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Morning Briefing

Summaries of health policy coverage from major news organizations

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Tuesday, Nov 18 2014

Full Issue

Viewpoints: ACA Obstacles And Reality Checks; Impolitic Comments, Transparency And IPAB

A selection of opinions on health care from around the country.

Despite the bad publicity surrounding the health-care overhaul, most Americans who have received coverage through the government鈥檚 exchanges report being happy with it. More than seven in 10 newly insured Americans rate both the quality of their health care and their coverage 鈥渆xcellent鈥 or 鈥済ood,鈥 according to a new Gallup poll. That鈥檚 about in line with the ratings that insured Americans overall give their health insurance. When it comes to the costs of their coverage, people newly insured through Obamacare are actually more satisfied than the general population of insured people. ... All of this makes me wonder if Obamacare will eventually follow the same political arc as Medicare: fiercely opposed by conservatives until they realize people really like it, leading both parties to become champions of its expansion. (Catherine Rampell, 11/17)

Hatred of the ACA is inextricably entwined with hatred of Barack Obama. When Obama leaves office in January 2017, the fire of that hatred will begin to cool. ... it will increasingly become indistinguishable from the broader health care landscape. Without Obama making Republicans newly angry each and every day, instead of everything in the health care system being Obamacare, it鈥檒l just be the health care system, with strengths and weaknesses that might or might not require legislation to address. (Paul Waldman, 11/17)

Enrollment opened for the second year of Obamacare this weekend, and so far we know two things. First, the software works a whole lot better than it did last year. And second, the major markets generally have at least one silver plan that's not much more expensive than the lowest-cost silver plan from 2014. This is undoubtedly major progress. What we still don't know is what people will actually be paying. (Meghan McArdle, 11/17)

As Obamacare's second-ever enrollment period gets underway, the program has a big cheerleader in Silicon Valley: the chief executive of Uber, the ambitious ridesharing company that lets private car owners overnight become professional drivers. Travis Kalanick, also a co-founder of Uber, said the health-care law has been "huge" for his business. By creating a functioning individual market for health insurance, people have more flexibility to pursue the jobs they want, Kalanick said. (Jason Millman, 11/17)

Expanding Medicaid may be anathema to Texas political leaders. For hospitals, though, it would be a godsend. (Jim Landers, 11/17)

The administration faced a political firestorm last week, when videos emerged featuring MIT professor鈥攁nd paid Obamacare consultant鈥擩onathan Gruber making comments on 鈥渢he stupidity of the American voter,鈥 and claiming that only a deliberately opaque and deceptive process was essential to the law鈥檚 enactment. But the administration may soon face a policy controversy as well鈥攆or the law features a board that can operate in nontransparent ways, and which will empower technocrats like Mr. Gruber himself. ... Designed to control health spending, the [Independent Payment Advisory Board] of 15 experts鈥攏ominated by the president, based in part on suggestions from congressional leaders, and confirmed by the Senate鈥攚ill have the power to make binding rulings to slow the growth in Medicare outlays. (Chris Jacobs, 11/17)

Jonathan Gruber, a health economist at the Massachusetts Institute of Technology, is a strong supporter of health care reform. But his careless comments at academic forums last year, caught on videotapes that surfaced recently, can only harm the reform cause. Mr. Gruber said in one comment that the Affordable Care Act relied on a 鈥渓ack of transparency鈥 and the 鈥渟tupidity of the American voter鈥 to gain passage. He said in another comment that the 鈥淐adillac tax鈥 on expensive employer-provided health insurance passed only because voters were 鈥渢oo stupid to understand it.鈥 Both comments are doubly offensive. First, they insult ordinary Americans. And they鈥檙e largely wrong. (11/17)

Democrats are desperately distancing themselves from Obamacare architect Jonathan Gruber. He 鈥渘ever worked on our staff,鈥 President Obama said this weekend in Brisbane, Australia, (even though Gruber was paid almost $400,000 by his administration, is the intellectual author of the individual mandate and met in the Oval Office with Obama and the head of the Congressional Budget Office to pore over the bill). 鈥淚 don鈥檛 know who he is,鈥 Nancy Pelosi declared on Capitol Hill (even though she repeatedly cited him by name during the Obamacare debate). The reason Democrats are running from Gruber is the same reason conservatives should be thanking him: Gruber has exposed what liberals really think of the American people. (Marc A. Thiessen, 11/17)

Liberia's President Ellen Johnson Sirleaf announced Thursday that she would not extend her country's state of emergency, citing progress in the Ebola fight. Liberia is winning because they take the threat seriously, right down to the level of bus coin boxes. The Obama administration's priority has been less seriousness .... "America in the end is not defined by fear," the president said in October. "That's not who we are." He has opposed quarantine measures ... and the White House arranged a photo opportunity of the president hugging recovered nurse Nina Pham. The message strategy promotes the idea that Ebola is hard to catch and relatively easy to control. (James S. Robbins, 11/17)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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