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In Response to Re: The real reason for Republican's opposition to Obamacare:
LOTS of SUCCESS stories are flowing now with "Obamacare." As was stated below, it's not about the WEBSITE...........hint, hint................as more and more states/people discover how convenient and successful things will be, the VILE GOP (who ALL GOP politicians have the BEST SUBSIDIZED health care) and tea party nincompoops who call themselves "patriots," will be fading........
How we got Obamacare to work
Jay Inslee, a Democrat, is governor of Washington. Steve Beshear, a Democrat, is governor of Kentucky. Dannel P. Malloy, a Democrat, is governor of Connecticut.
In our states — Washington, Kentucky and Connecticut — the Affordable Care Act, or “Obamacare,” is working. Tens of thousands of our residents have enrolled in affordable health-care coverage. Many of them could not get insurance before the law was enacted.
People keep asking us why our states have been successful. Here’s a hint: It’s not about our Web sites.
California, Here We Come?
It goes without saying that the rollout of Obamacare was an epic disaster. But what kind of disaster was it? Was it a failure of management, messing up the initial implementation of a fundamentally sound policy? Or was it a demonstration that the Affordable Care Act is inherently unworkable?
We know what each side of the partisan divide wants you to believe. The Obama administration is telling the public that everything will eventually be fixed, and urging Congressional Democrats to keep their nerve. Republicans, on the other hand, are declaring the program an irredeemable failure, which must be scrapped and replaced with ... well, they don’t really want to replace it with anything.
At a time like this, you really want a controlled experiment. What would happen if we unveiled a program that looked like Obamacare, in a place that looked like America, but with competent project management that produced a working website?
Well, your wish is granted. Ladies and gentlemen, I give you California.
Now, California isn’t the only place where Obamacare is looking pretty good. A number of states that are running their own online health exchanges instead of relying on HealthCare.gov are doing well. Kentucky’s Kynect is a huge success; so is Access Health CT in Connecticut. New York is doing O.K. And we shouldn’t forget that Massachusetts has had an Obamacare-like program since 2006, put into effect by a guy named Mitt Romney.
California is, however, an especially useful test case. First of all, it’s huge: if a system can work for 38 million people, it can work for America as a whole. Also, it’s hard to argue that California has had any special advantages other than that of having a government that actually wants to help the uninsured. When Massachusetts put Romneycare into effect, it already had a relatively low number of uninsured residents. California, however, came into health reform with 22 percent of its nonelderly population uninsured, compared with a national average of 18 percent.
Finally, the California authorities have been especially forthcoming with data tracking the progress of enrollment. And the numbers are increasingly encouraging.
For one thing, enrollment is surging. At this point, more than 10,000 applications are being completed per day, putting the state well on track to meet its overall targets for 2014 coverage. Just imagine, by the way, how different press coverage would be right now if Obama officials had produced a comparable success, and around 100,000 people a day were signing up nationwide.
Equally important is the information on who is enrolling. To work as planned, health reform has to produce a balanced risk pool — that is, it must sign up young, healthy Americans as well as their older, less healthy compatriots. And so far, so good: in October, 22.5 percent of California enrollees were between the ages of 18 and 34, slightly above that group’s share of the population.
What we have in California, then, is a proof of concept. Yes, Obamacare is workable — in fact, done right, it works just fine.
The bad news, of course, is that most Americans aren’t lucky enough to live in states in which Obamacare has, in fact, been done right. They’re stuck either with HealthCare.gov or with one of the state exchanges, like Oregon’s, that have similar or worse problems. Will they ever get to experience successful health reform?
Posted by runner50
Runner, you do post some great responses. But I believe that you should post articles like this one as a separate topic for discussion.
It is becoming very clear that the ACA's original intent was to have the exchanges and Medicaid expansion be handled through the individual states. This way each state could develop their own system of health insurance best suited to that state's population and economics. After all health insurance is still regulated by the individual states and not by the federal government.
However it seems that the Republican party is not intent on governing. I guess that they are so caught up in the belief that government is the problem that when they get elected, they go about proving that statement. Good government is when both parties work together for the greater good of the people. But it seems that in the case of health care reform, the GOP simply refused to negotiate or work with the Democrats in congress when the ACA was drafted and written.
Ten years ago this week, the Republican controlled House of Representatives and senate kept congress in session late on the day before thanksgiving until they could round up the necessary votes needed to pass the Medicare Modernization Act, more commonly known as the Medicare drug bill. Most Democrats were opposed to the bill as it was presented since it forbade Medicare from directly negotiating with the drug companies for discounts and because there was the coverage gap or the notorious donut hole in the plan.
But the Democrats in the senate did not filibuster the bill to prevent its passage. Nor did they work to sabotage the rollout of the Medicare drug benefit. They worked with Republicans to make the act work better. The coverage gap proved to be very unpopular as well as confusing and through the ACA, that flaw in the Medicare drug bill is being fixed. The donut hole is being gradually closed (although I would have preferred it to be closed right away) and will be completely closed in 2020.
But back to the roll out of the exchanges and Medicaid expansion. I had posted a few months ago that there would be two versions of the country based on whether or not the state is cooperating or obstructing the roll out of the ACA. Now that is becoming evident as states run by Democrats such as Kentucky, Connecticut, Washington and California are experiencing a smooth roll out of their state run exchanges and enrollment in Medicaid under the expansion. No doubt one year from now those states will have far fewer uninsured and better overall health care than those states that are not so enthusiastic about the ACA.
Simply stated, the ACA was intended to be administered by the individual states in a partnership with the federal government making sure that the rules were consistent between all states. Those states that are embracing the ACA are proving that according to the original intent, Obamacare is working just fine. However those states that continue to obstruct and refuse to cooperate with the ACA are proving that they don't have a clue.
Ultimately the voters will decide and my bet would be that the voters in those states that are embracing the ACA will re-affirm the people who are making it work while the voters in many of those states that have been obstructing the ACA may look at their neighboring states with envy and send those obstructionists home.
Of course that will not happen in all states. There are still plenty of low information voters out there who will never realize that the ACA actually helps most Americans and represents real health care and health insurance reform. But when all one listens to are Fox News, Rush Limbaugh, Glen Beck and Sean Hannity; what would someone else expect, certainly not an open mind.