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Banner showing 7 million enrollments in Obamcare
A major media source occasionally gets it right. This comes from Noam M. Levey of the Chicago Tribune and the Tribune-McClatchy partnership. First, the McClatchy headline:
Obamacare has led to health coverage for millions more people
Right to the point: millions more people have health insurance coverage. And the lede:
President Barack Obama's health care law, despite a rocky rollout and determined opposition from critics, already has spurred the largest expansion in health coverage in America in half a century, national surveys and enrollment data show.

As the law's initial enrollment period closes, at least 9.5 million previously uninsured people have gained coverage. Some have done so through marketplaces created by the law, some through other private insurance and others through Medicaid, which has expanded under the law in about half the states.

Please read below the fold for more on this story.

That's hitting all the key points in two short paragraphs: This law is President Obama's creation, the rollout was a mess, the opposition has tried everything to kill it or undermine it, and it already has spurred the largest expansion in health coverage in America in half a century. Of course, it still faces some hurdles.

But the increased coverage so far amounts to substantial progress toward one of the law's principal goals and is the most significant expansion since the creation of Medicare and Medicaid in 1965.
Those are popular programs, and Obamacare significantly expanded them. In terms of politics, there's also a bigger story. As Jed Lewison and David Nir already noted, Republicans already are panicking. They should be. It's about Obamacare, but it's so much more. As I wrote last September:
But the bigger reason why the Republicans are justified in their panic isn't because of the good things Obamacare will do, it's because of the good things Obamacare won't be able to do. Because the problem with Obamacare isn't that it goes too far, it's that it doesn't go far enough. And once people realize that the Republicans were lying about Obamacare, that government can do good things, and that Obamacare does good things but not enough good things, they will want more. They will realize that Obamacare was just one step along a larger path, and they will want the next step. They will want all the steps, until we reach the destination of quality health care for everyone. And they will realize that the Republicans who were so wrong and so dishonest about Obamacare are not the people to take us down that path. They will realize that the Democrats are.

But the biggest reason why the Republicans are justified in their panic is that Obamacare will demonstrate, yet again, that good government is good for people. Government intervention in the health insurance racket will make things better. This is not exactly a secret, given the overwhelming success and popularity of Medicare and Medicaid, but the entire Republican anti-government schtick is about to be exposed, yet again. People who believe government can do good things prove it, by making government do good things. People who believe government is bad don't make government do good things. People who believe government is bad provide bad government, which the Republicans prove again and again. But people want good government. That's what this whole democracy and republic thing is all about. And there is nothing more terrifying to Republicans than democracy and republic.

The framing begins with the two paragraphs from the McClatchy reporter. When discussing Obamacare, the most basic point to emphasize, the most basic point with which to start all conversations, and the most basic point to repeat throughout all conversations is this:
the largest expansion in health coverage in America in half a century
More to come. But it started here.

Originally posted to Laurence Lewis on Wed Apr 02, 2014 at 01:21 PM PDT.

Also republished by Protest Music, Team DFH, Obamacare Saves Lives, and Daily Kos.

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Comment Preferences

  •  Tip Jar (143+ / 0-)
    Recommended by:
    Trix, brooklynbadboy, Mary Mike, Youffraita, gchaucer2, Gary Norton, ZedMont, puakev, lilsky, TheLizardKing, bfitzinAR, earicicle, wdrath, Livvy5, AllanTBG, itskevin, belinda ridgewood, cotterperson, BlackSheep1, howarddream, Angie in WA State, Polly Syllabic, TomP, ontheleftcoast, mslat27, wasatch, sc kitty, northerntier, Al Fondy, hwmnbn, wader, MarkInSanFran, Matt Z, johanus, skod, catly, middleagedhousewife, Sylv, rapala, Gowrie Gal, Tunk, defluxion10, edwardssl, ColoTim, stevenaxelrod, elfling, Ellen Columbo, Involuntary Exile, antooo, Libby Shaw, elwior, La Gitane, HedwigKos, cv lurking gf, Habitat Vic, getlost, FloridaSNMOM, PapaChach, dansmith17, peacestpete, timethief, joedemocrat, cwsmoke, rsmpdx, gloriana, concernedamerican, stagemom, duhban, MRA NY, jdmorg, joanbrooker, barbwires, SCFrog, kerflooey, annieli, tidalwave1, karmsy, jnhobbs, camlbacker, dewtx, jamess, eyesoars, Josiah Bartlett, Tony Situ, sea note, eagleray, Oh Mary Oh, doroma, christine20, where4art, anodnhajo, BarackStarObama, Onomastic, smartdemmg, DavidMS, PaDemTerry, thomask, reflectionsv37, VTCC73, SeaTurtle, navajo, Tortmaster, nirbama, LI Mike, Vicky, ichibon, Themistoclea, kjoftherock, fhcec, kaliope, benamery21, k9disc, 1BQ, fumie, Nebraska68847Dem, northcountry21st, zestyann, fallina7, hbk, pdkesq, BMScott, EighteenCharacters, journeyman, jck, CoyoteMarti, FrankAletha, artebella, rebel ga, Cadillac64, DMentalist, anshmishra, G Contractor, Hawksana, numble, Mokurai, Joe Jackson, cassandraX, Russ Jarmusch, rl en france, Alice Olson, ItsSimpleSimon, MarkW53, JamieG from Md

    The cold passion for truth hunts in no pack. -Robinson Jeffers

    by Laurence Lewis on Wed Apr 02, 2014 at 01:21:56 PM PDT

    •  I Rec'd And Tipped This Diary. (1+ / 0-)
      Recommended by:
      LI Mike

      Because; Yes, it is a big fucking deal!

      Thanks to President Obama and the Patient Protection and Affordable Care Act.

      True to it's name, millions of Americans who would have had to go without medical insurance, can now afford  to see a doctor, even, before they get sick. Preventive medicine is so important!

      You know why they hate Obama. He just makes them all look bad. Literally, out there in the real world, as the old expression goes, "they couldn't even, shine his shoes."

      Now insurance companies can no longer gouge sick people by raising their rates. People with previous conditions can't be discriminated against. Oh yeah, ACA so perfectly named Obama Care, it's a big fucking deal!

      President Obama and his Administration have created an historic health care reform.

      ObamaCare Facts on the Affordable Care Act Glossary

      Income Levels That Qualify For Lower Costs/Chart US Department of Health & Human Services Facebook

      A-Z Index of US Government Departments and Agencies

      Those who oppose Pres Obama did their damnedest to stop the ACA.

      It makes these politicians so bad, for not thinking of it and implementing it themselves. A long time ago.

      Over Seven Million Americans Now Have Affordable Health Care. Medical And Dental Insurance. It's A Very Big Fucking Deal!

      I laugh; when they call Pres Obama, that Socialist, Kenyan, Marxist, Muslim (American).

      They forgot; That, Sneaky, Socialist, Kenyan, Muslim (American). He pulled this one off, right under their noses.

      They thought they were winning in Congress against everything he proposed. Meanwhile he had this in the works all along. Very smart man.

      ps bin laden sleeps with the fishes.

      Brought To You By That Crazed Sociologist/Media Fanatic rebel ga Be The Change You Want To See In The World! Gandhi

      by rebel ga on Fri Apr 04, 2014 at 09:30:10 PM PDT

      [ Parent ]

  •  I won't hold my breath for this to happen. (4+ / 0-)
    Recommended by:
    Greenfinches, wader, RichM, rapala
    And they will realize that the Republicans who were so wrong and so dishonest about Obamacare are not the people to take us down that path.
     Some people can get hit with a hammer and still not clue in.

    My Karma just ran over your Dogma

    by FoundingFatherDAR on Wed Apr 02, 2014 at 01:51:13 PM PDT

  •  If ever the Democrats needed a boost to (21+ / 0-)

    win a critical mid-term election, now is that time.

    The largest expansion of healthcare in a half-century
    is the #boost.

    Say it loud, and keep repeating it until November 4th.

    "I like paying taxes...with them, I buy Civilization"

    by Angie in WA State on Wed Apr 02, 2014 at 02:10:08 PM PDT

  •  Excellent post, Lawrence. (15+ / 0-)

    Join us on the Black Kos front porch to review news and views written from a black pov—everyone is welcome.

    by TomP on Wed Apr 02, 2014 at 02:16:13 PM PDT

  •  The proof is in the pudding. (2+ / 0-)
    Recommended by:
    cotterperson, k9disc

    Will the private health coverage that has been signed up to, result in actual, decent care?

    Time will tell.

    Be of good comfort, Master Ridley, and play the man; we shall this day light such a candle by God's grace in England as shall never be put out.

    by Bollox Ref on Wed Apr 02, 2014 at 04:42:23 PM PDT

    •  you want to explain that a little more? (3+ / 0-)
      Recommended by:
      Fonsia, cotterperson, Tortmaster

      Der Weg ist das Ziel

      by duhban on Wed Apr 02, 2014 at 05:03:01 PM PDT

      [ Parent ]

    •  In my case, yes (13+ / 0-)

      I got an Enhanced Silver Plan from Covered California. I picked Kaiser.

      They just diagnosed me with Stage 0 breast cancer. Don't panic. In Stage 0 no cancer actually has developed yet.

      But they'll give me a lumpectomy next week, followed by six weeks of radiation. That ought to take care of it.

      I might add that the first mammogram came back negative, but the tissue was dense, so Kaiser asked me to come in for a longer look. I was there for five hours. The radiologist kept two lab techs working an hour overtime just for me. She did an ultrasound biopsy. That came back negative too.

      But that radiologist knew what she was looking at, and she had me in or a stereoscopic biopsy, and that found it.

      So yeah, pretty good care from private insurance that I was able to buy for $95/month solely because of the ACA. Without it I would have had to wait another two years to become eligible for Medicare at age 65. (I was an unpaid family caregiver for my dad for over ten years. We didn't get health insurance under the old system.)

      I'm pretty happy.

      And gawd, I'm sick of people on our own side trashing this.

      Enjoy the San Diego Zoo's panda cam! And support Bat World Sanctuary

      by Fonsia on Wed Apr 02, 2014 at 05:18:18 PM PDT

      [ Parent ]

      •  Good! (5+ / 0-)
        Recommended by:
        Fonsia, dewtx, cotterperson, Onomastic, nirbama

        I'm glad you have reliable coverage.

        Be of good comfort, Master Ridley, and play the man; we shall this day light such a candle by God's grace in England as shall never be put out.

        by Bollox Ref on Wed Apr 02, 2014 at 05:33:22 PM PDT

        [ Parent ]

      •  asdf... (5+ / 0-)

        Please forgive me for jumping in, and offering unsolicited medical advice. But I'm just wondering if you've received a second opinion about the necessity of radiation following surgery for Stage 0. I had radiation following a lumpectomy for Stage 1, but even for Stage 1, radiation is not necessarily automatic for older patients. Radiation is about preventing longterm recurrence. I know that patients in their 70s don't usually get radiation for Stage 1; I'm not sure what the standard of care is for patients in their 60s.

        And I think that radiation's side effects are grossly underestimated. What patients experience and what medical journals & radiation oncologists 'fess up to often differ substantially. Chemo's long term side effects were denied for a long time until they could be 'proven' on high tech scans.

        I'm so glad that you have health insurance, and I wish you every success on your treatment journey. I apologize for injecting myself into the conversation. I just wish someone had had a more honest conversation with me before I opted for radiation. Although since I was (am) so young, I probably would have still opted in, at least I would have been better prepared.

        Keeping you in my thoughts, Fonsia.

        Ho'oponopono. To make things right; restore harmony; heal.

        by earicicle on Wed Apr 02, 2014 at 06:22:49 PM PDT

        [ Parent ]

        •  Thanks, Ericle! (4+ / 0-)
          Recommended by:
          earicicle, ichibon, fhcec, cotterperson

          On getting a second opinion, I don't know how Kaiser covers that. They are essentially a single-payer system, just privately owned.

          I asked why the radiation if there's no actual cancer there, and they said that's just their normal course of treatment. Kaiser is excellent with cancer, (although you might have to fight them on other things) so I tend to trust them. I've been absolutely thrilled at the level of care I've been getting.

          They apparently give you a free class on radiation, which I'll take before it all starts. I'll be sure to ask those questions, so thank you for bringing them up.

          I was so happy with that radiologist I brought her some homemade bread as thanks. She knew what she was seeing, and she just wouldn't quit until she got her answer.

          Ergo, so far, I kinda like Kaiser.

          And if the radiation is to prevent a long-term recurrence, I'm kinda happy with that! Means they expect me to be here long term. So do I!

          Enjoy the San Diego Zoo's panda cam! And support Bat World Sanctuary

          by Fonsia on Wed Apr 02, 2014 at 07:53:38 PM PDT

          [ Parent ]

          •  My wife went through radiation therapy (3+ / 0-)
            Recommended by:
            ichibon, cotterperson, Fonsia

            after a lumpectomy + 2 cm of excised tissue on four sides of the lesion (Stage 1b).  I don't know how the procedure progresses here in the US, but at one of India's best hospitals where she was treated, it worked like this:

            About 2 1/2 weeks after the surgery on 6 June 2007, they began by meticulously positioning her on a table and building what was in effect a "cage" for her chest.  Once it was constructed -- I never saw it, so I'm just going on her description -- she would go for a treatment, they'd position her on the table of the machine, place the aforementioned cage over her chest, and literally screw it down to the table so that she could not move her upper body.  After that was done, the treatments, which lasted some 20 minutes each, would take place.  All told, she had 37 of them.  

            Physically, there was little external effect of the treatments for about the first month or so.  (I'm trying to remember how often they took place -- I think it was two or three a week.  Then redness and soreness began, and by the end, the lower quarter or third of the breast looked as if it had been charred, it was that blackened.  She began the treatments in the third week of June and didn't finish until the end of the third week of August.  It took another three to four months for the blackness to finally disappear.  

            As for other physiological problems during and after the treatments, she had virtually no nausea -- I don't think she vomited once throughout it all -- but she was very, very tired and slept a lot of the time.  Her hair became coarser over time, but it never fell out.  In some senses, the worst part of the whole thing was being screwed down to the table.  It's certainly not a procedure that would suit anyone who is at all claustrophobic.  

            Her appetite was, all things considered, pretty good most of the time.  Since we were staying in a hospital guest house ($17 a night -- NOT kidding!) , and had a fridge, I was able buy an electric hot plate and an electric kettle, so I could cook very basic things for her, something that would not have been possible had we been in a regular hotel.  We could also have one of the houseboys go out to a local restaurant and get take-out for us. And to dispel the boredom we both felt because of the length of time it took -- 2 1/2 months in total -- we had satellite TV with half a dozen English stations plus a veranda just outside our door, which stretched the length of the building.  Since we were in Hyderabad during the monsoon, we would sit outside, chat with other patients -- at any given time there were five or six nationalities represented -- and watch the rain pelt down between about 5pm and 7pm, regular as clockwork.  

            As for her current state, it's now been seven years since diagnosis, and she has remained cancer free.  She has other health problems, to be sure, but at least she's not being plagued by the 'Big C' any more.  

            Anyway, good luck with the treatments.  They're no fun, but they aren't horrific, either.  

            -7.13 / -6.97 "The people never give up their liberties but under some delusion." -- Edmund Burke

            by GulfExpat on Wed Apr 02, 2014 at 09:09:06 PM PDT

            [ Parent ]

            •  Thanks, GulfExpat! (0+ / 0-)

              Sounds like you wife had more radiation than they've planned for me. They said the first session is 20 minutes, and 10 minutes thereafter. Side effects are fatigue and redness that's like a sunburn.

              It also sound like it worked for your wife! Congrats on beating it!

              I almost feel like I'm cheating other cancer survivors. I'll be one officially in a year if I don't get killed on the freeway, but I don't face anything like people who've had the actual disease. The call stage 0 "precancerous."

              I live within 10 miles of the facility, so I can stay at home. The only problem is that this is delaying the start of my new business by a good three months, but I'll be happy to take the time off!

              Good luck in the future!

              Enjoy the San Diego Zoo's panda cam! And support Bat World Sanctuary

              by Fonsia on Thu Apr 03, 2014 at 10:38:44 AM PDT

              [ Parent ]

              •  We heard the same story, actually, (0+ / 0-)

                that it would be like a "bad sunburn."  That said, the length of your treatments seems to be a lot shorter than hers was.  How many are they planning, by the way?  Come to think of it, I'm not sure I've ever heard of radiation being used for "Stage 0."  I would think that just removing the lesion would be plenty sufficient.  We've known several women who were diagnosed as 1a, had their lesions excised, and that was it.  I'd get a second opinion on the radiation they're planning for you.  The more I think about it, the more overblown it seems to me.  Why submit to any kind of radiation, which in itself can be carcinogenic, if it's not absolutely necessary??  Anyway, good luck!  

                -7.13 / -6.97 "The people never give up their liberties but under some delusion." -- Edmund Burke

                by GulfExpat on Fri Apr 04, 2014 at 12:49:02 PM PDT

                [ Parent ]

                •  I've done a buncha research on it (1+ / 0-)
                  Recommended by:

                  mostly looking at sites like Susan B. Koman and The American Cancer Society.

                  It seems that this is the standard, widespread treatment for DCIS Stage 0. It is considered to be breast cancer, no matter that actual cancer has not yet developed. It's called Ductal Carcinoma In Situ.

                  Apparently the radiation treatment reduces the chance of recurrence in that breast by 50% to 70%. While there are some mild side effects they usually go away a few weeks after the treatment stops.

                  They're planning six weeks, five days per week. So, 30 episodes. The first one takes 20 minutes, the rest are 10 minutes each.

                  It is true that radiation can cause later cancers, but that risk is minuscule to the point that this course of treatment is considered to be far more optimal than just doing the lumpectomy alone.

                  There is another Stage 0, called Lobular Carcinoma. In that one they tend to just watch it.

                  So I'm pretty comfortable with this course of treatment. According to the American Cancer Society, five year survival rate is 100%.Ten year survival rate is close to 100% (if you get it once, you can get it again--that's what the radiation reduces).

                  There also might be hormonal treatment, but they won't know that until they take it out and see what type it is. I'm hoping to avoid that. The side effects are hot flashes, and I got over those! Don't want 'em again!

                  Enjoy the San Diego Zoo's panda cam! And support Bat World Sanctuary

                  by Fonsia on Fri Apr 04, 2014 at 05:32:49 PM PDT

                  [ Parent ]

          •  Kaiser certainly does give patient's (0+ / 0-)

            second opinions.  You just have to ask for it.

      •  But what you are talking about (0+ / 0-)

        is why US costs are so high. At "stage 0" cancer meaning no actual cancer and none may ever develop. Yet you are planning to go through overkill which can harm you for no good reason at all.

        Please see someone else and get an 2nd opinion. This is the sort of over treatment that is dangerous.  That radiation is more likely to promote a cancer than just waiting and keeping an eye on your situation.

        At least do some reading on line before you go through surgery and radiation.

        I'm asking you to believe. Not in my ability to bring about real change in Washington ... *I'm asking you to believe in yours.* Barack Obama

        by samddobermann on Thu Apr 03, 2014 at 05:01:00 AM PDT

        [ Parent ]

        •  From what I've read (0+ / 0-)

          Stage 0 will become invasive between 20% to 30% of the time.

          OK, so less than a third of the time. Would you want to take that chance??

          That's damned dangerous. No telling how many years I've had it, or if it's new. No telling if it's dormant now, or will remain dormant. No one can know that.

          No. I'm getting this taken care of. The radiation is supposed to take 20 minutes the first time, and 10 minutes per session thereafter. The side effects are fatigue and redness that's like a sunburn.

          I can handle that. After that, I'll be damned sure to keep good watch on the boobs. Fortunately, Kaiser is fantastic about that, as you can see from my description of how they found it.

          I think they're saving money. There's a reason the ACA makes preventative care free. If you catch something early, it costs WAY less to treat than if you catch it late.

          I feel incredibly lucky. I will, however, do my research on the radiation. I'm having the lumpectomy, no question. I want that crap outta there.

          Enjoy the San Diego Zoo's panda cam! And support Bat World Sanctuary

          by Fonsia on Thu Apr 03, 2014 at 10:32:55 AM PDT

          [ Parent ]

    •  I don't make predictions, (0+ / 0-)

      but having worked at a medical school for 20 years, I believe patients will find better care at hospitals who are accredited by the Joint Commission, which has for decades helped hospitals with continuous quality improvement.

      Also, probably better if physicians are certified by the American Board of Medical Specialists, which for decades has tested post-graduates (aka residents  in clinical training after medical school) for what they call "Fund of knowledge." Medicare helps fund their training.

      Also, doctors who have a certificate on their walls saying they are members of Alpha Omega Alpha, denoting they graduated in the top 10 percent of their class.

      To my knowledge, these are not written into the ACA. Off the top of my head, though, there are some quality measures, e.g., re-admissions after a hospitalizations as a negative. Don't know if this affects payment.

      We patients must for our own protection become informed by such sites as, which has written for patients -- also for decades.

      All of these variables are important.

      "Let each unique song be sung and the spell of differentiation be broken" - Winter Rabbit

      by cotterperson on Wed Apr 02, 2014 at 07:51:44 PM PDT

      [ Parent ]

  •  universal health care it aint but (2+ / 0-)
    Recommended by:
    cotterperson, k9disc

    maybe someday we'll have every American buying health insurance from the private industries and those industries will ensure we all get quality affordable health care.

    What would you say is a realistic (best case scenario) timeframe for that to finally come together?

    If I can't dance I don't want to be part of your revolution. ~ Emma Goldman

    by Lady Libertine on Wed Apr 02, 2014 at 05:02:56 PM PDT

    •  I'm looking forward to "Medicare for all" (4+ / 0-)
      Recommended by:
      dewtx, doroma, cotterperson, fhcec

      Once we can finally banish the for-profit leeches from within our health care system.

      Health Care for profit is an Oxymoron - like Republican Integrity

      America's LAST HOPE: vote the GOP OUT in 2014 elections. MAKE them LOSE the House Majority and reduce their numbers in the Senate. Democrats move America forward - Republicans take us backward and are KILLING OUR NATION!

      by dagnome on Wed Apr 02, 2014 at 05:52:14 PM PDT

      [ Parent ]

    •  time frame, i don't know (2+ / 0-)
      Recommended by:
      Lady Libertine, cotterperson

      i do think a president hillary clinton would want to take health care farther. it's an issue about which she is passionate. single payer, probably not, but national consensus has a way of coalescing, and single payer already enjoyed wide support (when polled- which is rare), so a couple more steps forward, and it may then happen fairly quickly.

      The cold passion for truth hunts in no pack. -Robinson Jeffers

      by Laurence Lewis on Wed Apr 02, 2014 at 11:35:19 PM PDT

      [ Parent ]

    •  Even Medicare covers only 95% (0+ / 0-)

      of those over 65. There will always be some outside any system. Some like the Amish and other religious groups and some too rich to join the commoners; there are varied reasons.

      I'm asking you to believe. Not in my ability to bring about real change in Washington ... *I'm asking you to believe in yours.* Barack Obama

      by samddobermann on Thu Apr 03, 2014 at 05:09:48 AM PDT

      [ Parent ]

  •  single payer / medicare for all are still the next (5+ / 0-)

    steps as we incrementally trudge toward a universal healthcare system already in place in the rest of the industrialized world

    Warning - some snark may be above‽ (-9.50; -7.03)‽ eState4Column5©2013 "I’m not the strapping young Muslim socialist that I used to be" - Barack Obama 04/27/2013 (@eState4Column5).

    by annieli on Wed Apr 02, 2014 at 05:27:21 PM PDT

    •  advocates are starting to talk about it again (2+ / 0-)
      Recommended by:
      niemann, cotterperson

      in California - the decision was to keep a low profile during the ACA rollout - so as not to confuse people or undermine the importance of the largest expansion of healthcare....

      But now that the deadline for enrollment has passed, I'm beginning to get emails again mentioning single payer.

      "There's nothing serious about a plan that claims to reduce the deficit by spending a trillion dollars on tax cuts for millionaires and billionaires." - President Obama

      by fhcec on Wed Apr 02, 2014 at 11:15:17 PM PDT

      [ Parent ]

  •  People aren't going to be as scared. (6+ / 0-)

    The existential threat of living without insurance is going away.  People are going to be able to make choices that are not governed by the fear of being financially ruined if they get sick.  That is a huge, huge thing. People can breathe again.

    "YOPP!" --Horton Hears a Who

    by Reepicheep on Wed Apr 02, 2014 at 06:44:11 PM PDT

  •  T&R'd, bookmarked for community edu. Sending this (1+ / 0-)
    Recommended by:

    out to all the folks!

    Poverty is not an accident. Like slavery and apartheid, it is man-made and can be removed by the actions of human beings. —Nelson Mandela

    by kaliope on Wed Apr 02, 2014 at 11:40:41 PM PDT

  •  The reframe is "private health insurance". (2+ / 0-)
    Recommended by:
    Lady Libertine, cotterperson

    Earlier this week I heard it for the first time in the media - NPR and some other news program - while driving to the City.

    First the switch from "Obamacare" to the ACA on Monday, then the switch to "private health insurance" on Tuesday.

    Pretty amazing. And that graphic at the top says it plain as day.

    So amazing that it went from 'government run' to 'private health insurance' in a day and nobody blinked.

    Personally, I don't see how this leads to universal healthcare unless it fails, spectacularly.

    That said, I think the pivot to private health insurance is a good political move - media-wise - as the media is really going to like saying it and codifying private health insurance into our national fabric.

    Democracy - 1 person 1 vote. Free Markets - More dollars more power.

    by k9disc on Wed Apr 02, 2014 at 11:55:09 PM PDT

  •  McClatchy was recognized (2+ / 0-)
    Recommended by:
    Laurence Lewis, G Contractor

    for not buying into the propaganda leading up to the Iraq-WMD military invasion.
    They presented consistent reporting debunking the Administrations claims with valid reporting.

    No surprises here.

    Suddenly, it dawns on me, Earnest T. Bass is the intellectual and philosophical inspiration of the TeaParty.

    by Nebraska68847Dem on Fri Apr 04, 2014 at 07:36:07 PM PDT

  •  Health insurance, what a bizarre concept... (5+ / 0-)

    I think (?) the goal of most people here would be the abolition of "health insurance" as a thing. A country as rich as ours shouldn't rely on an insurance market as the means to provide its citizens with health care. That's the wrong means to do something so important and vital.

    It's like having an "education insurance" market as the means to provide education...if you find yourself under-educated you file a claim and have to co-pay for a math lesson. Ridiculous.

    But, given the political and societal restrictions, what an overwhelming success the law is! The administration could've fought harder and been smarter, but the end result is far better than what we had. And far better in a way that will positively impact Americans' lives, and increase the ability of families to focus on what is possible instead of what is necessary for mere survival.

    it fitfully blows, half conceals, half discloses

    by Addison on Fri Apr 04, 2014 at 07:42:25 PM PDT

  •  And Milions Have Quit Worrying (2+ / 0-)
    Recommended by:
    Laurence Lewis, G Contractor

    I am a lawyer, married to a doctor. Our practices were in the "small business market." That meant every two to three years our insurer would want to take their money and run because with every passing year came an increased chance that someone would come down with a Very Expensive Disease. So they would hike our premiums so that we would take our business elsewhere.

    That meant everyone filling out health questionnaires listing every symptom everyone in the family had for the last ten years. If they could prove you forgot to list a kid's headache or bellyache or runny nose, your kid could be denied coverage if they later got leukemia. We, in the individual/small biz market lived with this fear of rescission. Or of contracting a pre-existing condition.

    I am well compensated professional and business owner who has solidly had employer provided health insurance for 25 years. But before Obamacare I lived in constant fear. Fear that my or my kids' coverage would  rescinded, denied or lost at the first hint of illness despite having paid year in and year out for coverage.

    The piece of mind I have now is priceless.

    Thank you.

    If you want something other than the obvious to happen; you've got to do something other than the obvious. Douglas Adams

    by trillian on Fri Apr 04, 2014 at 08:14:23 PM PDT

    •  Trillian, most people are unaware (0+ / 0-)

      of the plight of those small business employers who  were at the mercy of their insurance companies and lived in the fear you describe.

      Employees who have always been covered by their employer saw their premiums go up, as well as their deductibles and copays yearly, but never really knew why.  They were kept in the dark about the HR Dept. and what was a yearly ritual.

      The unaffected in this whole Obamacare drama seemed to be so unfeeling about their fellowman.  They just didn't get what those outside the loop, and there are millions still out there, had to cope with.

      Thanks for your story.

      •  Yes! (0+ / 0-)
        The unaffected in this whole Obamacare drama seemed to be so unfeeling about their fellowman.  They just didn't get what those outside the loop, and there are millions still out there, had to cope with.
        That was a big part of the problem, and one which we failed miserably at explaining what it was like on the open market. Several years ago -- at a time when the ACA debate was considerably underway and when a Grifter from Alaska chirped the cockamamie phrase "death panels" -- I recall reading that some 65% of those with health insurance, received the coverage through their employer.

        I would guess 90% or more of these 65% didn't understand the some of the problems. They never had to deal with an application that required you to open you kimono and disclose almost everything about your medical history including every illness you've had, dates you visited your doctor, reasons you visited your doctor, dates you visited the emergency room, reasons you visited the emergency room and on and on and on. I think the only thing they didn't ask me was the size of, uh, my device. They just didn't get it. And those that did, well, they sort of figured, "oh sucks to be you" without stopping to think that their insurance could be yanked from their non-union workplace at any time -- meaning they too could be dealing with the leeches on the open market, known as Blue Cross Blue Shield, Aetna, Cigna, etc.

        The "I got mine so fuck you" attitude stunned me. I didn't know how pervasive this attitude was until the ACA came along. I will never understand the outright hate and disdain surrounding the ACA.  My Dad and I haven't spoken in several years because of a serious spat we had over this very subject. He is one of those covered by medicare that let some whack job convince his narrow ass mind that the ACA would fuck up his medicare (thanks a lot, Palin). We had some serious words over this, as you can still tell. This resulted in me seeing a side of  him I never knew existed. I'm telling you, if our country faces a catastrophic crisis, it will be a dangerous world out there. Everybody for himself.

        Can I get a Grey Goose on the rocks over here?!

        by G Contractor on Fri Apr 04, 2014 at 11:50:22 PM PDT

        [ Parent ]

  •  julia (0+ / 0-)

    Hi ! I am Jenna, and i will be your personal coach and will guide you in starting with an online business and earning online... So if you are interested in making $90 hourly and up to $12000 a month then follow link at the bottom and sign up and you can have your first check by the end of this week...­­>>>>WORK71.C­­O­­M

  •  If Dems don't turn out the vote (1+ / 0-)
    Recommended by:
    Laurence Lewis

    ...all will be for naught!

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