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Busting the Top 10 Myths on the Affordable Care Act:

Posted by on Nov. 19, 2012 at 10:46 PM
  • 14 Replies
1 mom liked this

AMERICA AND THE AFFORDABLE CARE ACT MOVING FORWARD:

10 WAYS HEALTH REFORM IS HELPING AMERICA

1. Patients are no longer threatened with lifetime caps on coverage. Families no longer have to make the hard choices of 

delaying care or facing bankruptcy.

2. Children with pre-existing conditions are no longer being denied coverage.  Insurance companies can no longer deny 

coverage to children under the age of 19 because of a pre-existing condition or disability.

3. Young adults are getting covered on their parents’ insurance. Many medical students in Doctors for America are now 

covered thanks to this provision. Over 6.6 million people age 19-26 have gotten insured so far!

4. We are shifting toward prevention.  Preventive services are now free for Medicare and new insurance plans.  For the first time, 

we have a National Prevention Strategy. And the Prevention and Public Health Fund is helping communities launch new programs to 

improve healthy living.

5. People and communities are focusing efforts on preventing disease. $750 million in 2010 and $500 million in 2011 have 

already gone to programs in tobacco cessation, obesity prevention, care coordination, behavioral health, and more in all 50 states.

6. Seniors are getting help with prescription drugs.   4 million seniors in every state got rebate checks in 2010. In 2011, they 

started getting a 50% discount on brand-name drugs in the Medicare prescription coverage gap.

7. Hospitals are gearing up to improve quality and safety. Medicare reimbursement changes in 2012 are getting hospitals 

around the country to step up efforts to prevent hospital-acquired infections and to keep people from landing back in the hospital within 

30 days of going home.

8. Small businesses are getting help covering employees.  Up to 4 million small businesses that employ 16 million people are 

eligible for 35% tax credits on health insurance premiums right now.  Note: small businesses will not be required to buy insurance 

under the law.

9. Insurance companies have a new limit on profits.  Insurance companies have to spend at least 80% of premium dollars on 

health care. In the large-group market (big employers), they must spend at least 85% on health care -- so more of our premium dollars 

go to health instead of administration and executive salaries. In the summer of 2012, 12.8 million individuals will be receiving rebates 

from insurance companies who have failed to meet these minimum spending requirements. 

10. We are training thousands more health care providers to take care of people. Over $320 million in grants is already 

boosting primary care residency programs, training physician assistants, and helping states create innovative plans for their unique 

health care workforce needs. 

Health Reform Helps All of Us. 

Share the Facts!Get the Facts: 

Busting the Top 10 Myths on the Affordable Care Act

Doctors for America is a national movement of more than 15,000 doctors and medical students who are working 

together to improve the health of the nation and to ensure that everyone has access to affordable, high-quality health 

care.  For more information visit DrsForAmerica.org or call us at (202) 481-8219.

MYTH #1: It’s too complicated to understand any of it.

FACT: The basics are simple. 32 million more American will be insured. The worst insurance company abuses will end.

We will start improving quality and controlling cost for everyone.

FACT: HealthCare.gov explains the law and how it will be rolled out.

MYTH #2: It hasn’t helped anyone.

FACT: Insurance now covers: 1) Children with pre-existing conditions, 2) 3.1 million young adults through age 26 who are 

now covered on their parents’ plans, 3) Adults with pre-existing conditions who can now sign up for high-risk plans

FACT: No more insurance company caps on how much they will spend on your heath care.

MYTH #3: We can’t afford to have it.

FACT: We can’t afford not to have it. By promoting access to the right care, at the right place, at the right time, the 

Affordable Care Act was designed to save money while keeping people healthier.

MYTH #4: It hurts Medicare and seniors.

FACT: Seniors get help affording prescription drugs. 

FACT: Seniors get annual checkups with no copays.

FACT: It invests in making Medicare work better now and for the long run for seniors and doctors.

MYTH #5: It’s increasing premiums and costs for families.

FACT: Private employer-based health premiums were skyrocketing before the law, and it will help change that.

FACT: Insurance companies now have to explain why they are raising rates on a public website.

FACT: If insurance companies don’t spend enough of your premium dollars on health care, they are now required to send 

you a rebate at the end of the year.

MYTH #6: It’s hurting small businesses.

FACT: Many small businesses with fewer than 50 employees are now getting tax credits of up to 35% of health insurance 

premiums. Beginning in 2014, many small businesses will be eligible for tax credits up to 50% of insurance premiums.

MYTH #7: It’s unconstitutional.

FACT: The Supreme Court of the United States has declared it constitutional.

MYTH #8: It’s all about insurance and not about health.

FACT: It creates a national Prevention Fund - a long overdue investment in improving health and preventing chronic 

disease. Communities across the country are already using grant money to help people live healthier lives.  

FACT: It invests in training more doctors, nurses, and other health professionals

MYTH #9: It’s all about insurance and not about cost.

FACT: The Medicare and Medicaid Center for Innovation is promoting new models, innovations, and research across the 

country to start improving care while decreasing costs.

FACT: The law invests in improving quality and coordination of care.

MYTH #10: It’s a government takeover of health care.

FACT: The Affordable Care Act is a partnership between the government and businesses, communities, hospitals, 

doctors, and patients. It strengthens the private insurance market while protecting people and their health.

FACT: The more we know, the better the health care and health of our families and our country!

Doctors for America is a grassroots movement of 15,000 physicians and medical students who are working together to 

improve the health of the nation and to ensure that everyone has access to high-quality, affordable health care.  Visit us 

at www.drsforamerica.org

by on Nov. 19, 2012 at 10:46 PM
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Replies (1-10):
mommasaint
by Bronze Member on Nov. 19, 2012 at 11:23 PM
3 moms liked this

Myth: Doctors Love it

FACT: Mine just closed up shop, because of it. Now I can't get a pediatrician, because I don't have a brand new baby. I guess I'll just have to get our health care from a walk in clinic. AWESOME. Especially for one of my daughters who has continuing medical issues. Now I can explain them to a different PA every time we walk in the door. 

Myth: It provides FREE preventitive care

FACT: Higher premiums pay for our FREE care. Our premiums have went up more in the last two years then in the previous 5 combined. 

Just my own personal experiences with the ACA so far. I'm sure it will get much better. 

mnmomusa
by Member on Nov. 19, 2012 at 11:36 PM
3 moms liked this

Okie dokie.  It's wonderful.  Check back in a year when the money for this is gone and let me know how wonderful it is.  The benefits are wonderful...But they're not FREE as many would like to think.  Someone has to pay for all this and It will be the middle class.  Links? Nope, as I said, check back in a year....If I'm wrong I will eat crow, but we are ALL betting the farm I won't be I guess...


SallyMJ
by Ruby Member on Nov. 20, 2012 at 1:04 AM
3 moms liked this

The Truth about so-called "Facts" about Obamacare (aka affordable care act):

#1-7: Already in place apart from Obamacare.

#8 - "Assistance" to small businesses to provide healthcare useless when the high costs force them to lay off employees.

#10 - Grants not helpful in the long run when more healthcare providers will stop taking patients.

FACT#1 It is so complicated, no Congressman or woman or Senator had time to read it before voting on it. As Nancy Pelosi said, they needed to vote for it before they could see what was in it.

FACT #2 It hasn't helped anyone - In fact, thousands of people have lost their jobs because Obamacare is very expensive for employers.

FACT #3 We can't afford to lose any more jobs because of it. We need to start over on a fresh sheet of paper to have a true bipartisan bill to replace Obamacare

FACT #4 It hurts Medicare and seniors. It steals $716 B from Medicare to put into Obamacare. It kicks seniors off Medicare Advantage. It will cause 20% of physicians to stop taking Medicare patients, due to payments lower than the cost of delivering care.

FACT#5 It IS increasing health premiums - Obamacare was supposed to cut the cost by $2,500, but has INCREASED costs by $2,500.

FACT#6 It IS hurting small business - That's why thousands of people have lost their jobs, and some companies have gone out of business due to the costs of Obamacare.

FACT#7 It IS unconstitutional - The Supreme Court said it was constitutional if the individual mandate were a "tax". But it is a penalty.

FACT#8 It's all about what liberals want and not what Americans need.

FACT#9 The 19-member unelected panel are the ones who have to decrease the cost of healthcare each year, which will result on denials of care, mostly for old and sick people. So what's the point of universal healthcare, when it denies you healthcare you need?

FACT#10 It is a government takeover of healthcare and is designed to put private insurers out of business, which, as a result of eliminating competition, increases costs. 

29again
by Gold Member on Nov. 20, 2012 at 1:19 AM
1 mom liked this

No one has said that there was NOTHING good in the health care "reform" bill.  Yes, there are some good things.  (I would debate "children" being on their parents insurance until age 26 as a good thing, though.)


And then I see headlines like this:


Orlando Health to cut record number of jobs to save money

Reduction of 400 jobs will help position system for health-care overhaul, officials say   

source

So, while there may be some good ideas in this debacle, there are way too many that are not, that are way too costly, and cost jobs that we so badly need right now. 



gsprofval
by Gold Member on Nov. 20, 2012 at 3:06 AM
1 mom liked this

I understand you  are trying to make obamacare sound good, but for everything mentioned in the article, there is a tax not mentioned.

 Full List of Obamacare Tax Hikes http://jeffduncan.house.gov/full-list-obamacare-tax-hikes

  Full List of Obamacare Tax Hikes: Listed by Size of Tax Hike

 Complied by Americans for Tax Reform

 WASHINGTON, DC -- Obamacare contains 20 new or higher taxes on American families and small businesses. Arranged by their respective sizes according to CBO scores, below is the total list of all $500 billion-plus in tax hikes (over the next ten years) in Obamacare, their effective dates, and where to find them in the bill.

 $123 Billion: Surtax on Investment Income (Takes effect Jan. 2013): A new, 3.8 percent surtax on investment income earned in households making at least $250,000 ($200,000 single). This would result in the following top tax rates on investment income:

 

 

Capital Gains

 

Dividends

 

Other*

 

2012

 

15%

 

15%

 

35%

 

2013+

 

23.8%

 

43.4%

 

43.4%

 

 *Other unearned income includes (for surtax purposes) gross income from interest, annuities, royalties, net rents, and passive income in partnerships and Subchapter-S corporations.  It does not include municipal bond interest or life insurance proceeds, since those do not add to gross income.  It does not include active trade or business income, fair market value sales of ownership in pass-through entities, or distributions from retirement plans.  The 3.8% surtax does not apply to non-resident aliens. (Bill: Reconciliation Act; Page: 87-93)

 $86 Billion: Hike in Medicare Payroll Tax (Takes effect Jan. 2013): Current law and changes:

 

 

First $200,000
($250,000 Married)
Employer/Employee

 

All Remaining Wages
Employer/Employee

 

Current Law

 

1.45%/1.45%
2.9% self-employed

 

1.45%/1.45%
2.9% self-employed

 

Obamacare Tax Hike

 

1.45%/1.45%
2.9% self-employed

 

1.45%/2.35%
3.8% self-employed

 

 Bill: PPACA, Reconciliation Act; Page: 2000-2003; 87-93

 $65 Billion: Individual Mandate Excise Tax and Employer Mandate Tax (Both taxes take effect Jan. 2014):

 Individual: Anyone not buying "qualifying" health insurance as defined by Obama-appointed HHS bureaucrats must pay an income surtax according to the higher of the following

 

 

1 Adult

 

2 Adults

 

3+ Adults

 

2014

 

1% AGI/$95

 

1% AGI/$190

 

1% AGI/$285

 

2015

 

2% AGI/$325

 

2% AGI/$650

 

2% AGI/$975

 

2016 +

 

2.5% AGI/$695

 

2.5% AGI/$1390

 

2.5% AGI/$2085

 

 Exemptions for religious objectors, undocumented immigrants, prisoners, those earning less than the poverty line, members of Indian tribes, and hardship cases (determined by HHS). Bill: PPACA; Page: 317-337

 Employer: If an employer does not offer health coverage, and at least one employee qualifies for a health tax credit, the employer must pay an additional non-deductible tax of $2000 for all full-time employees.  Applies to all employers with 50 or more employees. If any employee actually receives coverage through the exchange, the penalty on the employer for that employee rises to $3000. If the employer requires a waiting period to enroll in coverage of 30-60 days, there is a $400 tax per employee ($600 if the period is 60 days or longer). Bill: PPACA; Page: 345-346

 (Combined score of individual and employer mandate tax penalty: $65 billion)

 $60.1 Billion: Tax on Health Insurers (Takes effect Jan. 2014): Annual tax on the industry imposed relative to health insurance premiums collected that year.  Phases in gradually until 2018.  Fully-imposed on firms with $50 million in profits. Bill: PPACA; Page: 1,986-1,993

 $32 Billion: Excise Tax on Comprehensive Health Insurance Plans (Takes effect Jan. 2018): Starting in 2018, new 40 percent excise tax on "Cadillac" health insurance plans ($10,200 single/$27,500 family).  Higher threshold ($11,500 single/$29,450 family) for early retirees and high-risk professions.  CPI +1 percentage point indexed. Bill: PPACA; Page: 1,941-1,956

 $23.6 Billion: "Black liquor" tax hike (Took effect in 2010) This is a tax increase on a type of bio-fuel. Bill: Reconciliation Act; Page: 105

 $22.2 Billion: Tax on Innovator Drug Companies (Took effect in 2010): $2.3 billion annual tax on the industry imposed relative to share of sales made that year. Bill: PPACA; Page: 1,971-1,980

 $20 Billion: Tax on Medical Device Manufacturers (Takes effect Jan. 2013): Medical device manufacturers employ 360,000 people in 6000 plants across the country. This law imposes a new 2.3% excise tax.  Exempts items retailing for <$100. Bill: PPACA; Page: 1,980-1,986

 $15.2 Billion: High Medical Bills Tax (Takes effect Jan 1. 2013): Currently, those facing high medical expenses are allowed a deduction for medical expenses to the extent that those expenses exceed 7.5 percent of adjusted gross income (AGI).  The new provision imposes a threshold of 10 percent of AGI. Waived for 65+ taxpayers in 2013-2016 only. Bill: PPACA; Page: 1,994-1,995

 $13.2 Billion: Flexible Spending Account Cap - aka "Special Needs Kids Tax" (Takes effect Jan. 2013): Imposes cap on FSAs of $2500 (now unlimited).  Indexed to inflation after 2013. There is one group of FSA owners for whom this new cap will be particularly cruel and onerous: parents of special needs children.  There are thousands of families with special needs children in the United States, and many of them use FSAs to pay for special needs education.  Tuition rates at one leading school that teaches special needs children in Washington, D.C. (National Child Research Center) can easily exceed $14,000 per year. Under tax rules, FSA dollars can be used to pay for this type of special needs education. Bill: PPACA; Page: 2,388-2,389

 $5 Billion: Medicine Cabinet Tax (Took effect Jan. 2011): Americans no longer able to use health savings account (HSA), flexible spending account (FSA), or health reimbursement (HRA) pre-tax dollars to purchase non-prescription, over-the-counter medicines (except insulin). Bill: PPACA; Page: 1,957-1,959

 $4.5 Billion: Elimination of tax deduction for employer-provided retirement Rx drug coverage in coordination with Medicare Part D (Takes effect Jan. 2013) Bill: PPACA; Page: 1,994

 $4.5 Billion: Codification of the "economic substance doctrine" (Took effect in 2010): This provision allows the IRS to disallow completely-legal tax deductions and other legal tax-minimizing plans just because the IRS deems that the action lacks "substance" and is merely intended to reduce taxes owed. Bill: Reconciliation Act; Page: 108-113

 $2.7 Billion: Tax on Indoor Tanning Services (Took effect July 1, 2010): New 10 percent excise tax on Americans using indoor tanning salons. Bill: PPACA; Page: 2,397-2,399

 $1.4 Billion: HSA Withdrawal Tax Hike (Took effect Jan. 2011): Increases additional tax on non-medical early withdrawals from an HSA from 10 to 20 percent, disadvantaging them relative to IRAs and other tax-advantaged accounts, which remain at 10 percent. Bill: PPACA; Page: 1,959

 $0.6 Billion: $500,000 Annual Executive Compensation Limit for Health Insurance Executives (Takes effect Jan. 2013): Bill: PPACA; Page: 1,995-2,000                                                                                                                 

 $0.4 Billion: Blue Cross/Blue Shield Tax Hike (Took effect in 2010): The special tax deduction in current law for Blue Cross/Blue Shield companies would only be allowed if 85 percent or more of premium revenues are spent on clinical services. Bill: PPACA; Page: 2,004

 $ Negligible: Excise Tax on Charitable Hospitals (Took effect in 2010): $50,000 per hospital if they fail to meet new "community health assessment needs," "financial assistance," and "billing and collection" rules set by HHS. Bill: PPACA; Page: 1,961-1,971

 $ Negligible: Employer Reporting of Insurance on W-2 (Took effect in Jan. 2012): Preamble to taxing health benefits on individual tax returns. Bill: PPACA; Page: 1,957

 Read more: http://www.atr.org/full-list-obamacare-tax-hikes-listed-a7010#ixzz1zTXuZUYl

 

 

 

 

 

 

 

MomTiara19
by Silver Member on Nov. 20, 2012 at 6:58 AM
1 mom liked this

Simmeringhearts
by on Nov. 20, 2012 at 7:08 AM
1 mom liked this

Not only has our premiums gone up. But, so has our deductible and co-pay.

Carpy
by Platinum Member on Nov. 20, 2012 at 7:47 AM


And just where are these 17 million children who are denied care?

Obama ‘Road’ Film Takes Some Detours

The president's campaign film avoids inconvenient truths on health care, auto bailout.

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Summary

An Obama campaign film, narrated by actor Tom Hanks, casts the president, not surprisingly, in the best light. But the 17-minute video lacks context and takes liberties with some facts on health care and the auto bailout:

  • The film says “17 million kids could no longer be denied for preexisting conditions,” implying all of them were being denied care before the federal health care law was passed. But that’s the total number of kids who could potentially be denied coverage or charged higher premiums if they sought coverage on the individual market.
  • It also implies that Obama has reined in the costs of health care premiums — which “had been rising three times the rate of inflation,” as the film says. But the law hasn’t reined in premiums, which still rose three times more than inflation last year. In fact, experts say some of the recent growth was caused by the law, which requires more generous coverage.
  • The film suggests that Obama refused to compromise on health care. Obama did hold out for a comprehensive bill, but there was compromise along the way, including the decision to drop the “public option” that he once championed. Later, he called the law “nine-tenths of a loaf.”
  • On the auto bailout, the video says automakers have “repaid their loans.” But taxpayers are still on the hook for half of the $80 billion in federal aid. It also suggests that Bush gave away $13 billion to auto companies without demanding action on their part, when, in fact, Bush required them to come up with the so-called economic viability plans by March 31, 2009. Obama then used the plans to force the companies into bankruptcy and force the restructuring of the companies.

Analysis

The Obama campaign on March 15 released “The Road We’ve Traveled,” a 17-minute film narrated by actor Tom Hanks and directed by Davis Guggenheim — two of the best in their fields. Guggenheimdirected the 2006 documentary “Inconvenient Truth” about former Vice President Al Gore’s efforts to educate the public about climate change. Hanks and Guggenheim, however, ignore some inconvenient truths in the campaign video that otherwise would muddy its can-do narrative about President Obama and his administration.

Let’s start with the president’s signature accomplishment: the Patient Protection and Affordable Care Act, which he signed into law on March 23, 2010. The film makes the claim that “17 million kids could no longer be denied for preexisting conditions.” That claim implies that these children were previously being denied coverage. But that’s not the case.

nstead, the 17 million figure represents theadministration’s high-end estimate for the total number of children, under 18, in the country who have some condition that could, potentially, cause them to be denied coverage, or charged a higher premium, if they were applying for it on the non-group market. (That’s the insurance market for persons who buy their own coverage.)

It’s true that the health care law mandated that insurance companies not deny coverage to children because of preexisting conditions, and those protections are in effect now. (Adults gain such protections in 2014.) So the administration would be correct to say that the law added protections for kids with preexisting conditions. But 17 million weren’t being denied insurance before the law was passed, and 17 million wouldn’t be at risk of losing coverage if the law hadn’t been enacted.

The administration also gave a low estimate and a high estimate. It said that 5 percent of children had preexisting conditions that would make them eligible for high-risk pools. That’s 4 million children under age 18. The administration then added in children with “common conditions that major insurers generally use in medical underwriting,” which brings the kids supposedly at risk of being denied coverage, or being subject to a higher premium, to 17 million.

So, the administration’s 17 million figure is its upper estimate of the total number of children in the country who could, in theory, be denied coverage or pay more because of preexisting conditions if they were applying for coverage on the individual market. But with or without the health care law, many of those kids would be on their parents’ employer-based plans and not at risk of being denied or losing coverage. Others are covered through Medicaid and the Children’s Health Insurance Program. A relatively small number even had successfully obtained coverage on the individual market: The administration said that up to 140,000 kids with non-group coverage had preexisting conditions.

The administration used this same report in January 2011, when it said that “129 million Americans with a pre-existing condition could be denied coverage without new health reform law.” As we said then, that number was the high estimate of those who could be denied on the individual market, but most had employer-based coverage and most would continue to get employer-based coverage.

Health Care Costs: Still Rising

Hanks also says that “health care costs had been rising three times the rate of inflation, crushing family budgets and choking businesses,” as a graphic shows a steady increase in premium costs since 1999 well above the rate of inflation. “And [Obama] knew that he couldn’t fix the economy if he didn’t fix health care,” Hanks says.

This is a bit misleading. It’s true that health care premium costs have been a concern for many years, and they’ve continued to increase faster than inflation. Since 2001, premiums for employer-sponsored family plans have gone up 113 percent, while inflation has grown 27 percent, according to the Kaiser Family Foundation, which conducts yearly surveys on job-based premiums.

But the rate of growth from year to year has varied, and hasn’t always been three times the rate of growth of inflation. Nor has the health care law put a stop to such growth, as Hanks’ comment implies. Premium changes year to year have ranged from 13 percent annual growth in 2002 and 2003, well above 2 percent inflation, to more modest 5 percent growth in 2007 to 2009, when inflation plummeted. (See thisNew York Times chart for a good look at long-term changes in premiums.) In 2010, the rate of growth was nowhere near triple the rate of inflation: Premiums grew an abnormal 3 percent, while the rate of inflation was 2 percent. The annual reports come out in September each year, so that was six months after Obama signed the federal health care law. A year later, in 2011, the growth rate jumped up to 9 percent, three times the rate of inflation.

So premiums were still “rising three times the rate of inflation,” to quote Hanks, despite the health care law. And in fact, some of the big jump was actually caused by the new law (though critics exaggerated when they claimed the law caused it all). Experts told us that the law was responsible for 1 percent to 3 percent of the growth. The rest of the growth was due to rising health care costs, and it wasn’t that surprising that the rate shot up in 2011, after a year of surprisingly low growth in premiums.

The 3 percent growth rate was “abnormally low,” said John Sheils, senior vice president of The Lewin Group, a subsidiary of UnitedHealth Group that operates independently of the health care company. He told us it “would stand to reason that we’d get a boost” in 2011.

The White House has argued that the health care law needs more time to play out before the rate of growth in premiums will decline, and most of the law has yet to be put in place. But so far, the law has added an estimated 1 percent to 3 percent to premium costs.

Health Care: Accepting Less

The film suggests Obama refused to compromise or settle on the health care law in order to get it through Congress. It’s true that Obama stuck with a comprehensive health law at a time when it seemed the plan was in jeopardy, but earlier in the process, there was some compromise.

The biggest concession was Obama’s agreement to drop the push for a controversial “public option” in the health care exchanges. But that was done mostly to appease members of Obama’s own Democratic Party.

Here’s the version of events from “The Road We’ve Traveled”:

Hanks: After months of negotiations, it was unclear whether [Obama] could get the necessary votes. Some advised him to settle. He could still claim victory if he accepted less.

Former Chief of Staff Rahm Emanuel: I regularly told him, “Look, you don’t have to spill this much political blood. You won’t get the health care accomplishment you’re seeking, but you will have something.”

The documentary then goes on to state that his personal experience with his mother’s cancer spurred him forward. “And,” Hanks said, “he remembered the millions of families like his who feel pressure of rising costs and the fear of being denied or dropped from coverage.”

It’s certainly true that after the early 2010 Senate election of Massachusetts Republican Scott Brown, who represented a swing vote denying Democrats the ability to squash a filibuster, the health care law was suddenly very much in the balance. And according to behind-the-scenes accounts of those tense days in the New York Times and Politico, Emanuel offered Obama a face-saving, passable health care plan and a proposal to attack a health care overhaul incrementally. Those stories portray House Speaker Nancy Pelosi — who privately derided the Emanuel plan as “Kiddie Care” — as the “steel in the president’s back” to stick with the push for a comprehensive law.

And Obama ultimately did decide to press forward with a proposal for a comprehensive health care bill.

But for those not as well-versed in the history of the health care debate, it may seem that Obama refused to compromise at all on the health care issue. In fact, he did.

The most high-profile compromise was the decision to drop the controversial “public option,” a federally run insurance plan that would compete with private insurance companies. Obama was a staunch supporter of the public option, touting it as a way to keep insurance companies honest and to control the cost of insurance.

For some who watched the health care battle unfold up close, the film’s account of events is a bit of revisionist history.

“Let’s go back and remember what the general environment was,” said economist Gail Wilensky, who was head of Medicare during the George H.W. Bush administration and is now a senior fellow at Project HOPE, a health training and humanitarian organization.

For most of the health care debate, which started in the House, there was very little compromise because Obama didn’t need to compromise, Wilensky said. There was an overwhelming Democratic majority in the House — which passed a health care law on Nov. 7, 2009, with a public option. A key Senate committee, however, rejected the public option just prior to the House vote — setting up aprotracted intra-party dispute.

When Obama backed off his insistence that the plan include a public option, that was done to appease center-right Democrats, not necessarily to woo Republicans, Wilensky said. And, in fact, no Republicans voted for the final bill.

Nonetheless, Obama acknowledged there was some give-and-take to get the bill passed.

In an interview with PBS’ Jim Lehrer on Dec. 23, 2009, Obama said the bill that was about to pass the Senate included “95 percent” of what he wanted. Later in the interview, he called it “nine-tenths of a loaf.”

“Would I like one of those options [on the health care exchange] to be the public option? Yes,” Obama said. “Do I think that it makes sense, as some have argued, that, without the public option, we dump all these other extraordinary reforms and we say to the 30 million people who don’t have coverage, ‘You know, sorry. We didn’t get exactly what we wanted?’ I don’t think that makes sense.”

Obama was even more blunt when, during an address on health care on March 25, 2010, an audience member asked why the public option wasn’t in the law.

“Because we couldn’t get it through Congress, that’s why,” Obama said.

“Now, I want to just make this point,” Obama continued. “This legislation is not perfect, as you just heard. … But what this is, is a historic step to enshrine the principle that everybody gets health care coverage in this country, every single person.

“And it’s absolutely true — it’s absolutely true this is a middle-of-the-road bill. This isn’t single-payer, which some people wanted. It’s also not what the Republicans were looking for. …”

There were other legislative concessions along the way as well. Obama had initially pushed for a national health care exchange, but the plan ultimately included state-based exchanges. And as part of a compromise, legislators scaled back the proposed “Cadillac tax” on high-cost health plans. Recently, Obama acknowledged that many Democrats were unhappy with the concessions, but, he said, “that’s not how America works. This is a big, messy, tough democracy.”



– by Lori Robertson, Robert Farley and Eugene Kiely

Sources

U.S. Department of Health and Human Services. “At Risk: Pre-Existing Conditions Could Affect 1 in 2 Americans: 129 Million People Could Be Denied Affordable Coverage Without Health Reform.” HealthCare.gov. 18 Jan 2011.

Kaiser Family Foundation and Health Research & Education Trust. “Employer Health Benefits — 2011 Summary of Findings.” 2011.

Robertson, Lori. “FactChecking Health Insurance Premiums.” FactCheck.org. 24 Oct 2011.

A Jump in Health Care Premiums. New York Times, chart. 27 Sep 2011.

The Patient Protection and Affordable Care Act. Thomas.gov, Government Printing Office. 2010.

Stolberg, Sheryl Gay, Zeleny, Jeff and Hulse, Carl. “Health Vote Caps a Journey Back From the Brink.”New York Times. 20 Mar 2010.

Brown, Carrie Budoff and Thrush, Glenn. “Nancy Pelosi steeled White House for health push.” Politico. 20 Mar 2010.

Kaiser Health News. “White House Unveils Revamped Reform Plan, GOP And Industry React.” 22 Feb 2010.

Project Vote Smart. Transcript: Interview with Barack Obama. PBS “NewsHour.” 23 Dec 2009.

Project Vote Smart. Transcript: Remarks by the President on Health Insurance Reform, University of Iowa Field House, Iowa City, Iowa. 25 Mar 2010.

Project Vote Smart. Transcript: Remarks by the President at DNC Event, San Jose, Ca. 26 Sep 2011.




Quoting MomTiara19:



JustCJ
by on Nov. 20, 2012 at 8:00 AM

4&5 Fact what it boils down to, is the government making you eat healthy thus limiting or flat out getting rid of YOUR choices; another thing I can see is the government MAKING you exercise etc etc. No thanks ..'my body, my choice' right?


We are shifting toward prevention.  Preventive services are now free for Medicare and new insurance plans.  For the first time, 

we have a National Prevention Strategy. And the Prevention and Public Health Fund is helping communities launch new programs to 

improve healthy living.

5. People and communities are focusing efforts on preventing disease. $750 million in 2010 and $500 million in 2011 have 

already gone to programs in tobacco cessation, obesity prevention, care coordination, behavioral health, and more in all 50 states.


BoysManDog
by Bronze Member on Nov. 20, 2012 at 8:56 AM

 

The groups with problems such as obesity are also the groups that are already dependent on government programs.  The truth is that wherever the government is involved, problems are worse, not better, and they continue to worsen.  So-called war on poverty, for example?  Do we still have poverty?  Uh, yeah, and more people dependent on the government as a result.  Programs targeted to "single mothers?"  Do we have more single mothers in poverty or fewer?  What about birth control education?  More children born out of wedlock or fewer?  And please show me ONE, just ONE example of a program that the government has touched that has EVER reduced its costs and operated within a budget?  Or a government program that has IMPROVED quality? 

But you Obama sycophants just keeping asking for more and more shared misery.  Trouble is, the rest of us will be dragged down with you.

Quoting JustCJ:

4&5 Fact what it boils down to, is the government making you eat healthy thus limiting or flat out getting rid of YOUR choices; another thing I can see is the government MAKING you exercise etc etc. No thanks ..'my body, my choice' right?


We are shifting toward prevention.  Preventive services are now free for Medicare and new insurance plans.  For the first time, 

we have a National Prevention Strategy. And the Prevention and Public Health Fund is helping communities launch new programs to 

improve healthy living.

5. People and communities are focusing efforts on preventing disease. $750 million in 2010 and $500 million in 2011 have 

already gone to programs in tobacco cessation, obesity prevention, care coordination, behavioral health, and more in all 50 states.

 


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