Yogi Berra and ObamaCare

April 2, 2014

Cartoon from Tom Toles at the Washington Post, April 2, 2014:

“ObamaCare: Nobody goes there. It’s too crowded.” Tom Toles in the Washington Post, April 2, 2014.

Why you need to know a little history to get good jokes:

Yogi Berra is famous for his sayings, some of which sound foolish at first, but which generally pack a lot of wisdom or sharp observation.

Berra grew up in St. Louis, which has many famous restaurants.  On some occasion, someone suggested the group should go eat at Ruggeri’s, and Yogi’s reply became famous:

On why he no longer went to Ruggeri’s, a St. Louis restaurant: “Nobody goes there anymore. It’s too crowded.”


How has ObamaCare (the Affordable Care Act) affected your family? Please take this poll

March 31, 2014

Taking America's pulse and heartbeat

Taking America’s pulse and heartbeat

Answers cannot be traced by me, by the way; answer accurately, with abandon.


Still have questions on Obamacare? Here’s the answer site (and a poll)

March 22, 2014

Here.  NPR is our most trusted news organization, and it has answers to specific questions and a collection of great stories on the entire law.

Is that a coincidence, or did they plan it that way?

Your Questions About The Affordable Care Act

By Danny DeBelius, Christopher Groskopf, Jessica Pupovac, Matt Stiles, Christopher Swope and Julie Rovner

NPR’s guide to the dozens of common questions about the new health care law known as Obamacare. Did we miss something? Send us your questions, and read our latest news stories on the issue.

Questions on the Affordable Care Act? Answers all over. Click the picture to go to the New York Daily News FAQ on the law, and how it affects you.

Questions on the Affordable Care Act? Answers all over. Click the picture to go to the New York Daily News FAQ on the law, and how it affects you.

Wait a minute, you say: “I want answers to questions, not just news stories.”

Yeah, they know:

Find Answers To Common Questions

What are the basics of the law?

Am I eligible?

How do I enroll?

How do the exchanges work?

Get the picture?  Click over there and start learning.

Then, when you’ve changed yoru health care plan (if you change it), come back here and answer this poll.  It should go without saying that you can answer the poll now if you’re not going to change.  Please answer only once.

The Millard Fillmore’s Bathtub Poll – Affordable Care Act


World malaria report 2013 shows major progress in fight against malaria, calls for sustained financing (but not DDT)

March 21, 2014

News release from the World Health Organization:

World malaria report 2013 shows major progress in fight against malaria, calls for sustained financing

News release

Cover of World Malaria Report 2013

Cover of World Malaria Report 2013

11 December 2013 | Geneva/Washington DC - Global efforts to control and eliminate malaria have saved an estimated 3.3 million lives since 2000, reducing malaria mortality rates by 45% globally and by 49% in Africa, according to the “World malaria report 2013″ published by WHO.

An expansion of prevention and control measures has been mirrored by a consistent decline in malaria deaths and illness, despite an increase in the global population at risk of malaria between 2000 and 2012. Increased political commitment and expanded funding have helped to reduce incidence of malaria by 29% globally, and by 31% in Africa.

The large majority of the 3.3 million lives saved between 2000 and 2012 were in the 10 countries with the highest malaria burden, and among children aged less than 5 years – the group most affected by the disease. Over the same period, malaria mortality rates in children in Africa were reduced by an estimated 54%.

But more needs to be done.

“This remarkable progress is no cause for complacency: absolute numbers of malaria cases and deaths are not going down as fast as they could,” says Dr Margaret Chan, WHO Director-General. “The fact that so many people are infected and dying from mosquito bites is one of the greatest tragedies of the 21st century.”

In 2012, there were an estimated 207 million cases of malaria (uncertainty interval: 135 – 287 million), which caused approximately 627 000 malaria deaths (uncertainty interval 473 000 – 789 000). An estimated 3.4 billion people continue to be at risk of malaria, mostly in Africa and south-east Asia. Around 80% of malaria cases occur in Africa.

Long way from universal access to prevention and treatment

Malaria prevention suffered a setback after its strong build-up between 2005 and 2010. The new WHO report notes a slowdown in the expansion of interventions to control mosquitoes for the second successive year, particularly in providing access to insecticide-treated bed nets. This has been primarily due to lack of funds to procure bed nets in countries that have ongoing malaria transmission.

In sub-Saharan Africa, the proportion of the population with access to an insecticide-treated bed net remained well under 50% in 2013. Only 70 million new bed nets were delivered to malaria-endemic countries in 2012, below the 150 million minimum needed every year to ensure everyone at risk is protected. However, in 2013, about 136 million nets were delivered, and the pipeline for 2014 looks even stronger (approximately 200 million), suggesting that there is real chance for a turnaround.

There was no such setback for malaria diagnostic testing, which has continued to expand in recent years. Between 2010 and 2012, the proportion of people with suspected malaria who received a diagnostic test in the public sector increased from 44% to 64% globally.

Access to WHO-recommended artemisinin-based combination therapies (ACTs) has also increased, with the number of treatment courses delivered to countries rising from 76 million in 2006 to 331 million in 2012.

Despite this progress, millions of people continue to lack access to diagnosis and quality-assured treatment, particularly in countries with weak health systems. The roll-out of preventive therapies – recommended for infants, children under 5 and pregnant women – has also been slow in recent years.

“To win the fight against malaria we must get the means to prevent and treat the disease to every family who needs it,” says Raymond G Chambers, the United Nations Secretary General’s Special Envoy for Financing the Health MDGs and for Malaria. “Our collective efforts are not only ending the needless suffering of millions, but are helping families thrive and adding billions of dollars to economies that nations can use in other ways.”

Global funding gap

International funding for malaria control increased from less than US$ 100 million in 2000 to almost US$ 2 billion in 2012. Domestic funding stood at around US$ 0.5 billion in the same year, bringing the total international and domestic funding committed to malaria control to US$ 2.5 billion in 2012 – less than half the US$ 5.1 billion needed each year to achieve universal access to interventions.

Without adequate and predictable funding, the progress against malaria is also threatened by emerging parasite resistance to artemisinin, the core component of ACTs, and mosquito resistance to insecticides. Artemisinin resistance has been detected in four countries in south-east Asia, and insecticide resistance has been found in at least 64 countries.

“The remarkable gains against malaria are still fragile,” says Dr Robert Newman, Director of the WHO Global Malaria Programme. “In the next 10-15 years, the world will need innovative tools and technologies, as well as new strategic approaches to sustain and accelerate progress.”

WHO is currently developing a global technical strategy for malaria control and elimination for the 2016-2025 period, as well as a global plan to control and eliminate Plasmodium vivax malaria. Prevalent primarily in Asia and South America, P. vivax malaria is less likely than P. falciparum to result in severe malaria or death, but it generally responds more slowly to control efforts. Globally, about 9% of the estimated malaria cases are due to P. vivax, although the proportion outside the African continent is 50%.

“The vote of confidence shown by donors last week at the replenishment conference for the Global Fund to Fight AIDS, Tuberculosis and Malaria is testimony to the success of global partnership. But we must fill the annual gap of US$ 2.6 billion to achieve universal coverage and prevent malaria deaths,” said Fatoumata Nafo-Traoré, Executive Director of the Roll Back Malaria Partnership. “This is our historic opportunity to defeat malaria.”

Notes for editors:

The “World malaria report 2013″ summarizes information received from 102 countries that had on-going malaria transmission during the 2000-2012 period, and other sources, and updates the analyses presented in 2012.

The report contains revised estimates of the number of malaria cases and deaths, which integrate new and updated under-5 mortality estimates produced by the United Nations Inter-agency Group for Child Mortality Estimation, as well as new data from the Child Health Epidemiology Reference Group.


Texas researchers tease out correlation between DDT exposure and late-onset Alzheimer’s

February 12, 2014

Press release from the University of Texas-Southwestern Medical Center in Dallas:

Research finds elevated levels of DDT metabolite in Alzheimer’s patients

Dr. Dwight German, Professor of Psychiatry

Dr. Dwight German, Professor of Psychiatry – UT-Southwestern photo

DALLAS – January 29, 2014 – Exposure to DDT may increase the likelihood of developing Alzheimer’s disease later in life, a study with researchers at UT Southwestern Medical Center suggests. While previous studies have linked chronic diseases such as cancer and diabetes to DDT, this is the first clinical study to link the U.S.-banned pesticide to Alzheimer’s disease.

The study, published online in JAMA Neurology, found elevated levels of the DDT metabolite, DDE, that were 3.8 times higher in patients diagnosed with Alzheimer’s disease in comparison to control subjects. The studies were conducted in partnership with researchers at Emory University School of Medicine and Rutgers Robert Wood Johnson Medical School.

“We have additional studies underway that will seek to directly link DDT exposure to Alzheimer’s disease,” said co-author Dr. Dwight German, Professor of Psychiatry at UT Southwestern. “If a direct link is made, our hope is to then identify the presence of DDE in blood samples from people at an early age and administer treatments to remove it.”

The study found elevated levels of DDE in blood samples of 86 patients with Alzheimer’s disease as compared to 79 control patients from the UT Southwestern Alzheimer’s Disease Center and the Emory University Alzheimer’s Disease Center.

Researchers made the link between DDE and Alzheimer’s by measuring three components – blood serum levels, severity of the patient’s Alzheimer’s disease as measured by the Mini-Mental State Examination (MMSE) and its relation to serum DDE levels, and the reaction of isolated nerve cells to DDE. Treatment of human nerve cells with DDE caused them to increase the production of the amyloid precursor protein that is directly linked to Alzheimer’s disease.

Participants in the study underwent preliminary testing to ensure that they didn’t have symptoms of other dementia-related diseases, and were an average age of 74, while the control subjects were on average 70 years old. These findings may help lead to the development of early biomarkers that can determine whether a person will develop Alzheimer’s disease later in life due to DDT exposure.

Alzheimer’s disease is the most common neurodegenerative disease worldwide and is expected to increase three-fold over the next 40 years, according to the researchers.

DDT (dichloro-diphenyl-trichloroethane) was used extensively as an insecticide in the 1940s, but has been banned in the United States since 1972 after scientists linked the compound to wildlife health and environmental concerns. DDT is still used in other countries to combat the spread of malaria.

About UT Southwestern Medical Center
UT Southwestern, one of the premier academic medical centers in the nation, integrates pioneering biomedical research with exceptional clinical care and education. The institution’s faculty includes many distinguished members, including five who have been awarded Nobel Prizes since 1985. Numbering more than 2,700, the faculty is responsible for groundbreaking medical advances and is committed to translating science-driven research quickly to new clinical treatments. UT Southwestern physicians provide medical care in 40 specialties to nearly 91,000 hospitalized patients and oversee more than 2 million outpatient visits a year.

###

Once again, research seems to demonstrates the wisdom of Rachel Carson, who warned us that we could not know the long-term damage done by untested pesticides applied with abandon in great abundance as if it were a solution to everything.

Carson’s book indicting pesticides regulation, Silent Spring, was published in 1962, with more than 50 pages of footnotes and citations to scientific studies.  In the 52 years since, none of that research has been rebutted by any further research.  Instead, more harms have been discovered, greater questions raised about the damage done by pesticides applied indiscriminantly.


Pat Bagley: Corporate slavery, or “Misreporting the ACA”

February 7, 2014

Congressional Budget Office (CBO) figures show as many as 2 million Americans might quit jobs they don’t like, and go chase their dreams, because now they can get health insurance under the Affordable Care Act (ObamaCare).

Conservatives, and more than a few news organizations, misreported the study to say, as they claim, that the ACA will require the firings of 2 million people.

You can read the CBO report here, and draw your own inferences (make them reasonable, please); but Pat Bagley, the master cartoonist at the Salt Lake Tribune, put it in picture form.  Several panels in this cartoon, each telling no fewer than a thousand words.

Pat Bagley's cartoon from the Salt Lake Tribune, on reports that the ACA would enable workers to quit jobs they keep solely to keep health care benefits.

Pat Bagley’s cartoon from the Salt Lake Tribune, on reports that the ACA would enable workers to quit jobs they keep solely to keep health care benefits.

This is why the GOP doesn’t like ACA, you know. It really does give average citizens some choice.  Freedom to choose NOT to feed the profit-gouging machines of the friends of the GOP threatens the GOP much more than did Americans drinking coffee instead of tea, in 1773.

Bagley’s cartoon is more than picture-perfect. It’s truthful.


Texas State Sen. Kirk Watson warns state not to make ObamaCare navigators’ jobs tougher

January 6, 2014

After a convicted felon produced an edited video that appeared to show National Urban League “navigators” agreeing to allow the felon might file inaccurate information to get covered for health insurance under the Affordable Care Act, Republicans in Texas called for greater regulation of the navigators.

Such is the topsy-turvy world of GOP gotcha politics in Texas.

After committees of the U.S. House of Representatives held press conferences* damning the Affordable Care Act, the Texas Department of Insurance (TDI) is holding hearings across Texas to develop regulations to restrict actions of those people who act as navigators to enroll people into federal health insurance programs or private insurance through ACA.

In short, the Texas government is working to screw up federal law and deprive Texans of health care insurance (yes, that’s probably a felony, but who could prosecute it under the current political climate?).

Burnt Orange Report described the situation:

On January 6th the Texas Department of Insurance will hold its last public hearing regarding the state’s regulation of health care navigators. The navigators are responsible for helping individuals get enrolled through the new Healthcare.gov exchange, but in Texas Governor Rick Perry has been working to add unnecessary red tape in order to impede the success of the law. Reputable non-profit organizations in Texas like United Way received $11 million in federal grant money to help enroll individuals in local communities across the state.

In September just days before the health insurance exchange website went live Perry ordered TDI to craft new rules that included additional training and background checks for individuals who serve as navigators. Apparently even Senator Kirk Watson the author of the bill (that authorized navigators in Texas) was unaware that TDI had sent a letter to federal Health and Human Services Secretary Kathleen Sebelius, or the plan to implement rules that, “appear to both conflict with federal law and be inconsistent with SB 1795.”

In other words, TDI’s actions, on orders from Gov. Rick Perry, may violate Texas law as well.

State Sen. Kirk Watson provided this testimony at the TDI hearings today:

Texas State Sen. Kirk Watson, D-Fort Worth, wrote the law that enables Affordable Care Act Navigators to work in Texas, and testified that further state regulation would be expensive, confounding bureaucracy.  Star-Telegram photo by Ron Ennis

Texas State Sen. Kirk Watson, D-Fort Worth, wrote the law that enables Affordable Care Act Navigators to work in Texas, and testified that further state regulation would be expensive, confounding bureaucracy. Star-Telegram photo by Ron Ennis.

Posted on January 6, 2014 at 10:12 am.

State Senator Kirk Watson issued the following statement Monday regarding the Texas Department of Insurance’s hearing on proposed rules for healthcare navigators:

Texans have made themselves heard, and it’s clear what they want: fair rules that truly protect consumers without making it harder for them to find health insurance.

The vast majority of healthcare navigators are honest folks who are working hard, and in good faith, to connect their fellow Texans with health insurance. The Department of Insurance should create regulations that protect the state from bad actors without making it harder for navigators to do their jobs.

Texans support common-sense requirements such as criminal background checks for navigators. The bill I passed in the legislative session allowing for navigator regulations prohibits convicted felons from providing these services. Of course the state should enforce that provision and protect consumers. We shouldn’t have electioneering; my bill prevents that too. And we need to be sure we protect privacy.

But some other proposed rules appear designed only to make it harder for navigators to do their jobs.

The Department of Insurance has proposed requiring 40 hours of navigator training on top of the 20-30 hours that’s already mandated by law. That kind of training requires real time and costs real money. Where did the additional 40 hour requirement come from exactly? Who is it truly meant to help? How will Texans benefit if navigators are spending as much as 200 percent more time in class? So far, TDI has failed to provide any explanation although repeatedly requested to do. If the Commissioner waits until the final rules are out, she robs Texans of a transparent, accountable process and avoids a fair debate on this issue.

It’s also patently unfair to assess fees on navigators who, by law, aren’t allowed to charge Texans for their services. The fiscal note on my original bill said the Department of Insurance could implement these rules using existing resources. Why is it now proposing these costly, burdensome fees?

I thank Commissioner Rathgeber for scheduling this second public hearing in response to my request for it. And I urge her to listen to the Texans she’s heard from in this process.

It’s wrong to impose heavy-handed, politically motivated rules that primarily serve to make life harder for hard-working Texans who are simply trying to help their friends and neighbors find affordable health insurance. Common-sense regulations should strike a balance that actually protect Texans, both by protecting their privacy and by protecting their ability to find good, reliable, affordable health insurance.

Sen. Watson also contributed more detailed suggestions in writing:

Posted on January 6, 2014 at 12:16 pm.

Jan. 6th, 2014

Good morning, Commissioner Rathgeber and Assistant General Counsel, John Carter. Thank you for scheduling this second public hearing in response to my request for it. There remain a number of questions which TDI has yet to answer and the people deserve another opportunity to be heard on this important issue.

First, I want to be very clear about avoiding the political straw men in this this conversation.

Texans support common-sense requirements such as criminal background checks for navigators. The bill I authored in the legislative session allowing for navigator regulations prohibits convicted felons from providing these services. Of course the state should enforce that provision and protect consumers. We shouldn’t have electioneering; my bill prevents that too. And we need to be sure we protect privacy.

We are all in agreement that these requirements are paramount to protecting consumers – that’s why we put them in the bill.

—-

But my bill authorizes TDI to create regulations that protect the state from bad actors without making it harder for navigators to do their jobs.  Remember the purpose clause of SB 1795:  the purpose of this chapter is to provide a state solution to ensure that Texans are able to find and apply for affordable health coverage under any federally run health benefit exchange, while helping consumers in this state.

Your goal is to help ensure that Texans are able to find and apply for affordable coverage under the federally run exchange.  Remember, those in control of the capital have chosen not to have a Texas exchange, creating the need for SB 1795.

—-

The vast majority of healthcare navigators, as you can see and have seen from the testimony you received on September 30, 2013 and most recently on December 20, are honest folks who are working hard, and in good faith, to connect their fellow Texans with health insurance.

TDI has yet to provide justification for why it has gone as far as it has with these rules.

—-

On December 20, I and several other senators submitted a letter to you in which we requested explanations to very specific questions. The people of Texas deserve answers to these questions. They deserve to know why some of these proposed rules are so far-reaching.

What’s very troubling to me is that my office asked when we might expect answers to these questions. We were told that an email you sent on December 23 was a reply.  But that so-called reply reads as an acknowledgement of receiving the letter – not as a response to it. In fact, you seem to suggest you will answer these questions in the final rule order.  With all due respect, Commissioner, that’s inappropriate.  As I stressed in my September 30 testimony to you, because this issue has been so politicized, people have reason—even an obligation to be skeptical.  So process matters here.

Your process – your refusal to answer critical questions prior to the final rule order – leaves no opportunity to discuss fallacies or poor decisions before the proposed rules are final. More importantly, it robs Texans of a transparent, accountable process and avoids a fair debate on the issue.

—–

So, what are the questions that haven’t been answered?

  1. TDI has yet to explain how it arrived at the arbitrary 40 hour training requirement, in addition to the 20-30 federally required training hours.
  2. Nor has TDI explained how it arrived at the 13-13-14 hours of training in the areas of Texas Medicaid, privacy and ethics, respectively.
  3. TDI has not explained why navigators will have to pay registration fees as well as significant costs associated with additional training in light of a) the fact that navigators cannot charge a fee for their service, and b) the fiscal note for SB 1795, based on information provided by TDI, assumes any cost associated with implementation of the bill would be absorbed with existing staff and resources.
  4. TDI has yet to explain how it arrived at the proposed options for proving financial responsibility, which include surety bonds.
  5. TDI has yet to provide a detailed timeline showing each step that a navigator organization and individual navigators must accomplish to come into compliance with the proposed rule. We also haven’t seen a timeframe for which each step can reasonably be completed — an essential question for honest, hard-working Texans who are working right now to connect folks with health insurance.
  6. TDI has not explained how extending the registration requirements to almost anyone providing enrollment assistance protects Texas consumers, or how restricting the use of the term navigator outside of the federally operated insurance exchange protects Texas consumers.

—-

Under your proposed rules, navigators must comply with many of the rules’ requirements by March 1, 2014. Assuming this rule becomes effective in early February, navigators and navigator organizations will have only about a month to come into compliance.

Given that the open enrollment period for people seeking coverage in 2014 ends on March 31, I fear that many navigator entities will face significant problems in meeting your proposed rules without compromising their ability to help Texans secure health care. I respectfully request that you postpone the compliance deadline until after the open enrollment period ends.

And although the training requirements for TDI-certified courses are not applicable until May 1, 2014, I question how many companies will be able to set up the training and examination requirements precisely as you’ve laid out in the proposed rules. An open and transparent process shouldn’t result in a product that only a certain business or type of business can provide.

People have a right to question whether the timing, combined with the extremely expanded training requirement that doesn’t seem capable of justification other than because the Governor suggested it, might be to benefit a private provider of training.  Perhaps one that already has a contract with the state.  This would put public money that should be going to help people get health coverage in a private enterprise’s hands.  Again, with no justification.

I respectfully request that you delay the implementation of the state training requirements until the universe of potential providers can be better assessed.

We still have time to do this right. You still have the opportunity to strike the appropriate balance between two equally important responsibilities: protecting consumers, and ensuring Texans have access to the health insurance that’s right for them.

I urge you to provide answers to the questions raised by members of the Senate on December 20 and to do so before you finalize this rule.

In Texas, the Republicans will consort with convicted felons to hoax up stories about people trained to help enroll Texans for health insurance, and make completely unsubstantiated claims that the helpful people are felons, and Texans should worry about it.

If the GOP will take the word of felons to impugn the Affordable Care Act, why are they worried about the honesty of others who are not known to be felons, on the other side?

If it doesn’t make your head hurt, you’re not paying attention.

More:


Insta-Millard: GOP lied? Not 5 million losing insurance to cancellations, but 10 thousand.

January 2, 2014

Hey, the numbers are off only by a factor of 500.

Gotta give credit to the GOP propaganda machine to have gotten so many Americans so soundly disinformed and het up about such a small number, smaller than anyone expected.

Should this qualify as a hoax?  If Obama had screwed up a number by 500, what would the headlines be?

Parody of James Montgomery Flagg's World War I recruiting poster, suggesting that Uncle Same wants people to have access to health care, affordably.  New reports suggest it's going to happen, and that reports of massive health insurance cancellations are inaccurate.

Parody of James Montgomery Flagg’s World War I recruiting poster, suggesting that Uncle Same wants people to have access to health care, affordably. New reports suggest it’s going to happen, and that reports of massive health insurance cancellations are inaccurate.

More:


Big health care news story you probably missed (because your local media didn’t cover it)

December 10, 2013

Just sayin’, you know?

This is news economists and budget watchers and policy makers have been hoping to hear for 60 years.

Here it is — did you see it in your local paper? On TV? On Facebook?

Chart showing news coverage of record low health care cost rises.  From ThinkProgress

Chart showing news coverage of record low health care cost rises. From ThinkProgress

http://twitter.com/didikins4life/status/404112438519668736/photo/1

One criticism aimed at the Affordable Care Act that had some legs was that it did not go far enough to control actual costs. Cost controls would have been impossible to add to the bill, politically. So the hope was that this first step would have some impact.

In 2009, health care cost inflation ran about 20% per year, despite the recession. For the previous two decades, health care costs inflated at a greater-than 10% clip every year.

By 2012, with a push from the reforms in the ACA, Bill Clinton reported that health care cost inflation had dropped to 4% per year.

Now?  1.3%.  This is huge news.

Who covered it?  Not many, according to ThinkProgress.

Bad news gets 24-hour coverage and bulletins during the ads.  Good news is an orphan.  How wrong is that?

Bookmark the chart and ThinkProgress; you’ll need facts in your discussions.

More:


Jonathan Gruber explaining ObamaCare a year ago: The Comic Book

November 1, 2013

THERE MUST BE A BETTER WAY: Some 2,700 people lined up in July for free medical treatment at the Virginia-Kentucky Fairgrouds, in 2009. Inc. Magazine photo

THERE MUST BE A BETTER WAY: Some 2,700 people lined up in July for free medical treatment at the Virginia-Kentucky Fairgrouds, in 2009. Inc. Magazine photo

Description from PBS NewsHour:

Published on Jun 8, 2012

Health correspondent Betty Ann Bowser talks with Jonathan Gruber, the author of “Health Care Reform,” the comic book. The MIT economist and professor of economics hopes the graphic layout of his book will help more Americans understand the complex law and its implications.

Read more about Gruber’s book and the health care reform law on the NewsHour’s Health Page: http://www.pbs.org/newshour/topic/hea….

Be sure to see what’s going on more than a year later, in the immediately previous post, “Winners and losers.”


Winners and losers in ObamaCare

November 1, 2013

Chart based on Jonathan Gruber’s calculations here, in The New Yorker.  Gruber was on PBS’s NewsHour a few days ago, opposite a cranky old man from the Heritage Foundation who seems to be offended that he gets a fat paycheck.  Transcript and much more information, here.  Video of entire segment (including report on House hearings on the “glitches”), below.

Jonathan Gruber, a professor in MIT's Department of Economics Photo: M. Scott Brauer

Jonathan Gruber, a professor in MIT’s Department of Economics Photo: M. Scott Brauer

Gruber was interviewed by economics reporter Paul Solman earlier, and that appeared on NewsHour’s blog, on October 1; that transcript is here.

More:


ObamaCare working in Utah?

October 11, 2013

GOP panic spreads.  But will they run the correct way in their panic, say to vote for a clean, 12-month continuing resolution and and a raise to $18 trillion in the debt ceiling?

ObamaCare working in Utah.  Who would have imagined that?  The Sherburnes seem happy with what they bought.

Chris Detrick | The Salt Lake Tribune Phil Sherburne and his wife Leia Bell pose for a portrait with their kids Cortez, 11, Oslo, 6, and Ivan, 9, at their home in Salt Lake City Wednesday October 9, 2013. Sherburne and Bell, owners of the frame and art store called Signed & Numbered, succeeded last weekend in signing up for health coverage on healthcare.gov.

Chris Detrick | The Salt Lake Tribune Phil Sherburne and his wife Leia Bell pose for a portrait with their kids Cortez, 11, Oslo, 6, and Ivan, 9, at their home in Salt Lake City Wednesday October 9, 2013. Sherburne and Bell, owners of the frame and art store called Signed & Numbered, succeeded last weekend in signing up for health coverage on healthcare.gov.

More:

M. Turner snapped this self-portrait that went viral in the debate over President Obama's Affordable Health Care Act.  M. Turner photo, via CNN

M. Turner snapped this self-portrait that went viral in the debate over President Obama’s Affordable Health Care Act. M. Turner photo, via CNN


Why is health care so expensive?

August 21, 2013

This comes up in discussions about ObamaCare all the time.

These guys at Vlog have it nailed pretty well.  Don’t know much about ‘em, but their facts square:

Vlog brothers wrote:

Published on Aug 20, 2013

In which John discusses the complicated reasons why the United States spends so much more on health care than any other country in the world, and along the way reveals some surprising information, including that Americans spend more of their tax dollars on public health care than people in Canada, the UK, or Australia. Who’s at fault? Insurance companies? Drug companies? Malpractice lawyers? Hospitals? Or is it more complicated than a simple blame game? (Hint: It’s that one.)

For a much more thorough examination of health care expenses in America, I recommend this series at The Incidental Economist: http://theincidentaleconomist.com/wor…
The Commonwealth Fund’s Study of Health Care Prices in the US: http://www.commonwealthfund.org/~/med…
Some of the stats in this video also come from this New York Times story: http://www.nytimes.com/2013/06/02/hea…

This is the first part in what will be a periodic series on health care costs and reforms leading up to the introduction of the Affordable Care Act, aka Obamacare, in 2014.

The other videos should be similarly enlightening, we hope.

Funny.  They don’t complain about ObamaCare so much.

More:


Annals of ObamaCare: Restaurant hiring increased since the bill passed

July 30, 2013

Watch the charts, get the facts.  Obamacare is working well.

First, let’s look at the food service industry.  Hoaxsters claim that restaurants are cutting hours of employees and refusing to hire, to avoid the law. Not so.

Growth in restaurant employment and sales since Affordable Care Act was signed into law

Growth in restaurant employment and sales since Affordable Care Act was signed into law

So food service establishments — restaurants — have experienced sales and employment growth as has the rest of the economy during the Obama administration.  What about employees?  Are restaurants cutting back their hours to avoid providing benefits to employees?  Evidence suggests the opposite:  Hours worked per employee are increasing.  Go to the chart:

Average weekly hours worked in restaurants, per employee, since the Affordable Care Act became law

Average weekly hours worked in restaurants, per employee, since the Affordable Care Act became law

These are the official figures from the White House.  More [links added here]:

During the four years since the recession ended in June 2009, 87% of the increase in employment has been due to a rise in the number of workers in full-time jobs. And looking at the period since ACA was signed in March 2010, more than 90% of the rise in employment has been due to workers in full-time jobs. Moreover, the length of the average workweek for private sector production and nonsupervisory employees has returned to its level at the start of the Great Recession.

And while the number of involuntary part-time workers has declined roughly in line with previous recoveries, it spiked up 322,000 in June. However, nearly 30 percent of the June increase was due to federal employees. This suggests that furloughs contributed to the pickup in part-time employment.

These observations strongly suggest that the Affordable Care Act has not constrained growth in hiring or work hours. So what is the ACA doing? It’s slowing the growth rate of health care costs for consumers, creating new incentives for providers to raise the quality of care, and adding new transparency and accountability in the insurance marketplace—all steps that help the economy.

ObamaCare is working — the Affordable Care Act has provided cheaper health care, much broader insurance coverage, better health — and seems to be stimulating industry, too.

More:

 


Got questions about ObamaCare? Check out this site

June 24, 2013

I get e-mail; this one may prove useful to more than a few people, especially anyone who owns a small business and has questions about how ObamaCare — the Affordable Care Act — will affect your taxes, your hiring, your expenses, etc.:

The White House, Washington

Hi, all –

In fewer than 100 days, the new health care reform law takes an important step forward. On October 1, 2013, Health Insurance Marketplaces will open in every state, and millions of Americans will be eligible to apply for coverage. Between now and then, we’re sure that lots of people will be looking for information about the upcoming changes.

That’s why we revamped HealthCare.gov.

On the updated site, you’ll be able to get a personalized list of coverage options, tailored to your situation, and a checklist to help prepare for October 1. You’ll find a rich set of answers to frequently asked questions, powerful search features to help you find the specific information you need, and two great ways to talk to customer service representatives, 24/7: a new 1-800 number (1-800-318-2596) and online chat.

When open enrollment starts on October 1, 2013, you’ll be able to use the site to compare various health care plans side by side to find a plan that fits your life and your budget. You’ll even be able to use HealthCare.gov to apply for coverage or be directed to your own state’s application portal.

We hope you’ll use the site to get answers to your questions about the health care law — and forward this email to your friends so they can do the same.

Thanks!

Tara

Tara McGuinness
Senior Communications Advisor
The White House

P.S. — Have questions about what else you can expect from health care reform? Click here for a timeline of the key features of the Affordable Care Act.

Visit WhiteHouse.gov

[My e-mail address cut out ]

The White House • 1600 Pennsylvania Ave NW • Washington, DC 20500 • 202-456-1111

Several people I’ve run into have questions about the program — some of the questions are serious, and difficult for me to answer, and some are silly (“Why do I have to give up my insurance now?” Answer:  You don’t.)  There’s a great need for answers.  Distortions of the plan from the nasty political fights involved, have taken hold in the mind of many as representations of what the plan weill do.

Go try the site.  Does it answer your questions?  What questions do you have that are not answered by this site?

More:

Screenshot of HealthCare.gov. Click to visit the site.

Screenshot of HealthCare.gov. Click to visit the site.


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