Posts Tagged ‘aca

29
Aug
14

ObamaCare Means No Longer Living With Perpetual Pain

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57andfemale

A simple observation:

I got my bone density test today. I have had serious hip and back pain for over a dozen years. Because I am one of 20% of adult asthmatics who cannot take any NSAID’s, I live in perpetual pain. Self-employed, no insurance until ACA.

I got a bone density test today – no co-pay. Because PBO made even the most basic insurance affordable AND comprehensive.

I’m seeing a chiropractor as well as regular doctors. I need some x-rays so we know how aggressive we can be with exercise and PT. If I need cartillage-building or bone-building therapy, I have insurance. thank you, PBO and Dem’s.

All I want is to be able to run up and down the stairs to do laundry. To clean my house. To have a weekend where I can clean my sewing room, throw fabric in boxes, and feel alive the next day.

I am closer to that because of ACA. Thank you POTUS. Thank you, Nancy Pelosi.

Now let’s sustain this progress and keep the Senate and take back the House.

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29
Aug
14

Rise and Shine

On This Day: President Barack Obama hugs Vicki Kennedy as he touches the coffin of her husband, Senator Edward Kennedy during his funeral at Our Lady of Perpetual Help Basilica in Boston, Aug. 29, 2009. (Official White House Photo by Chuck Kennedy)

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Today (all times Eastern)

11:30: Press Briefing by Josh Earnest

12:30: President Obama departs the White House

1:55: Arrives Westchester County, New York

2:40: Attends a DNC fundraiser, private residence, New Rochelle, New York

4:35: Attends a DNC fundraiser, private residence, Purchase, New York

5:20: Departs Westchester

6:10: Arrives Warwick, Rhode Island

7:35: Delivers remarks at a fundraiser for House Democrats; private residence, Newport, Rhode Island

8:50: Departs Rhode Island for DC

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President Obama talks with staff during a meeting in the Oval Office, Aug. 28, 2014 (Photo by Pete Souza)

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Steve Benen: Obama crafting plan for ISIS threat in Syria

For good or ill, President Obama sometimes offers candid, shorthand assessments without much regard for how they’ll be perceived by the political world – or how easily the comments might be taken out of context. From a distance, I get the sense he just doesn’t care what offhand phrase might send the Beltway into a tizzy and generate a half-dozen Politico items. After nearly six years on the job, Obama just seems to have bigger things on his mind.

But those of us who regularly swim in these waters – and who’ve internalized Republican talking points to the point at which we can visualize Fox News segments before they even air – tend to see the pointless uproars coming.

More here

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BBC: What is Putin’s Ukraine strategy?

Alarm is growing in Kiev and the West over Russia’s role in eastern Ukraine. But what is Russian President Vladimir Putin trying to achieve?

The indications are clear that Russia is being more confident and less discreet about the presence of its troops and equipment in eastern Ukraine.

As well as sightings of Russian tanks, and reports of Russian paratroopers not only captured by Ukraine but also killed “while carrying out their duties”, statements by separatist leaders have changed too.

After months of calling for assistance from Russia, separatist leaders now say that they can “do without outside help”. All this could indicate that Russian planners felt the military situation of Russian-backed separatists was severe enough to need more direct assistance.

Equally, it could be that Russia is simply less concerned at this stage about discretion and deniability.

More here

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Was I the last person on planet earth to see this splendiferous suit? I was? Okay. And am I the last person on earth to learn that the media didn’t listen to a single word he said, they were too busy commenting on the suit? I am? Okay……

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TPM: Obama Did A Huge Thing For Workers, Now States Should Do The Same

This weekend marks the unofficial end of summer as well as a chance for us to reflect on the achievements of American workers. This year, workers across the country have a lot to celebrate, thanks in part to a series of executive orders signed by President Obama, including the Fair Pay and Safe Workplaces Executive Order, which cracks down on federal contractors who violate labor laws.

In a significant step towards greater accountability for private contractors, corporations will be required to report their labor violations in updates to government agencies every six months, and contractors will also be responsible for making sure any subcontractors are playing by the rules as well. Additionally, the report directs contractors not to require employees to enter into pre-dispute arbitration agreements for sexual assault and harassment crimes, as well as violations of the Civil Rights Act.

Most importantly, any contractor that’s found to violate labor laws will be restricted from competing for certain contracts, and government agencies will have additional guidance on how to take labor violations into account in their process of awarding contacts. This will help keep taxpayer dollars out of the coffers of companies that are guilty of repeated violations that endanger the lives of workers and cheat employees out of pay.

More here

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On This Day: President Obama salutes a veteran in the crowd after delivering remarks at Xavier University in New Orleans, Louisiana, August 29, 2010

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STL Today: St. Ann lieutenant resigns, Glendale officer fired after actions, comments during Ferguson protests

Two police officers are no longer working at their departments due to their actions during the protests in Ferguson.

A Glendale police officer suspended last Friday after commenting on Facebook that he thought Ferguson protesters should be “put down like rabid dogs,” has been fired, officials say.

Meanwhile, a St. Ann police lieutenant resigned Thursday after he pointed an assault rifle at protesters and cursed at them, officials said.  Lt. Ray Albers had worked for the department for 20 years.

More here

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I went out yesterday for a minute for a worky thing and didn’t get home until after one in the morning – does this phenomenon happen anyone else on a regular basis?

Any way, wasn’t ready for sleep, so began watching PBS’s Emmett Till documentary that I’d recorded a while ago. There were so many details about the case that I’d forgotten, and I’d forgotten too what an extraordinary woman Mamie Till was.

The Emmett Till and Michael Brown cases were, of course, hugely different, but they had the same outcome: ie murdered black boys. And, I fear, Michael Brown’s family will receive as much justice: none.

What struck me last night, though, was the part about the locals raising money – a lot of money – for Emmett’s murderers, and I thought of the people donating huge money to Darren Wilson.

Not content with cheerleading the killers of black boys, they are intent on helping them profit from their crimes too. For reasons of pure, unadulterated hate.

So, I went to sleep thinking, some things just never ***ing change.

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Bloomberg: Obama’s Advisers in Final Review of Immigration Options

President Barack Obama’s lawyers are finishing months of work on a legal rationale for unilateral action on immigration that will have to withstand Republican assaults in the courts and during the congressional election campaign.

With a self-imposed deadline three weeks away, Obama has kept his deliberations closely held, even among White House advisers, while requesting information from staff, according to an administration official. The legal review of his authority hasn’t been presented to Obama yet, the official said.

No announcement is likely until after Obama returns from a trip next week to Estonia and Wales, according to the official…

More here

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I’m seriously late posting this after a crazy week or two – apologies Tally, and thank you!

A Word From Tally

Why Health Care Matters, and why the US is still vulnerable

The US is the only country on Earth where it’s legal to make a profit on someone’s illness. I understand why; it’s a giant conflict of interest. But because of that profit, the system is still out of reach for many, especially in red states with asshole GOP governors who refused the Federal Medicaid expansion funds.

So…… what if something like the West Africa Ebola outbreak happens here?

If EVERYONE doesn’t have affordable access to healthcare, how do you contain such an outbreak?

As awesome as the ACA is, Obamacare doesn’t cover all our citizens yet, and we must clear the way for everyone in this country to have access to healthcare, yes, even illegal aliens and people visiting here from other countries.

Viruses don’t care where you were born, how much money you make, what color your skin is, what sex you are, what religion (if any) you practice, what your sexual orientation is,  who you voted for, what flavor of ice cream you prefer, or where you live.

They’re equal opportunity killers, and you aren’t magically protected from getting a virus from someone who is uninsured, even if you are.

The US is a sitting duck when it comes to this, and healthcare access should be a National Security issue. We’re the country who’s population never take vacation, and suck it up when we’re sick by going to work anyway, less we appear weak. By doing so, we’re spreading our germs everywhere, allowing the virus to spread far and wide, mutating in the process.

It would be easy to lay us low between our work-at-all-costs attitude, and lack of access to affordable care.

There’s a reason other countries have Nationalized health care systems, and don’t drive their citizens into financial ruin if they get sick. It’s better, and healthier when people just go to the doctor when they’re sick, then go home and get better.

It’s only in the US where working yourself to death is a badge of honor, and denying citizens health care is acceptable to some.

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On This Day

The white draped casket of Senator Edward Kennedy sits before (from left) the Senator’s son Edward Kennedy Jr., his widow Vicki Kennedy, former President Bill Clinton, Secretary of State Hillary Clinton, former president George W. Bush, President Barack Obama and First Lady Michelle Obama, Vice President Joseph Biden and his wife Jill Biden, and former First Lady Rosalynn Carter and former President Jimmy Carter during funeral services at the Basilica of Our Lady of Perpetual Help in Boston, Mass. on Aug. 29, 2009. (Photo by Pete Souza)

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President Obama and First Lady Michelle Obama wait to be introduced at Xavier University in New Orleans, La., before delivering remarks marking the five-year anniversary of hurricane Katrina, Aug. 29, 2010 (Photo by Pete Souza)

First Lady Michelle Obama shakes hands with spectators at Xavier University on August 29, 2010 in New Orleans, Louisiana

President Obama and First Lady Michelle Obama greet members of Maude Smith’s family at her home in New Orleans, La., Aug. 29, 2010. The President and First Lady were visiting New Orleans to mark the five-year anniversary of hurricane Katrina (Photo by Pete Souza)

President Obama walks with daughter Malia Obama on August 29, 2010 upon their return to the White House. The First Family completed their 10-day vacation on Martha’s Vineyard and spent August 29, in New Orleans, Louisiana

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 First Lady Michelle Obama participates in a “Pop the Question” question and answer segment during a taping of the “Rachael Ray Show” at Chelsea Television Studios in New York, N.Y., Aug. 29, 2012.

First Lady Michelle Obama and Dr. Mehmet Oz jump rope during a taping of the “Dr. Oz Show,” at Rockefeller Plaza in New York, N.Y., Aug. 29, 2012.

President Obama reacts after recognizing actress Sissy Spacek in Charlottesville, Va., Aug. 29, 2012. The President happened upon Spacek while greeting people following a stop in the town (Photo by Pete Souza)

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Morning!

27
Aug
14

Medicare Is Not Destroying The Budget? Thanks, ObamaCare

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David Leonhardt: Medicare: Not Such A Budget-Buster Anymore

You’re looking at the biggest story involving the federal budget and a crucial one for the future of the American economy. Every year for the last six years in a row, the Congressional Budget Office has reduced its estimate for how much the federal government will need to spend on Medicare in coming years. The latest reduction came in a report from the budget office on Wednesday morning. The changes are big. The difference between the current estimate for Medicare’s 2019 budget and the estimate for the 2019 budget four years ago is about $95 billion dollars. That sum is greater than the government is expected to spend that year on unemployment insurance, welfare and Amtrak — combined. It’s equal to about one-fifth of the expected Pentagon budget in 2019. Widely discussed policy changes, like raising the estate tax, would generate just a tiny fraction of the budget savings relative to the recent changes in Medicare’s spending estimates.

In more concrete terms, the reduced estimates mean that the federal government’s long-term budget deficit is considerably less severe than commonly thought just a few years ago. The reduced estimates are also an indication of what’s happening in the overall health care system. Even as more people are getting access to health insurance, the costs of caring for individual patients is growing at a super-slow rate. That means that health care, which has eaten into salary gains for years and driven up debt and bankruptcies, may be starting to stabilize as a share of national spending. The Affordable Care Act, in particular, made significant reductions to Medicare’s spending on hospitals and private Medicare plans, to help subsidize insurance coverage for low- and middle-income Americans.

More here

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22
Aug
14

Access To Birth Control? ObamaCare Guarantees That

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Irin Carmon: White House Issues New Fix For Contraceptive Coverage

The Obama administration has issued a new set of rules to provide contraceptive access to women whose employers object to their insurance plans covering birth control, which is required under the Affordable Care Act. The new policies are intended to fill gaps left by two Supreme Court moves: The landmark Hobby Lobby decision saying contraceptive coverage violated the religious liberty of a for-profit corporation, and a preliminary order in Wheaton College v. Burwell. With today’s regulations, employees of for-profit corporations like Hobby Lobby will be able to access an “accommodation” where the insurer directly provides the cost-free coverage with no financial involvement by the employer. That accommodation was originally limited to religiously-affiliated nonprofits like Little Sisters of the Poor; houses of worship are fully exempt.

For nonprofits like Wheaton College that object to even that accommodation – which involves them signing a form to their insurer – the Obama administration has created a new accommodation to the accommodation. “The rules, which are in response to recent court decisions, balance our commitment to helping ensure women have continued access to coverage for preventive services important to their health, with the Administration’s goal of respecting religious beliefs,” Health and Human Services Secretary Sylvia Burwell said. For the non-profits that object to the form – arguing that signing it triggers the very birth control coverage they oppose – the new rule allows those employers to write to HHS directly, instead of filling out the form. The Supreme Court first suggested the letter-writing option, and so far the litigants have accepted it. But there was some dispute among legal scholars before about whether the letter would result in actual coverage for the women who worked at those companies. The new rule clarifies that it does.

More here

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21
Aug
14

A Life Was Saved Today Thanks To ObamaCare

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Jane C. Timm: Study: Obamacare Helping More Youth To Get Mental Health Treatment

Young adults have a higher risk of mental health problems and substance abuse – both issues that the U.S. health care system traditionally has struggled to treat. But according to a new study, the number of high-risk youth seeking and receiving affordable care is on the rise, thanks to an Obamacare provision that allows young people to stay on their parents’ health plan until they turn 26. Two million young people now have health care coverage because of the provision, the study notes, but the biggest shift has been with youth demographics that are most at risk.

Among 18-25 year olds exhibiting signs of mental health or substance abuse problems, 5.3% more received mental health care than a comparable group of 26-35 year olds, researchers from Johns Hopkins and Harvard found in the study, published this month in the health care journal Health Affairs. The cost of care has decreased, too: Uninsured doctor visits requiring patients to pay out of pocket were down 12.4%, while the number of covered visits rose 12.9%. Three-quarters of all mental illnesses begin by age 24, according to the National Institute of Health. Before the passage of the Affordable Care Act, nearly 60% of all mental health or substance abuse care for young Americans was paid for out-of-pocket. Mental health care coverage is often prohibitively expensive, a factor that respondents routinely cite as a reason for not seeking care.

More here

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13
Aug
14

ObamaCare Is Not Collapsing And That Makes The GOP Mad

Image: Supreme Court Upholds Obama's Affordable Care Act

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Joshua Green: Dire Obamacare Prediction Falls Hilariously Flat

The story of Obamacare over the last year has in many ways been a story about how the various claims made by conservatives about why the law would collapse have systematically fallen apart as the Affordable Care Act has gone into effect. The website debacle was so bad that nobody was going to sign up. Actually, lots of people signed up. The net number of people insured was going to go down, not up, because Obamacare would force insurers to cancel their plans.

Nope, the uninsured rate has gone down. One of the scariest claims was that premiums were going to shoot up because only the sick and the old would sign up. Back in March, the Hill published a representative story under the headline, “O-Care Premiums to Skyrocket.” Here we are five months later, and those insurance officials have begun reporting their premium increases for next year. To put it mildly, those increases do not seem to fit the definition of “skyrocketing.”

More here

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Wendell Potter: Dire Predictions About Doctor Shortage Post-Obamacare Haven’t Panned Out

Among the many predictions of Obamacare-related catastrophe was that the law, by enabling millions to join the ranks of the insured, would force us all to wait longer to see a doctor and very possibly lead to a code blue for U.S. health care. “Doctor shortage, increased demand could crash health care system,” A CNN report warned last October. A few months earlier, a Forbes headline predicted that, “Thanks to Obamacare, a 20,000 Doctor Shortage Is Set to Quintuple.”To find out if the critics’ were prescient or way off base, Kaiser Health News reporter Phil Galewitz went looking for problems. He didn’t find many. “Five months into the biggest expansion of health coverage in 50 years,” he wrote after interviewing officials from more than two dozen health centers and multi-group practices across the country, “there are few reports of patients facing major delays getting care.”

One reason the system has not been overwhelmed is that, although we might not have as many doctors as some think we should have, we do have a rapidly growing supply of mid-level medical providers — like physician assistants and nurse practitioners — who now treat many of our health problems. It probably won’t be long before most of us are treated — and treated just fine — by a well-trained professional who doesn’t have an M.D. after his or her name. A couple of weeks ago, I sustained an injury that my wife felt was serious enough that I should either go to the ER or see my doctor. When I called my doctor’s office, I was told that while the doctor was on vacation, a nurse practitioner could see me right away. And she did. And I lived to tell about it.

More here

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08
Aug
14

ObamaCare: Helping Millions? ✓ Strengthening Medicare? ✓

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Alex Wayne: Medicare Reduces Payments For 2015 Hospital Admissions

Medicare, the U.S. program for the elderly and disabled, said payments for hospital admissions would fall $756 million next year as penalties stiffen for patients who return too early. Payments for inpatient services at about 3,400 acute-care hospitals will be cut about 0.6 percent in 2015, the Centers for Medicare and Medicaid Services said in a regulatory filing,

including reductions in funding for hospitals who provide care for many low-income patients, those with too many patients who contract infections while admitted and higher penalties for readmissions within 30 days. The Obama administration has applauded reduced Medicare spending for hospital admissions, a trend encouraged by the Patient Protection and Affordable Care Act that has added 13 years to the life of Medicare’s key trust fund.

More here

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Tony Carrk: Conservatives Want You To Pay More For The Health Plan You Like

The Affordable Care Act, or ACA, is working: The uninsured rate has fallen dramatically since the law went into effect. Newly released data published in The New England Journal of Medicine show that 10.3 million adults gained coverage during the first open enrollment period. According to a recent Commonwealth Fund survey, 60 percent of those with new coverage said they used their coverage to go to the doctor or hospital or to fill a prescription; 62 percent of those people said they would not have been able to do so without their new coverage. Moreover, of those who were looking for a doctor, two-thirds said they were able to get an appointment within two weeks. People are happy with their coverage. Overall, 78 percent of those surveyed said they were either somewhat

satisfied or very satisfied with their new coverage. This is about the same rate as those reported by both people who were previously insured and by those who newly gained coverage. Even 74 percent of self-identified Republicans reported being satisfied with their coverage. The ACA has not only led to millions of Americans getting health care coverage, but it has also benefited the country as a whole. Earlier this month, the nonpartisan Congressional Budget Office, or CBO, reported that the ACA is helping slow the growth rate of health care costs, which has positive consequences for the federal budget. It is also helping strengthen the solvency of Medicare.

More here

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The New England Journal Of Medicine: Health Reform And Changes In Health Insurance Coverage In 2014

In this analysis of nationally representative survey data from January 2012 through June 2014, we found a significant decline in the uninsured rate among nonelderly adults that coincided with the initial open-enrollment period under the ACA. These changes remained highly significant after adjustment for potential confounders such as employment, demographic characteristics, and income. As compared with the baseline trend, the uninsured rate declined by 5.2 percentage points by the second quarter of 2014, a 26% relative decline from the 2012–2013 period. Combined with 2014 Census estimates of 198 million adults 18 to 64 years of age, this corresponds to 10.3 million adults gaining coverage, although depending on the model and confidence intervals,

our sensitivity analyses imply a wide range from 7.3 to 17.2 million adults. Absolute gains were largest among young adults and Hispanics, two groups with high uninsured rates at baseline. We found evidence that within the first 6 months of gaining insurance, more adults reported having a personal doctor and fewer had difficulties paying for medical care — even though the latter measure asked about the prior 12 months. These results are consistent with studies of previous insurance expansions that have shown that gains in coverage can lead to rapid improvements in access. In conclusion, we found that the number of Americans without health insurance declined significantly since the ACA open-enrollment period began in October 2013.

More here

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08
Aug
14

A Heckuva Train Wreck

Reuters: New Medicaid enrollments top 7 million under Obamacare

More than seven million Americans have gained health coverage through government programs including Medicaid since enrollment in Obamacare health insurance was launched October 1, the U.S. administration said on Friday.

The U.S. Department of Health and Human Services (HHS) said 7.2 million new participants in Medicaid and the Children’s Health Insurance Program by June brought overall Medicaid enrollment to 66 million people.

The enrollees include uninsured Americans who gained coverage through traditional Medicaid, as well as a special Medicaid expansion in 26 of the 50 U.S. states under President Barack Obama’s Affordable Care Act.

…. A recent study in the New England Journal of Medicine estimated that 10.3 million uninsured Americans have gained coverage through the marketplaces and Medicaid, resulting in a 5.2 percentage point drop in the U.S. uninsured rate since last September.

More here




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