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View Diary: ACA hits 1.5 MILLION: Now broken out by Exchanges/Medicaid! (64 comments)

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  •  Somebody explain this AP story to me (5+ / 0-)

    It won't matter how many people sign up if we keep seeing stories like the AP story  on the front page of my local newspaper this morning - "Insurance policies of millions cancelled" was the headline in the print version -

    http://www.gainesville.com/...

    The policies described in the article don't sound like the bare bones policies the law was intended to get rid of - and if millions of middle class voters experience losing insurance that actually did provide the coverage they need, or have to get insurance that their long time health providers don't participate in, we will face another blood bath at the polls a year from now, no matter how many poor and uninsured people get new and much needed coverage.

    My initial reaction to all this is is two fold:  first, this is what you get for following a Republican formula to start with (although I know it was the best we could get at the time, I don't argue with that), and two, this is what you get for allowing insurance companies to set your health policy - why would we think they would do anything other than fuck over middle class people generally, as they've been doing for generations, and fuck over the President in particular, as this really looks like an organized sabotage campaign to me, in addition to whatever changes the law might have actually required.

    •  I agree (6+ / 0-)

      The reality is that in the individual insurance market, turnover is very high.  So, a lot of people would be forced to look for new coverage every year, ACA or no ACA.   But it is hard to get that word in edgewise in this mania that this loss of coverage is business as usual in that market segment.

      And I agree with the two reasons you gave - one, that this is basically a Republican health care plan, though back from the late 90s before they became completely insane!   And two, that it leaves health care insurers in charge.  In short, the ACA is NOT healthcare reform; at best, it is a weak attempt at health insurance reform.

      (-7.75,-5.64) If you like your $50 a month "healthcare plan"... you are an idiot!

      by Whirlaway on Sun Nov 03, 2013 at 06:55:25 AM PST

      [ Parent ]

      •  I agree. We don't have an accurate handle on (3+ / 0-)
        Recommended by:
        elwior, kefauver, FindingMyVoice

        the number of people who are truly impacted in terms of an out of pocket expense increase.  Equally important, we don't know what subset of this group of individual policy holders are specifically impacted by the ACA or by the normal processes of how insurance co's managed these policies.  Secretary Sebelius alluded to that in her hearing.  This is more of a political issue than it is a substantive one.  It's about the accusation of whether the President over-promised and under-delivered or outright lied or misled people.  I don't think either accusation is true but from a policy standpoint there should be no overreaction to this just because it makes for negative headlines and GOP talking points.  Politicians have to deal with stuff like that all the time.  Remember 'you didn't build that'?

        What Obama has going for him is that people like markets and choices and the more people use the system, the better they will like it.  The focus needs to be on getting the enrollment process fully working.  

        Global Shakedown - Alternative rock with something to say. Check out their latest release, "A Time to Recognize": Available on iTunes, Amazon, Google Play, Spotify and other major online music sites. Visit http://www.globalshakedown.com.

        by khyber900 on Sun Nov 03, 2013 at 07:13:07 AM PST

        [ Parent ]

      •  An important book by John E. McDonough (3+ / 0-)
        Recommended by:
        Brainwrap, rsmpdx, bobatkinson

        Inside National Health Reform describes each part of the ACA. It also provides a history of how the comprehensive law was developed based on decades of progress and failure in achieving health reform. The author names the staffers as well as the political leaders who worked on the issues, and he provides many insights into the process by which we ended up with the ACA.  See also four diaries called Obamacare and tax reform which strongly recommend the McDonough book.

        The spirit of liberty is the spirit which is not too sure that it is right. -- Judge Learned Hand, May 21, 1944

        by ybruti on Sun Nov 03, 2013 at 08:59:53 AM PST

        [ Parent ]

    •  The ACA does want any new plans to be ACA (3+ / 0-)
      Recommended by:
      elwior, ferg, ybruti

      compliant. It requires it in fact. The ACA does allow old plans to be grandfathered.  Many insurance companies are doing what they always do: cancel plans.  They are ignoring the safe harbor for eligible plans.

      The truth is that the individual market for health insurance is being revamped to provide actual insurance coverage instead of junk.  However, in a subset of that market (we don't know the exact number but it does represent thousands of people) they will be paying more out of pocket for a premium to get that better, ACA compliant coverage. It produces better health outcomes in the aggregate, provides better value to people/businesses but could hurt the pocketbook at least in year 1 of the change.

      This is one area where the Administration may need to provide a 'fix' in order to manage the upheaval. It could be in the form of a higher subsidy, or an option to buy into Medicaid or medicare for this affected market.

      However, the Republicans will never go along with any change that makes the ACA more likeable, so it is up to the GOP voters to demand a fix instead of repeal, which on the face of it seems unlikely.  

      What will likely happen is that the GOP will scaremonger the ACA more with this actual impact and that will have to be compared to the positive experiences that people have.  

      Global Shakedown - Alternative rock with something to say. Check out their latest release, "A Time to Recognize": Available on iTunes, Amazon, Google Play, Spotify and other major online music sites. Visit http://www.globalshakedown.com.

      by khyber900 on Sun Nov 03, 2013 at 07:01:27 AM PST

      [ Parent ]

    •  Sounds like it might be time (4+ / 0-)
      Recommended by:
      elwior, kefauver, howarddream, VPofKarma

      for a nice factual letter to the editor from an intelligent local. ;- )

      Can you call yourself a real liberal if you aren't reading driftglass?

      by CJB on Sun Nov 03, 2013 at 07:08:47 AM PST

      [ Parent ]

    •  The subject of the AP story will be on Medicare (15+ / 0-)

      within a few months.  He's 64 now, so he only has to go until the first of his upcoming birthday month until that damned government will be picking up his health care tab.  Don't know how old the wife is but I'd guess she's not far behind.

      You'd think the AP would have picked a better example, unless . . . hard as it is to believe . . . they have some sort of agenda to push.

      •  Good point (5+ / 0-)

        I thought about it too.   If that 64 year old man is opposed to ACA, let's ask him if he is opposed to Medicare.  I can bet that he will not only be not opposed to Medicare, but he would go bonkers if anyone tried to meddle with it.

        So, therein we have the answer - single-payer!  Too bad that Obama himself so firmly shut the door not just on single-payer (which I agree was out of reach anyway) but he threw cold water even on the public option.   If he was more insistent on it, we could have managed to get at least a weak version of the public option that could have been strengthened as time went along.

        (-7.75,-5.64) If you like your $50 a month "healthcare plan"... you are an idiot!

        by Whirlaway on Sun Nov 03, 2013 at 07:45:12 AM PST

        [ Parent ]

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