The impact of ObamaCare on doctors and patients, companies inside and outside the health sector, and American workers and taxpayers

“I’m sure glad that all the exposure of the activities of the IRS and Lois Lerner have put an end to using the IRS as a tool to attack administration critics. The crisis clearly is over, citizens.
The producer of a new movie that criticizes Obamacare has reportedly become the latest prominent conservative slapped with an IRS audit.”

“President Obama and some of his most ardent media acolytes are insistent. No matter what you may have heard, Obamacare ‘is working’ in the ‘real world.’ That’s the new mantra. Learn it, love it, etc. The Lean Forward network, unsurprisingly, has served as the vanguard of this propaganda push. Their working theory seems to be that if you repeat an assertion often enough to the same tiny audience, you can wish-cast your dreams into reality:”

“Thousands of consumers who were granted a reprieve to keep insurance plans that don’t meet the federal health law’s standards are now learning those plans will be discontinued at year’s end, and they’ll have to choose a new policy, which may cost more.
Cancellations are in the mail to customers from Texas to Alaska in markets where insurers say the policies no longer make business sense. In some states, such as Maryland and Virginia, rules call for the plans’ discontinuations, but in many, federal rules allow the policies to continue into 2017.”

“In 2010, many political analysts and journalists cited the debate over, and enactment of, the Affordable Care Act (often called “Obamacare”) as one factor that helped spark the conservative Tea Party movement and the Republican takeover of the House in that year’s Midterm Elections. Four years later, the law’s major coverage provisions have taken effect, resulting in new health coverage for millions of Americans, but public opinion on the law remains deeply divided along partisan lines, with more viewing it negatively than positively.”

“If Washington is ever going to tackle entitlement reform and get federal spending under control, it must start with Medicare.
The former director of the Congressional Budget Office, Doug Holtz-Eakin, details Medicare’s fiscal plight:
Between 2001 and 2010, Medicare’s cumulative cash flow deficits totaled more than $1.5 trillion – or 28% of the total federal debt over the past decade.
But it gets worse: By 2020, as Baby Boomers continue to age into Medicare at the rate of more than 10,000 a day, Medicare’s cumulative $6.2 trillion in cash flow deficits will constitute 35% of the nation’s total debt accumulation.”

“SEATTLE — As Washington’s health care exchange prepares for its second open enrollment period, officials were still trying to resolve billing and computer problems involving about 1,300 accounts from the previous round of sign-ups.
Exchange officials began with about 24,000 problem accounts that were detected as people started to use their insurance earlier this year.”

“A majority of the state’s voters support extending current health insurance programs to all low-income Californians, including undocumented immigrants, according to a new statewide poll released today.
The poll was commissioned by The California Endowment, a foundation that has been actively working to expand health insurance access to all people, regardless of immigration status. The Affordable Care Act expressly bars undocumented immigrants from receiving any of its benefits, including subsidies to purchase health insurance. (Note: The California Endowment funds some of KHN’s coverage.)”

“Meal, drink, tip … insurance?
Some Los Angeles restaurants are adding a 3 percent surcharge to diners’ tabs in order to cover employees’ health insurance.
The owners of the restaurants deny that the additional charge is a “political statement” about the Affordable Care Act, saying it’s merely a way to provide for their employees.
“We want our staff to have health care,” Josh Loeb, a co-owner of the restaurant Milo & Olive told the Los Angeles Times. “It’s not because we support Obama or don’t support Obama, or are Democrats or are not Democrats.””

“This time last year there seemed to be a new catastrophe or scandal every day related to the roll-out of the Affordable Care Act, a.k.a. ObamaCare: many predicted the federal website would never be up and running by the looming deadline, the cost kept escalating, private contractors publically blamed bumbling bureaucrats and vice versa. Meanwhile, individuals who attempted to sign up ran into technical problems, and there were horror stories about people being told they would be dropped by their current insurance provider despite the fact the president had assured them this would not happen. Confusion was everywhere. Ultimately, key players got fired or resigned in disgrace.
So, where do we stand today, one year later?
That’s what the non-profit Transamerica Center for Health Studies (TCHS) wanted to know.”

“At the heart of Halbig v. Burwell[1] and the series of cases that are following it through the federal court system is an attempt to understand what state and federal legislators were thinking last year, two years ago, even four years ago when the Affordable Care Act (ACA) passed. While many experts and lawyers in this case have hypothesized about Congress’ intent, contrary to the claims of the Government, at least one establishing and one non-establishing state understood the language of the statute to condition subsidies on state establishment of Exchanges when they made their determination on whether to establish an Exchange. Furthermore, this understanding was timely in the chronology of ACA implementation.”