Showing posts with label Affordable Care Act. Show all posts
Showing posts with label Affordable Care Act. Show all posts

Monday, December 9, 2024

CBO Provides 'Stark Preview of Healthcare Under Donald Trump'

By Jessica Corbett 

As Congress negotiates the extension of Affordable Care Act tax credits, a nonpartisan government analysis warned this week that letting the ACA subsidies expire next year would cause millions of Americans to lose health coverage in the years ahead.

Monday, November 24, 2014

2014 Elections: Did Democrats run against Republicans or President Obama?

By Charles Brooks
The nation’s political landscape is remarkably more Republican now with their decisive victories a couple of weeks ago during the 2014 elections. Just in case you forgot – not only did Democrats lose on the national level but they suffered losses on the state level as well. For example, Democrats lost their only majority in the US Congress – in the Senate and they lost seats in the House of Representatives. Now bear in mind Democrats lost seats in state legislatures all across the country and a few key governorships in Democratic Party territory – like in Illinois, Massachusetts, and the biggest surprise in Maryland.  This is what the National Conference of State Legislature had to say: “It appears that Republicans will have a net gain of between 300 and 350 seats and control over 4,100 of the nation’s 7,383 legislative seats. That is their highest number of legislators since 1920. Republicans gained seats in every region of the country and in all but about a dozen legislative chambers that were up this year. It appears that Republicans will have a net gain of between 300 and 350 seats and control over 4,100 of the nation’s 7,383 legislative seats. That is their highest number of legislators since 1920. Republicans gained seats in every region of the country and in all but about a dozen legislative chambers that were up this year.”  So what does that mean – what does the current political landscape look like – Republicans now control 23 out of 50 state governments, that means both chambers of the state legislature and the  Governor are all Republican.  They are Republican majorities in 30 state legislatures as well as in 68 legislative chambers (one of the two houses that typically makes up state government).  Lastly, there are 31 Republican governors sitting in state capitols across the country.  Clearly the 2014 elections has empowered the Republicans as the lines of battle are redrawn...at least until the 2016 elections. You can already sense the tension quickly building as President Obama spoke of his intention to take executive action to address immigration reform while Republicans counter by suing the president over the Affordable Care Act. The first of many battles to come over the next two years...

Monday, April 21, 2014

The Blackboard Weekly Report - 4/21/14

International
  • Zimbabwe celebrated the 34th anniversary of their independence. See here for the press statement released by Secretary of State John Kerry and a brief summary of their history here from the Government of Zimbabwe.  
  • Professor Hilary Beckles, Chairman of the CARICOM Reparations Commission, is urging young people across the Caribbean to play a role in their reparation struggle. The Jamaican Observer reported Prof. Beckles comments during a lecture: "There are many people in the world who believe that all they have to do is sit quiet and allow the older leaders of this campaign to pass away," he said. "You are the descendants of those who have survived and that gives you, the younger generation, a special responsibility to honour this history."
 White House
  • President Obama: The President held a press conference last week, responding to questions about the Affordable Care Act and the ongoing crisis in Ukraine.   During the press conference, President Obama tells Democrats not to run from health care issue with 2014 mid-term elections approaching. “I think the Democrats should forcefully defend and be proud of the fact that millions of people (have insurance)…I don't think we should apologize for it. I don't think we should be defensive about it…” 
  • Affordable Care Act Update:  The White House announces 8 million have signed up for health insurance via the market exchanges.   
  • Ukraine Crisis Update:  The Guardian reports that US secretary of state John Kerry urged Russia on Monday to meet Ukraine halfway in trying to defuse the crisis. See coverage of the ongoing Ukraine crisis by CNN, The Guardian, and the BBC.
  • Justice Department:  Attorney General Holder announced the Justice Department’s initiative to reduce sentencing disparities for drug offenders in the federal prison system by expanding the criteria for clemency.  “The White House has indicated it wants to consider additional clemency applications, to restore a degree of justice, fairness, and proportionality for deserving individuals who do not pose a threat to public safety.  The Justice Department is committed to recommending as many qualified applicants as possible for reduced sentences.  
  • First Lady: The Washington Post reports that last Thursday, First Lady Michelle Obama  and entertainer Bow Wow joined 37 students from Chicago public high schools for a tour of Howard University.  But the First Lady’s scheduled graduation address in Kansas is causing a stir   - Parents and students alike have expressed anguish that the first lady’s speech and limited seating for families detract from a day that should center on the graduating students and their loved ones.
 National
  • Restoring the right for convicted felons to vote appeared in Virginia and in Iowa. In Virginia, the Governor has signed an executive order enabling an easier process to gain voting rights; drug offenses will no longer be on the list of crimes that need a waiting period, and the waiting period for violent offenders will decrease from 5 years to 3 year.  
  • Meanwhile in Iowa, felons will continue to be disqualified despite a recent Iowa Supreme Court ruling, 5-1 that some felonies may not rise to the level of barring voting rights.
Local
  • New York politico Basil Paterson passed away.  See obituary by Meyer, Suozzi, English and Klein – the firm Mr. Paterson joined in the early 1980’s. See additional coverage in the New York Amsterdam News.  
  • The New York Police Department (NYPD) had dismantled the unit that spied on Muslim communities. The ACLU noted that NYPD spied on their places of worship, and businesses they frequent – based on nothing but their religious beliefs and associations. For additional information see the ACLU’s fact sheet and the Associated Press investigation into NYPD intelligence.


Thursday, January 9, 2014

End of Year review for 2013 - Part II

Part II
On the national political scene, 2013 opened up with President Obama ready to start his second term while Republicans gathered to debate their apparent demise during the November 2012 elections. But this GOP introspection didn’t last long as their long-term strategic objective – solid obstructionism – was back in play. Throughout the year, the nation was witness to both GOP obstructionism and Obama capitulation play out for all to see. There were several failed attempts to defund the Affordable Care Act, the federal government 16-day shutdown that cost upwards of $24 billion to the elimination of unemployment benefits and food stamp benefits for millions of people. Another casualty of GOP obstructionism was effective gun control legislation – after yet another school shooting, this time at Sandy Hook Elementary in December 2012 and episodes of gun violence occurring throughout the nation. The gun violence in Chicago became nationalized when young Hadiya Pendelton was shot dead less than two weeks after playing in a band at the presidential inauguration ceremonies. The president was subsequently criticized for failing to show similar emotion in reacting to Hadiya’s death compared to his shedding a tear on national television in the aftermath of the Sandy Hook shooting. African Americans across the nation began to sound the drumbeat in asking the president to do something – say something...First Lady Michelle Obama attended the funeral along with Education Secretary Arne Duncan and Valerie Jarrett – all three are from Chicago.

The nation stood witness to the headlines and stories dominated by the Affordable Care Act all year long, particularly when the ACA rollout faced an avalanche of problems associated with the website, Healthcare.gov. The rollout was characterized by the chaos that followed revelations of number of major technical problems, insurance plans for millions of folks were dropped, and poor management decisions from the Obama administration, just to name a few. In short, the rollout was a disaster and a rather bitter pill for the president to swallow. The Affordable Care Act is his signature piece of legislation and has been under constant attack from Republicans since the president signed off on it. There were repeated efforts to undermine Obama’s key legislation through attempts at defunding and repealing ACA – every attempt unsuccessful.

As 2013 came to a close, the Obama administration reported that slightly more than two million people have signed up for health insurance under the Affordable Care Act. Although, they may be severely challenged in meeting the seven million target – it does appears that the worse is behind Obama’s team. However, that has not stopped opponents of ACA who are encouraged by declining poll numbers for both Obama and ACA. For example, results from a December 2013 Gallup poll disclosed that ACA is both President Obama’s greatest achievement (22%) as well as his biggest failure (36%). Republican opponents of ACA continue their efforts to undermine the nearly four year old law with online petitions to repeal and defund ACA.

But the reality is that ACA has clearly forced a paradigm shift in America where for the first time, there is a national effort to provide health insurance coverage to the nearly fifty million Americans without health insurance. Additionally, the Affordable Care Act is such a HUGE step forward not only in providing coverage for the uninsured but the protections as well as preventive care that will now be provided. For example, pre-existing conditions are now covered; preventive care is free; coverage is extended for young adults until they reach twenty-six years old; and lifetime and yearly limits are eliminated. See a complete listing here for all protections provided The free screenings for blood pressure, cholesterol, Type-2 diabetes, HIV – and particular for women – screening for breast cancer, cervical cancer, mammograms, Hepatitis for pregnant women are just a scant few examples. See a complete listing here for a listing of all available screening for women. President Obama and First Lady Michelle Obama spoke with several mothers about ACA and the president said, “I think this conversation really drove home in a very personal way why this is important,” President Obama said. “Sometimes here in Washington, this is a very abstract conversation or an entirely political conversation. But when you boil it down to stories and people hear what it means to have the security of solid health insurance at an affordable price when you need it, it reminds me at least of why we've been fighting so hard to get this done.”

2013 ended with Hillary Clinton declared the frontrunner for the 2016 presidential race – although she hasn’t officially announced her candidacy. While end of the year Gallup polls underline her popularity – is this a legitimate consideration for the highest office in the country – before consideration of her politics and policy proposals? The voter must critically think for themselves and disregard Clinton popularity over policy; become more interested in policy proposals and ideas while ignoring celebrity and elitist endorsements. For example, while we know of Hillary’s advocacy for women issues - what do we know of her positions on the economy, unemployment, education, voting rights and affirmative action? What about her views on Africa, the Caribbean, and the Middle East? Where does she stand on the use of drones – both domestically and internationally, and the NSA surveillance on American citizens? Taking into consideration the fallout between Blacks and Clinton during the 2008 campaign – what will be Black America’s political reaction if Hillary disagrees and then criticizes President Obama policies? Hillary Clinton served as the First lady for two terms, went on to become a US Senator and then the Secretary of state – but voters, progressive voters must ask these and other necessary questions before a decision to support her candidacy is made.

NSA and government surveillance
There was also the jaw dropping revelations published by The Guardian about the National Security Agency commonly known as the NSA, who were actively collecting and storing phone record data on millions of Americans. While these revelations may not rise to the shrug your shoulder level – but should we really be surprised about this? After the September 11 attacks, there were several disclosures about the Bush presidency and government surveillance, not to mention the long sordid history of being watched or listened to by the government. We’ll get to this momentarily but getting back to the Bush presidency – there were similar revelations. For example, when he secretly authorized the National Security Agency to eavesdrop on Americans to search for evidence of terrorist activity without the court-approved warrants required for domestic spying. Or in 2006 when we found out that the NSA was secretly collecting the phone call records of tens of millions of Americans, using data provided by AT&T, Verizon and BellSouth to analyze calling patterns to detect terrorism.

But what should be quite disturbing was the revelation of a Pew survey measuring the public's view around combating terrorism vs. privacy - the results are interesting. The survey showed 56 percent of people believe the NSA tracking of telephone calls is an acceptable way to fight terrorism. That includes 53 percent of whites, 62 percent of blacks and 63 percent of nonwhites in general. In fact, the survey noted the following, "...finds no indications that last week’s revelations of the government’s collection of phone records and internet data have altered fundamental public views about the tradeoff between investigating possible terrorism and protecting personal privacy."

The question here is why is there so much acceptance of government surveillance, considering the sad history of government spying on US citizens and related abuses? Is there any awareness of the dangers of surveillance? For example, didn’t COINTELPRO demonstrate for all to see the connection between surveillance and political imprisonment – do you think this is the next natural step after accusations are made and charges levied? COINTELPRO was a domestic covert operation used by the FBI under the notorious J. Edgar Hoover. The covert operation was designed to repress political expression outside the mainstream. For example, victims of COINTELPRO were activists in the American Indian Movement, the Black Liberation Movement, Civil Rights Movement, Puerto Rican Independence Movement, Socialist Workers Party, Students for Democratic Society, and the Communist Party USA, to name a few. The FBI infiltrated these groups, used the legal system and the local police department to levy false criminal charges and carry out sting operations and murderous raids. Maybe – just maybe is it possible the acceptance of government surveillance, as indicated from the results from the Pew survey cited earlier – is based on fear? Do you think this begins to explain why there hasn’t been a strong national movement in this country, such as the social movements outlined earlier, since the sixties

Thursday, November 21, 2013

The clock is ticking...

There’s no other way to say it – the Obama presidency is in crisis, reeling from all the problems and issues associated for their badly mismanaged launch of the Affordable Care Act’s (ACA) website. October 1st was the first day of enrollment for the nation’s uninsured to attain health insurance through market exchanges.

President Obama signed his signature policy, the Affordable Care Act (ACA), three years ago in March 2010. Since then, the president has faced a relentless stream of criticism, obstructionism, and heavy opposition from GOP conservatives and the Tea Party faction. Over the course of three years, the conservative opposition have taken to successfully tagging the legislation, “Obamacare”, failed in their many attempts to defund and repeal ACA, and went so far as to shut down the entire federal government for 16 days at a cost initially pegged at $24 billion dollars. In recent months, Dr. Ben Carson emerged as the black conservative who would take the Obama presidency to task with his ridiculous linking of ACA to slavery.

The recent scrutiny and revelations about the problems associated with ACA has now clearly surpassed GOP attacks on ACA’s premise and purpose – as the national spotlight now shines on the self-inflicted wounds created by the Obama administration. Initially, the focus was on the continuing issues associated with the ACA website, followed by revelations that folks were being dropped from their insurance policies because their policies were deemed “unqualified” under ACA guidelines. “If you like your plan, you can keep your plan…” was looped over and over and over again to highlight yet another broken promise made by this president to the American people. The president’s poll numbers indicate declining trust and credibility brought on by the ACA debacle. His apology to those who lost plans was debated while his sincerity was questioned by conservatives. To neutralize congressional actions to address the dropped plans – the president announced his plan to help the people who lost their plans so they can be able to keep their plans.

While the president set a November 30th deadline to resolve the website issues – a recent hearing before the Oversight and Investigations Subcommittee of the House Energy and Commerce committee revealed that the website is only about 60 percent complete . Additionally, we now know that the administration knew of the problems months before the October 1st launch date. A report by McKinsey & Company outlined many of the issues that plagued the October 1st launch.

The emergence of these issues with ACA has prompted a stream of commentary disguised as analysis comparing the ACA problems to the death and destruction that followed Hurricane Katrina. While the issues with the ACA rollout are serious and significant – any attempt to link these problems to Hurricane Katrina is at best flimsy and unsupported with strong analysis. However, in light of the reports that have surfaced regarding information shared with the administration – the question comes up, “What did the president know and when did he know it?” But what may prove to be a bigger issue and one particularly for voters – what else is there that we don’t know? Are there other parts of the law lurking about in the shadows that hasn’t pierced the light of day yet? Furthermore, there are reports that President Obama’s proposed fixes for the dropped policies may cause even more problems.

President Obama has a steep mountain to climb to resurrect his popularity and legacy. Clearly, his legacy will certainly rest on the success of his administration’s efforts to resolve the ACA issues and concerns that are sure to surface during the remaining two years of his presidency. In light of the crisis the president now faces, can the president successfully “rebrand” and “remarket” ACA to remind the country of ACA’s long term objective of transforming the health care system and insuring the uninsured?

Millions of the uninsured are depending on him and the clock is ticking…