ObamaCare’s impact on health costs.

By KELLI KENNEDY
Associated Press
MIAMI — When Olivia Papa signed up for a new health plan last year, her insurance company assigned her to a primary care doctor. The relatively healthy 61-year-old didn’t try to see the doctor until last month, when she and her husband both needed authorization to see separate specialists.
She called the doctor’s office several times without luck.
“They told me that they were not on the plan, they were never on the plan and they’d been trying to get their name off the plan all year,” said Papa, who recently bought a plan from a different insurance company.
It was no better with the next doctor she was assigned. The Naples, Florida, resident said she left a message to make an appointment, “and they never called back.”

On Dec. 24, 2009, the Democratic-controlled Senate passed President Obama’s healthcare law with a filibuster-proof 60-vote majority, triggering a massive backlash that propelled Republicans to control of the House the following year. On the Senate side, going into this year’s midterm elections, 25 senators who voted for Obamacare were already out or not going be part of the new Senate being sworn in next month. After Democratic losses on Nov. 4 and Saturday’s defeat of Sen. Mary Landrieu, D-La., the number has risen to 30. In other words, half of the Senators who voted for Obamacare will not be part of the new Senate.

By Scott Gottlieb Dec. 7, 2014 5:12 p.m. ET
Here’s a dirty little secret about recent attempts to fix ObamaCare. The “reforms,” approved by Senate and House leaders this summer and set to advance in the next Congress, adopt many of the Medicare payment reforms already in the Affordable Care Act. Both favor the consolidation of previously independent doctors into salaried roles inside larger institutions, usually tied to a central hospital, in effect ending independent medical practices.

The case for single payer – Medicare for All

By Jeoffry B. Gordon, M.D., M.P.H.
December 3, 2014

The Patient Protection and Affordable Care Act (ACA) has as its main and overriding purpose the expansion and subsidization of health insurance coverage for many (usually poor and uninsured) Americans who were previously unable to reliably access medical services. Under its auspices, the federal law has provided for health insurance enrollment for 1 million to 3 million additional 19- to 26-year-olds; 6 million new, expanded Medicaid enrollees; and 7.2 million commercial Qualified Health Plan enrollees. Of the latter, about 80 percent qualify for financial subsidy. Taking into account additional factors, e.g. the fact that some of the new enrollees were previously insured, there has been a net gain of about 10 million people who have coverage. Yet even at full expansion, it is estimated that the ACA will not insure another 30 million U.S. residents.

The Supreme Court is more likely to act if Republicans have an alternative bill ready.

Thanks to four justices of the Supreme Court, there is now a clear path to repealing and replacing the Affordable Care Act next year, finally bringing Obamacare to an end.

But Republicans won’t accomplish this by waiting for the court or just voting to repeal the law one more time. The only way they can succeed is by crafting their own replacement — and they need to start right away.

By Jonathan Ingram, Nic Horton and Josh Archambault— Mr. Ingram is Research Director, Mr. Horton Policy Impact Specialist, and Mr. Archambault a Senior Fellow at the Foundation for Government Accountability.

After months of secretly negotiating a backroom deal with the Obama administration, Governor Gary Herbert (R-UT) has finally released (some of) the details of his Obamacare expansion plan. We’ve not hesitated to share our disappointment over Herbert’s recent actions to bring Obamacare to Utah (which has always seemed out of character for him), but we’ve also met with the governor and his chief of staff privately to share our concerns about this welfare program. Sadly, Gov. Herbert continues to move forward with an Obamacare expansion plan that is bad for taxpayers and the truly needy.

Sen. Tom Harkin, one of the coauthors of the Affordable Care Act, now thinks Democrats may have been better off not passing it at all and holding out for a better bill.

The Iowa Democrat who chairs the Senate Health, Education, Labor and Pensions Committee, laments the complexity of legislation the Senate passed five years ago.
He wonders in hindsight whether the law was made overly complicated to satisfy the political concerns of a few Democratic centrists who have since left Congress.

In the 2014 midterm elections, opposition to the Affordable Care Act — i.e., Obamacare — was a clear political winner. That’s obvious from the election results themselves but also from polling that consistently finds that far more of the electorate disapproves of the law than approves of it.

Luke Hilgemann: A few weeks ago, hardly anyone in America had heard of Jonathan Gruber. Now, the Obamacare architect is a household name.

Gruber became a national sensation earlier this month after videos emerged of him detailing how the “Patient Protection and Affordable Care Act” became law. The short version: Its architects, including Gruber, exploited the legislative process to pass a bill that voters never would have supported had they known what it was. In his words: “Call it the stupidity of the American voter or whatever, but basically that was really, really critical for the thing to pass.”

“The Obama administration has admitted to erroneously inflating the count of Exchange enrollees by incorrectly including 380,000 dental subscribers. Instead of 7.1 paid enrollments in the Exchanges as of mid-October, the correct figure should have been only 6.7 million. For the same reason, the reported number of paid enrollments in August should have been only 6.9 million rather than the 7.3 million figure originally reported. It’s a bit disappointing that this goof might never have been discovered but for the investigative efforts of Republican staffers for the House Oversight and Government Reform Committee, using data that took weeks of negotiations to secure from the U.S. Centers for Medicare and Medicaid Services. That said, it’s encouraging to see DHHS Secretary Burwell take the position “The mistake we made is unacceptable. I will be communicating that clearly throughout the department.””