“Stripping Away The Rhetoric”: Rebuilding The American Dream, One Insurance Policy At A Time
The Republicans give lots of reasons for their opposition to the Affordable Care Act. Only two really matter.
One is politics. The other is money. More precisely, big-business money.
Like Social Security and Medicare, the expansion of health insurance coverage is making voters more predisposed to support the politicians that championed the law — and they’re all Democrats.
Meanwhile, the more Americans benefit from this new law, the more Republicans are being forced to modify and mellow their rejection of it.
Within a few years, it may become as politically suicidal to openly attack the Affordable Care Act as it would be to call for abolishing Medicare.
Of course, Republicans can’t say they oppose the reform law often called “Obamacare” because it boosts the Democratic Party’s prospects. So they say it violates states’ rights. They say it infringes on individual liberty. They say it hurts small businesses. They say it will cost Americans their jobs.
None of these charges is withstanding scrutiny.
The law was written with states in mind. That’s why states can build their own insurance exchanges. It doesn’t erode individual liberty. The Supreme Court said so. And while it will be some time before we know about the law’s full economic impact, the evidence so far suggests that it puts more money into the pockets of people who will spend it, according to a report by the Congressional Budget Office.
Wasn’t that the same report that said Obama’s expansion of health insurance coverage is killing jobs? Indeed, many news outlets reported exactly that. But that’s a misreading of the report.
The CBO found that some workers — mothers with small children, students, and those close to retirement — have voluntarily left the workplace, because they didn’t need a job to maintain access to quality health care anymore.
Once the Affordable Care Act began to take effect, these workers exercised their newfound economic freedom by choosing to quit. They’re now caring for their kids and grandchildren, focusing on their own education, simply opting to enjoy their golden years, or starting their own businesses.
That’s something to celebrate. The critique that the Affordable Care Act somehow reduces the incentive to work doesn’t stand up to scrutiny.
The voluntary exit of more than 2 million workers from the American labor force will benefit many people. These workers are free to follow their dreams. If they are providing care, they will ease our caregiving deficit. And other Americans seeking work may finally find a job.
At the same time, money saved on health care can be spent on things that small businesses sell. Yes, I know. Republicans claim higher wages are bad for small businesses, and because small businesses are the engine of the economy, Obama’s expansion of health insurance is a job-killer. That’s just wrong.
Wages aren’t the top concern of small businesses. Taxes and poor sales are. So with more money in more pockets, sales receipts should climb.
When you strip away the rhetoric and take a good hard look at what the Affordable Care Act actually does, it sure looks like the new law raises wages and increases workers’ bargaining power.
By: Jonathan Stoehr, Managing Editor, The Washington Spectator; The National Memo, March 17, 2014
“Catholic Nuns Back Obamacare Contraception Access”: It Isn’t Freedom When Women Are Held Hostage
The National Coalition of American Nuns has announced their support for women’s right to access contraceptives under the Affordable Care Act as the Supreme Court prepares to hear the historic Hobby Lobby and Conestoga Wood cases. While the plaintiffs in these cases are Mennonites and evangelical Christians, opposition to the contraceptive mandate was largely spearheaded by the Catholic bishops. Several key cases of Catholic non-profits, such as the Little Sisters of the Poor, are making their way through the lower courts and may well end up in the Supreme Court themselves.
“NCAN is dismayed that the Little Sisters of the Poor, the University of Notre Dame and other Catholic organizations are challenging the Affordable Care Act. Spurred on by the United States Conference of Catholic Bishops these organizations are attempting to hold hostage all women by refusing insurance to them for contraceptives,” said the 2,000-member group in a statement.
“This has gotten out of hand,” Sister Donna Quinn, head of NCAN, told RD. “It isn’t ‘faith and freedom’ when reproductive autonomy isn’t extended by the Catholic Church to women. Now we have other Christian religions seeing what the bishops are doing and saying we will do likewise. It isn’t freedom when a woman can be held hostage by the owner of a business.”
The nuns are seeking support for their stand through an online petition. The Rev. Debra Haffner of the Religious Institute is helping NCAN coordinate the effort. “When I saw the brave stand these nuns were taking on the mandate, I started to think about what we could do to amplify their voices. So we launched a social media campaign asking people to ‘Stand with the Nuns’,” she said.
“We really need to counter the idea that faith is opposed to family planning,” said Haffner, who’s also helping to coordinate a Faith Rally at the Supreme Court on March 25, the day of the oral arguments for the mandate challenges. “All too often the media only shows a Catholic bishop to offer the faith perspective. More than 14 major religious denominations have statements supporting birth control and birth control access. People need to understand that this is not only an affront to women’s moral agency but opens the door to denying a whole range of services, from other kinds of reproductive health care to services to LGBT people,” she said.
NCAN has a long history of reproductive justice and Catholic reform activism. Quinn has volunteered as an abortion clinic escort and was one of the leaders of a delegation of women religious to Rome 1994 to hold a parallel discussion about the role of women religious during the bishops’ synod on religious life, which largely excluded women.
By: Patricia Miller, Religion Dispatches, March 14, 2014
“Forget The Conventional Wisdom”: What Florida Really Tells Us About Obamacare
Was it really Obamacare that sunk Sink? I mean of course Alex Sink, the Democratic Florida congressional candidate who lost to Republican David Jolly on Tuesday. After the results were announced, Washington’s conventional wisdom congealed immediately: This was all about Obamacare, and it’s going to doom the Democrats come November.
Not so fast, says Geoff Garin, the pollster who did Sink’s polling in the race. Garin argues in a memo he released the day of the voting that “the issue ultimately provided more of a lift than a drag to her campaign.” He followed up by telling me yesterday: “She would have done worse if she’d neglected to hit back and engage the issue.” There’s a lesson in there for Democrats as they march toward November.
Garin put two key questions to the district’s voters. The first paraphrased the criticisms of Sink on Obamacare: Sink supports this law that will take away $716 billion from Medicare, and that caused 300,000 Floridians to lose their coverage and 2,500 patients at a district cancer center to have to change doctors. The second paraphrased criticisms of Jolly’s health-care position: He wants to totally repeal the law instead of fix it, a position that would let insurers again discriminate against the already ill and charge women more than they charge men for coverage. Repeal would also cut expanded prescription-drug coverage for Medicare recipients.
Respondents were asked to say whether this information gave them “very major doubts” about the candidates, “fairly major” doubts, “just some” doubts, or “no real” doubts. Results: While 43 percent now entertained very major doubts about Sink, 50 percent said they had very major doubts about Jolly. And 35 percent had no real doubts about Sink while only 26 percent had no real doubts about Jolly.
If that polling is accurate, then “more lift than drag” is accurate and fair. Guy Molyneux, a partner of Garin’s who oversaw some Obamacare polling for a couple of unions in January, echoed the point that there are at least three things Democrats can say about the law and the Republicans’ repeal zeal that poll really well. People broadly understand, Molyneux told me, that the law protects against discrimination based on pre-existing conditions, and they approve of that strongly. They also know that insurers can no longer drop sick people on whim, and they like that. And they’re getting to know that the law prevents insurers from charging women more than men, and they like that, too; even men.
There’s one more thing that people don’t yet know very well, but the polling indicates that it could be a strong debating point, too: Under the law, insurers have to publicly justify any rate increases greater than 10 percent. This is called rate review, and it and the medical-loss ratio provisions of the law (explained here) are the two main planks that guard against willy-nilly rate hikes. A Heath and Human Services study from last September found that nearly 7 million citizens had saved more than $1 billion because of rate review, and moreover, that insurance companies were seeking increases of 10 percent far less frequently than before the law because of the added oversight.
Since everybody and his brother assumes that the Affordable Care Act is going to increase their rates, seems to me it’d be awfully useful for the Democrats to develop a sharp talking point or two explaining to people that the law actually helps prevent crazy premium increases.
This all makes the Obamacare story a lot more complicated than “disaster for Dems.” It just doesn’t have to be. Republicans know this, too. Why are they, or some of them, suddenly talking about replacing the law? Precisely to try to insulate themselves from the effective Democratic attack that they’d give carte blanche to insurance companies to go back to their old ways.
It’s worth dwelling on this for a paragraph—it’s important to understand. It was in the spring of 2010 that the GOP unveiled “repeal and replace.” They stuck with that through the election. Then, once they’d retaken the House, they dropped “replace” and went for “repeal” only. Now that a midterm election is coming again, though, they’re starting to put “replace” back in their rhetoric. But it’s as hollow this time as it was then. “Our challenge,” Molyneux told me, “is to show that there’s nothing behind the curtain there.”
Lord knows, the Democrats have more problems than health care staring them in the face for the fall. The turnout question is the biggest one, although they say they’re making efforts this time that have no precedent in a midterm election. And Obama’s bad approval numbers—worse still in many of the states with high-profile Senate contests—are a huge factor. “If Obama’s still at 41 percent in mid-October, we’re in a world of hurt,” Molyneux says. And finally, but far from least, the economy. An awful, awful number from this week’s NBC/Wall Street Journal poll: Fully 57 percent of those surveyed said they think we’re still in a recession.
So yeah, there’s a lot for Democrats to worry about. But in most of the contested states—not Louisiana, probably not Arkansas, but the others—they can make Obamacare a net wash if they can be clear about the implications of “repeal” and call out their GOP opponents on “replace.” And maybe as a bonus show they have some fight in them, and give those unmotivated young and Latino voters some good reasons to go to the polls.
By: Michael Tomasky, The Daily Beast, March 14, 2014
“At The Intersection Of Calendars And The ACA”: The Success Of The System Will Not Rise Or Fall Based On Monthly Tallies
The Affordable Care Act enrollment figures for February were released yesterday afternoon, and for the most part, the numbers looked pretty good for those hoping to see the U.S. system succeed.
But news consumers can be forgiven for thinking the opposite. The Hill ran this headline: “ObamaCare enrollments dip.” The Washington Post had a similar message: “Obamacare enrollment drops off in February.” The conservative Washington Examiner told readers: “Obamacare signups slow down in February.”
Sounds discouraging, doesn’t it? January’s enrollment totals were heartening, but if you just skimmed the headlines out of D.C., you’d think February represented a step backwards.
The months HHS has been using for tabulation don’t correspond precisely to the calendar, because of state reporting methods and where weekends fall. As it turns out, “February” is actually February 2 through March 1. That’s 28 days. “January” is actually December 29 through February 1. That’s 35 days. Plug in the numbers, and you’ll see the average daily enrollment for January was 32,744 and for February it was 33,673. As you can see in the graph, the pace actually increased a bit. Among the very few who noticed were Charles Gaba of ACASingups.net and Sy Mukherjee of ThinkProgress.
At a superficial level, the raw monthly totals offer a misleading picture. Someone sees 1.2 million sign-ups in January, followed by 943,000 in February. That looks like a drop.
Until we’re reminded that February is the shortest month.
Stepping back, it’s worth noting that these month-to-month totals are interesting, but their broader importance is limited. I always make a point to highlight the totals as a way of documenting ACA progress, and there’s a political salience as more Americans get invested – literally and figuratively – in the law’s future, but the success of the system will not rise or fall based on monthly tallies and the degree to which they meet preliminary projections.
As Rachel has noted on the show more than once, when a very similar system was established in Massachusetts eight years ago, officials worked under the assumption that enrollment would be slow at first and would then improve in time. In the very first month of the state’s open-enrollment period, a grand total of 123 residents of Massachusetts actually signed up.
And while that may sound like a disaster, no one much cared – in fact, no one even bothered to acknowledge the total at the time, and the figure was only dug up later.
The Affordable Care Act is following a similar trajectory. And since the Massachusetts system is working quite well, that’s probably a pretty good sign.
By most estimates, by the end of March, a little over 5 million consumers will have enrolled through exchange marketplaces, and a similar number will have gained coverage through Medicaid. That’s not quite what the CBO projected before the process began – whether the 7 million figure could have been reached if healthcare.gov worked from the outset we’ll never know – but it’s a perfectly fine number when it comes to sustainability.
Keep this in mind the next time you’re perusing the Beltway media’s headlines about the system’s progress.
By: Steve Benen, The Maddow Blog, March 12, 2014
“Learning The Right Lesson”: Despite Their Loss In Florida’s Special Election, Democrats Shouldn’t Panic Over November
So here we go: Republicans—and, no doubt, the Koch Brothers—are crowing that David Jolly’s win over Alex Sink in the special election in Florida’s 13th Congressional District Tuesday proves that Obamacare is the death knell for Democrats this fall. Outside groups, led by the Kochs, pumped a few million into the district, largely hitting Sink over Obamacare, which she said needed to be improved although she still trumpeted its benefits for senior citizens.
Republicans will say more: that they had a flawed candidate in Jolly, a former lobbyist; that Barack Obama carried this district in 2012. The Republicans won’t say that Obama carried it over Mitt Romney by just 2 percent, and this is the very definition of a swing district. But both of these statements are factual, and Republicans will spin them hard today and tomorrow.
Most of all, Republican spin doctors will say this is a bellwether: The Democrats put loads of money and troops into Sink’s race, precisely to prove (in a winnable district) that 2014 wasn’t going to be a disaster for them. They still couldn’t win it, which, the GOP will say, just demonstrates what a bruisin’ Democrats are cruisin’ for this fall.
No denying, they might be right. For one thing, this was one of the few Republican-held House districts (held by lifer Bill Young, whose death necessitated this special) the Democrats had a shot at taking. So on that basis alone, it’s a blow to whatever remote shot Nancy Pelosi had of moving back into the Speaker’s office.
It would be absurd to deny that Obamacare, wasn’t a factor in the race and maybe the crucial one. The outside groups went big on it, no doubt about that. But there were other issues in this race. Jolly attacked Sink for using a state plane to “get to a vacation in the Bahamas.” Politifact judged the Jolly ad half-true, but in congressional campaigns, half-true is usually true enough. The ad had bite, and that surely made some difference too. It seems to be the case that the lion’s share of the undecided swing voters broke for Jolly late in the game, and a pile of data suggests that swing voters care about good-government things like the use of state planes. Their minds were probably made up about Obamacare, so it’s not implausible that something else swung them.
But there’s no doubt that the issue going forward is going to be health care. What health-care-related lesson is each party going to take out of this? For the Republicans, it’s easy: push push push. And there’s reason for them to do so: Sink, remember, wasn’t in Congress; she didn’t even vote for the thing. Kay Hagan and Mary Landrieu and Mark Begich and all the other vulnerable Senate Democrats defending their seats this fall did.
The Democrats are likely to take, as they often do, the wrong lesson. They’ll want to run and hide. But they should look a little more closely. Sink was no warrior for Obamacare. Her campaign was a textbook exercise in trying to thread the needle (unsuccessfully). Does her loss mean that Democrats should run away from it?
I say no. Let’s watch how this result affects the Florida gubernatorial race for starters. Democrat Charlie Crist has been defending Obamacare—in terms of accepting the Medicaid money—far more aggressively than Sink did. Crist leads Republican Rick Scott in recent polls, by about seven points. Watch how hard Scott—who actually supported taking the Obamacare-Medicaid money for a short time—hits Crist on this point, and how Crist responds, and how the polls change, if they do. Rather than just getting the vapors from Sink’s loss, this is what Democrats nationally ought to be watching. If Crist’s lead shrinks, then Democrats really will run for the hills.
There’s other evidence out there in the world that Obamacare is a political disaster only if the Democrats don’t fight for it. The media didn’t write much last week about a very interesting WashPost-ABC poll result. The survey asked people if they’d be more or less likely to vote for a candidate who backed Obamacare. It came out less likely 36, more likely 34. That’s a margin of error tie, but it’s also a huge change from four months ago, when Republican opponents had a 16-point advantage in that realm. The new poll also reported that Americans said they trusted Democrats more on health care by 44 to 36 percent.
Perhaps the best evidence though that Obamacare wasn’t a real issue came from Jolly himself, who didn’t even mention the ACA in his victory speech. He told reporters later, “This was a closely run race, we know that. I don’t take a mandate from this.”
Just hours before Jolly’s victory on Tuesday night, the Department of Health and Human Services announced that 4.2 million people have signed up for health care under the ACA. By November, eight months from now, will statistics like this make more difference than what happened in Pinellas County Tuesday night? I remind you that in the one high-profile congressional special election held in the May, 2010, the Democrat won it—Mark Critz in Pennsylvania (Like Jolly, Critz was the annointed successor of a longtime incumbent as well). Six month later, Democrats lost 63 seats in Congress. In other words, spring special elections shouldn’t be taken as harbingers.
They’re only harbingers if the losing party accepts them as harbingers. The Republicans laughed off the Critz win, sold it to the media as something that didn’t matter for November, and kept on saying they were going to win 75 seats. The Democrats need to be similarly nonchalant about this one. It’s an embarrassing loss but it’s not the end of the world, unless Democrats think it is..
By: Michael Tomasky, The Daily Beast, March 12, 2014
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