Healthcare Reform
AAPS News April 2015 - Making Disaster Bipartisan
AAPS News April 2015 - Making Disaster Bipartisan
Volume 71, no. 4 April 2015 When it appears that Democrats have lost the battle to socialize medicine, the Republicans ride to their rescue. ClintonCare was defeated in Congress when people found out what was in it and who was behind it. Then the Republican Congress, which was elected largely because of opposition to ClintonCare, enacted the Health Insurance Portability and Accountability Act (HIPAA), with much of its wording imported directly from the Clinton Plan. Saying “HIPAA” generally refers to the rule-laden pretense of protecting privacy, but the law also incorporates the criminalization of medicine (especially errors in medical billing)... read more
Is ACA Too Coercive? Supreme Court Ponders
Is ACA Too Coercive? Supreme Court Ponders
This Week's Health Policy News Roundup Curated by Jane M. Orient, M.D. If the Affordable Care Act (ACA or ObamaCare) really means what it plainly says—that premiums for Exchange plans are only available on state-created Exchanges, would that “incentive” be too coercive, and thus violate federalism, asked Justice Kennedy during oral argument on King v. Burwell. If that would make ACA unconstitutional, then can the Court rewrite it so everybody can get subsidies? And if resulting adverse selection and higher premiums would be a disastrous, chaotic, punitive result, asks Avik Roy, are the insurance markets of today, imposed by Obamacare,... read more
Health Policy Legislative Update 3/13/2015
Health Policy Legislative Update 3/13/2015
Marilyn Singleton, MD, JD summaries health care related bills introduce in the last week of February 2015. Affordable Care Act Congress is still putting forth piecemeal legislation to derail or “improve” the Affordable Care Act. On February 23, 2015, S. 531, Removing Limitations on Insurance Effectiveness and Flexibility Act of 2015 (the “ReLIEF Act) was introduced by Sen. Jeff Flake (R-AZ) and referred to the Senate Finance Committee. The bill would permit health insurance issuers to offer additional plan options to individuals and allow catastrophic plans to satisfy the individual mandate requirement. Full text: https://www.govtrack.us/congress/bills/114/s531/text. On February 27, 2015, H.R.... read more
What Will Happen If Supreme Court Cuts ObamaCare Subsidies?
What Will Happen If Supreme Court Cuts ObamaCare Subsidies?
By Jane M. Orient, M.D. The Obama Administration was apparently shocked when the U.S. Supreme Court agreed to hear the case of King v. Burwell, which challenges insurance subsidies flowing through federal Exchanges. The Affordable Care Act (ACA) clearly states that subsidies flow only through Exchanges established by States. This, according to MIT economist Jonathan Gruber, was meant to be a deal the States couldn’t refuse, to “encourage” them to create an Exchange. But more than 30 of them did refuse. The Administration, however, had a ready fix: the IRS just wrote a rule that allows the subsidies to flow... read more
AAPS News March 2015 - ObamaCare Bypass
AAPS News March 2015 - ObamaCare Bypass
Volume 71, no. 3 The new Republican-controlled Congress has passed yet another symbolic bill to repeal the Affordable Care Act (ACA), although many say that it can’t really be repealed until 2017, with a Republican in the White House. Obama is protecting his legacy: a “signature” bill that is hated by the majority of Americans, which is becoming more entrenched and doing more damage every day. Potentially good, possibly unintended consequences of ACA include severing the link between employment and medical insurance, the cause of much of the problem of pre-existing conditions. Unfortunately, many will switch to dependency on bankrupt... read more
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