Tag Archives: ACA

medical news

It’s his fault, no … it’s his fault, no …

I don’t know whether to laugh, curse or slap my forehead over what I perceive is transpiring in Washington over the development of this so-called “replacement” of the Affordable Care Act.

House Speaker Paul Ryan and his troops want to call it Trumpcare; the president’s allies want to label it Ryancare.

No one wants to touch the American Health Care Act with a hot poker.

The Congressional Budget Office has given the AHCA a bad “score.” Donald Trump’s budget director says the CBO’s numbers are faulty, that 24 million Americans really and truly won’t lose their insurance if the AHCA becomes law.

Meanwhile, Speaker Ryan is having to fend off the TEA Party wing of his Republican congressional caucus, because they hate the AHCA almost as much as they hate the ACA, which they say was forced down their throats in 2010 by President Obama and those rascally congressional Democrats.

Trumpcare or Ryancare? How about Tryancare?

It doesn’t matter what you call it. The GOP had seven bloody years to come up with an alternative to the ACA. The Republicans were too damn busy trashing the initial health care overhaul and its author — Barack Obama — that they didn’t give nearly enough thought to how they would actually replace it.

Now they have something that no one on their side seems to favor.

I’ll give Republicans credit, though, at least for their “diversity” of thought on this issue. Some of ’em like the AHCA, some of ’em hate it. Isn’t there some middle ground to be discovered here?

I think I know what I want to do. I’ll say a few curse words … under my breath, of course.

medical news

ACA just might survive GOP in-fighting

The Affordable Care Act has been called as good as dead, a goner, a “miserable failure.”

The Republican majority in Congress fought it tooth and nail for the past seven years. Then a Republican got elected president in 2016 and the GOP became downright giddy at the prospect of repealing the ACA, President Barack Obama’s chief domestic achievement.

Then it happened.

The Republicans cobbled together something called the American Health Care Act. Then they sent it to the Congressional Budget Office for some “scoring.” The CBO then delivered some numbers the GOP didn’t want to hear: 24 million Americans would lose health insurance, the CBO declared.

The GOP’s response? The CBO doesn’t know what it’s talking about, congressional leaders said.

But isn’t the CBO the gold standard for determining these matters?

Now the TEA Party wing of the GOP is rebelling against the AHCA. It’s “Obamacare Light,” they say. They hate the AHCA. Of course, they hate the ACA even more, which is no surprise, given that a Democratic president happened to be its founding father.

Oh, and Democrats? They’re unified against any effort to repeal the ACA and replace it with something that relies heavily on “tax credits” for Americans to buy insurance; Democrats call it code for “tax relief for the wealthiest Americans.”

Which brings me to this point: If the Republican Party’s congressional elders cannot come up with an alternative to the ACA that all its members can endorse, can this party actually govern?

medical news

CBO numbers are in: not good for AHCA

Donald Trump promised that no one would lose their health insurance under a re-crafted plan to replace the Affordable Care Act.

The Congressional Budget Office’s verdict? Wrong, Mr. President!

There goes a major campaign promise.

As predicted, the Trump administration dismisses the CBO report, which is supposed to be the gold standard in determining the fiscal viability of sweeping, landmark public policies.

The CBO projects that 24 million more Americans will lose their health insurance by 2026 under the American Health Care Act. Not good, right?

Health and Human Services Secretary Dr. Tom Price — a leading critic of the Affordable Care Act — says the CBO report is incomplete and inaccurate. Well, of course he would say that.

As the New York Times has reported: “The much-anticipated judgment by Capitol Hill’s official scorekeeper did not back up President Trump’s promise of providing health care for everyone and was likely to fuel the concerns of moderate Republicans. Next year, it said, the number of uninsured Americans would be 14 million higher than expected under current law.”

The president has said “no one” would lose their health insurance. If it were anyone else, I would stand and applaud such a declaration. The problem, though, with this president is that I cannot trust that his word is true, that he’s actually speaking from his heart.

I just do not know any longer when or whether he’s telling the truth.

Therefore, I shall rely on the analyses of others, such as the CBO.

***

One more point …

The White House doesn’t want the AHCA to be nicknamed Trumpcare, much the way the ACA was given the name of President Barack Obama, who signed the ACA into law in 2010 and has become identified as the former president’s signature piece of domestic legislation.

Well, too bad. Trumpcare it is!

The Republican leadership in Congress has crafted it. The president has signed on to it.

Let’s hang the president’s name on it.

medical news

Politics, the art of the payback

The game of politics can be called the game of payback.

Consider the process that has produced something called the American Health Care Act, the Republican-sponsored overhaul of the Affordable Care Act, which the GOP faithful says it wants to repeal.

In 2009, Republicans griped themselves hoarse over the way congressional Democrats “shoved the ACA down our throats.” They bitched that Democrats crafted the ACA in the “dead of night” and then, using their then-congressional majority, got it approved without a single Republican vote.

Fast-forward to 2017. Republicans now are in charge. They control Congress and one of their own occupies the White House. What do they do? They produce the AHCA also in the “dead of night” and then they try to cram it down Democrats’ throats without knowing how much it’s going to cost.

You see, the Congressional Budget Office — the non-partisan agency — hasn’t “scored” the AHCA. We don’t know how much impact it will have on the annual federal budget deficit.

Was it wrong for Democrats to flummox Republicans with a health care overhaul? Sure. Is it wrong now for Republicans do essentially the same thing to their “friends” on the other side of the aisle? Absolutely.

This is yet another demonstration of how much of a contact sport politics can become.

As for the CBO “scoring” of the AHCA, how about waiting to see how much it would cost Americans before putting it to a vote?

medical news

Politics can be so very brutal among conservatives

Politics is fickle, unfaithful and cruel.

Donald J. Trump scored big election victories in some of the nation’s most conservative congressional districts. And yet … many of those members of Congress representing those districts might be about to turn their guns on the president over his endorsement of what they call a “light” version of the Affordable Care Act.

The American Health Care Act has been put forward. The president is on board with the plan that offers tax credits for people seeking health insurance; it contains many of the features popular with the Affordable Care Act, which the AHCA is designed to replace.

Congress’s more conservative members, though, dislike it. They’re digging in. They’re fighting among themselves, not to mention with the president.

What to do? That’s the problem facing the master negotiator Donald John Trump as he tries to persuade the hard-core among his Republican brethren that the AHCA is worth approving and sending to his desk.

This is a tough sale to make with those among the GOP who just don’t want anything on the books that resembles — even in the slightest sense — something that was enacted at the behest of the former president, Barack Hussein Obama.

We’re likely now to see if the negotiator in chief is as good at this political game as he bragged about incessantly on his way to the White House.

medical news

AHCA may be DOA in U.S. Senate

Hey! Wait a second!

Didn’t the Republican majority in Congress promise to “repeal and replace” the Affordable Care Act? Didn’t they assure us they would produce a plan that would provide health insurance for Americans at a cost they can afford?

Wasn’t that their solemn pledge? Didn’t they all but guarantee it once they won the presidency and retained control of both chambers of Congress?

Hah! Guess again. It seems that the American Health Care Act that the GOP rolled out this week doesn’t go far enough, according to the TEA Party wing of the Republican Party. They might launch a big intraparty fight to derail the AHCA.

These right-wingers are making GOP moderates look better all the time.

House Speaker Paul Ryan assures us that he’ll get 218 votes to approve the AHCA. The problem appears to be in the Senate, which has a very small margin for error among GOP senators. Only three of them need to bolt to drive the whole health care overhaul into the ditch.

There appears to be a rebellion building.

As I look at the proposed legislation, it seems to resemble the Affordable Care Act at some level. It does do away with the “mandate” provision that would penalize Americans who fail to have health insurance. It emphasizes tax credits for Americans seeking to buy insurance.

Some Senate GOP moderates don’t like it, either. There also are the conservatives who want the ACA to be repealed fully and that the AHCA doesn’t wipe the ACA off the face of the planet.

I am one who won’t be disappointed if this GOP overhaul doesn’t work. While I understand that the ACA needs tinkering, some fine-tuning, I would say only that we should simply tinker and fine-tune what we have on the books.

Oh, man … the great Winston Churchill had it right when he declared that democracy was the “worst form of government” ever devised — but was better than anything else.

If only he were around today to watch the U.S. Congress tie itself in knots over this health care insurance matter.

medical news

AHCA to replace ACA … at what cost?

Finally, the Republicans who run the legislative branch of government have produced a replacement plan for the Affordable Care Act.

I will need some time to digest all of it. It’s a complicated issue, one that requires a lot more brain wattage that I can generate at the moment.

It’s called the American Health Care Act. It’s supposed to be better than the ACA — and no, I won’t refer to the ACA by its colloquial name that attaches it to the name of the 44th president of the United States.

Complications abound with AHCA.

It removes the government mandates that require citizens to have health insurance; it relies heavily on tax credits to enable Americans to purchase insurance; it doesn’t monkey around with pre-existing conditions; it allows young people to stay on their parents’ health insurance plans.

The big question? Its cost.

How will Congress pay for this new program? We haven’t yet heard that explanation.

President Obama has said he’d welcome changes to the ACA that improve it. Yes, we now have a replacement idea on the table. It took Republicans eight years to come up with this alternative. They yapped and yammered during the two terms of the president’s tenure about how “terrible” the ACA was for health care, while pledging to repeal it once they got one of their own into the White House.

Here we are.

The debate will go forward now on whether the AHCA is better than the ACA.

The bottom line — for me, at least — is whether the 20 million or so Americans who now have insurance will be able to keep it at a cost they can afford.

national news, political news

Great speech; waiting to hear specific solutions

Well what do you know? Donald J. Trump can deliver a speech in a traditional “presidential” fashion.

He did so tonight. He hit a lot of high points, drew a lot of applause — mostly from fellow Republicans, which is no surprise to anyone — and resisted the urge to veer too far off the text written and displayed on the Teleprompter.

I’ll give him props for that.

He walked us through many of the points he sought to make. I had read something in advance of the speech that said it would be uplifting and optimistic.

Hmmm. I didn’t feel much optimism or lifting of spirits. I heard some of the stuff he had said about drugs and crime; about illegal immigration; about the alleged failure of the Affordable Care Act; about how our allies need to pay their “fair share” for us to defend them against our common enemies.

The president didn’t offer any specifics. He didn’t tell us:

How he plans to replace the ACA; how we’re going to afford the huge increase in defense spending; how he hopes to do better for our veterans; how he intends build that “great, great wall along our southern border”; how he plans to pay for massive infrastructure improvements.

I am hoping all of this will come in due course. His friends in Congress will demand it of him, which is their right and obligation under the Constitution’s co-equal branch of government stipulation.

No one expected him to deal with the myriad controversies that have plagued his first month in office. I’m quite sure others will bring all of that to the fore.

As far as speeches go, I hereby acknowledge that Donald J. Trump is able to rise to the occasion, to act very much like the president of the United States. There was none of that stump-speech shouting, which many of us have come to expect from this individual.

And, by golly, there were no disruptions provided by Democrats who are still stung by the very idea that Donald Trump is president of the United States.

But … I’m waiting to hear just how precisely the president plans to make all these grand promises a reality.

business news, medical news

Polls get in the GOP’s way regarding the ACA

Darn those pesky public opinion polls anyway.

The Pew Research Center, one of the more reliable polling organizations out there, has delivered another gut punch to congressional Republicans who are getting a snoot full already from constituents about the Affordable Care Act.

The ACA — which I now will no longer refer to as “Obamacare” — is more popular than ever with Americans.

Pew says 54 percent of Americans approve of the ACA, with 43 percent opposing it.

Republicans — and that includes the president of the United States — keep saying they’ll have a replacement plan ready to go once they repeal the ACA.

Really? Who’s seen it? I haven’t. Have you?

The GOP has eight years to craft their own version of affordable health care for Americans. Instead, they have come up empty, preferring to target the author of the ACA, former President Barack H. Obama. They detest him so much they cannot bring themselves even to refer to the ACA by its legal name, instead using the president’s last name to talk disparagingly about the plan.

Twenty million Americans have health care today who didn’t have it before the ACA was enacted in 2010. Is it perfect? Of course not. The federal government is incapable of crafting perfect legislation and then creating a perfect law.

It might need some tinkering around the edges.

Indeed, former U.S. House Speaker John Boehner — who sued the president over repeal of the ACA — this week has predicted that repeal of the act won’t happen. Congress will work to refine it, make it better, make it more “affordable” for Americans.

Oh wait! Didn’t Congress do something like this before, such as when it enacted Medicare and Social Security?

My advice to Congress is simple: Pay attention to what Americans are telling  you.

local news, national news

‘Bosses’ demand answers from ’employees’

Representative democracy is a messy business.

Members of Congress are finding out just how messy it can become. Many of them have gone “home” during the congressional break. Moreover, many of them have had town hall meetings in which they’ve been shouted down by voters angry over any plan to get rid of the Affordable Care Act.

Many others of them have decided against having town hall meetings. They need not hear from their bosses, they say.

I have to express some admiration for congressmen and women who are willing to stand up, take the heat, and then absorb the comments.

Many citizens have been chanting at their employees — these members of Congress — with a simple message: We’re the boss!

Indeed, they are.

And they deserve to be heard. They deserve all they time they desire to make themselves heard. The people whose salary they pay must take it. They must listen.

This recent development brings to mind a local government body that used to operate in a more “employer-friendly” manner.

Randall County, Texas, voters elected a county judge, Ted Wood, who took office in 1995 and restructured the way county Commissioners Court meetings would take place. Wood did so to give county constituents a greater voice; he intended to give them a broad forum to speak their peace.

Wood’s thought was a simple one: We work for the county’s residents and we owe it to them to give them all the time they need to tell us what’s on their mind.

He would open the floor at the end of county commissioners meetings to residents. He would let them speak for as long as they wanted. Wood’s policy drew the ire of some of his fellow county commissioners. His constituency, though, encompassed the entire county, while each commissioner represented only a section of the county, a single county precinct.

Therefore, Wood threw his weight around.

Was he wrong? Did he allow county residents to take control of these meetings? My recollection was that the meetings didn’t go on forever. They did have end points.

However, the county judge had his heart in the right place. He knew who were the bosses in this form of government we call “representative democracy.” Ted Wood understood that he worked for the taxpayers who pay the bills, not the other way around.

Members of Congress who aren’t listening to complaints from their bosses need to understand that truth, too.