“There’s been a dramatic turnaround in some Democrats’ thinking about Obamacare and the 2014 elections. Where lawmakers once sought to avoid blame for their national health care overhaul, they are now confident, energized and ready to rub the supposed success of Obamacare in their Republican opponents’ faces.”

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“A few months into Obamacare’s coverage expansion, there’s been plenty of debate about where the millions of newly insured have obtained coverage — whether through the law’s exchanges, directly from an insurer, through expanded Medicaid or through an employer. The health-care law’s immediate impact is a little more clear in hospitals, which are starting to report who’s coming through their doors during the first months of expanded coverage under the Affordable Care Act.”

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“An insurer in Washington state selling plans under the Affordable Care Act is proposing to lower customers’ health premiums next year in what appears to be one of the first such decreases proposed for 2015.”

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“In the midst of all the turmoil in health care these days, one thing is becoming clear: No matter what kind of health plan consumers choose, they will find fewer doctors and hospitals in their network — or pay much more for the privilege of going to any provider they want.”

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“Whenever somebody says that an argument is settled, you can be sure that it is not. If it were settled, there would be no need to say so. No president will hold a press conference to announce that the argument over the prohibition of alcohol is settled, precisely because it truly is settled. So when President Obama declared the debate over his health-care law “settled” and “over,” as he did at an April 17 press conference, his performance was self-refuting.”

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“Kyle Cheney of Politico is a solid, straight news reporter. So I was a little surprised this morning to see his analysis of state Obamacare exchange spending features numbers much smaller than the ones I have been using, most notably a figure of $248 million for Oregon and just $57 million for Massachusetts. Total federal grant funding to Oregon’s failed exchange, according to CMS, is $305 million. Massachusetts, according to CMS, is at $179 million. These are huge disparities.”

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“Now, the Obama administration, saying that some rural hospitals have been receiving subsidies they weren’t meant to get, has proposed eliminating a further $2.1 billion in Medicare payments next fiscal year for hospitals designated as providing “crucial access.”

In addition, under the new federal health law, hospitals are losing government subsidies for providing care to the uninsured. The law envisioned that those who couldn’t afford insurance would be covered by an expansion of Medicaid, but two dozen states, including North Carolina, opted not to do so.”

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“Back in November, Republicans honed in on a new line of attack on the Affordable Care Act.

In the midst of the disastrous rollout of the health insurance exchange websites, the GOP not only got to frame Obamacare as broken and impossible to implement, but also leapt at the chance to paint it as a corrupt handout for one of the least popular parts of the health sector – insurance companies.”

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“The chief executive of Hawaii’s largest health insurance company is calling on Hawaii to shut down its beleaguered health insurance exchange, which was set up as part of President Barack Obama’s signature health care law.

Michael Gold, president and CEO of Hawaii Medical Services Association, says the state shouldn’t keep spending money on the Hawaii Health Connector, a system that he says is financially unsustainable and does not work.”

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“Nearly half a billion dollars in federal money has been spent developing four state Obamacare exchanges that are now in shambles — and the final price tag for salvaging them may go sharply higher.
Each of the states — Massachusetts, Oregon, Nevada and Maryland — embraced Obamacare, and each underperformed. All have come under scathing criticism and now face months of uncertainty as they rush to rebuild their systems or transition to the federal exchange.”

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