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President Barack Obama listens to comments while meeting with healthcare stakeholders in the Roosevelt Room at White House May 11, 2009. At right is Health and Human Services Secretary Kathleen Sebelius. (Official White House Photo by Pete Souza)
President Obama and HHS Secretary Kathleen Sebelius have another Obamacare headache.
When Congress wrote the Affordable Care Act, it didn't imagine that right-wing politics would trump good policy and that more than 30 states would refuse to create health insurance exchanges to make it possible for their residents to shop for cheaper health insurance. Thus, while the law created a grant program for states to market the exchanges, it didn't establish funding for exchanges set up by the federal government. Of course, the Republican House has refused to provide that funding. So now, the government is strapped for funds to both set up and market the new exchanges in the red states.
Take a look at these numbers: Texas, where Gov. Rick Perry steadfastly refused to establish a marketplace, also known as an exchange, has 6.1 million uninsured people. Washington state has less than 1 million. But they will have the same amount of money for Obamacare outreach.

When the Obama administration handed out two sets of grants for exchange outreach and enrollment this month, Texas received a total of $20.8 million, according to the U.S. Department of Health and Human Services. Washington state, on the other hand, which established its own exchange and had therefore access to much more generous federal funding, will spend $20.4 million on its marketing efforts, according to state officials.

Or look at another state: Colorado’s entire population is smaller than Texas’s uninsured population, but Colorado is spending more money (more than $21 million) marketing Obamacare. [...]

HHS did award this month a $41.2 million contract to Weber Shandwick, a public relations firm, for a national marketing campaign—but that figure, intended to help reach roughly two-thirds of the country, is still dwarfed by what states like California ($290 million) are spending for their campaigns. The White House is also depending on non-profit organizations like Enroll America and Families USA to pick up some of the slack.

A critical problem here is that the largest percentages of uninsured people are in states like Texas and Florida, so that's where the most outreach is needed, and where the funds are most stretched. Additionally, while the critical 19-29 age group would be likely to participate in the exchanges, that will only happen if they actually know they exist. Right now, only about one in four is aware that they'll have the opportunity to sign up this fall for insurance starting Jan. 1.

The other issue is that in a lot of these states, like Kentucky, what people are hearing about Obamacare is disinformation: You'll go to jail if you don't participate, or the government decided not to do the exchanges at all in this state, or it's going to cost so much you won't be able to get insurance, anyway. And in some of these states, legislatures have actually taken action to try to prevent the feds from doing effective outreach and education.

Estimates from 19 states suggest that Obamacare enrollments are going to exceed CBO expectations, but those huge enrollments are mostly coming from states like California that have set up their own exchanges, have the money, and have the desire to make this work. That'll help with the overall success of the law, but it's in the red states where it could fail, or at best flounder for a few years before catching on. Because if it can get a foothold, if it can operate relatively successfully in those states for a year or two, it will catch on.

Originally posted to Joan McCarter on Tue Aug 27, 2013 at 10:31 AM PDT.

Also republished by Daily Kos.

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Comment Preferences

  •  Tip Jar (33+ / 0-)

    "The NSA’s capability at any time could be turned around on the American people, and no American would have any privacy left, such is the capability to monitor everything. [...] There would be no place to hide."--Frank Church

    by Joan McCarter on Tue Aug 27, 2013 at 10:31:48 AM PDT

  •  Ouch! (4+ / 0-)
    Recommended by:
    Fury, marina, 1BQ, Betty Pinson
    it didn't establish funding for exchanges set up by the federal government.
    I shudder to think what will happen if the Republicans take the Senate in '14. It feels like our system of government is disintegrating while we watch.

    "The smartest man in the room is not always right." -Richard Holbrooke

    by Demi Moaned on Tue Aug 27, 2013 at 10:44:54 AM PDT

    •  Polite Suggestion to Dems (1+ / 0-)
      Recommended by:
      Brown Thrasher

      Start running on some popular policies so we can vote for you.

      "I'll believe that corporations are people when I see Rick Perry execute one."

      by bink on Tue Aug 27, 2013 at 11:39:31 AM PDT

      [ Parent ]

      •  Hear, hear! (0+ / 0-)

        They always say ya can't fix anything if you don't win.  They need to look at it the other way around: ya can't win if ya don't fix anything.

        •  Well, then, they're screwed since (0+ / 0-)

          they'll never get anything past the house.

          From what I remember, they did a number of things when they controlled all three branches of government.

          "Harass us, because we really do pay attention. Look at who's on the ballot, and vote for the candidate you agree with the most. The next time, you get better choices." - Barney Frank

          by anonevent on Wed Aug 28, 2013 at 08:09:21 PM PDT

          [ Parent ]

      •  hey look it's the (0+ / 0-)

        'you're not pure enough so we're gonna send this country down the shitter by voting for Evil' party members.

        Ideals are awesome.

        •  Not "pure enough" but popular enough (1+ / 0-)
          Recommended by:
          tardis10

          I don't think its a matter of being "pure enough", its a matter of creating and running on policies and policy proposals that are progressive and popular enough to get the Democratic and progressive vote out in mid-term elections to help keep the U.S. Senate in Democratic hands and to increase Democratic and progressive numbers in the House of Representatives.

          Also, some dynamic leadership from the Obama White House in support of those more progressive policies would help a lot in reaching and achieving those electoral goals.

    •  Why doesn't Organizing for Action get involved and (1+ / 0-)
      Recommended by:
      CrissieP

      start spending some big time money ($50MM+) on advertising the exchanges in the most key states like Texas?  They've got a TON of cash, and what better effort to spend resources against than the success of ACA?  There's no other issue out there that holds a bigger key to Dems' successes in Nov. 2015 and 2016 than the resounding success of ACA.  In ALL states.  And the time to make the advertising push is RIGHT NOW!  So I say Dem Super PACs, Organizing for Action, Daily Kos community, etc. all start immediately spending money on ACA/Exchange advertising.  And I'll kick in my fair share.

      •  Not interested (0+ / 0-)

        Organizing for Action
        Statement of Purpose

        Organizing for Action is a nonprofit organization established to support President Obama in achieving enactment of the national agenda Americans voted for on Election Day 2012. OFA will advocate for these policies throughout the country and will mobilize citizens of all parties and diverse points to speak out for speedy passage and effective implementation of this program, including[limited to—personal communication at OFA training] gun violence prevention, sensible environmental policies to address climate change and immigration reform. In addition, OFA will encourage the formation of chapters that will be dedicated at the grassroots level to this program, but also committed to identifying and working progressive change on a range of issues at the state and local level.
        But there are plenty of other organizations on it.

        Groups Work to Promote Health Insurance Exchange

        Why don't you talk to them and Diary their responses?

        Ceterem censeo, gerrymandra delenda est

        by Mokurai on Thu Aug 29, 2013 at 11:14:02 AM PDT

        [ Parent ]

      •  This just in at my mailbox (0+ / 0-)

        from MoveOn.org Civic Action

        Obamacare up in smoke?

        URGENT: We're about to launch a big, ambitious push to take on right-wing lies on Obamacare. We've set a new fundraising goal of $250,000—and extended our deadline to Sunday. Will you donate now? Click here to chip in.

        Urgent: Right-wing groups have launched a multi-million-dollar misinformation campaign to convince young people that they're better off uninsured than participating in Obamacare. Their goal is to make Barack Obama's signature achievement fail, no matter what the cost. Can you donate $5 to help fight back?

        Chip in $5

        Dear MoveOn member,

        Starting on October 1, America will take a huge step towards universal health care. That's the day that 22 million uninsured Americans will be able to start getting affordable health insurance under Obamacare.

        But now, with just weeks to go, right-wing groups have launched a multi-million-dollar campaign to torpedo Obamacare before it even gets started.1

        Their plan: Mislead young people about how the law works so they get scared and don't enroll. The problem is that it really could work because if younger, healthier people don't participate, then costs will skyrocket and Obamacare will fail. Period.

        It's disgusting—people could actually die because they don't get the health insurance they need, and our entire health care system would be thrown into chaos. But these groups are so blinded by hate for Barack Obama that they'll do anything to make his signature program go up in smoke.

        To fight back, MoveOn is launching an urgent campaign of our own to debunk right-wing lies and go after Republican politicians and media outlets that spread misinformation—but we need to raise at least $250,000 in the next 72 hours to make sure we have the resources to set the record straight.

        Can you donate in $5 to fund our urgent campaign to save Obamacare?

        Yes, I can contribute $5.

        Conservatives are so desperate to stop Obamacare from succeeding that they're literally telling people to "burn your Obamacare card"—even though these cards don't even exist.2

        Our plan is to counter their misinformation campaign with a laser-like focus on social media and the websites where young people spend the most time. Young people live on the Internet today, and reaching them online is far cheaper than with traditional TV advertising.

        Just for starters, we'll be able to put an ad on the Facebook pages of 18- to 35-year-olds across America, and we'll also run ads in college newspapers—right as students return to school—explaining the truth about what Obamacare means for young people.

        We've seen these kinds of right-wing scare tactics work before—lies about Social Security have convinced an entire generation of young people that that program won't be around in the future. And polling shows that awareness about the new program is dangerously low among the young people who need health insurance most.3

        We can't just sit back and hope for the best. And the clock's ticking. We've got just weeks to fight back—and we've got just 72 hours until Sunday, when we'll look at what's come in, decide how big we can go with this campaign, and get started. Can you chip in?

        Yes, I'll chip in $5 to make sure right-wing extremists can't kill health care reform.

        We know from the past that MoveOn can run effective campaigns to debunk lies and misinformation. During the last election, we lampooned Mitt Romney's lies with truth and humor, and it worked.

        So, can you help us debunk the lies again?

        We've reached a critical moment. Summer's ending. School's starting. And with just weeks to go, young people are starting to tune in. We've got a plan. We're literally ready to wire money to our ad vendor and get started. But we're 100% member-funded—and we can only do this campaign the right way if enough MoveOn members chip in.

        MoveOn members were integral in passing the Affordable Care Act. We've come too far and fought too hard to let right-wing extremists succeed at making sure health care reform fails. Can you help out? Click below to donate $5 and help fund our urgent campaign stop the right-wing effort to kill Obamacare before it gets started.

        Yes, I'll chip in $5 to make sure right-wing extremists can't kill health care reform.

        Thanks for all you do.
        –Mark, Rosy, Manny, Eric, and the rest of the team

        Sources:

        1. "Inside the Obamacare resistance," The Washington Post, August 1, 2013

        2. Ibid.

        3. "Young Adults' Obamacare Awareness Low Ahead of Rollout, Survey Says," The Huffington Post, August 21, 2013

        Want to support our work? MoveOn Civic Action is entirely funded by our 8 million members—no corporate contributions, no big checks from CEOs. And our tiny staff ensures that small contributions go a long way. Chip in here.

        Ceterem censeo, gerrymandra delenda est

        by Mokurai on Thu Aug 29, 2013 at 08:25:38 PM PDT

        [ Parent ]

  •  How can a person help? (1+ / 0-)
    Recommended by:
    Fury

    I'm in Texas, I don't know much about the ACA, but I'm willing to learn and willing to help others enroll. Where can I start?

    It's easy to be a libertarian if your finances are secure, you have good healthcare and your future is bright.

    by Cecile on Tue Aug 27, 2013 at 10:47:55 AM PDT

  •  Maybe some of the insurance companies that are (2+ / 0-)
    Recommended by:
    Mr Robert, 1BQ

    projected to sign up many new members could contribute a buck or two to the effort?

    •  Blue Cross Blue Shield of NC is (3+ / 0-)
      Recommended by:
      johnniec, AmericanIdeal, grich01

      all over it.

      They have a new 800,000 person market in NC that they are going after - regardless of how stupid the NC General Assembly and Governor McCrory are being.

      Filibuster reform, 2013 - woulda, coulda, shoulda.

      by bear83 on Wed Aug 28, 2013 at 07:28:03 PM PDT

      [ Parent ]

      •  My Son-in-law.................... (4+ / 0-)
        Recommended by:
        True North, grich01, myboo, bear83

        sells for a major national health insurance provider. They too are all over it.

        He has been told to "clear the decks" for October through December.  They will be pushing the exchanges in all the states in which the sell.  They don't care if it is a state exchange or the federal exchange.  They will be working hard to get their share of the market.

        The mass of men lead lives of quiet desperation--HDT

        by cazcee on Wed Aug 28, 2013 at 07:55:28 PM PDT

        [ Parent ]

        •  Insurers acting on these financial incentives is (1+ / 0-)
          Recommended by:
          grich01

          reassuring:

          1. looking forward: on evaluating future prospects for 'bending the curve' on health bankruptcies, medical costs and political insanity, and

          2. looking backwards: on feeling less demoralized by the original Obama concessions to insurance companies when drafting the ACA.

          Of course, one of many reasons that this is far from an ideal situation, is that people being educated by self-interested insurance companies entails overcoming people's well-founded suspicion of this source of information.

          •  We Kossaks have a................ (0+ / 0-)

            well founded and well justified suspicion of the Health Insurance Industry. However, most Joe Schmoes in the nation who do not have health insurance do not have the same negative view.

            To many of them Health Insurance is an exclusive club that they either do not have the financial resources to join or are excluded for some other reason (pre existing condition/high risk). They will happily pick a plan if educated as to availability; regardless of the source of information.

            The mass of men lead lives of quiet desperation--HDT

            by cazcee on Thu Aug 29, 2013 at 06:27:21 AM PDT

            [ Parent ]

      •  Nice. (2+ / 0-)
        Recommended by:
        True North, bear83

        I visited that link and left comments telling them to do this for every state and to advertise on radio and TV.

  •  Can the IRS help? (1+ / 0-)
    Recommended by:
    1BQ

    Maybe they can send out notices explaining the new tax provisions - and slip in the information about the exchanges as well.

  •  I don't understand why this can't be fully (3+ / 0-)
    Recommended by:
    Involuntary Exile, 1BQ, Betty Pinson

    publicized by running PSAs on Mr. Limbaugh's show.

    Since, if recurrent diaries at this site are any indication, he doesn't have many other advertisers left these days.

    •  What would be the point? (0+ / 0-)

      After all, Mr. Limbaugh's listeners all have insurance through Medicare, anyway.

      Political Compass: -6.75, -3.08

      by TexasTom on Wed Aug 28, 2013 at 08:32:27 PM PDT

      [ Parent ]

      •  Limbaugh's listeners (1+ / 0-)
        Recommended by:
        Mokurai

        His listeners may be on Medicare, but their children and grandchildren aren't.

        Maybe their interest in the well-being of their families will outweigh their dislike for the program.

        Besides, as one person who listens to Limbaugh told me, since it is there, and his taxes are paying for it, and his son is uninsured, then between now and when the monstrosity of Obamacare gets repealed, he wants his son to take advantage of what's available that will help him.

  •  Paper pamphlets and the US Mail should (2+ / 0-)
    Recommended by:
    Involuntary Exile, Betty Pinson

    have been in the plan from the beginning. :(

  •  There sure was a lot of money (4+ / 0-)

    ... spent to promote Medicare prescription coverage for seniors. In this case, you'd think the insurance companies might want those younger, healthier customers and do some outreach themselves.

    Mark Twain: It ain't what you don't know that gets you into trouble. It's what you know for sure that just ain't so.

    by Land of Enchantment on Tue Aug 27, 2013 at 11:21:28 AM PDT

  •  Wasn't there a ton of money specifically set aside (0+ / 0-)

    for the national PR campaign?

    "Nothing in all the world is more dangerous than sincere ignorance and conscientious stupidity." --M. L. King "You can't fix stupid" --Ron White -6.00, -5.18

    by zenbassoon on Tue Aug 27, 2013 at 04:26:57 PM PDT

  •  What? Progressives with deep pockets can't (1+ / 0-)
    Recommended by:
    Mister T

    run ads and 1/2 hour infomercials with their own money to inform the public since Republicans have done this.

  •  I live in PA where our asshole gov. (3+ / 0-)
    Recommended by:
    smokey545, CwV, grich01

    refused to set up the exchanges, despite the huge numbers of people w/out healthcare.

    It is unconscionable: but they are without consciences, non?

    Irony takes a worse beating from Republicans than Wile E. Coyote does from Acme. --Tara the Antisocial Social Worker

    by Youffraita on Wed Aug 28, 2013 at 06:56:29 PM PDT

    •  Everybody has access to a marketplace (2+ / 0-)
      Recommended by:
      grich01, Youffraita

      If the state chose not to set up its own marketplace, then the residents of that state will get their insurance (with subsidies) through the federal marketplace.

      The people who are really losing out are those whose incomes are between 100% of federal poverty guidelines and 133%. They were supposed to be on Medicaid, but states are allowed (thanks to the Supreme Court) to refuse to accept Medicaid expansion.

      Encourage people to go to healthcare.gov.

      •  That's probably me. (1+ / 0-)
        Recommended by:
        True North
        The people who are really losing out are those whose incomes are between 100% of federal poverty guidelines and 133%. They were supposed to be on Medicaid, but states are allowed (thanks to the Supreme Court) to refuse to accept Medicaid expansion.

        Irony takes a worse beating from Republicans than Wile E. Coyote does from Acme. --Tara the Antisocial Social Worker

        by Youffraita on Thu Aug 29, 2013 at 04:41:24 PM PDT

        [ Parent ]

        •  Sorry to hear that (1+ / 0-)
          Recommended by:
          Youffraita

          It is abominable that the Republicans elected to office in so many states choose to engage in petty politicking, knowing the damage that they are inflicting on innocent bystanders.

          For that matter, it was abominable for the five on the Supreme Court to rule as they did, allowing this horrendous state of affairs.

    •  Same in indiana (1+ / 0-)
      Recommended by:
      Youffraita

      The Federal exchange will be delayed into 2014. My son (Cerfifiable Genius here on dKos) and I are deeply unhappy about his inability to get real insurance, given his pre-existing conditions. Yes, he can no longer be turned down, but that does not yet mean that he can get something affordable other than ultra-high-deductible catastrophic care.

      Ceterem censeo, gerrymandra delenda est

      by Mokurai on Thu Aug 29, 2013 at 11:17:47 AM PDT

      [ Parent ]

  •  Some ideas: (2+ / 0-)
    Recommended by:
    True North, grich01

    1.  Get some stars to put on a benefit/awareness concert
    2.  Make sure when that is airing on TV and the web that they keep showing....
    3.  A hashtag to get the concept of enrolling trending on Twitter and elsewhere
    4.  Request local radio stations play PSAs on enrolling
    5.  Ditto the idea above re: insurance companies chipping in
    6.  Exchanges should encourage new users to spread the word to friends and family.

    •  and (1+ / 0-)
      Recommended by:
      True North

      borrowing from others here
      7.  Point out to hospitals, and particularly ER staff that they have a financial interest in getting uninsured signed up.
      8.  Encourage insurance companies to advertise everywhere and put up informational websites. It sounds like many are already doing this no-brainer.

    •  James Brolin: Doctor; Marine; Reagan (0+ / 0-)
      1.  Get some stars
      What better star for this than James Brolin?

      According to Wikipedia:

      in the popular medical drama Marcus Welby, M.D. (1969–1976) ... one of the top-rated television shows of the day. Brolin became widely known for his portrayal of youthful, skilled assistant physician Dr. Steven Kiley

      ...played the role of Lt. Col. Bill "Raven" Kelly, whose job was to teach young Marines in a special unit, before being promoted to work with a group of talented Marine fighter pilots. ...

      Ronald Reagan in the television film The Reagans... Brolin played the role

    •  In CA, our marketplace is called Covered CA (0+ / 0-)

      It has a Community Outreach Program where community organizations can partner with CoveredCA to do community outreach and education.  I just got my county Democratic Central Committee to sign up as a partner.  We will be using this as an opportunity to canvass target areas with collateral provided by Covered CA.  It's a two-fer for us : we do a community service and help uninsured people get enrolled and we get our political organizing teams ready for next year's elections.

  •  I Don't Think Anyone Could've Forseen That the (1+ / 0-)
    Recommended by:
    dickensgirl

    Republicans would do more than complain about the program.

    We are called to speak for the weak, for the voiceless, for victims of our nation and for those it calls enemy.... --ML King "Beyond Vietnam"

    by Gooserock on Wed Aug 28, 2013 at 07:09:02 PM PDT

    •  Really? (1+ / 0-)
      Recommended by:
      Mokurai

      No one could have foreseen?

      They aren't just complaining: in order to work "properly", the law requires some Republicans to actually do some things to help implement it (the House, state governors, etc).

      Given that Republicans other than Mitt Romney have been hell dead set against various flavors of health reform for 20 years now, and this bill was passed with zero Republican support, is it really a mystery that Republicans aren't doing anything to help?

      But the Dems, like idiots, rammed it through with zero Republican support, probably costing themselves a few key losses in the 2010 elections. Now they complain about "obstruction". Unlike Joan's assessment, I think this state of affairs was extremely foreseeable.

      But "we passed it because we needed to pass something fast and didn't plan or consider the consequences" sounds less good to Democratic fundraising than "Repub obstruction! Send us $10!" and so on.

      (-5.50,-6.67): Left Libertarian
      Leadership doesn't mean taking a straw poll and then just throwing up your hands. -Jyrinx

      by Sparhawk on Wed Aug 28, 2013 at 09:13:46 PM PDT

      [ Parent ]

      •  Predictable? yes; but "rammed"=Mislead.Talk.Point (0+ / 0-)

        Sparhawk,

        You are correct that:

        this state of affairs was extremely foreseeable
        But the following wording is very misleading:
        rammed it through with zero Republican support
        Relevant background:

        1. The main pillars of the ACA were selected from Republican-originated ideas, which probably would have been supported by many Republicans if proposed by any Republican President.

        2. More Democratic-originated major ideas were omitted from the bill than those of Republican origin, giving Democrats more substantive excuses to oppose the bill than Republicans.

        3. The passage that you refer to as "ramming" occurred after lengthy delays and concessions in pursuit of Republican votes, which were dangled by a few Republicans who ultimately voted no in compliance with Republican leadership pressure to achieve a party line vote, for the purely political purpose of creating precisely this misleading talking point.

    •  Bill Kristol told them to do much more (0+ / 0-)

      in 1993. About the Clinton plan. Because a successful health care program could kill the Republican party.

      The sum of all GOP fears

      This is the standard Republican full-court-press, like on abortion, contraception, guns, drugs, marriage equality, immigration, global warming, Commies/Terrorists, and OMG, he's Blaaaaaaack!!!

      Because, in fact, all of the above are killing the Republican Party, very slowly, at about 1% of the US population annually. Well over a million angry White guys die every year of natural causes, and their children and grandchildren fall away, or "backslide", as the Religious Right puts it, in droves. Angry White women, too.

      Ceterem censeo, gerrymandra delenda est

      by Mokurai on Thu Aug 29, 2013 at 11:29:37 AM PDT

      [ Parent ]

  •  it's a no-brainer, rw radio is louder. all progres (0+ / 0-)

    s is going to be a bigger struggle than it has to be because the thinking americans ignore RW radio.

    the same disinformation machine that stopped clinton reform and public option is still slowing everything down. until the left takes rw radio seriously we're going to keep playing catch up.

    This is a list of 76 universities for Rush Limbaugh that endorse global warming denial, racism, sexism, and GOP lies by broadcasting sports on over 170 Limbaugh radio stations.

    by certainot on Wed Aug 28, 2013 at 07:13:22 PM PDT

  •  time is on Obamacare's side... (2+ / 0-)
    Recommended by:
    owlbear1, grich01

    ...when average, everyday citizens in states like Texas wake up some fine day and realize that everyone else in the country have access to affordable healthcare through except them...stuff's going to start hitting the fan. And Republicans who are responsible for this will finally be held accountable for their gross negligence and incompetence.

  •  Pleasantly Surprised today. (3+ / 0-)
    Recommended by:
    True North, AmericanIdeal, grich01

    This morning in the South Bend Tribune there was a long article stating that the new hospital in Mishawaka, In
    the St. Joseph Medical had taken upon themselves to
    open and staff an information office to advise all comers on the health exchanges, and how to sign up and access the policies and credits available under the ACA.

    •  makes sense (0+ / 0-)

      I bet lots of hospitals will do this.  My doctor friends always talk about how many uninsured they see and how the uninsured use the ER as their PCP which is horribly inefficient, expensive, and all around not a good idea.  It is in their financial interest to get those without insurance (and without lots of money) to get insurance.

  •  Here, you can borrow our ads (0+ / 0-)

    They're lovely.  Just dub in "Texas" over "Oregon" and make a few visual substitutions.  It'll be cheap.

    http://www.youtube.com/...

  •  Re (2+ / 0-)
    Recommended by:
    Bailey2001, nextstep
    When Congress wrote the Affordable Care Act, it didn't imagine that right-wing politics would trump good policy
    The ACA was passed on a party-line vote with zero Republicans. Was it not foreseeable that the Republicans might take back one or both houses of Congress and that they might not want to support this law, considering that they have been hell bent against it since its inception?

    If this situation was not foreseeable, it must only be because we have the dumbest people on the planet on our side.

    (-5.50,-6.67): Left Libertarian
    Leadership doesn't mean taking a straw poll and then just throwing up your hands. -Jyrinx

    by Sparhawk on Wed Aug 28, 2013 at 07:23:36 PM PDT

    •  In fairness... (1+ / 0-)
      Recommended by:
      True North

      ...the level of obstruction by Republicans since 2011 really is unprecedented.  While it was reasonable to expect them to be hostile, I don't know that the level of hostility (and how long it has lasted) was predictable.

      Political Compass: -6.75, -3.08

      by TexasTom on Wed Aug 28, 2013 at 08:34:13 PM PDT

      [ Parent ]

  •  Shock! (1+ / 0-)
    Recommended by:
    Sparhawk

    Unattended consequences of a law rushed through and hashed out behind closed doors.

    "Thus, while the law created a grant program for states to market the exchanges, it didn't establish funding for exchanges set up by the federal government."

    •  T really does stand for troll, doesn't it? nt (1+ / 0-)
      Recommended by:
      TexasTom

      Early to rise and early to bed Makes a man healthy, wealthy, and dead. --Not Benjamin Franklin

      by Boundegar on Wed Aug 28, 2013 at 07:56:29 PM PDT

      [ Parent ]

    •  Troll alert (0+ / 0-)

      Look at this guy's comments history, and "Mister T" pretty clearly seems to be a right wing troll.  I came close to HRing for repeating right wing talking points -- but I'm not actually sure that is an HR'able offense.

      Political Compass: -6.75, -3.08

      by TexasTom on Wed Aug 28, 2013 at 08:37:43 PM PDT

      [ Parent ]

      •  Are you kidding me? (0+ / 0-)

        Wow. RW talking point. Just like Max Baucus. If you do not think the bill could have been written better with more thought and input and have been more transparent then by all mean make that point. The point I make is that this the latest a number of whoops moment for implementing the ACA. Wanting a better bill is not a RW talking point.

        Calling me a troll because I do not always spout the CW is really absurd.  

        BTW I've been here for 4 1/2 years.

  •  Need to convince them we don't want them to get (0+ / 0-)

    Health insurance.

    If we want conservatives to sign up, liberals are going to have to make them think it's the last thing we want them to do.

  •  Nobody is counting (4+ / 0-)
    Recommended by:
    mollyd, TexasTom, True North, cazcee

    an important, vigorous form of outreach: insurance agents. Regardless of politics, you can bet we're going to work our asses off to make sure everybody knows their options; we get paid for each person who gets insurance.

    My manager is a partisan Republican - the kind who thinks Obamacare will destroy America. But you can bet he's making sure his people  get the best training and the best opportunities to reach as many people as possible. Sometimes money trumps politics.

    And since we get paid by the insurance companies, the poor Republicans among us have no room to complain. It's business as usual, except that it's one huge new market stampeding in the door.

    The Rick Perrys of this world have no way of shutting up the most motivated ambassadors of Obamacare: the sales force.

    Early to rise and early to bed Makes a man healthy, wealthy, and dead. --Not Benjamin Franklin

    by Boundegar on Wed Aug 28, 2013 at 07:55:31 PM PDT

    •  "Sales Force" is a kind term for thoseq (0+ / 0-)

      parasites.

      "When I was an alien, cultures weren't opinions" ~ Kurt Cobain, Territorial Pissings

      by Subterranean on Wed Aug 28, 2013 at 10:47:24 PM PDT

      [ Parent ]

    •  Ah, actual market forces at work (0+ / 0-)
      'Tis sport to see the engineer hoist with his own petard.
      Hamlet, Shakespeare

      That is not a call for killing Right wing Economic Fundamentalists with explosive devices, not even with exploded economic theories. (A petard was an engine of destruction that worked rather like a limpet mine. There was always a danger of one going off prematurely, and killing the person setting it, the engineer.) More pointing and laughing, certainly.

      Ceterem censeo, gerrymandra delenda est

      by Mokurai on Thu Aug 29, 2013 at 11:38:53 AM PDT

      [ Parent ]

  •  When does it become Obama's and the Dems fault? (2+ / 0-)
    Recommended by:
    britzklieg, Chitownliberal7

    Enough already with how bad the Republicans are and, now, how there's no money.  Enough already with excuses.  If Obama would actually come out full force on this - you know, like a prime time address the way Reagan used to? - maybe people would be a little more educated.  How about a sustained effort on something?  The new health insurance laws and their benefits would be a good idea.  Or just fucking anything - sustained, constant, all the time.  You know, like the Republicans do.  Like anyone who knows even a speck about marketing and sales do - repeat the message, keep repeating it and repeat it some more.  Instead we get these little flourishes - a Saturday radio address nobody listens to, a speech in some college town that barely makes the news.  Nothing forceful, never taking advantage of his role as President and his bully pulpit.  Bully pulpit.  That's a joke. It's more like his conciliatory shrine.  I'm so tired of this ineffectual communicator.  It's beyond pathetic and to blame anyone but him and the Dem leadership is denying reality.

    The trouble with the world is that the stupid are cocksure and the intelligent are full of doubt. Bertrand Russell

    by accumbens on Wed Aug 28, 2013 at 08:16:35 PM PDT

    •  Agreed (1+ / 0-)
      Recommended by:
      accumbens

      I have heard more about burning Obamacare cards than I have heard from Democratic law makers on how to enroll.  And I am pretty plugged in politically.  I can't imagine what it's like to be a single parent in a rural area.  You are getting loads of propaganda from the right wing telling you how this new plan will ruin your life, and you have hardly a trickle of information from HHS or the Democrats.  No wonder people are so pissed.  

  •  plenty of money for war... (0+ / 0-)

    huh?

    Sorry to rain on your parade but apparently "ObamaDon'tCare" enough.

  •  Obama, Dems, whomever... (0+ / 0-)

    While we sit about debating who's at fault, I can only think of the hundreds of thousands, if not millions, this site and other grassroots efforts raise for political campaigns - to get Obama elected. Warren elected. Etc.

    It's more than urgent we initiate a grassroots campaign to generate funds to get this messaging out. It is WELL beyond Dems or Repubs on this -- this is about getting people connected with vital healthcare options, AND about disintegrating the last bastion of obstruction (the proverbial line in the sand) set forth by the most petulent and vile Congress we've ever seen. We simply cannot sit still while funds pour in on the other side to cement false narratives and political action to strip away what this ACA represents...the beginning of one of the most important and enormous social and economic covenants of our time.

    We must never stop pushing and fighting to make this healthcare system and framework better. There is no argument there. But we also must exhibit urgency to push forward the framework that was passed to begin the long, slow movement toward what we want, and I would gladly commit as much of my money as I can to support this type of grassroots effort to stand behind the ACA and more importantly, drive home accurate and dependable information about how those so sorely in need of this healthcare protection can get it and understand what it means to them.

  •   DISINFORMATION is the proper term (0+ / 0-)

    Too often writers label FauxNoise content as misinformation, but the correct term is disinformation.

    Keep it up.

  •  Maybe if funds are tight (0+ / 0-)

    they should forget about spending anything in red states.  Why should they benefit from Obamacare?

    Yes it's unfortunate for the uninsured in those states, but if blue states have a superior health care system then over time more people will move to those states and their taxes will help improve blue states even more.  Red states will wither as their populations migrate to more civilized places.  

    Or maybe, just maybe, red state voters will punish republicans for fucking up their chance at a better health care system.  LOL, just kidding.

    "When I was an alien, cultures weren't opinions" ~ Kurt Cobain, Territorial Pissings

    by Subterranean on Wed Aug 28, 2013 at 10:45:30 PM PDT

  •  Opposition to Obamacare in Red states is clearly (0+ / 0-)

    the #1 Republican jobs program. Meaning the jobs of Republicans in government, who reckon that as long as they can keep the base riled up about the ACA and the Black President and the Secular Humanist conspiracy and all, the base will keep electing them. Nixon strategist Lee Atwater laid out the rationale of what they are selling decades ago.

    It's all right as long as Blacks get hurt worse.

    Ceterem censeo, gerrymandra delenda est

    by Mokurai on Thu Aug 29, 2013 at 11:45:34 AM PDT

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