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Archive for the ‘ACA’ Category

The Daily GOP Ignominious: Republican Politics Makes Us Wonder Why?

In ACA, GOP hates the ACA,, Paul Ryan, remove pre-existing conditions, The Daily GOP Ignominious on April 29, 2016 at 9:32 PM

If there is one person who reads this blog who can helop us understand the rationale behind what you are about to read please help us out.  

Crooks & Liars

Paul Ryan: Let’s Bring Back Pre-Existing Conditions

Paul Ryan is not working for his constituents, and neither are many of his cohorts in Congress. They are working to increase the profit margins of health insurance companies, period. Speaker Ryan wants to remove the provision of the president’s signature health care legislation that prevents insurance companies from denying care to those with pre-existing conditions.…


Charles Gaba’s ACASignups Update

In ACA, Charles Gaba's ACASignUps, new enrollees, ObamaCare Open Enrollment on December 10, 2015 at 4:19 PM

Charles Gaba’s ACASignups: An Affordable Care Act Enrollment Update

I launched the “State by State” chart feature towards the end of the 2015 Open Enrollment period last time around, and it proved to be pretty popular, so I’ve brought it back this year.
It’s important to note that I’m still missing data from some state exchanges; I have bupkis from DC, Idaho, Kentucky, New York and Vermont. I also only have partial data from others (California includes new enrollees only while several other states only have data for the first couple of weeks).
In addition, there are three states (Connecticut, Rhode Island, and Washington State) where I have the opposite situation–they’ve front-loaded their auto-renewals of current enrollees, with the understanding that those folks can still drop their coverage or switch to a different policy between now and December 15th (CT) or December 23rd (RI & WA).
With all those caveats out of the way, here’s where things stand. Just like last year:
  • The GREEN LINES, meanwhile, represent MY personal projection of how many people I expect to select QHPs during open enrollment this year. Again, with the exception of CA, CO, CT, ID, MD, MN & VT, none of these targets are official.
  • Finally, I’ve included a vertical RED LINE. This represents the point I think each state should have been as of December 5th (around 3.79 million, or 26% of the 14.7 million total I’m projecting nationally by January 31st).
Obviously, some are higher, others lower. Again, Connecticut, Rhode Island, and Washington State are kind of misleading on the high end due to front-loading, while CA, DC, ID, KY, MA, MN, NY and VT are all misleading on the low end due to having missing data or none whatsoever yet.
Got all that?
(Update: It turns out Minnesota updated their numbers today as well; everything below has been updated with their new data)
As you can see, 5 weeks in18 states are running ahead of my projections:
  • Alabama, Arizona, Florida, Hawaii, Iowa, Louisiana, Missouri, Nebraska, Nevada, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Utah, Wisconsin, and Wyoming
As noted above, 3 states (Connecticut, Rhode Island and Washington State) can’t really be compared properly until after their respective January enrollment deadlines pass and auto-renewals are “locked in”.
The following 5 states are running dead even with my expectations so far:
  • Alaska, Kansas, Montana, Pennsylvania, and Virginia
Meanwhile, 16 states are running behind projections so far:

  • Arkansas, Delaware, Georgia, Illinois, Indiana, Maine, Michigan, Minnesota, Mississippi, New Hampshire, New Jersey, New Mexico, North Dakota, Ohio, Texas, and West Virginia.

The other 10 states are either missing data completely or the data is too incomplete to be measured fairly yet.
I’m not going to go into a lot of individual state analysis until after the 12/15 deadline when auto-renewals have been added into the mix since it could simply be that residents of some states are more willing to allow themselves to be auto-renewed than others. Having said that, of the 41 states, I have current data for, the only ones I’m at all concerned about so far are Illinois, Indiana, Mississippi, and Texas, which are each running considerably behind where I expected them to be at this point. In addition, while Minnesota isn’t running that far behind my 12/05 target, it’s still worth noting because their data is as of 12/08. Since we’re in the middle of “Surge Week”, those 3 extra days are more critical than they would normally be.
On the positive side, there are 8 states which are substantially ahead of where I expected them to be: Hawaii, Nebraska, Nevada, Oregon, South Dakota, Tennessee, Utah, and Wyoming. Note, however, that three of these (HI, SD & WY) have very small populations, meaning that just a few thousand people can make a huge difference percentage-wise. Also noteworthy: All three of the former state-based exchanges (Hawaii, Nevada and Oregon) are substantially outperforming expectations. Whether this means anything, I have no idea.

The Uninsured Rate Is Plummeting And Many On The Right Are Not Happy

In ACA,, Obamacare, The Uninsured rate, Uninsured rate is plummeting on November 12, 2015 at 4:30 PM

During a recent discussion of the Affordable Care Act, GOP propaganda regarding the US uninsured rate, former Sen. Judd Gregg (R-N.H.) insisted, “It has not plummeted.” Basically, Gregg stated his belief the ACA has not reduced the number of people covered by some for of medical insurance coverage. A remark that is so far outside of accurate it cannot even be considered a lie.  

Data and visual representation of data are the most effective way to deal with people who obviously get all of their news from Breitbart dot com, The Baze, The Daily Caller and various AM Talk radio stations. Let’s view a few graphs that place Greggs rhetoric in perspective.

Percentage uninsured in the U.S., by quarter
uninsured risk timeline

To put Obamacare’s reduction of the uninsurance rate into perspective, let’s compare it to something a bit more recent. There was a huge outcry over people losing their plans as a result of the new law, but a study from the Urban Institute found that the total was fewer than a million policies were actually canceled. Meanwhile, that 6% point reduction in the uninsurance rate since the passage of Obamacare means that at least 16.4 million people without insurance now have coverage- an amount that is expected to double over the next few years.

Cary Fiorina continued her bizarre utterances regarding the ACA (and other issues) with typical Fiorina non-sense.

RH Reality Check dot org


Prior to Tuesday’s debate, the ACA has received surprisingly little attention during the primary debate season. During Fox News’ first Republican debate, the topic didn’t rank among the most prominent issues discussed, and even Democratic debates and forums have largely skipped over it. 
This means the public isn’t getting answers from candidates about their views on health care. “The result … is that the public is not learning much from these widely viewed events about what candidates would do regarding one of the country’s most divisive issues should he or she be elected president,” Kaiser Family Foundation President Drew Altman explained in an analysis for the Wall Street Journal. 
On Tuesday, Fox News debate moderator Maria Bartiromo finally pushed a candidate to talk about the ACA: Carly Fiorina. When Bartiromo asked Fiorina whether she supported the health-care law’s employer mandate, which requires companies with more than 50 employees to provide health insurance, the candidate launched into a speech blasting the ACA for failing to truly help anyone, claiming that it needed to be rolled back because “it’s failing the very people it is intending to help.” 
Fiorina’s assertion that the health-care law has failed to help Americans is a stretch, if not an outright falsehood. According to Gallup polling, the ACA has resulted in a dramatic 5.5 percent decline in the rate of uninsured persons in the United States. In 2014 alone, the ACA enabled more than ten million people to gain access to affordable health-care coverage. Recently released data from the Centers for Disease Control and Prevention found that this trend has continued into 2015, with 7.5 million fewer Americans than the year before finding themselves uninsured in the first six months of the year. 
“Just to be clear, you want to repeal Obamacare … but, what’s the alternative?” Bartiromo pressed after Fiorina’s answer. 
Fiorina’s response was again composed of more fiction than anything else. “The alternative is to allow states to manage high-risk pools for those who really need help. Look, I’m a cancer survivor, OK? I understand that you cannot have someone who’s battled cancer just become known as a preexisting condition. I understand that you cannot allow families to go bankrupt if they truly need help. But, I also understand that Obamacare isn’t helping anyone,” said Fiorina. 
The high-risk pools Fiorina outlined as part of an ACA replacement strategy refer to state-sponsored health plans for those unable to obtain insurance in the private market due to preexisting conditions. According to an analysis by the Center for American Progress, these plans do not provide a good alternative for those with preexisting conditions, as research based on the 35 states in which such programs previously existed found that the coverage they provided was expensive and created “a greater burden on individuals with expensive medical conditions who have already spent large amounts of their income on health care.”

Spewing re-establish rhetoric may work well with a Fox News debate panel and conservative audience, but Fiorina flop once e fact-checkers and analyzers go to work after the debate.

OBamaCare Impacts A Nation; The GOP "OOPS"

In ACA, GOP, Health Care cost,, Obamacare on August 18, 2015 at 11:52 PM


Image result for affordable care act

Now that we are moving towards the end of president Obama’s sixth year in the White House we often think of how very often the GOP has been on the wrong side of issues critical to the great society. The list is long and the list is historic. Yet, there is one area that the GOP and conservative politicians will forever wear the sticky collar of failure: The Affordable Care Act (AKA ObamaCare).

Reports are the rate of uninsured (medical coverage uninsured) is at an all time low.  


The projected cost of ObamaCare: lowered

MSNBC’s Chris Hayes ran a short segment on the GOP major political “butt-pucker”, or “Oops” If you prefer.

And, to think we actually have a millions acorss the nation who follow the Koch brothers abhorrence for national healthcare and channel votes to politicians who literally wasted $90 to $100 million on frivolous congressional ACA repeal votes. 

ACA Signups…. 12.9M Private Policies Confirmed, 13.1M Estimated

In ACA,, ObabamaCare 12.9M private policies, ObamaCare spreads on August 14, 2015 at 8:44 AM

Charles Gaba monitors and reports as the ACA spreads…..


Assuming my ballpark estimate of appx. 7,500 Off-Season QHP Selections Per Day is accurate, the grand total nationally should be breaking the 13 million milestone right about…now-ish (or at least sometime this week).
Some Guy, 10:45am this morning:
#ACASignups I’m pretty sure QHP selections just broke 13.1 million nationally: #ACA #Obamacare
— Charles Gaba (@charles_gaba) August 13, 2015
2015 Special Enrollment Period Report – February 23 – June 30, 2015
The next open enrollment period for Marketplace coverage begins on November 1, 2015 for coverage starting on January 1, 2016. Some people can sign up for health coverage outside of open enrollment, before November 1, because they qualify for a special enrollment period (SEP). A consumer can qualify for a SEP for such circumstances as loss of health coverage, losing Medicaid eligibility, changes in family status (for example, marriage or birth of a child), or other exceptional circumstances.
This snapshot provides information about consumers who selected a plan between February 23 and June 30, 2015 through the platform, which includes 37 states with Federally Facilitated Marketplaces, State Partnership Marketplaces, and supported State-Based Marketplaces.
Nearly 950,000 new consumers selected a plan through the platform using a SEP between February 23 and June 30, 2015.
Yes, that’s right: With this morning’s updates from Minnesota and Massachusetts thrown in, the confirmed total number  of  QHP selections nationally now stands at at least 13,056,955 to date…vs. my estimate of 13.1 million, or just 43,000 shy of where I projected.

To be fair, it’s actually even better than that: Today’s CMS report for Healthcare.Gov only runs through June 30, which means it doesn’t include the likely 230,000 additional   people who have selected QHPs since then (assuming roughly 5,700 per day on Healthcare.Gov). In other words, the off-season daily average, which I’ve been estimating at around 7,500/day nationally, is probably more like 8,000/day or higher.
UPDATE: It turns out that 143,707 of these are due to the Tax Filing Season special enrollment period. Since I already had 147K included in my estimates prior to today, I have to subtract 147K from the grand total, bringing the grand total down to around 12.9 million (12,909,955).
Here’s the irony, however: This total was still as of June 30. When you subtract the Tax Season enrollments from the 944K total, it’s 800,227. Divide that by the 128 days between 2/23 – 6/30 and you have 6,250 per day for Healthcare.Gov (ie, this doesn’t include the state-based exchanges).
Assuming off-season SEP enrollment continued at this pace throughout July and into August (7/01 – 7/13), that’s another 275,000 from alone. Normally I’d have to add the state-based exchange enrollment to this, but those have mostly already been accounted for.
In other words, the grand total as of today (August 13) almost certainly is at least 13.1 million after all, and could be as high as 13.3 million.

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The "Dark Side" Losses Again. SCOTUS Rejects ACA Lawsuit

In "Patient Centric?", ACA, President Obama on June 25, 2015 at 8:15 PM

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U.S. Supreme Court members Associate Justice Sonia Sotomayor, Associate Justice Elena Kagan, Chief Justice John Roberts, Associate Justice Anthony Kennedy, Associate Justice Ruth Bader Ginsburg and Associate Justice Stephen Breyer. The six Justices pictured voted to preserve a key component of the Affordable Care Act. (Photo by Chip Somodevilla/Getty Images)
Conservative judicial activists and dark side purveyors of Right wing ideology! And shall go unnamed.
SCOTUS does the right thing in ruling for the good of the nation and on the side of millions of Americans who now have some degree of medical coverage, and President Obama exits left after “dropping the mic.”

“Today is a victory for hardworking Americans all across this country whose lives will continue to become more secure in a changing economy because of this law.”  —President Obama on today’s Supreme Court ruling upholding a critical part of the Affordable Care Act: #ACAWorks
Posted by The White House on Thursday, June 25, 2015
Is there any wonder the GOP had no plan to replace the ACA beyond their now famous matra “patient centric” plan?

22 States Aren't Expanding Medicaid

Did the GOP say “Patient Centric?”

US Senate (GOP) Scramble To Save Political Face!

In ACA, Obamacare, Talking Points Memo on April 24, 2015 at 1:00 PM

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After 67 frivolous repeal ObamaCare votes at a total estimated cost of $94 million against the US House operating budget, the GOP laden US Senate is now playing “re-election” with the law. Thus, the GOP is playing with the well being of millions via initial and lingering obstruction to healthcare reform. On the other hand, the GOP plays Badminton with the law out of fear induced by recognition the SCOTUS could gut states subsidies: the heart of the law.

Earlier today, Talking Points Memo reported on GOP Leadership support for a bill extending ACA subsidies. 
 “Used with permission from the TPM websites, a service of TPM Media LLC.”



Senate GOP Leaders Endorse Bill To Extend Obamacare Subsidies To 2017

AP Photo / J. Scott Applewhite

WASHINGTON — The Senate’s top five Republican leaders have cosponsored legislation to extend until 2017 the Obamacare insurance subsidies that may be struck down by the Supreme Court this summer. 

The legislation, offered by Sen. Ron Johnson (R-WI), one of the most politically vulnerable Senate incumbents in 2016, would maintain the federal tax credits at stake inKing v. Burwell through the end of August 2017. 

The bill was unveiled this week with 29 other cosponsors, including Senate Majority Leader Mitch McConnell (R-KY) and his four top deputies, Sen. John Cornyn (R-TX), John Thune (R-SD), John Barrasso (R-WY) and Roy Blunt (R-MO). Another cosponsor is Sen. Roger Wicker (R-MS), the chairman of the conference’s electoral arm. 

Such a move would seek to protect the GOP from political peril in the 2016 elections when Democrats would try to blame the party for stripping subsidies — and maybe insurance coverage — from millions of Americans in three dozen states. A defeat for the Obama administration in aKing ruling would likely create havoc across insurance markets and pose a huge problem for Republicans, many of whom have been pushing the Supreme Court to nix the subsidies. 

“This bill is a first step toward reversing the damage that Obamacare has inflicted on the American health care system,” Johnson said.

He recently explained the rationale for the legislation, warning that Democrats would swarm the GOP with attacks and horror stories about “individuals that have benefited from Obamacare” and lost their coverage.

Read More

How can the GOP continue to meander around consumed with obstruction as subservient stooges to dark money brokers promulgating policy that would make gnat dizzy? We now have GOP attempts to policy-out of a predicament that aversion to the ACA has as a pending ruling from the SCOTUS.

Is this governance for the people, by the people?

ObamaCare Gains In Polls; GOP Ceases Frivolous Votes ($95 million)

In $95.14 million frivolous votes, ACA, CBS News, Liberaland, Miami CBS Local, Obamacare support, President Obama, US House of Representatives on April 22, 2015 at 11:59 AM

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Image result for us house of representatives

What does it cost to conduct a US House of Representatives (legislative) vote? It depends on who you ask, and recognizing there isn’t an exact figure. If we cannot locate exact figures, we do the most logical, we find ‘best guess’ numbers.  A couple of cost estimates might shed light on the evasive and undocumented figure.
Miami CBS Local (May 2013)
Last year, CBS News calculated that the first 33 votes to repeal health care reform took up approximately 80 hours of floor time from the House, or roughly two weeks. The Congressional Research Service said it costs $24 million to run the House for a week, so the first 33 votes cost taxpayers approximately $48 million. 
The numbers translate to approximately $1.45 million per vote to repeal the Affordable Care Act in the House of Representatives. Adding in the three votes since CBS News’ report last year plus Thursday’s planned vote would add $5.8 million to the total. 
In other words, since 2011, the House of Representatives has spent approximately $53.8 million attempting to repeal health care reform.

Marketplace Dot Org  (July 2012)


It’s really hard to break down the cost of a vote in Congress. In fact, none of the congressional watchdog groups in Washington have done it. So we had to do our own, back-of-the envelope calculation. We figured out how much we spend per day on salaries and office costs for members of the House of Representatives and their staffs. The grand total? Almost $2 million every day. Are repeat, symbolic votes worth the cost? 


 About our math: We calculated the cost of a vote by totalling the annual salary of 435 House members. Then we added that to the total amount of annual allocations each House office receives. Finally, we divided that by 366 days in 2012 to determine the total cost per day. Click here to check our math.

If we accept and use the lower figure of $1.42 million per vote, now let’s move to the unfathomable. 

The math is horrific and indicative of GOP governance as an legislative entity committed to repealing a law that provides life sustaining assistance to so many people.  The math: $1.42 million per vote x 67 votes = $95.14 million. Frivolous votes totaling almost $100 million, without any prospect of actually repealing the ACA, had to have been votes to placate the wishes of uber wealthy dark-money moguls who harbor contempt for the ACA.  

Liberaland& offers perspective on national healthcare not shared by the media. GOP members of Congress are actually incorporating aspects of the ACA into related legislation.

The reality the ACA and leadership for President Obama in proposing the law, again shines a very negative light on American conservatism and GOP members of Congress. Obtuse and lockstep resistance to the law is yet another indication of a party on the wrong side of federal governance and indifferent to millions who follow the politicians (and conservative media) down paths contrary to the greater good of the United States.

After 67 votes totaling $95 million against the US Federal Budget, GOP obstruction shows as even more fatuous when considered against developing public sentiment. Two years into the ACA, public polling is turn the corner with more increasing enrollment and aggregate support.

CBS News 

However, the point one difference is within the standard polling margin for error: 3 points. 

New poll shows Obamacaresupport at2-year high


The April health tracking poll from the Kaiser Family Foundation shows that the public is almost evenly split between favorable and unfavorable views of the Affordable Care Act as favorable views are on a slow but steady rise.

Malfeasances is malfeasance. Sixty-Seven frivolous ACA votes had no purpose beyond placating dark-money backers.

Progressive Women’s Movement of America: Five Years Of ObamaCare

In ACA, Five Years of the Affordable Care Act, Obamacare, Progressive Women's Movement of America on March 23, 2015 at 1:41 PM

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Watch: Here’s What Five Years of the Affordable Care Act Means for America

Five years after the Affordable Care Act passed, 30 million young adults can
no longer be denied coverage for a pre-existing condition, 105 million
Americans no longer have a lifetime limit on their health coverage, and 76
million Americans are benefiting from preventive care coverage.

Better with Obamacare:
On March 23, 2010, President Obama signed a historic law that has
transformed the lives of millions of Americans.

Tomorrow, the Affordable Care Act will celebrate five years of significant
progress. That’s a fact that people across the country can see in more
affordable coverage, higher quality care, and better health, thanks to

After five years of the ACA:
More than 16 million
Americans have gained health coverage

Take a look back at history in the making:
9.4 million
 People with Medicare saved a total of more than $15 billion on prescription
 76 million
 People are benefiting from preventive care coverage

105 million
People no longer have a lifetime limit on their health coverage 

Up to 129 million
People with pre-existing conditions are no longer at risk of being denied


Death panels were created

OBAMA CARE "Kills Jobs" [Failed GOP Governance)

In ACA, Huffington Post, If You Only News, Michael McAuliff North Carolina Republican Virginia Foxx, OBAMA CARE "Kills Jobs" on March 17, 2015 at 10:39 AM

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As a nation we continue to succumb to misguided reality of Republicanism. Despite a historic level of achievements from the Obama Administration (accompanied by GOP obstruction), we continue to see half the nation following the party blindly down failed paths strewn with money-broker oligarchs and incompetent political policy. 

The Affordable Care Act is the only example one needs to illustrate the danger inherent in GOP policy. “ObamaCare Kills Jobs” was a constant refrain in 2009 and 2010. The words were surpassed only via loud railing and rants about “Death Panels.” 

The chart at the bottom of this post blows GOP false mantra completely into the twilight zone. The screed sandwiched between adds meat the reality of an inept and uncaring GOP.

Repost from If You Only News


Out of all of the things that seem to drive Republicans crazy about the Obama presidency, nothing makes them crazier than the Affordable Care Act, or as they branded it, Obamacare. Since day one, Republicans have told the most outrageous lies about the healthcare law. It contains “death panels.” Health insurance rates will skyrocket. And, maybe the scariest of all, as America tried to climb out of the Bush recession: Obamacare is a “job killer.”
Now, after 60 straight months of private sector job growth, you would think that Republicans would drop the “job killer” line about the ACA. But no, that claim is alive and well, even though the GOP’s favorite news source, Fox Newsacknowledges that the country is in an historic era of job growth.
In a brilliant piece in the Huffington PostMichael McAuliff analyzes the Republicans’ refusal to admit that Obamacare has not harmed the job market. He points out that, thanks to the phenomenon known as “cognitive dissonance,” Republicans simply will not acknowledge that their doomsday predictions about the ACA and job growth have not materialized. In fact, many now spin the job growth numbers to claim that the recovery would be stronger were it not for Obamacare.
North Carolina Republican Virginia Foxx said in November 2009 that the ACA could cost as many as 5.5 million jobs. She was only off by 17 million or so, as the economy has added about 12 million jobs since March 2010, when Obamacare was signed into law.
Watch the video to hear what Republicans had to say about Obamacare when it was being debated in congress. That is followed by a segment of clips, mostly from Fox News, talking about the robust performance of the economy. Then, listen to some of those same Republicans, in a series of brief, on the street interviews, continue to insist that Obamacare is hurting job growth. It’s hard to tell who is more delusional; these Republicans in congress, or the voters who keep electing them.
Here’s the video, via Huffington Post:

Republicans See Job Growth As Evidence Obamacare Is A Job Killer

The following graphic added by The Pardu

Embedded image permalink

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