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  • Wary of Obamacare, some Republicans sign up anyway

    Wary of Obamacare, some Republicans sign up anyway

    REUTERS | January 29, 2014 at 12:25 pm | 1 comment

    By Sharon Bernstein

    SACRAMENTO, California (Reuters) – Julie Davis has every reason to be skeptical of Obamacare: She’s a Republican, her father is a physician who is wary of socialized medicine and her insurance was canceled because of new requirements imposed by the healthcare law this year.

    But the 44-year-old filmmaker says her decision to seek coverage under President Barack Obama’s healthcare reform was a practical one, made with little political angst but plenty of doubt over whether the program will really benefit her family.

    "I did approach it with a skeptical eye," said Davis, who lives in Los Angeles with her husband and son. "But it’s not political. We have no choice."



    After several weeks researching the new health plans, Davis signed up for a mid-tier "silver" plan for the three family members at $930 a month, slightly more than their previous policy purchased on the individual market, but with a far lower deductible.

    Davis’s choice underscores the disconnect between Washington politics – particularly the Republican Party’s push to kill Obama’s Affordable Care Act and portray the law as an ill-devised social program bound to fail – and the experiences of at least some rank-and-file party members who are finding practical reasons to sign up. The discrepancy may complicate GOP efforts to use voter dissatisfaction over Obamacare’s troubled launch to win control of the Senate in November.

    The sharply polarized national argument over the U.S. healthcare system does not line up neatly with the needs of American households. Consumers opposed to the law may find a better deal under Obamacare, which offers subsidized coverage to lower-income households, bars insurers from excluding people on the basis of prior illness and mandates full coverage of common preventive health services. At the same time, some of the law’s supporters may also have lost health insurance policies they liked or encounter higher prices for their coverage.

    For some, the journey to Obamacare has been uncomfortable and even wrenching.

    "It’s like part of my identity got stolen," said Clint Murphy, a longtime Georgia Republican political adviser and consultant to candidates who left the party, in large part over Obamacare. Murphy, 38, worked on the 2008 presidential campaign of Arizona Senator John McCain and helped Georgia’s Karen Handel run for governor in 2010.

    "I was working for Karen during the full throttle of the healthcare debate," Murphy said, helping to position the candidate and attending events where speakers said Obamacare was going to "steal your doctors away."

    Then, Murphy said, his mother developed brain cancer. The family spent more than $100,000 on services that were not covered by the government’s Medicare program for the elderly. At the same time, Murphy applied for insurance for himself and was denied for having sleep apnea and taking anti-anxiety medication.

    The Affordable Care Act, he said, will provide him with a policy for between $245 and $400 per month that covers his needs.

    Maggie Fernandez, 37, lost her health coverage when she was laid off from a job with Miami County earlier this year. She has started a small consulting firm but hasn’t been able to afford individual market insurance premiums of $900 per month. She stopped taking her blood pressure medication, saying it was too expensive at $130 for a 30-day supply.

    In December, she enrolled in a silver plan that costs $315 per month through the federal HealthCare.gov website serving 36 states, many of which are led by Republicans who refused to set up their own Obamacare marketplaces. Her medications now cost $4 apiece each month.

    Some of her conservative friends have a hard time understanding why she signed up. Fernandez said she is a pragmatist who believes that everyone should have access to health insurance.

    "There’s this perception that those who are going to sign up for Obamacare are poor, that they are leeches who are just trying to get free stuff from the government," she said. "I am a law-abiding citizen who pays my taxes … pays my mortgage and opened my own business. I’m not looking for a freebie."

    PERSONAL POLITICS

    It’s far too early to know how many Republican families are signing up for coverage under Obamacare. The new health insurance marketplaces aren’t inquiring about party affiliation, and outreach workers are careful not to ask when they go into communities to explain how the program works.

    Nationwide, just over 2 million people have picked or paid for an Obamacare health plan in the first three months of enrollment, which lasts until the end of March, according to government data. The Obama administration hopes to sign up as many as 7 million people by the time enrollment closes.

    A Reuters/Ipsos poll shows only a small minority of respondents who identified themselves as Republican voters favor the healthcare law, about 11 percent. Among Republican voters who are candidates for buying health insurance on the Obamacare exchanges, some 17 percent say they are likely to sign up.

    Their experience with the program, good or bad, is likely to temper their politics over time, an influence already seen with government programs like Medicare for the elderly and Social Security, said Robert Blendon, a health policy expert at Harvard University.

    If Obamacare proves positive for enough Republicans, voters may decline to support candidates who vehemently oppose the program, or split their votes in other ways.

    "Your willingness to split your ballot, your willingness to write a check to somebody who thinks the bill is really awful – that is going to change," Blendon said. "If the story works out differently, it could go the other way."

    Of course, many who oppose the law won’t sign up, regardless of whether it would benefit them.

    "I really don’t need it or want it right now," said David Petersen, 52, a registered Republican in Walla Walla, Washington. A construction manager who has gone without insurance for years, Petersen could purchase insurance on his state’s exchange for about $200 a month.

    People who decline to purchase insurance risk a fine of $95 or 1 percent of their income. Knowing that, Petersen did go online and search for a plan. But he decided, in the end, that he’d rather risk the fine.

    Cheryl Mooney would qualify for a subsidy that would reduce the price of a policy for herself and her husband to $150 per month from about $1,300.

    But the 55-year-old, who lives in North Carolina and is "against Obamacare absolutely," said she might not buy it. "Even with that, I’m not happy," Mooney said.

    California Assemblyman Brian Jones, a conservative Republican in San Diego County, is deeply skeptical of Obamacare, and sees the problems with the federal website as a sign of troubles still to come. But he advises constituents who need coverage to check it out.

    "Somebody who doesn’t have health insurance, if they can get on the exchange and get coverage and they can afford it, then they should do it," Jones said. "And then hope for the best."

    (Additional reporting by Curtis Skinner; Editing by Michele Gershberg and Douglas Royalty)

    http://latestnews.thefiscaltimes.com...sign-up-anyway
    "Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."

  • #2
    The beauty of ObamaCare...lies in Rene Simoes' analogy of...

    ...
    I man lives in village where he meets only village girls. He swears they are the most beautiful girls in the world. Later he leaves his village and is astounded to see the vast numbers of girls more beautiful that the prettiest girl in his village.
    Those words are not verbatim but that the gist of what Simoes said.

    Now our Republican friends have shouted so loudly that the President lied when he promised if you like your plan or doctor you can keep it or the doc respectively. ...but all we need to do is think on what Simoes said.
    "Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."

    Comment


    • #3
      The Problem With Obamacare's 9 Million Enrollment Number

      The Problem With Obamacare's 9 Million Enrollment Number

      By Brian Orelli | More Articles
      January 29, 2014 | Comments (60)


      "More than 9 million Americans have signed up for private health insurance or Medicaid coverage -- 9 million."
      -- President Obama, in his State of the Union speech last night
      That's technically true. About 3 million Americans have signed up for private insurance on the federal or state exchanges, and around 6 million are now eligible for Medicaid.


      Source: Whitehouse.gov

      The problem is the number doesn't tell us what we need to know to figure out whether Obamacare is viable.

      How many of those 9 million are newly covered Americans?
      We don't know, so we can't exactly blame the president for the number he used. However, it's likely that many of those 9 million had health insurance previously.

      A survey by McKinsey & Co. earlier this month said that just 11% of people that signed up on the exchanges were previously uninsured. It's not an official number, but even if it's in the ballpark, most people were just switching insurance.

      That's not a particularly surprising breakdown for early enrollees. Money is a pretty good driver. People who were paying a large chunk of their income on health insurance can get subsidies by signing up on the exchanges. There were also all those people with catastrophic insurance that had their plans cancelled because they didn't meet the new minimum requirements.

      We yet know how many people who signed up on the exchanges actually paid for their insurance. You'd think it was pretty high, considering how difficult it has been to sign up on the federal website, but there are certainly going to be some people who change their minds between signing up and getting the bill.

      Medicaid is for low-income individuals, so presumably the number of people who were previously uninsured is higher, but we don't have any figures to know for sure. The 6 million who signed up for Medicaid includes all people who signed up, many of whom would have been eligible under the old Medicaid rules. It isn't clear how much the expansion of Medicaid under Obamacare is helping to get the uninsured covered.

      The uninsured make Obamacare work
      More people in the system is key for the numbers to work out.

      Drug companies, for instance, are required to give discounts on drugs bought through Medicaid and Medicare as part of Obamacare. The industry didn't fight the law because it's counting on sales to newly insured patients to cover the discounts.

      Likewise health insurers, such as UnitedHealth Group (NYSE: UNH ) and Humana (NYSE: HUM ) , are counting on new enrollees not only for the added revenue but also to make the insurance prices work. Many uninsured people were uninsured because the risk of getting sick doesn't justify the cost. Adding those to the risk pool makes up for those with pre-existing conditions.

      Earlier this month, Humana said its projected enrollment was "more adverse than previously expected." If the enrollees, on average, have higher medical expenses than planned for, UnitedHealth, Humana, and the rest of the insurers are going to have to charge higher prices to make up for the higher costs.

      Finally, part of what helps pay for Obamacare subsidies comes from the government not having to make payments to hospitals to cover medical expenses incurred by hospitals that treat uninsured patients. If the uninsured aren't signing up for insurance, hospitals such as HCA Holdings (NYSE: HCA ) and Tenet Healthcare (NYSE: THC ) are going to be in trouble.

      Hospitals in states that have chosen not to expand Medicaid are lobbying their legislatures to change their minds. Ten of HCA's hospitals in Virginia, for instance, stand to lose $53.3 million from the cuts over the next two years.

      Not doomed yet
      There's still plenty of time to get the uninsured signed up during the open enrollment, which runs through March. And it's not like it's the end of the world if the procrastinating uninsured don't sign up this year. The next open enrollment period starts Oct. 15.

      Of course, the president would just as soon you sign up this year:


      That's why tonight I ask every American who knows someone without health insurance to help them get covered by March 31.

      The state of the union might not count on it, but it'll sure make the new program a lot more successful.

      http://www.fool.com/investing/genera...ollment-n.aspx
      Last edited by Karl; January 31, 2014, 11:34 AM.
      "Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."

      Comment


      • #4
        Originally posted by Karl View Post
        The Problem With Obamacare's 9 Million Enrollment Number

        By Brian Orelli | More Articles
        January 29, 2014 | Comments (60)




        That's technically true. About 3 million Americans have signed up for private insurance on the federal or state exchanges, and around 6 million are now eligible for Medicaid.


        Source: Whitehouse.gov

        The problem is the number doesn't tell us what we need to know to figure out whether Obamacare is viable.

        How many of those 9 million are newly covered Americans?
        We don't know, so we can't exactly blame the president for the number he used. However, it's likely that many of those 9 million had health insurance previously.

        A survey by McKinsey & Co. earlier this month said that just 11% of people that signed up on the exchanges were previously uninsured. It's not an official number, but even if it's in the ballpark, most people were just switching insurance.

        That's not a particularly surprising breakdown for early enrollees. Money is a pretty good driver. People who were paying a large chunk of their income on health insurance can get subsidies by signing up on the exchanges. There were also all those people with catastrophic insurance that had their plans cancelled because they didn't meet the new minimum requirements.

        We yet know how many people who signed up on the exchanges actually paid for their insurance. You'd think it was pretty high, considering how difficult it has been to sign up on the federal website, but there are certainly going to be some people who change their minds between signing up and getting the bill.

        Medicaid is for low-income individuals, so presumably the number of people who were previously uninsured is higher, but we don't have any figures to know for sure. The 6 million who signed up for Medicaid includes all people who signed up, many of whom would have been eligible under the old Medicaid rules. It isn't clear how much the expansion of Medicaid under Obamacare is helping to get the uninsured covered.

        The uninsured make Obamacare work
        More people in the system is key for the numbers to work out.

        Drug companies, for instance, are required to give discounts on drugs bought through Medicaid and Medicare as part of Obamacare. The industry didn't fight the law because it's counting on sales to newly insured patients to cover the discounts.

        Likewise health insurers, such as UnitedHealth Group (NYSE: UNH ) and Humana (NYSE: HUM ) , are counting on new enrollees not only for the added revenue but also to make the insurance prices work. Many uninsured people were uninsured because the risk of getting sick doesn't justify the cost. Adding those to the risk pool makes up for those with pre-existing conditions.

        Earlier this month, Humana said its projected enrollment was "more adverse than previously expected." If the enrollees, on average, have higher medical expenses than planned for, UnitedHealth, Humana, and the rest of the insurers are going to have to charge higher prices to make up for the higher costs.

        Finally, part of what helps pay for Obamacare subsidies comes from the government not having to make payments to hospitals to cover medical expenses incurred by hospitals that treat uninsured patients. If the uninsured aren't signing up for insurance, hospitals such as HCA Holdings (NYSE: HCA ) and Tenet Healthcare (NYSE: THC ) are going to be in trouble.

        Hospitals in states that have chosen not to expand Medicaid are lobbying their legislatures to change their minds. Ten of HCA's hospitals in Virginia, for instance, stand to lose $53.3 million from the cuts over the next two years.

        Not doomed yet
        There's still plenty of time to get the uninsured signed up during the open enrollment, which runs through March. And it's not like it's the end of the world if the procrastinating uninsured don't sign up this year. The next open enrollment period starts Oct. 15.

        Of course, the president would just as soon you sign up this year:


        That's why tonight I ask every American who knows someone without health insurance to help them get covered by March 31.

        The state of the union might not count on it, but it'll sure make the new program a lot more successful.

        http://www.fool.com/investing/genera...ollment-n.aspx
        What an article?
        It tells you of the reasons why the program shall work...and spins it as possible impediment outright...or ignore the positives

        The article is littered with these one-sided statement of interpretation of facts. Amazing!
        "Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."

        Comment


        • #5
          Obama and his political advisors are masters at the political game. In his SOU speech , he pushed the issue of raising the federal minimum wage to $10.10/h. The Republican party opposes this on an ideological basis which goes against the opinions of the majority of their own constituents. A perfect example is the NY/NJ Port Authority. On Wednesday, the day after Obama's speech, Govenor Cuomo of NY and the executives of the port on the NY side, raised the wages of their workers while NJ, under Chris Christie said no. So now you have workers on the NJ side have to watch workers, doing the same jobs, on the NY side getting more pay. Obama called on the mayors and Governors across the US to bypass Congress and raise wages in their own towns and states. The Republicans seeking re-election later this year is going to have a serious fight with their own voters trying to answer the question, why they don't think the wages should be raised.
          Hey .. look at the bright side .... at least you're not a Liverpool fan! - Lazie 2/24/10 Paul Marin -19 is one thing, 20 is a whole other matter. It gets even worse if they win the UCL. *groan*. 05/18/2011.MU fans naah cough, but all a unuh a vomit?-Lazie 1/11/2015

          Comment


          • #6
            Originally posted by Jangle View Post
            Obama and his political advisors are masters at the political game. In his SOU speech , he pushed the issue of raising the federal minimum wage to $10.10/h. The Republican party opposes this on an ideological basis which goes against the opinions of the majority of their own constituents. A perfect example is the NY/NJ Port Authority. On Wednesday, the day after Obama's speech, Govenor Cuomo of NY and the executives of the port on the NY side, raised the wages of their workers while NJ, under Chris Christie said no. So now you have workers on the NJ side have to watch workers, doing the same jobs, on the NY side getting more pay. Obama called on the mayors and Governors across the US to bypass Congress and raise wages in their own towns and states. The Republicans seeking re-election later this year is going to have a serious fight with their own voters trying to answer the question, why they don't think the wages should be raised.
            Clap im!!!!
            "Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has."

            Comment


            • #7
              Officials save $380 million on Medicare program
              Posted on Jan 31 2014 - 11:21am by Moseti Wilfred M
              |
              Categorized as
              Health
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              Medicare

              The Obamacare initiative has received a boost as the federal officials announced on Thursday that they are saving up to $380 million for the program. This savings by the Accountable Care Organization program is aimed at reducing medicare costs and also improve patient outcome. The officers also predicted that other medical providers will follow suit and create their own accountable care organizations.

              The officers refilled that it will take a long time may be years for them to change the health care system to stop relying on fees for services to being paid by the quality of the outcome. They demonstrated by showing that only a few of the ACOs had performed well enough to earn themselves bonuses and almost half got their costs lower than projected.

              A principal deputy administrator believed that they are on the right course and it was a good start and it is possible to reduce the cost care and at the same time increase improve the total quality he said. However he said that the transformation will take some time.

              This program motivates doctors, hospital and all medical providers to improve their care with individual patients. It encourages them to keep an eye on patients and ensure that they intervene to any health concern before it gets worse and do it in a manner that the patient and they benefit and it should be cost efficient.

              http://www.sproutwired.com/officials...rogram/185085/
              THERE IS ONLY ONE ONANDI LOWE!

              "Good things come out of the garrisons" after his daughter won the 100m Gold For Jamaica.


              "It therefore is useless and pointless, unless it is for share malice and victimisation to arrest and charge a 92-year-old man for such a simple offence. There is nothing morally wrong with this man smoking a spliff; the only thing wrong is that it is still on the law books," said Chevannes.

              Comment

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