• Is The Issue Of Health Care Pushing Your Buttons?

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An Uncertain Future For Medicare and Medicaid

From Politico:

The Obama administration could be faced with obligations to spend cash it  doesn’t have.

By J. LESTER FEDER| 7/21/11 10:47 PM EDT

A default scenario is so unthinkable that not too many people have thought about what happens to Medicare and Medicaid if a deal isn’t reached.

One longtime Washington health hand said he had not contemplated the overall picture of what happens after Aug. 2 without a deal because, “I think it’s unlikely, but it’s also kind of [too] horrible” to think about.

But people are getting nervous enough that it’s time to give the issue real thought, said Julius Hobson, former congressional affairs director for the American Medical Association.

“I think up until last week people were buying into that usual, conventional wisdom that they’d get that grand deal, and now they’re being disabused of that notion,” he said.

So what does happen? Does Medicare keep making payments? If Social Security checks continue to go out, will Medicare premiums be withheld? Will states get their Medicaid dollars? (more…)

Is The Individual Insurance Mandate Unconstitutional?

From Politico:

Judges are exploring whether there is precedent in upholding law requiring purchases.         |AP Photo

By JENNIFER HABERKORN | 6/8/11 4:09 PM EDT

ATLANTA — A federal appeals panel asked pointed questions Wednesday about how much of President Barack Obama’s health care law would have to be struck down if they ruled that its individual insurance mandate is unconstitutional.

But the three 11th Circuit Court of Appeals judges also were receptive to the government’s argument that the health care market is different from all others and needs that kind of regulation — giving the law’s supporters some hope that the appeals panel would side with them.

The judges’ questions were mixed enough to give encouragement to both sides in the oral arguments in the multistate lawsuit, the most significant of the legal challenges against Obama’s health care overhaul.

But supporters of the health law cringed as the judges spent a significant amount of time questioning both sides over how much of the law they would have to void if they struck down the most controversial provision at the center of the suit: the requirement to buy insurance. (more…)

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