Obamacare

The relentless flow of good news about Obamacare may explain why a growing number of elected Republicans are walking away from the issue.  Two new bits of insurance news suggest progress that backers of reform find quite encouraging. The first explains how governments are competing in the insurance exchanges, simultaneously giving shoppers greater choice and potentially providing profit that can help fund services to indigent Medicaid recipients.  In essence this is the public option that liberals fought hard for, but failed to get into the legislation that was enacted.

The dream standard, which Obamacare does not aspire to meet, is a system that provides any care requested from any provider without worrisome costs.  Such care would include eyeglasses, hearing aids, dental work and unlimited physical and mental therapy, all conveniently available at sites where cost was never a barrier. There is no existing insurance plan in America that provides such a broad menu of services.  While these services may solve real problems, insurance typically limits or excludes them.

The center is holding.  Despite the enormous stresses of responding to a deep, painful recession while awkwardly implementing a long-sought national health insurance program, America’s politics are moving back toward the middle, fueling frustrated responses from fringe elements who see opportunities for fundamental change evaporating. The economy is coming back.  Threats of a government shutdown – or even default – seem to be receding. 

The government shutdown serves no discernible purpose beyond setting a very dangerous stage for competing political interests to try to advance their agendas and, of course, giving the news media and political commentators an urgent issue to cover and interpret. Yet it’s a fascinating time to be a student of political communication.  During these epic battles, we get to analyze rhetorical weapons while they’re still being fired.  We get to take a close look at who’s saying what and how what they’re saying is evolving.  

According to Randall Hagar, director of government relations with the California Psychiatric Association, a state mental health parity bill signed by Gov. Davis in 2000 required insurers to cover the diagnosis and treatment of a range of mental illnesses under “the same terms and conditions applied to other medical conditions.” The intent of the law was to eliminate the disparity in co-pays and higher deductibles.

For the moment, Obama  now has a foil who's making it easier for him to stand up for his health care initiative and outline his budget priorities. And Cruz gets to show that he's first among equals when it comes to opposing anything linked to Obama. Meanwhile, federal employees will be furloughed, any salary that they forfeit won't be spent in a still-fragile economy, and Congress's inability to make a deal will eventually threaten another loss of confidence in the markets.

A strong majority of ethnic voters and young people in California support the Affordable Care Act, according to the results of a new Field Poll. The broad support from ethnic voters and voters under 30 has tipped the scales toward popular support of Obamacare in the state. More than half of all California voters (53 percent) say they support the ACA, although white voters slightly oppose the health care law, with 49 percent opposing and 44 percent supporting.

To buy or pay the penalty? That is the question that will confront many U.S. residents in the coming months, when open enrollment season begins for health insurance coverage, under the terms of the Affordable Care Act (ACA), also known as Obamacare. ACA will be fully implemented on January 1, 2014, when most legal U.S. residents will be required to have “minimum essential health coverage” or make a “shared responsibility payment,” as the Congressional Budget Office puts it in regulations it rolled out last fall.