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Monday, Feb 1 2016

Full Issue

Viewpoints: Health Premiums Bust Wallets; Affordability Of Care, Access To Insurance Go Together

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

Freedom Partners Chamber of Commerce, where I work, has analyzed all publicly available information for health-insurance premiums from healthcare.gov and state insurance departments. It then calculated the weighted averages for all health-insurance plans available on the Affordable Care Act鈥檚 exchanges. The weighted average gives a more accurate view of overall premium increases, because it takes into account each insurance plan鈥檚 market share. The findings: Nationally, premiums for individual health plans increased on average between 2015 and 2016 by 14.9%. (Nathan Nascimento, 1/31)

Blue Cross and Blue Shield of NC is expecting to lose more than $400 million on its first two years of Obamacare business. According to this morning鈥檚 News and Observer, 鈥淭he dramatic deterioration in Blue Cross鈥 ACA business is causing increasing alarm among agents and public health officials.鈥 In response to its bleak experience with the Obamacare exchange, the company has decided to eliminate sales commissions for agents, terminate advertising of Obamacare policies, and stop accepting applications on-line through a web link that provides insurance price quotes鈥揳ll moves calculated to limited Obamacare enrollment. What can we learn from North Carolina鈥檚 experience? (Chris Conover, 1/30)

We shouldn鈥檛 be surprised that health insurance premiums continue to rise at record rates 鈥 by 15-20 percent for many employers and their employees in 2016 alone. Between private insurance, Medicare and Medicaid, the number of insured Americans has grown dramatically to nearly 90 percent of the population. While more people than ever before are seeking health care services since the passage of Obamacare the supply of physicians, hospitals and outpatient treatment facilities has not kept pace. (Ed Michael Reggie and Claudia Campbell, 1/28)

As the third Affordable Care Act (ACA) open enrollment season draws to a close, more than 11 million Americans have signed up for coverage and are enjoying the peace of mind that comes with having health insurance. For that reason, I am proud to have supported the law, but only with continued improvement can we help secure its future success. We now have a system in place where everyone, including those with pre-existing medical conditions, can gain access to coverage. This is transformative given that prior to the ACA, millions of Americans were uninsured. As of last year, the rate of uninsured reached its lowest in decades 鈥 roughly 10 percent according to the National Center for Health Statistics. (Tom Daschle, 1/29)

When the 124-bed StoneSprings Hospital Center opened in December, it became the first new hospital in Loudoun County, Va., in more than a century. That鈥檚 more remarkable than it might at first seem: In the past two decades, Loudoun County, which abuts the Potomac River and includes growing Washington suburbs, has tripled in population. Yet not a single new hospital had opened. Why? One big reason is that StoneSprings had to fight through years of regulatory reviews and court challenges before laying the first brick. (Eric Boehm, 1/29)

Hillary Clinton would be the first woman nominated by a major party. ... The Times editorial board has endorsed her three times for federal office 鈥 twice for Senate and once in the 2008 Democratic presidential primary 鈥 and is doing so again with confidence and enthusiasm. ... Mrs. Clinton鈥檚 main opponent, Senator Bernie Sanders, a self-described Democratic Socialist, has proved to be more formidable than most people, including Mrs. Clinton, anticipated. ... In the end, though, Mr. Sanders does not have the breadth of experience or policy ideas that Mrs. Clinton offers. His boldest proposals 鈥 to break up the banks and to start all over on health care reform with a Medicare-for-all system 鈥 have earned him support among alienated middle-class voters and young people. But his plans for achieving them aren鈥檛 realistic, while Mrs. Clinton has very good, and achievable, proposals in both areas. (1/30)

Gov. John Kasich of Ohio, though a distinct underdog, is the only plausible choice for Republicans tired of the extremism and inexperience on display in this race. And Mr. Kasich is no moderate. As governor, he鈥檚 gone after public-sector unions, fought to limit abortion rights and opposed same-sex marriage. Still, as a veteran of partisan fights and bipartisan deals during nearly two decades in the House, he has been capable of compromise and believes in the ability of government to improve lives. ... While Republicans in Congress tried more than 60 times to kill Obamacare, Mr. Kasich did an end-run around Ohio鈥檚 Republican Legislature to secure a $13 billion Medicaid expansion to cover more people in his state. (1/30)

Republicans have spent nearly six years promising to repeal Obamacare and, for most of that time, they have refused to acknowledge what that would mean for the millions who would lose their health insurance. On Saturday afternoon in Iowa, for at least a few minutes, one Republican couldn't get away with it. (Jonathan Cohn, 1/30)

The arguments we hear today against Medicaid expansion are not new. In 1998, Republican Bill Graves was governor and I was chair of the Senate health committee. States had a similar opportunity from the federal government to expand health coverage for Kansans under the Children鈥檚 Health Insurance Program. Like today, opponents said we should not expand an already burdensome program. However, unlike today, the opportunity was not simply refused, but discussed openly. (Sandy Praeger, 1/31)

Louisiana's high poverty rate is well documented, but what we don't see as clearly is how many people live just above that threshold and struggle to make ends meet on their meager paychecks. Doctors who treat patients without health insurance see it. The kind-hearted people who volunteer at food pantries see it. But there has been little concrete information on the number of Louisianians whose income doesn't cover their most basic expenses. ... Long term, there is a need for more affordable housing, better childcare and broader health care coverage. The Medicaid expansion that Gov. John Bel Edwards approved his first day in office could make a huge difference for the families in the ALICE report. (1/31)

When the FDA approved a drug to reduce the risk of HIV infections in July 2012, gay men rejoiced. If taken daily, Truvada works like a vaccine against HIV, effectively halting its spread. The Centers for Disease Control and Prevention hailed it as an 鈥渋mportant new tool鈥 in the fight against the disease. Slate described it as 鈥渁 miracle drug.鈥 President Obama imagined an 鈥淎IDS-free generation.鈥 It hasn鈥檛 worked out that way. (Richard Morgan, 1/29)

It鈥檚 a monumentally sad story published in today鈥檚 Pioneer Press. He鈥檚 Dejuan Quashon Montgomery, and he鈥檚 probably heading back to prison soon because he stole a 9-year-old girl鈥檚 cellphone while she was standing on a street corner earlier this month talking to her father. You might see it as a crime story. I see it as a health story. The cops, in releasing a photo after the incident, called the thief 鈥渄espicable.鈥 (Bob Collins, 1/29)

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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