Morning Briefing
Summaries of health policy coverage from major news organizations
Perspectives On The Technicalities Of Repealing, Replacing Or Repairing The Health Law
All leading Republicans who are committed to repealing all or key parts of the Affordable Care Act (ACA) also emphasize their commitment to maintaining the law鈥檚 most popular part: banning pre-existing condition exclusions and medical underwriting by preserving the ACA鈥檚 (also known as Obamacare) policy of 鈥済uaranteed issue.鈥 But the fine print in Republican proposals betrays that commitment, including legislation filed on January 26 by House Energy and Commerce Committee Chairman Greg Walden (R-OR) threatening health security for tens of millions of Americans. (John McDonough and William Seligman, 2/15)
Try to wrap your head around this possibility: the House Freedom Caucus, the most conservative members of an extremely conservative Republican majority, might be the saviors of the Affordable Care Act. How is such a thing possible? The answer is their devotion to ideological purity, which it turns out may be as disruptive a political force when the GOP is the ruling party as it was when they were the opposition. (Paul Waldman, 2/14)
I hope many people were able to watch the debate that CNN hosted last week between U.S. Sens. Bernie Sanders and Ted Cruz. They spent over an hour fielding questions from spectators and moderators about the present and future of health care in the United States. Sen. Cruz provided a couple misleading answers and suggestions that I believe are worth clarifying. First, he stated that his primary goal in repealing the Affordable Care Act was to remove government from the equation so that health care would be back in the hands of patients and their physicians. As appealing as he makes it sound, removing government-funded insurance would hardly make a dent in the amount of autonomy patients and their physicians have over their health care. (Jonathan Mizrahi, 2/15)
The Essential Health Benefits (EHB) rule may be among the many parts of the Affordable Care Act (ACA) that are on the chopping block as the Trump Administration and Congress seek to repeal and replace the law. Essential Health Benefits, which define what health care benefits plans in the Marketplaces and certain other health plans must cover, go to the heart of what it means to have health insurance and what health care we, as a society, want to ensure people can access. (Ian Spatz and Michael Kolber, 2/14)
A video of me聽questioning Rep. Diane Black (R-Tenn.) about how her party will replace the Affordable Care Act went viral last Friday. I had gone to her town hall meeting on Thursday near my home to ask what the poor and sick would do once they鈥檙e left without the law鈥檚 protections. The next night,聽I had the really weird experience of seeing myself on national television, and the even weirder experience of hearing and reading other people鈥檚 interpretation of my own words. My town hall question has been described as a 鈥淐hristian defense of Obamacare鈥 and 鈥渁n聽impassioned case聽for the ACA鈥檚 individual mandate.鈥 (Jessi Bohon, 2/15)
The new administration and Congress are under intense pressure to craft a market-based alternative to the Affordable Care Act. It won鈥檛 be easy. To achieve the financial stability required to make the market work, reformers should heed some important lessons from California. (Leonard Schaeffer and Dana Goldman, 2/14)
In the midst of the tumult that now grips Washington, it is easy to forget that President Trump has yet to send Congress either a budget or a single piece of legislation. When he does, some longstanding tensions within the Republican coalition are likely to occupy center stage. (William A. Galston, 2/14)
AARP believes Medicare is a deal with the American people that must not be broken. That鈥檚 why we will oppose proposals in Congress to turn Medicare into a voucher system, which would drive up costs for current and future retirees and erode protections that Americans have earned through a lifetime of hard work and taxes. Unfortunately, in a short-sighted attempt to save money vouchers are being promoted on Capitol Hill as an answer to rising costs. (David Holmquist, 2/15)
With all eyes focused on the nation鈥檚 health-care system, our leaders have an opportunity to put the health and future of America鈥檚 children first. Congress should consider building a tailor-made national health-care plan just for children. Just as we created Medicare for the elderly, we need an approach to pediatric health care that not only provides coverage to every child but also ensures adequate funding for essential services that meet child-specific needs. (Kurt Newman, 2/14)
The conceit that the five major commercial health insurers will consolidate to three seems to be dissolving, as four of those insurers called off a pair of mega-mergers on Tuesday. The immediate reasons were legal objections, but perhaps this retreat is a sign of hope for insurance markets. (2/14)