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ashoup
In News, Administration, Stories

This Week in the War on Health Care

While foreign policy again dominated the headlines, Republicans continued their unprecedented assault on the American health care system. Here’s what happened this week in the war on health care, plus six new polls underscoring opposition to the GOP health care agenda and a speech not to miss:

CBO CONFIRMS: GOP SABOTAGE IS RAISING COSTS, REDUCING COVERAGE

Yesterday, the nonpartisan Congressional Budget Office released a report detailing the higher costs Americans are facing due to the GOP’s repeal and sabotage campaign. It found that premiums will be going up double-digits and 5 million more Americans than originally anticipated will lose health insurance, and these negative consequences are happening because of Republicans’ actions:

Washington Post: “The reality is Republicans leading both chambers and the White House have acted in ways that could trigger the rise of premiums.”

CNN: “Congress eliminated the penalty associated with Obamacare’s individual mandate as part of its tax reform package last year. This change alone will cause premiums to be 10% higher.”

CNBC: “The CBO also projects about 5 million more people under the age of 65 will be uninsured in 2027 than it estimated in September, up to a total of 35 million people.”

Axios: “Insurance premiums tend to go up every year, but the magnitude of these increases stems largely from the repeal of the ACA’s individual mandate, the expansion of skimpy short-term plans, and the decision last year to cut off the law’s cost-sharing payments.”

Bloomberg: “One reason for the rising premiums is the actions of President Donald Trump.”

RIGHT-WING GROUPS’ BIG NEW IDEA ON HEALTH REPEAL: LET’S KEEP DIGGING

This week, four right-wing groups urged Congressional Republicans to revive Graham-Cassidy, the GOP’s worst repeal bill. These right-wing groups are counting on Republicans to ignore the will of the American people and amp up attacks on Medicaid and the Affordable Care Act. This time, they want an even more destructive bill – one that would slash Medicaid, repeal expansion, and decimate the insurance markets, all while giving insurance and pharmaceutical companies even bigger tax breaks.

It’s time for Jim DeMint and his cronies to get another hobby and give up their obsession with taking away our care.

TRUMP PUTS ADMINISTRATION BETWEEN WOMEN AND THEIR DOCTORS

This week, the Trump Administration dramatically accelerated its attacks on women’s care with new regulations released ahead of the President’s speech at an anti-women’s-health gala. This rule puts Donald Trump between women and their doctors and signals a new phase in the Republican war on women’s health. By banning providers from giving women all the facts about their options and restricting them from getting any services at all from Planned Parenthood and other essential community health providers, this rule is designed to threaten women’s health and restrict access to care.

The Trump Administration continues to pursue a radical anti-women’s health agenda, but this week’s proposal will only strengthen the resolve of the millions of women who have been marching against these attacks since Day One.

FAR FROM FACTUAL: SEN. ALEXANDER LIES, AGAIN

On Tuesday, Sen. Lamar Alexander (R-TN) published a comicaly-inaccurate letter to the editor in a last-ditch attempt to duck responsibility for the pain he’s causing American families, the latest example of the Senator’s misleading the public about health care. What did he lie about?

LIE 1: That efforts to stabilize health care markets failed because of Democrats. Republican poison pills on reproductive rights are what killed those efforts – full stop. Democrats continue to make overtures to Alexander on stabilization, but in a letter to lobbyists, he unilaterally declared he was walking away from the negotiating table.

LIE 2: That repealing the Affordable Care Act would have made matters better for anyone. In fact, millions of Americans would have lost their coverage, millions more with pre-existing conditions would have faced discrimination from insurance companies, and premiums would have soared.

LIE 3: That he is a moderate, reasonable, or thoughtful voice on health care. Sen. Alexander’s first priority is always repeal, making him no different from far-right Republicans like the Freedom Caucus or the Koch Brothers.

After this spring’s stabilization farce, Sen. Alexander has spent his last shreds of bipartisan credibility, and his letter indicates people in Tennessee are finally noticing.

TRUMP DRUG ‘PLAN’ COULD PUNISH SENIORS WITH CANCER

Also this week, new research from Avalere and a CBS News investigation exposed the dangers seniors with cancer could face under the Trump Administration’s drug pricing blueprint.

In the simplest terms, this Administration has no answers on how its proposed changes to Medicare would protect seniors from prohibitively high out-of-pocket costs for specialized cancer treatment, and these findings are more proof the Trump Administration’s drug pricing ‘plan’ is a day late and a dollar short. Americans are already worried enough about rising health care costs – the Trump Administration adding to that list by finding new ways to make care more expensive is absurd. In fact…

BATTLEGROUND POLLS FIND VOTERS BLAME REPUBLICANS FOR PREMIUM HIKES

Six new Public Policy Polling surveys in battleground states found that voters are not only blaming Republicans for the expected health care premium increases this summer by 30 points, but they also believe Republicans and President Trump are actively undermining and sabotaging the ACA.

  • In Arizona, 55% of voters will hold Republicans in Washington responsible if rates increase, and 49% believe Washington Republicans and President Trump have been trying to undermine and sabotage the Affordable Care Act, including 57% of independent voters.
  • In Indiana, 49% of voters will hold Republicans in Washington responsible if rates increase, and 48% believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 48% of independent voters.
  • In Missouri, 59% of voters will hold Republicans in Washington responsible if rates increase, and a plurality (47%) say they believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 50% of independent voters.
  • In Montana, 55% of voters will hold Republicans in Washington responsible if rates increase, and a plurality (47%) say they believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 52% of independent voters.
  • In Nevada, 56% of voters will hold Republicans in Washington responsible if rates increase, and 55% say they believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 59% of voters.
  • In Wisconsin, 59% of voters will hold Republicans in Washington responsible if rates increase, and 53% say they believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 50% of  independent voters.

Perhaps someone should show these polls to Jim DeMint.

SEN. MURPHY FLOOR ADDRESS CALLS OUT REPUBLICAN RATE HIKES

Yesterday, Senator Chris Murphy (D-CT) took to the Senate floor to once again call out the GOP’s repeal and sabotage campaign and its effects on Americans’ premiums. As Sen. Murphy said:

“CBO has told you that the repeal of the individual mandate is going to jump premiums by 10%… But because of the actions that were taken here and because of many of the actions undertaken by this Congress, we’re looking at a double-digit increase… So Senate Democrats are going to be down on the floor pretty relentlessly over the course of the next few months to make people understand that as you are getting your health insurance bills, as you are seeing these big increases, a big reason why are the actions that your elected leaders have taken, this Republican Congress and this Administration…

“As I walked across the state of Connecticut last summer, something that I’ve come to do the last few years – I take about five or six days and I walk from one side of the state to the other – health care was the dominant theme. People were waiting for me miles ahead on the road having seen news that I was in a certain town earlier in the day. They waited ahead of me for hours and hours to talk to me about their illness and about their fear that this congress and this President were going to take away their coverage.

“We were successful in defeating the full repeal of the Affordable Care Act. And that’s great news because the Affordable Care Act is more popular than ever before. But this Congress and this President are trying to ruin some of the most important protections in our health care system because they’re mad that they lost the repeal vote by one vote. And so it’s important for us to tell Americans what the consequences of that sabotage campaign are. It certainly means that sick people are going to get less protection, but it also means that over the course of the next few months, as rates are filed across the country, you are going to see some devastatingly high premium increases due to the Republican campaign of health care sabotage. This week, 14% in Oregon. Last week or the week before, 91% in Maryland. 64% in Virginia. This is what happens when you strike blows at the American health care system, and it’s important for Americans to understand what’s happening. With that, Mr. President, I’d yield.”

We couldn’t have said it better ourselves!

ashoup
In News, Stories

Research Roundup: Studies Show Better Health Care Outcomes, Stronger Household Finances Thanks to Affordable Care Act & Medicaid Expansion

Six new studies highlight the positive impact of the Affordable Care Act is having on health care in America. Three outcomes-focused studies show clear improvements in care for gynecological cancer, head and neck cancer, and serious psychological distress, while two Medicaid Expansion studies find that expanded coverage leads to lower out-of-pocket costs and stabler household finances. Meanwhile, health care reform has entirely closed the demographic coverage gap between Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) and white Americans.

This new research joins a growing body of work that leads to a simple conclusion: the Affordable Care Act provides measurable benefits for Americans’ health and financial well-being. Here’s a look at the six studies:

Effects of the Affordable Care Act on Young Women With Gynecologic Cancers [Obstetrics & Gynecology, 5/7/18]

This study finds that the ACA’s expansion of access of coverage allowed more young women to catch gynecologic cancer early, improving the likelihood of successful treatment.

  • The study examined nearly 4,000 cases of gynecologic cancer among 21-26-year-old-women and more than 20,000 cases among 27-35-year-old women, comparing those which came about before the ACA and those after its implementation, finding that those with access were more likely to be treated.
  • The study found that prior to the ACA just one in three women between the ages of 19 and 26 were insured, but after its implementation, more than nearly four in five women were covered, helping to account for the diagnoses.
  • The report concluded that, “Young women with gynecologic cancer were more likely to be insured and diagnosed at an early stage of disease.”
  • “This study adds to the evidence of the positive effects of improved coverage through the ACA on young women’s healthcare costs and choices,” noted Dr. Laura Havrilesky, a gynecologist at the Duke University Medical Center, in an editorial published in accordance with the findings.

Changes in Health Insurance Coverage and Barriers to Health Care Access Among Individuals with Serious Psychological Distress Following the Affordable Care Act [Administration and Policy in Mental Health and Mental Health Services Research, 5/12/18]

This study examined mental health outcomes in accordance with the Affordable Care Act, concluding that the ACA has led to better coverage outcomes and increased affordability for non-elderly adults with serious psychological distress (SPD).

  • Examining non-elderly adults with SPD from 2014-2016, the study’s authors found that these adults saw increased coverage and a reduction in the delaying or foregoing of necessary care due to the ACA, and that the law “reduced the odds of an individual with SPD not being able to afford mental health care.”
  • As the study’s authors note, “Mental health care access among racial and ethnic minority populations and people with low income has improved during 2014–2016,” something almost certainly attributable, at least in part, to the ACA

ACA Decreased Non-Insurance Rates Among Patients With Head and Neck Cancer [American Head & Neck Society, 4/19/18]

Another new study finds that in states that expanded Medicaid, patients with head and neck cancer had better health care access.

  • The study analyzed more than 89,000 patients, finding higher coverage rates among both Medicaid enrollees and private insurance, as well as an uninsured rate among diagnoses which decreased nearly 50% after January 2014, in states which expanded Medicaid.
  • The study found that those lacking coverage had an overall survival rate of just 49% compared to 63% among those insured, as well as a a 5-year disease-specific survival rate of just 57% compared to 72% among those insured.

The Effect of the Affordable Care Act Medicaid Expansions on Financial Wellbeing [Journal of Public Economics, 5/7/18]

Another study compiled by employees of the Federal Reserve Bank of Chicago and the University of Illinois, University of Michigan, and Northwestern University found that low-income residents saw better financial outcomes in states which expanded Medicaid.

  • Using credit reporting agency data, the researchers compared the financial outcomes among low-income adults in states which expanded Medicaid and those which did not, determining that Medicaid expansion “significantly reduced d the number of unpaid bills and the amount of debt sent to third-party collection agencies among those residing in zip codes with the highest share of low-income, uninsured individuals.”
  • The study found that Medicaid expansion lowered unpaid balances in collections “by between $65 and $88,” while Medicaid enrollees saw their amount of unpaid balances in collections decrease “by approximately $1,140.”
  • As the authors note: “Our findings suggest that the ACA Medicaid expansions had important financial impacts beyond increasing health care use.”

The Effect of ACA State Medicaid Expansions on Medical Out-of-Pocket Expenditures [Medical Care Research and Review, 5/10/18]

A new analysis from the University of Michigan’s Institute for Social Research finds that Medicaid expansion lowered out-of-pocket medical expenses.

  • The study, conducted by Joelle Abramowitz of the Institute of Social Research, analyzed data from the Current Population Survey Annual Social and Economic Supplement between 2011-2016, finding that those in states which expanded Medicaid saw their medical spending decreases, due to fewer premiums and reduced out-of-pocket medical expenses.
  • The study’s findings “suggest that the expansions were associated with a relatively larger likelihood of having zero premium expenditures and of having zero nonpremium medical out-of-pocket expenditures for low-income individuals,” as well as suggest “that the expansions were effective in reducing medical out-of-pocket expenditures.”

Health Insurance for Asian Americans, Native Hawaiians, and Pacific Islanders Under the Affordable Care Act [JAMA Internal Medicine, 4/30/18]

Researchers from the Harvard T.H. Chan School of Public Health analyzed the impact of the Affordable Care Act on coverage among Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs), finding that the ACA closed the uninsured rate gap between AANHPIs and white Americans.

  • Using data from the American Community Survey, the researchers examined the uninsured rate among AANHPIs prior to the ACA and after its implementation, the first study of its kind, finding that unlike other minority groups which saw a decrease in the coverage gap between themselves and white Americans, the coverage gap among AANHPIS was eliminated.
  • Overall, the uninsured rate among AANHPIs dropped 7.3% following the ACA. Among the subgroups of AANHPIs, all saw significant drops: 14.3% among Guamanian or Chamorro, 6.5% among Samoan, and 4.9% among Native Hawaiians, as well as 5.9% among other AANHPIs.
  • “The notable gains in health insurance coverage for AANHPI groups represent valued progress toward health equity,” said senior author Howard Koh, the Harvey V. Fineberg Professor of the Practice of Public Health Leadership at Harvard Chan School and Harvard Kennedy School.
ashoup
In News, Administration, Stories

Susan Collins & Seema Verma Had Their Chance to Lower Rates & They Blew It

Washington, D.C. – After Senator Susan Collins (R-Maine) bragged about discussing rising premiums with Centers for Medicare & Medicaid Administrator Seema Verma, Protect Our Care Campaign Director Campaign Chair Leslie Dach released the following statement:

“Senator Collins talking to Administrator Verma about Republican rate hikes is about as much help to working families as two foxes chatting in front of a chicken coop. Senator Collins’ ‘plan’ for lowering premiums was to vote for a TrumpTax bill that raised them by double digits, while Administrator Verma’s ‘plan’ is to sell junk insurance that doesn’t cover essential medical care and allows companies to once again discriminate against people with pre-existing conditions. Last fall, Senator Collins had a clear opportunity to tackle rising premiums, and she missed the boat. She could have voted against the GOP tax bill and kept her promise to pass a bipartisan market stabilization package to undo some of the Trump Administration’s own sabotage. Instead, she did neither. Senator Collins and Seema Verma can discuss rising premiums until the cows come home, but in fact, it’s their policies that got us into this mess in the first place.”

ashoup
In News, Administration, Stories

Maryland Insurance Companies, Citing Trump Health Care Sabotage, Plan to Raise Rates Again this Fall

Washington, D.C. – As preliminary Maryland rate filings for 2019 individual-market health insurance indicated a potential double-digit average premium increase due to Washington Republicans’ repeal-and-sabotage agenda, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“For the past year and a half, President Trump and his Republican allies in Congress have engaged in a deliberate, aggressive campaign to undermine health care and now families in Maryland are being asked to pay the price. While insurance companies make huge profits and enjoy record tax breaks from Republicans, they are planning to charge working families even more. Until we stop Republicans’ war on health care, health care experts predict that rates will keep rising by double digits. Washington Republicans should start working on bipartisan solutions to make coverage more affordable, instead of helping their friends in the insurance industry make another buck on the backs of hardworking Marylanders.”

From the Insurers:

Kaiser Permanente: Proposed Rates Reflect “The Impact Of Eliminating The Individual Mandate Penalty.” “Kaiser Permanente’s proposed 2019 rates for Maryland Health Insurance Exchange members represent our efforts to ensure we can sustain and deliver high-quality health care for all our members over the long term.” the insurer said in a statement. “These proposed rates reflect the expected costs of providing coverage for these members, including the impact of eliminating the individual mandate penalty.” [Baltimore Sun, 5/7]

Why Marylanders’ Insurance Is Getting Even More Expensive: The Trump Administration and Washington Republicans Keep Sabotaging Health Care

While spending most of last year trying to repeal the Affordable Care Act (ACA) and waging a war on our health care, President Trump and Republicans in Congress have also used their control of Washington to actively undermine the Health Insurance Marketplaces every chance they get – leading insurance companies to raise premiums for 2018 and 2019 and, in some cases, forcing them out of the individual market altogether. Washington Republicans’ goal is simple: sabotage and undermine the Affordable Care Act, then blame everyone but themselves for the consequences of their actions. President Trump keeps rooting for disaster, saying that “The best thing we can do…is let Obamacare explode” and “Let it be a disaster because we can blame that on the Democrats.”

Now, initial rate filings in Maryland forecast double-digit rate hikes again this fall because of Republican sabotage.

Republicans never ended their war on our health care. After Congress failed to repeal the Affordable Care Act, the Trump Administration is aggressively sabotaging our health care system and refusing to work to make coverage better and more affordable.

  • Experts from AARP, the Congressional Budget Office, and a wide range of other nonpartisan organizations agree that Republican actions are forcing up health care costs.
  • Republicans in Congress are supporting the Administration’s many actions to undermine health care, despite widespread opposition from patient and disease groups, doctors, nurses, hospitals, plus health care and consumer advocates.
  • The Trump Administration officials keep rewriting the rules to let big insurance companies cover fewer and fewer services while charging people more and more. The sabotage doesn’t stop there: last year the Administration fired many of the community assisters who help people enroll in health care; this year they are planning more enrollment cuts, making it even harder to sign up for coverage.
  • And now, Republicans are encouraging insurance companies to sell more junk plans that don’t have to cover basic care like hospitalization and prescription drugs, and that are allowed to charge people with pre-existing conditions more or even deny them coverage altogether. In Maryland, no short-term plans available have to cover maternity care, and only 0 percent of plans cover prescription drugs.

This could have been avoided: if Republicans had stopped sabotaging health care, American families wouldn’t be facing another huge increase this fall.

  • Even the Trump Administration has admitted that the Affordable Care Act’s insurance marketplaces had been stabilizing prior to them coming into office.
  • The nonpartisan Congressional Budget Office had predicted only modest rate increases if Republicans hadn’t sabotaged the markets.
  • Even Senate Republicans admitted this fall’s upcoming rate hikes were “avoidable,” but then they torched bipartisan stabilization talks at the last minute, prioritizing partisan politics over their last opportunity to help American families afford health care next year.

Despite Republican Sabotage, the Affordable Care Act Has Improved Marylanders’ Care.

  • 153,584 Marylanders signed up for Marketplace coverage this year.
  • Thanks to the Marketplace and Medicaid expansion, Maryland’s uninsured rate fell by 6 percent between 2013 and 2016 as Marylanders have gained access to affordable coverage.
  • Before today’s announcement, the Urban Institute predicted that Maryland premiums for 2019 could rise 18.4 percent more because of the Trump Administration’s junk plan proposal and the Republican tax bill’s repeal of a key Affordable Care Act coverage incentive.
  • Even despite sabotage, Affordable Care Act subsidies help keep coverage affordable for 79 percent of Maryland Marketplace consumers, whose average 2018 premium is $131 per month.
  • But because of the Republican sabotage agenda, many middle-income Marylanders could pay hundreds or thousands of dollars more than they would have otherwise.

The Trump Administration’s sabotage will punish Americans by jacking up premiums again, compounding the damage done last year, when Republican sabotage pushed rates up by a national average of 37%.

  • The Republican tax bill’s repeal of a key Affordable Care Act provision and the Trump Administration’s junk plan proposal will increase individual market premiums in Maryland by an average 18.4 percent this fall, according to a recent Urban Institute study.
  • This sabotage-driven rate hike will make the damage Republicans inflicted last year through repeal attempts and sabotage even worse.
  • Higher premiums will mean fewer working families can afford coverage: during the first year of the Trump Administration, millions more Americans joined the ranks of the uninsured – the highest increase since Gallup started tracking the uninsured rate.

KEY QUOTES

America’s Health Insurance Plans: Republican Sabotage Will “Drive Up The Rate Of Premium Increases. “Policies that disproportionately draw healthy consumers away from the individual market, like expanding access to short-term plans, will likely have an even more devastating effect on affordability, choice and competition. This will further result in adverse selection, drive up the rate of premium increases, and exacerbate affordability issues for many other people.” [America’s Health Insurance Plans Letter to HHS, 4/20/18]

CEO of CareFirst Blue Cross Blue Shield: Things Are “Materially Worse” Under Trump. “Continuing actions on the part of the administration to systematically undermine the market and make it almost impossible to carry out the mission…If continued efforts at the federal level undermine the marketplaces, I would think the board would have to examine what they would want — that’s very much on their mind.” [Washington Post, 5/1/18]

Horizon Blue Cross Blue Shield of New Jersey: 2018 Premium Increase Was Due To Federal Policy. “Three factors connected to federal policy decisions are responsible for 14.7% of the 24.3% total average individual premium increase: Weakened enforcement of the Individual Mandate…Elimination of federal funding for Cost Sharing Reductions (CSR), [and] 2018 reinstatement of Health Insurance Tax…Were it not for the three factors within the control of the Federal Government, Horizon BCBSNJ’s individual premiums would have an average increase of 9.6%.” [Horizon Blue Cross Blue Shield of New Jersey, 10/17/17]

Lindsey Graham: Republicans “Own The Outcome” On Health Care. “Sen. Graham told Breitbart News, ‘In October, premiums are going up. Obamacare cannot be fixed. It’s going to continue to collapse, and then, we own the outcome. By repealing the individual mandate, which is a step forward in the eyes of the public, we own the issue. We have a responsibility to do something about the collapsing Obamacare system. I believe that we’re going to get blamed more than Democrats because we stopped trying to repeal Obamacare, and to suggest that we don’t own it is just simply politically naive.’ Graham continued, ‘It can hurt us in 2018. It can hurt by our base feeling like we betrayed them. It can hurt us from people suffering from Obamacare, like we don’t have a solution. It will energize Democrats. It can undercut everything we did on the tax cut side.’” [Breitbart, 2/6/18]

Rep. Charlie Dent: “We, The Republican Party…Own” Health Care Now. “Rep. Charlie Dent (R-Pa.) argued Friday that President Trump was ‘ill-advised’ to end key ObamaCare payments, warning that the GOP now ‘owns’ whatever happens to ObamaCare. ‘I think the president is ill-advised to take this course of action because … we, the Republican Party, will own this,’ Dent, a key House moderate who is retiring from Congress at the end of his term, said on CNN. Asked about Trump’s previous comments blaming problems with ObamaCare on former President Barack Obama, Dent pointed out that Republicans currently control the White House and have majorities in both chambers of Congress. ‘Barack Obama is a former president. President Trump is the president and he’s a Republican, and we control the Congress,’ Dent said. ‘So we own the system now. We’re going to have to figure out a way to stabilize this situation … This is on us.’” [The Hill, 10/13/17]

Washington Post: “The Pottery Barn Rule Comes To Mind: You Break It, You Own It.” “This is not ‘letting’ Obamacare fail. Many nonpartisan experts believe that these active measures are likely to undermine the pillars of the 2010 law and hasten the collapse of the marketplaces. The Pottery Barn rule comes to mind: You break it, you own it. Yes, the plate you just shattered had some cracks in it. But if you dropped it on the ground, the store is going to blame you.” [Washington Post, 10/13/17]

Washington Post: “Trump’s Not Going To Be Able To Avoid Blame For Kneecapping Obamacare.” [Washington Post, 10/13/17]

“After Months Of Pinning The Blame For Obamacare’s Shortcomings On Democrats And Watching His Own Party Fail To Act, President Donald Trump Just Took Ownership Of A Struggle That’s Consumed Republicans For Seven Years.” “After months of pinning the blame for Obamacare’s shortcomings on Democrats and watching his own party fail to act, President Donald Trump just took ownership of a struggle that’s consumed Republicans for seven years. Trump’s decision late Thursday to end government subsidies to insurers to help lower-income Americans afford to use their coverage under the Affordable Care Act was the most drastic step he’s taken to undermine his predecessor’s signature achievement. It also lobbed a live bomb into the laps of Republicans lawmakers 13 months before congressional elections after he publicly berated the party’s Senate leadership for being unable to keep a longstanding promise to repeal the law.” [Bloomberg, 10/13/17]

The American People Agree: President Trump And Congressional Republicans Are Playing Politics With People’s Health Care. A poll conducted last September found that 61 percent of voters believed President Trump was “trying to make the Affordable Care Act fail,” and 64 percent of voters said Trump is “playing politics with people’s health care.” The poll also found that the American people seriously disapprove of how Republicans in Congress are treating health care: 80 percent of voters disapprove while only 20 percent approve. [Garin Poll, 9/5/17]

ashoup
In News, Administration, Stories

Today, Americans Remember House Republicans’ Inexcusable Repeal Vote

Washington, D.C. – One year ago today, 217 House Republicans voted to repeal the Affordable Care Act. The so-called “American Health Care Act” would have cut coverage, increased costs, and eliminated protections for millions of Americans. On the vote’s one-year anniversary, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“One year ago today, Congressional Republicans voted to repeal the Affordable Care Act. They voted to kick 23 million Americans off of their health insurance, raise premiums by double-digits for every American, and jeopardize the health care of millions of women. They voted to once again allow insurance companies to discriminate against those with pre-existing conditions, cut coverage off by applying arbitrary lifetime caps, and refuse coverage for maternity care and substance abuse treatment. They voted to implement a $12,000 ‘age tax’ on seniors, take away a crucial lifeline for rural hospitals, and cut Medicaid by $1 trillion, a crippling blow to a program that insures 77 million Americans. And they did it all to give a $600 billion tax break to the wealthy and insurance and drug companies.

“In the face of pleas from constituents with serious medical conditions, advocacy from Americans whose lives have been saved by the ACA, and polls that showed the public opposed the bill by a 3-1 margin, House Republicans voted to kick 23 million Americans from their health care and then went to the White House to celebrate.

“A year later, we haven’t forgotten. In races across the country, from a Pennsylvania Congressional district Donald Trump won by twenty points to a Wisconsin state Senate seat Republicans had held since the turn of the century, health care has been cited as a top issue, carrying Democrats to victory. Dozens of House Republicans, including Speaker Paul Ryan, have announced their retirement. And Americans have made clear their frustration with Republicans’ war on our care will continue: rallies will take place today from coast to coast, voters of all political stripes are rejecting GOP repeal proposals, and candidates for federal, state, and local offices spurred to run because of last year’s vote are saying loud and clear: we won’t forget.”

PROTECT OUR CARE COMMEMORATES THE ANNIVERSARY:

  • Retire Repeal Website. Protect Our Care today is launching a microsite, Retire Repeal – We Won’t Forget, to honor the House Republicans who voted to take health care away from their constituents and resigned or announced their retirement well before the end of their term.

  • Events. Protect Our Care and partner groups will host over twenty events across the country,  reminding GOP elected officials who supported repeal that voters will continue holding them accountable for their actions.

 

 

 

ashoup
In News, Administration, Stories

This Week in the War on Health Care

While Congress was away on recess this week, Republicans continued their unprecedented assault on the American health care system – capped off by the one year anniversary of their vote to take health care away from 23 million Americans. Here’s what happened in the war on health care – and why the past seven days have shown, yet again, that the Affordable Care Act is here to stay:

ONE YEAR AGO: HOUSE REPUBLICANS VOTED TO KICK  23 MILLION AMERICANS OFF OF THEIR INSURANCE

One year ago tomorrow, House Republicans voted to repeal the Affordable Care Act. The so-called “American Health Care Act” would have kicked 23 million Americans off of their insurance, raised premiums double-digits, gutted Medicaid, and brought back discrimination for those with pre-existing conditions. Following this vote, House Republicans went to the White House to celebrate.

It would have devastated our health care, and ultimately became the most unpopular legislation in three decades before dying in the Senate. And yet…

REPUBLICANS PLOTTING YET ANOTHER ATTEMPT AT REPEAL

This morning, The Hill reported:

Conservative groups are hoping to release a new ObamaCare replacement plan later this month as they try to keep alive the repeal effort. The effort has been led by the Heritage Foundation, the Galen Institute and former Sen. Rick Santorum (R-Pa.), who have been meeting at Heritage’s offices, along with other groups, roughly once a week for months….‘The White House fully supports the efforts of a broad coalition working to address the Obamacare disaster and increase affordable healthcare options for middle-class Americans,’ deputy press secretary Hogan Gidley said in a statement.

Just as Sen. Bill Cassidy did today through a spokesman, every Republican senator who has not called on the GOP to move on from their repeal and sabotage campaign should do so.  Enough is enough – it’s past time for the GOP to end their war on our health care.

SECRETARY TOM PRICE ADMITS GOP SABOTAGE CAUSING PREMIUM INCREASES

On Tuesday, former Health and Human Services Secretary Tom Price confirmed that President Trump and Congressional Republicans chose a trillion-dollar tax break for corporations and the wealthiest at the expense of hardworking Americans’ health care, repealing the individual mandate to finance a trillion-dollar tax break for the wealthiest and corporations.

Months ago when the nonpartisan Congressional Budget Office found that the TrumpTax would raise premiums by ten percent while kicking millions of Americans off of their coverage, Republican senators responded by accusing CBO of bias and dismissing their findings. Now, one of the Trump Administration’s lead saboteurs has admitted the truth: Republicans are responsible for upcoming rate hikes.

NEW SURVEY FINDS: 4 MILLION AMERICANS HAVE LOST COVERAGE SINCE 2016

On Tuesday, the Commonwealth Fund released a new survey which found nearly 4 million people have lost coverage since 2016. The uninsured rate among working age people is now 15.5 percent, a significant increase from 12.7 percent in 2016. Why did this occur? As Axios noted, “Commonwealth attributes the increase largely to the way Congress and the Trump administration has handled the ACA.” And while this development was completely avoidable, Americans are not standing by…

RECLAIM IDAHO SUBMITS 60,000 SIGNATURES TO GET MEDICAID EXPANSION ON THE BALLOT

On Monday, organizers from Reclaim Idaho, in a state which Donald Trump carried by more than thirty points, submitted the more than 60,000 signatures necessary to get a Medicaid expansion vote on the ballot come November.

While Gov. Butch Otter was working to sabotage the ACA, the people of Idaho were working to secure a vote on covering 62,000 more of their neighbors by expanding Medicaid. This week they succeeded, and Republican-governed states would do well to take heed: when you actively work to make your constituents’ health coverage worse, citizens take matters into their own hands.

Congratulations to the people of Idaho! We couldn’t imagine a better way to cap off this year’s Medicaid Awareness Month.

ashoup
In News, Administration, Stories

“Trump’s Former Top Health Official Just Broke With Him On The GOP’s Biggest Move To Undercut Obamacare”: Tom Price Admits That Trump, GOP Sabotage Responsible for Higher Costs

This morning, former HHS Secretary Tom Price admitted what every health policy expert, the Congressional Budget Office, state insurance commissioners – namely everyone other than repeal-supporting Republicans – has long said: the Trump Administration is responsible for the increase in premiums. Speaking of the repeal of the individual mandate, Price said, “And there are many, and I’m one of them, who believes that that actually will harm the pool in the exchange market, because you’ll likely have individuals who are younger and healthier not participating in that market, and consequently, that drives up the cost for other folks within that market.” Here’s how it played:

Washington Post: Trump’s Former Health Secretary: Americans Will Pay More Because GOP Weakened Obamacare. “President Trump’s former top health official on Tuesday said the Republican tax law would raise the cost of health insurance for some Americans because it repealed a core provision of the Affordable Care Act. Tom Price, Trump’s first secretary of the Department of Health and Human Services, said people buying insurance on government-run marketplaces will face higher prices because the tax law repealed the Affordable Care Act’s individual mandate. The mandate had forced most Americans to have health coverage or face a financial penalty.” [Washington Post, 5/1]

Business Insider: Trump’s Former Top Health Official Just Broke With Him On The GOP’s Biggest Move To Undercut Obamacare. “Tom Price, the former Health and Human Services Secretary under President Donald Trump, criticized a key Republican change to Obamacare during a speech Tuesday. Speaking at the World Health Care Congress, Price suggested the Republican Party’s repeal of Obamacare’s individual mandate — the requirement to buy insurance or face a penalty — was a faulty idea. He said it would drive up costs for people in the individual insurance marketplace.” [Business Insider, 5/1]

Vox: Trump’s Ex-Health Secretary Accidentally Told The Truth About Obamacare Repeal. “Repealing Obamacare’s individual mandate will hurt the law’s insurance marketplaces because fewer young and healthy people will buy coverage, leaving an older, sicker, and more expensive pool behind. Just ask, uh, former Trump health secretary Tom Price. Price, who was forced out of the US Health and Human Services Department last year after a scandal over luxurious charter jet travel, accurately described the pitfalls of the GOP’s decision to repeal the mandate in its tax bill in a speech to the World Health Care Congress in Washington, DC. This is, of course, exactly what health policy experts would tell you. The mandate didn’t quite work as well as planned, but the expectation is still that younger and healthier people are going to leave the Obamacare markets without it — especially with the Trump administration making cheaper, less comprehensive plans more available via regulation.” [Vox, 5/1]

Slate: Tom Price, Somewhat Belatedly, Starts Telling the Truth About Obamacare. “It took longer than expected, but disgraced former Health and Human Services Secretary Tom Price appears to have been welcomed back into polite society. Untethered from the political concerns that dictated what he could say either as a congressman or Cabinet member, Price is now able to tell certain truths about health care policy—though, in telling them now, he only confirms his own dishonesty about them when it mattered. Speaking at the World Health Care Congress on Tuesday morning, Price laid out the consequences of congressional Republicans’ decision to eliminate the individual mandate penalty in last year’s tax reform bill.” [Slate, 5/1]

Washington Times: Tom Price: Repeal Of Obamacare Mandate Will Drive Up Costs. “Former Health and Human Services Secretary Tom Price said Tuesday the GOP’s decision to repeal Obamacare’s individual mandate without a broader overhaul of the heath care system will likely increase costs on consumers who remain in the program. The comments from Mr. Price, who was ousted from HHS last fall over his pricey business travel, were remarkable, since he claimed the mandate was ineffective while in office. Also, Democrats have been making the same argument in accusing President Trump and his Republican allies of sabotaging the 2010 law’s marketplace.” [Washington Times, 5/1]

USA Today: Former HHS Sec. Price: Repealing The Individual Mandate ‘Will Harm’ People Insured Through Obamacare. “Former Health and Human Services Secretary Tom Price said Tuesday that repealing the requirement that all Americans have health insurance or face a tax penalty, may not have been such a good idea after all… Price’s comments come the same day the Commonwealth Fund, a foundation that studies health care and says it is focused on helping the most needy members of society, came out with a study that found since 2016 4 million working-age people no longer have insurance coverage. The foundation said the drop in coverage was not connected to a repeal in the individual mandate but instead due to  weaknesses with the current health care law that remain unfixed and the Trump Administration’s cuts to advertising and outreach related to getting people signed up for Obamacare.” [USA Today, 5/1]

CNBC: Trump’s Former Health Secretary, Tom Price, Now Thinks Repealing The Individual Mandate Will Increase Costs. “ormer Health and Human Services Secretary Tom Price used to say that Obamacare’s individual mandate increased health-care costs. Now he’s saying Congress’ decision to repeal it could actually increase costs. Lawmakers repealed the individual mandate, which penalized people who did not purchase health insurance, in the GOP tax reform bill President Donald Trump signed into law in December. The change goes into effect next year. Price argued Tuesday, in a speech at the World Health Care Congress in Washington, that the move amounts to ‘nibbling at the sides’ of the Affordable Care Act, long a target of the GOP and Trump – and that it would probably boost costs.” [CNBC, 5/1]

Splinter News: Tom Price, Disgraced Ex-Trump Official, Admits He’s Also a Huge Liar. “Price said he ‘believes [the repeal] actually will harm the pool in the exchange market, because you’ll likely have individuals who are younger and healthier not participating in that market, and consequently, that drives up the cost for other folks within that market.’ This is a very interesting development, given that last year, when he was actually in a position to influence whether or not this happened, he supported the repeal.” [Splinter News, 5/1]

The Hill: Tom Price: Obamacare Mandate Repeal Will Drive Up Costs. “Former Secretary of Health and Human Services Tom Price on Tuesday said that the repeal of ObamaCare’s individual mandate would drive up costs, a remark seized on by Democrats… Democrats immediately highlighted the remark from President Trump’s own former health secretary and fierce opponent of ObamaCare. They say his statement reinforces the argument that Republicans are to blame for coming premium increases in large part due to their repeal in the December tax bill of the mandate that most people obtain health insurance or pay a fine. ‘We couldn’t have said it any better ourselves,’ Matt House, spokesman for Senate Minority Leader Charles Schumer (D-N.Y.), said in email linking to Price’s comments. Added Sen. Patty Murray (D-Wash.), ‘I’m glad to see former Secretary Price admit the truth, which is that families’ premiums are going up because President Trump and Republicans in Congress have spiked prices with their relentless, partisan health care sabotage.’” [The Hill, 5/1]

Inside Health Policy: Price: Individual Mandate Repeal Will Drive Up Costs, Hurt Risk Pools. “Former HHS Secretary Tom Price, who was at the helm of HHS during the Trump administration’s 2017 efforts to repeal and replace Obamacare, told attendees at the 2018 World Health Care Congress that he is not a fan of the repeal of the federal individual mandate penalty and said the measure tucked into the new tax law will drive up costs and hurt the risk pools.” [Inside Health Policy, 5/1]

Talking Points Memo: Tom Price: Individual Mandate Repeal Will ‘Harm’ Insurance Exchanges. “Former Secretary of Health and Human Services Tom Price, now safely out of power, said Tuesday that Republicans’ repeal of Obamacare’s individual mandate will ‘harm’ the individual insurance marketplace… Price is making a mundane point to most health care policy experts: If, beginning in 2019, individuals on the non-group market are allowed to avoid choosing between paying for insurance or paying a penalty, many healthy people will simply drop their insurance. As a result, prices for individuals remaining in Obamacare’s individual insurance marketplaces will go up. The Congressional Budget Office estimated in 2016, and again in 2017, that repealing the individual mandate would increase the number of uninsured people in the United States.” [TPM, 5/1]

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In Stories, News, Administration

Republicans Knew Premiums Would Go Up When They Sabotaged Your Health Care, But They Did It Anyway

For the past year and a half, Republicans have waged a non-stop war against the Affordable Care Act. Throughout 2017, Republicans tried time after time to repeal the Affordable Care Act, slashed funding for outreach, ended cost-sharing reduction payments that helped low income Americans afford health care, and passed a tax bill that the Congressional Budget Office predicts will strip health care from 13 million Americans and raise premiums by double digits.  

Throughout their many layers of sabotage, Republicans have played ignorant, trying to cover up the fact that their votes will send Americans’ premiums skyrocketing. Just this morning, former HHS Secretary Tom Price called out Republicans’ lies, saying that the tax bill’s repeal of the individual mandate “will harm the pool in the exchange market, because you’ll likely have individuals who are younger and healthier not participating in that market, and consequently, that drives up the cost for other folks within that market.”

Just one month after voting for a tax bill that the CBO projected would raise insurance premiums by double digits, Sen. Ted Cruz acted as though he had wanted to lower premiums the whole time: “I think lowering premiums is a win-win for everybody…The number one reason people despise Obamacare is that premiums have skyrocketed.” As much as Republicans try to distance themselves from it, the fact of the matter is clear: they knew they were voting to raise premiums, and they chose to do it anyway.

EACH STEP OF THE WAY, EXPERTS WARNED THAT SABOTAGE WOULD DRIVE PREMIUMS UP

The Trump Administration Deliberately Tried To Reduce Enrollment Of Healthy Individuals By Halting Outreach, Despite Commonly Understood Consequence That This Would Increase Premiums.

  • January 2017: In “Transparent Effort To Damage Stability Of Health Insurance Marketplace,” President Trump Abruptly Halts Open Enrollment Ads. In the final week of open enrollment, President Trump ended ads that let people know they could sign up for the Affordable Care Act. As Politico notes, “The last five days of the open enrollment season are seen as critical because many individuals procrastinate and then join a last-minute sign-up surge. That’s particularly true for younger and healthier customers who are crucial to making insurance markets work.”
  • February 2017: Analysis Shows Trump’s Cuts To Outreach Prevent Nearly 500,000 People From Getting Coverage. Following Trump’s initial cuts to outreach, it was estimated that Trump’s cuts blocked nearly 500,000 people from getting coverage. When fewer healthy people are able to purchase care, experts agree that premiums increase.
  • August 2017: Trump Administration Cuts Aca Advertising Budget By 90 Percent, Despite Evidence That It Will Cause Premiums To Increase. [Vox, 8/31/17]
  • Because The Administration Still Refuses To Adequately Fund Outreach, Insurance Commissioners Warn That Premiums Will Continue To Increase. Peter Lee, the head of California’s ACA Marketplace wrote in a letter to HHS that premiums would go up because of the Administration’s failure to properly fund outreach: “The reality is clear: If the federal government maintains the current cuts in marketing and outreach, premiums will be higher than necessary, consumers will be hurt as a result and taxpayers will pay the price by supporting higher [than] necessary subsidies. This does not need to happen and can easily be avoided…Drops in new enrollment are a formula for a worse risk mix and higher premiums.” [Letter to HHS, 4/25/18]

Months Before The Trump Administration Ended Payments That Helped Lower Income Americans Afford Insurance, The CBO Warned That Doing So Would Raise Premiums By 20 Percent. President Trump Ended Them Anyway:

  • August 2017: CBO Warns That Premiums Will Increase By 20 Percent If Cost-Sharing Reduction Payments Are Terminated. “If President Trump follows through on his threat to stop paying billions of dollars of subsidies critical to insurance plans under the Affordable Care Act, insurance premiums for certain plans would rise by 20 percent next year, according to a new analysis by the nonpartisan Congressional Budget Office.” [Washington Post, 8/15/17]
  • October 2017: Trump Administration Decides To Halt Cost-Sharing Reduction Payments. Despite the CBO’s warning that ending cost-sharing reduction payments (CSRs) would cause premiums to rise by 20%, the Trump Administration decided to do so anyways. [Washington Post, 10/13/17]
  • After The Fact, Insurance Commissioners Did Exactly What The Cbo Said Would Happen — They Raised Premiums. Jessica Altman, Pennsylvania Insurance Commissioner: “This is not the situation I hoped we would be in, but due to President Trump’s refusal to make cost-sharing reduction payments for 2018 and Congress’s inaction to appropriate funds, it is the reality that state regulators must face and the reason rate increases will be higher than they should be across the country.” [CNN Money, 10/17/17]
  • Now, Research Confirms That Ending CSRs Caused Premiums To Jump, And Is Expected To Do So Again In 2019. RWJ’s interviews with ten insurance companies found that the loss of cost-sharing reduction plan reimbursements drove premium increases in 2018 ranging from 10 to 20 percent. [Robert Wood Johnson Foundation and Urban Institute, 3/19/18]

Republicans Knew That Repealing The Requirement That Most People Have Insurance Would Drive Up Premiums, And Rushed To Do So Without Public Comment:

  • November 2017: Congressional Budget Office (CBO) Estimates That Repealing The Individual Mandate Will Push Premiums Up By 10 Percent Annually. Last fall, the nonpartisan Congressional Budget Office released numbers that repealing the requirement that most people have insurance would increase premiums by roughly 10 percent each year for the next decade. [Congressional Budget Office, November 2017]
  • November 2017: Sen. Susan Collins Acknowledges That Repealing Individual Mandate Would Raise Premiums. “‘One of the major concerns I had was the impact on premiums of repealing the individual mandate,’ [Collins] said Tuesday, referring to government estimates that repealing the mandate would raise insurance premiums by at least 10 percent as healthier consumers leave the market.” [Talking Points Memo, 11/29/17]
  • December 2017: Republican Senate Hurries To Pass Final Gop Tax Bill, Which Repeals Individual Mandate Despite Cbo Analysis That It Will Drive Premiums Up, In The Dark Of The Night And Without Public Hearings. Senate Republicans were determined to stop discussion on their tax bill from ever seeing the light of day. In December, they passed their tax bill in a matter of weeks, without hearing any public hearings. The process was so rushed that entire pagers were crossed out of the final version of the bill, and amendments were handwritten and barely legible.

After Sen. Collins Exchanged Her Vote On The Tax Bill For A Promise To Pass ACA Stabilization, Republicans Sabotage Bipartisan Efforts To Pass Bill That Would Help Control Premium Hikes:

  • December 2017: To Counteract The Increase In Premiums That Would Follow Repealing The Individual Mandate, Sen. Susan Collins Exchanges Tax Bill Vote For Aca Stabilization Bill. Sen. In exchange for her vote on the GOP tax bill, Majority Leader Mitch McConnell, President Trump, and Vice President Trump committed to passing a health care stabilization measure. [Washington Post, 12/15/17]
  • March 2018: After Pushing The Stabilization Vote Into The Next Year, Republicans Refused To Vote On Stabilization Unless Democrats Agreed To A List Of Deal Breaking Demands. In the middle of bipartisan negotiations on stabilization, the White House released its list of demands, including: Expanding the Hyde abortion language, codifying the Administration’s Short-Term proposal into law that undermine protections for people with pre-existing conditions, expanding Health Savings Accounts (HSAs) that is essentially another tax cut for the wealthy, mposing an age tax on older Americans by letting insurers charge people over 50 five times more than younger people. [White House Document, obtained by Politico, 3/8/18]
  • March 2018: There Is No Vote On Stabilization. [New York Magazine, 3/26/18]

Ignoring Warnings From Health Insurers, Trump Administration Proposes Changes To Short-Term Health Plans That Would Drive Up Premiums For Americans In Individual Marketplace:

  • July 2017: In Letter To HHS, America’s Health Insurance Plans Warns That Allowing Short-Term Plans To Offer Coverage For More Than Three Months At A Time Will Drive Up Premiums. “A blanket extension of the permitted length of short term policies will draw lower risk people out of the individual market single risk pool and drive up premium costs for consumers.” [America’s Health Insurance Plans Letter To HHHS, 7/12/17]
  • October 2017: President Trump Signs Executive Order That Expands Access To Short-Term Health Plans. President Trump’s executive order allows short-term plans to last for 12 months and be renewable, a notable change from the previous rule, which limited these plans to three months and prevented them from being renewed. [The Atlantic, 10/12/17]
  • February 2018: Administration Releases Fact Sheet On Short-Term Rule That Would Allow Insurers To Sell Year-Long Plans. [Centers for Medicare & Medicaid Services, 2/20/18]
  • March 2018: Nonpartisan Urban Institute Says Premiums Will Increase By Nearly 20 Percent. Confirming what experts had warned of, the Urban Institute calculated that increasing the availability of short-term health plans, when combined with the repeal of the individual mandate, would lead premiums to increase by an average of 18.3 percent in 2019. [Urban Institute, March 2019]
  • March 2018: AARP Analysis Projects Short-Term Plans Will Cause Older Americans’ Premiums To Increase By 16.6 Percent. As a result of President Trump and his Republican allies’ pushing junk insurance plans, AARP expects premiums for older Americans buying marketplace health coverage to increase by an average of 16.6 percent in 2019.  [AARP, 3/21/18]

Each Of The Administration’s Decisions Is Designed Drive People Off Of Health Care And Increase Premiums:

  • Katherine Hempstead, health insurance expert at Robert Wood Johnson Foundation: Anything That Undermines The ACA-Compliant Risk Pool Is Bad For Premiums.  “Anything that undermines the ACA-compliant risk pool is bad for premiums in the ACA market…Every exit ramp makes that market more expensive and less competitive than it otherwise would be.” [Modern Healthcare, 4/26/18]

NOW, THE CONSENSUS IS IN: REPUBLICANS KNOWINGLY DROVE UP PREMIUMS

Vox: Republican Sabotage To Blame For Premium Hikes. “The Trump administration’s multifaceted crusade against the health care law — slashing outreach budgets and pulling the law’s cost-sharing reduction payments to insurers — were already to blame for a 20 percent premium hike this year. Then Congress repealed the individual mandate in their tax bill, a huge political victory given the GOP’s vehement opposition to the mandate but one that insurers have said would drive up premiums even more next year.” [Vox, 4/25/18]

Washington Post: “The Pottery Barn Rule Comes To Mind: You Break It, You Own It.” “This is not ‘letting’ Obamacare fail. Many nonpartisan experts believe that these active measures are likely to undermine the pillars of the 2010 law and hasten the collapse of the marketplaces. The Pottery Barn rule comes to mind: You break it, you own it. Yes, the plate you just shattered had some cracks in it. But if you dropped it on the ground, the store is going to blame you.” [Washington Post, 10/13/17]

The American People Agree: President Trump And Congressional Republicans Are Playing Politics With People’s Health Care. A poll conducted last September found that 61 percent of voters believed President Trump was “trying to make the Affordable Care Act fail,” and 64 percent of voters said Trump is “playing politics with people’s health care.” The poll also found that the American people seriously disapprove of how Republicans in Congress are treating health care: 80 percent of voters disapprove while only 20 percent approve. [Garin Poll, 9/5/17]

RECENT HEADLINES PAINT A TELLING PICTURE

EVEN REPUBLICANS ADMIT THEY’RE TO BLAME

Sen. Lamar Alexander: “Rates Will Go Up…They’re Going To Blame Every One Of Us, And They Should.” On the topic of failing to pass a stabilization bill, Sen. Alexander said: “Rates will go up. The individual market will probably collapse…There will be 11 million people who are between jobs, who are self-employed, who are working, who literally cannot afford insurance, and they’re not going to be very happy. And they’re going to blame every one of us, and they should.” [Vox, 4/25/18]

Lindsey Graham: Republicans “Own The Outcome” On Health Care. “Sen. Graham told Breitbart News, ‘In October, premiums are going up. Obamacare cannot be fixed. It’s going to continue to collapse, and then, we own the outcome. By repealing the individual mandate, which is a step forward in the eyes of the public, we own the issue. We have a responsibility to do something about the collapsing Obamacare system. I believe that we’re going to get blamed more than Democrats because we stopped trying to repeal Obamacare, and to suggest that we don’t own it is just simply politically naive.’ Graham continued, ‘It can hurt us in 2018. It can hurt by our base feeling like we betrayed them. It can hurt us from people suffering from Obamacare, like we don’t have a solution. It will energize Democrats. It can undercut everything we did on the tax cut side.'” [Breitbart, 2/6/18]

Rep. Charlie Dent: Republicans “Own” Health Care Now. “Rep. Charlie Dent (R-Pa.) argued Friday that President Trump was ‘ill-advised’ to end key ObamaCare payments, warning that the GOP now ‘owns’ whatever happens to ObamaCare. ‘I think the president is ill-advised to take this course of action because … we, the Republican Party, will own this,’ Dent, a key House moderate who is retiring from Congress at the end of his term, said on CNN. Asked about Trump’s previous comments blaming problems with ObamaCare on former President Barack Obama, Dent pointed out that Republicans currently control the White House and have majorities in both chambers of Congress. ‘Barack Obama is a former president. President Trump is the president and he’s a Republican, and we control the Congress,’ Dent said. ‘So we own the system now. We’re going to have to figure out a way to stabilize this situation … This is on us.'” [The Hill, 10/13/17]

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In News, Stories

Administrator Verma Rejects Responsibility For Sabotage As Americans Bear Brunt Of Trump Administration’s Damage

SHOT:

CMS Chief Seema Verma Slams Claims That She And Trump Administration Have Sabotaged Americans’ Health Care [MedPage Today]:

“‘I take exception to those out there who have made claims that we have tried to sabotage the healthcare of the American people, particularly when it comes to the healthcare exchanges,’ [Verma] said here at the World Health Care Congress. ‘Obamacare was failing long before Donald Trump became president and I became CMS administrator.’

“The reality, said Verma, is that health insurers have fled the exchange markets ‘after losing millions of dollars.’”

CHASER:

Since President Trump Came Into Office, Millions Of Americans Have Lost Health Coverage. A recent survey by the Commonwealth Fund shows that nearly 4 million people have lost coverage since 2016. The uninsured rate among working age people is now 15.5 percent, a significant increase from 12.7 percent in 2016.

Why? Because The Trump Administration Has Sabotaged The Affordable Care Act. Per Axios, “Commonwealth attributes the increase largely to the way Congress and the Trump administration has handled the ACA.”

CHASER:

More Evidence Of The Administration’s Sabotage: Health Care Premiums Will Increase By An Average of 18.3 Percent In 2019. Because Republicans repealed the requirement that most people have insurance and are expanding access to short-term health plans, the nonpartisan Urban Institute estimates that health care premiums will increase by an average of 18.3 percent in 2019.

CHASER:

The Administration Is Bringing Back Junk Insurance That Leaves Americans On Their Own Should They Get Sick. The Trump Administration expanding access to short-term health plans that let insurers deny coverage to people with pre-existing conditions, impose coverage limits, and refuse to cover basic health benefits like maternity care and prescription drugs. These plans help insurers make money while leaving Americans who get sick on their own, often with tremendous debt.

Experts, Disease Groups, And Advocates Warn That Short-Term Plans Will Increase Costs And Reduce Protections For Consumers:

AARP: Short-Term Plans Will Increase Older Americans’ Premiums By An Average Of $2,000, or As Much As $4,000. “Unfortunately, these changes would result in much higher premiums for older adults and people with preexisting health conditions buying individual policies through the ACA Marketplace…Using 2018 Marketplace premiums, we estimate these premium increases could be an average of $2,000 — or as much as $4,000 (Table 1) — for 60 year-olds who buy silver plan coverage.” [AARP, 3/21/18]

Margaret Murray, CEO of Association for Community Affiliated Plans: Short Term Plans “strip every provision that might be of value to a patient.” “Not only do STLDI plans not cover pre-existing conditions, but what was covered when you bought the plan can be excluded three months later when you try to renew the plan. Rescissions are rampant in the STLDI market, leading to retroactive cancellation of policies that stick patients with enormous medical bills.” [Washington Examiner, 4/26/18]

American Academy of Family Physicians: Short-Term Plans Would Destabilize Market. “We are troubled by how the proposed rule would further destabilize the individual market by drawing young, healthy people away from meaningful, comprehensive coverage…under the proposed rule, insurers could reduce or eliminate certain EHBs to avoid vulnerable, expensive patients by excluding specific services.” [Letter to HHS, 4/18/18]

Dr. David O. Barbe, president of American Medical Association: Short-Term Plans Result In “Inadequate” Health Coverage. “We believe the proposed rule, however, would culminate in plans being offered that fall far short of maintaining crucial state and federal patient protections, disrupt and destabilize the individual health insurance markets, and result in substandard, inadequate health insurance coverage.” [Forbes, 4/22/18]

American Cancer Society Cancer Action Network: Short-Term Plans Are Exempt From Consumer Protections. “We are very concerned about policies that would expand access to STLD policies because these products are exempt from important consumer protections, such as prohibitions on lifetime and annual dollar limits, limits on the use of pre-existing condition exclusions, and the prohibition on medical underwriting…We are afraid that some consumers choose to enroll in STLD policies simply because of the lower premium and are unaware of the limitations of the coverage.” [ACS CAN letter to HHS, 4/20/18]

Alliance of Community Health Plans: Short-Term Plans Will Cause Insurers To Flee The Market.  “ACHP is also concerned that the proposed rule will cause more insurers to flee the market, leaving consumers with fewer coverage options.” [Letter to HHS, 4/19/18]

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In Administration, Stories, News

Ex-Secretary Tom Price: Trump and GOP Responsible For Upcoming Rate Hikes

Washington, D.C. – In response to former Health and Human Services Secretary Tom Price’s comments this morning to the World Health Care Congress that Republicans’ TrumpTax bill and its individual mandate repeal will increase Americans’ health care costs, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“Today, President Trump’s own former HHS secretary, Tom Price, admitted that the Republican tax bill’s sabotage of the Affordable Care Act will increase health care costs. Ex-Secretary Price has confirmed that President Trump and Congressional Republicans chose a trillion-dollar tax break for corporations and the wealthiest at the expense of hardworking Americans’ health care. Months ago when the nonpartisan Congressional Budget Office found that the TrumpTax would raise premiums by ten percent while kicking millions of Americans off of their coverage, Republican senators responded by accusing CBO of bias and dismissing their findings. Now, one of the Trump Administration’s lead saboteurs has admitted the truth. Americans now have it straight from Tom Price: Republicans are responsible for upcoming rate hikes.”

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