonable, and the sky hasn't fallen on employer-based insurance. Some people on the individual market saw their plans canceled, but for the most part it's working. Yet the political payoff for that success has been close to zero. The problem isn't only, or even primarily, that the poor are less likely to vote; it's that Obamacare's benefits haven't translated into support for the law or the party that brought it into existence. (Christopher Flavelle, 11/26)
The Washington Post:
Thank A Politician Today
[L]et’s all express gratitude to our fellow Americans who dare to run for the House and Senate. By way of offering mine, I want to thank a few good people we’re losing to retirement or electoral defeat. ... [Rep. George] Miller and [Rep. Henry] Waxman (like the late Ted Kennedy) spent their careers championing universal health care. So did Rep. John Dingell (D-Mich.), Sen. Jay Rockefeller (D-W.Va.) and Sen. Tom Harkin (D-Iowa). It’s fitting that all of them got to help Obamacare pass. (E.J. Dionne Jr., 11/26)
USA Today:
10 Reasons To Be Thankful
As Americans gather for Thanksgiving, there's plenty to worry about, ... But for just one day, forget all that, and focus instead on some of the positive trends that too often get overlooked. ... Millions more people have health insurance than did this time last year, thanks to the gradual phase-in of the Affordable Care Act. Even those who loathe Obamacare like some of its parts, such as no lifetime limits on health insurance in case of major illness and being able to keep offspring on the family policy until age 26. (11/26)
USA Today:
The Real Lesson From 'Grubergate'
This is the most important lesson to be learned from Jonathan Gruber's honesty: The bigger and more complex the bill, the more vulnerable it is to political manipulation — and the more likely it is to deceive the American people. Obamacare epitomizes why Congress should tackle such sweeping reforms with a piecemeal, straightforward, and transparent approach. Hopefully the incoming Congress will remember this as they take up health care reforms of their own. (Luke Hilgemann, 11/29)
The Baltimore Sun:
Gruber Flap Reopens Not-So-Old Wounds
I understand we've turned the page to the next controversy -- Mr. Obama's unconstitutional immigration pander -- but I'd like to dwell a little longer on the previous travesty. Obama administration health-care consultant Jonathan Gruber was discovered to have boasted that Obamacare was designed to exploit the "stupidity" of American voters and elude honest accounting by hiding both its cost and the taxes necessary to pay for it. When asked about this in Brisbane, Australia, the president rolled his eyes at the controversy. ... the biggest lie is the one Mr. Obama left unsaid in Brisbane. He implied that he won the debate. He didn't. He won the fight in Congress -- by brute partisan force. But the majority of the American people watching this farcical debate were never convinced by Mr. Obama's claims. (Jonah Goldberg, 12/1)
Los Angeles Times:
'TRAP Laws' Are A Threat In Disguise To Abortion Rights
Last month, ballot measures that would have given embryos the legal rights of persons were decisively rejected in Colorado and North Dakota. The defeats were hailed as a victory for defenders of the right to legal abortion. But such measures serve as a distraction from a far bigger threat to abortion rights from onerous rules known as Targeted Regulation of Abortion Providers, or "TRAP laws." (Caitlin Borgmann, 11/30)
The Des Moines Register:
It's Time For An Answer: Is Health Care Safer Now?
This December marks the 15th anniversary of the landmark report from the National Academy of Sciences' Institute of Medicine that estimated up to 98,000 Americans die from preventable mistakes in hospitals every year. It is time to know if health care is safer now. Many hospitals in Iowa and elsewhere are working diligently to reduce medication errors, hospital-acquired infections and other causes of harm. Progress has been made, pockets of excellence created and people go home from the hospital alive and well. (Rosemary Gibson and David P. Lind, 11/30)
The New York Times:
Mass Imprisonment And Public Health
For many obvious reasons, people in prison are among the unhealthiest members of society. Most come from impoverished communities where chronic and infectious diseases, drug abuse and other physical and mental stressors are present at much higher rates than in the general population. Health care in those communities also tends to be poor or nonexistent. ... public health and criminal justice systems must communicate effectively with one another. (11/26)
Los Angeles Times:
At The Supreme Court, Conflicts Of Interest Are Just A Day At The Office
A confluence of recent events has made the Supreme Court the most powerful, least accountable public institution in the country. It is time to make the justices more accountable to the American people. The court rules on wide-ranging issues fundamental to American life — where we can pray, who is eligible to vote and marry, how much regulation businesses should face, and who has access to health insurance. And with Congress gridlocked and relations between the legislative and executive branches at a historic nadir, the court's opinions are binding and irreversible. So much for checks and balances. (Gabe Roth, 11/30)
Bloomberg:
Calories, We Never Knew You
Most restaurants have little incentive to disclose calorie information on their own. The new FDA rule is meant to force such disclosure, and then to rely on the operation of the free market. The FDA hopes that once consumers see calorie counts, they will make healthier choices, and there is evidence to support the agency’s optimism. (Cass R. Sunstein, 11/28)