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Happy Anniversary, Failed-Repeal-Of-Obamacare!

One Year Later:
What if Congress Had Repealed the Affordable Care Act?

For too long, too many hard working Americans paid the price for policies that handed free rein to insurance companies with few protections for patients or providers. Nearly two years ago, President Obama signed health reform – the Affordable Care Act – into law. The law gives hard working families the security they deserve, makes insurance more affordable, ends the worst insurance company abuses and makes preventive care free for millions of Americans and everyone enrolled in Medicare.

One year ago yesterday, on January 19, 2011, the House of Representatives voted to repeal the law, and take us back to the days when insurance companies had the power to decide what care residents of the United States could receive – allowing them to once again deny coverage to children with pre-existing conditions, cancel coverage when people get sick, and place lifetime or low annual dollar limits on the amount of care people can get, even if they need it. What’s more, without the law, insurance companies could overcharge for insurance just to boost their profits.

Here are some of the statistics about what would have happened if Congressional Republicans had succeeded in repealing the Affordable Care Act:

  • 2.5 Million More Uninsured Young Adults. – 2.5 million young adults have been able to stay on their parent’s health insurance thanks to health reform.
  • 2.65 Million Seniors Pay $1.5 Billion More for Prescription Drugs. The Affordable Care Act provides a 50 percent discount on covered brand name prescription drugs for seniors and people with disabilities who hit the donut hole. This discount has saved 2.65 million seniors more than $1.5 billion through October 2011.
  • 24.2 Million Seniors Pay More for Preventive Care. The Affordable Care Act makes preventive care like mammograms and colonoscopies free for everyone with Medicare. Through November 2011, 24.2 million seniors have received free preventive services.
  • 45,000 Americans With Pre-Existing Conditions Remain Uninsured. As of November 2011, the Affordable Care Act’s Pre-Existing Condition Insurance Plan has provided insurance to 45,000 Americans who have been locked out of the insurance marketplace because of a pre-existing condition.
  • Insurance Companies Free to Cap Care for 102 Million Americans. Under the Affordable Care Act, insurance companies cannot drop your care when you get sick, or place a lifetime limit on your care. Today, the 102 million Americans whose health plan included lifetime dollar limits have seen their coverage expanded.
  • Insurance Companies Free to Drop Coverage for up to 15 Million Americans. The Affordable Care Act finally put an end to one of the most abusive practices of the insurance industry: retroactively canceling coverage for a sick patient based on an unintentional mistake in their paperwork. Before the health care law was signed, most of the 15 million people purchasing coverage in the individual market were vulnerable to this policy. Rescission often leaves people suddenly responsible for past expenses and with no coverage to pay for needed care.
  • 41 Million Pay More for Preventive Care. Approximately 41 million Americans are now enrolled in health insurance plans that must provide preventive services without cost sharing thanks to health reform. (more…)

Republicans Lay Groundwork For Healthcare Repeal

From The Los Angeles Times:

Rep. Paul D. Ryan (R-Wis.) and other conservatives have long favored replacing the current healthcare system. (Riccardo S. Savi, WireImage / October 18, 2011)

Seeing a chance to regain power next year, GOP activists are making sure they’re ready to act on a full rollback of President Obama’s overhaul.

By Noam N. Levey

8:45 PM PDT, October 17, 2011

Washington, D.C. – Republican activists, increasingly optimistic they can win the White House and Senate next year, are beginning to lay the groundwork for a multi-pronged campaign in 2013 to roll back President Obama’s sweeping healthcare overhaul.

The push includes an effort to pressure Republican candidates to commit to using every available tool to fully repeal the law, a tactic pioneered by conservative activist Grover Norquist, who made an anti-tax pledge de rigeur for GOP politicians.

Other conservative healthcare experts are developing an alternative to the law, an effort that could protect Republicans from past critiques that their healthcare plans left tens of millions of Americans without medical coverage.

“The window for action comes and goes,” said Tom Miller, a senior fellow at the American Enterprise Institute, one of several conservative groups involved in the effort. “We need to be ready.”

None of the leading Republican presidential candidates has offered a healthcare plan. And conservative experts think the GOP needs a strategy to quickly dismantle the current law and replace it before all Americans are guaranteed insurance coverage under the law.

Some activists are so concerned that Republicans will miss their chance that they are trying to lock GOP candidates into using a controversial parliamentary tactic known as budget reconciliation to circumvent Senate Democratic opposition to repeal. (more…)

Rick Perry’s Snake Oil Cure For Our Sick Healthcare System

From The Huffington Post:

By Wendell Potter

In his quest to win the Republican presidential nomination, Texas Gov. Rick Perry is perpetuating a convincing hoax: that implementing Texas-style tort reform would go a long way toward curing what ails the U.S. health care system.

Like his fellow GOP contenders, Perry consistently denounces “Obamacare” as “a budget-busting, government takeover of healthcare” and “the greatest intrusion on individual freedom in a generation.” He promises to repeal the law if elected.

Unlike those in the “repeal-and-replace” wing of the Republican Party, however, Perry has emerged as leader of the “repeal-and-let-the-states-figure-it-out” wing that believes the federal government has no legitimate role in fixing America’s health care system.

“To hear federal officials tell it, they’ve got all the answers on health care and it’s up to the rest of us to sit, wait and embrace whatever solution — if any — they may eventually provide,” Perry wrote in a newspaper commentary in 2009. “I find this troubling, since states have shown they know a thing or two about solving problems that affect their citizens.”

Even as he points with pride to the alleged benefits of malpractice and other tort reforms that have been enacted during his tenure as governor of Texas, Perry says he is opposed to tort reform at the federal level. He cites the 10th Amendment to the Constitution, which states-rights advocates say limits the role of the federal government.

But if Perry had his way, all the states would do as Texas did in 2003 when lawmakers enacted legislation, which he championed, limiting the amount of money juries can award patients who win malpractice lawsuits against doctors and hospitals. The legislation capped non-economic (pain and suffering) damages at $250,000 in lawsuits against doctors and $750,000 against hospitals. A few months after he signed the bill into law, the state’s voters narrowly passed a constitutional amendment, also endorsed by Perry, which had the same effect. Proponents of the amendment wanted to be sure the new law would be constitutional.

Texas, he wrote in that 2009 commentary “stands as a good example of how smart, responsible policy can help us take major steps toward fixing a damaged medical system, starting with legal reforms.”

As a result of the 2003 tort reform law, malpractice liability insurers reduced their rates in Texas and, according to Perry, the number of doctors applying to practice medicine in the state “skyrocketed.”

He says that in the first five years after tort reform was enacted, 14,498 doctors either returned to practice in Texas or began practicing there for the first time.

That certainly sounds impressive — so long as you look at that number in isolation. But when you look at how Texas stacks up with the rest of the country in terms of physician growth in direct patient care, tort reform appears to have given Texas no leg up in competition with others states for doctors. In fact, according to statistics compiled by the American Medical Association and other physician organizations, Texas has actually lost ground when it comes to the number of doctors practicing in the state since tort reform was enacted. Big time. (more…)

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