Skip to main content

Good @nytimes edit: "Snowden deserves better than a life of permanent exile...has done his country a great service"
NY Times:
Bill de Blasio, whose fiery populism propelled his rise from obscure neighborhood official to the 109th mayor of New York, was sworn into office on Wednesday, pledging that his ambition for a more humane and equal metropolis would remain undimmed.
NY Times on contraception and ACA:
To understand the context of Justice Sotomayor’s decision, it helps to look at the details of the Affordable Care Act. The law distinguishes among three kinds of organizations: religious employers, for-profit corporations and nonprofit groups affiliated with religious organizations but not owned or controlled by them.

Under the law, religious employers like churches are exempt from the contraceptive requirement. For-profit corporations fall on the other end of the spectrum and are not exempt. Nonprofit groups affiliated with, but not owned or controlled by religious organizations, like the Little Sisters of the Poor, fall in the middle. Although such groups need not provide coverage themselves, they must sign a certification allowing insurance companies to do so.

The dispute in the new case is whether that certification itself amounts to conduct that violates the groups’ religious faith.

Given that the lower courts have mixed results on review, it's hard to see the Supremes staing out of this. We look forward to settling the questions.

More policy and politics below the fold.

Here are some more good Ocare articles I hope you did not miss:

George Zornick:

A crucial GOP line of attack against the Affordable Care Act (ACA) is that millions of people will supposedly lose coverage thanks to shifting requirements on the health insurance exchanges — a flagrant violation of President Obama’s infamous “if you like your plan, you can keep it” proclamation. The truth has always been more complicated, of course. Republicans are constantly blurring the line between people who lose a plan and people who lose coverage. That is, many people might lose a particular insurance plan but immediately be presented with other options.

Now, a new report from the minority staff of the House Committee on Energy and Commerce has destroyed the foundation of that particular GOP claim. It projects that only 10,000 people will lose coverage because of the ACA and be unable to regain it — or in other words, 0.2 percent of the oft-cited 5 million cancellations statistic.[my bold]

Ryan Cooper:
Because of the decision on Obamacare by the Supreme Court, which left the decision to expand Medicaid (a key part of Obamacare) up to the individual states, most Republican-controlled states refused said expansion, leaving substantial portions of the citizenry in the lurch.

Ed Kilgore has been calling this the “wingnut hole,” and many have been speculating about its size. How many Americans will go without health insurance simply because the GOP dislikes the president? Well, happy 2014, dear readers: initial estimates are in, and we have 5 million lucky winners!

John McDonough:
Before that, let's consider January 1 2014. In the midst of constant turmoil over websites, enrollment snafus, policy cancellations, political attack ads, and more, we are missing something important. January 1 2014 may well be the most transformational day in the history of United States health care policy, ever, and nobody seems to notice. What's so big about 1/1/2014?

First, this is the first day of fundamental reform of the business and regulation of health insurance in all 50 states:

• Banning the practice of "medical underwriting" by which insurance companies rate enrollees based on their health status and medical history,
• Banning pre-existing condition exclusions from US health insurance everywhere,
• Establishing "guaranteed issue" as the new operating paradigm for individual health insurance,
• Completely eliminating lifetime limits on all health insurance, and
• Establishing "minimum essential benefits" that must be included in nearly all licensed health insurance policies everywhere.

Here's a blast from the past (Feb 2013) from Kaiser:
Why Premiums Will Change for People Who Now Have Nongroup Insurance
It's a good primer, but it's also a reminder that
Before reform, the nongroup market was widely acknowledged to be broken, with restricted access, limited benefits, high administrative costs, and frequent and large premium increases subject to inadequate oversight.
Fixing that market is inevitably going to be disruptive (see the Ryan Cooper piece above, see Jonathan Cohn), but don't ever lose sight of how awful it was (Consumer Reports, 2009):
individual insurance is a nightmare for consumers: more costly than the equivalent job-based coverage, and for those in less-than-perfect health, unaffordable at best and unavailable at worst. Moreover, the lack of effective consumer protections in most states allows insurers to sell plans with ‘affordable’ premiums whose skimpy coverage can leave people who get very sick with the added burden of ruinous medical debt.  
dissatisfaction with individual market was high pre-ACA
Meanwhile (NY Times):
Millions of Americans will begin receiving health insurance coverage under the Affordable Care Act on Wednesday after years of contention and a rollout hobbled by delays and technical problems. The decisively new moment in the effort to overhaul the country’s health care system will test the law’s central premise: that extending coverage to far more Americans will improve the nation’s health and help many avoid crippling medical bills.
Meanwhile (Wonkblog):
Everything you need to know about life under Obamacare
Meanwhile: (Sarah Kliff):
It's impossible to know how many people are gaining insurance today. There is no national clearing house for which Americans get their health insurance where, which makes it all but impossible to know who has insurance on Jan. 1 who didn't on Dec. 1. Here's what we know for sure: At least 6 million people have signed up for Obamacare's coverage expansion, either through private insurance or the public Medicaid program.

We don't know how many of those people had insurance before Jan. 1 and are transitioning into a new, Obamacare-compliant plan. We also don't know how many of the people signed up for coverage have paid their first month's premium -- and they have to do that by Jan. 10 in order to be covered by their new health plan. The Wall Street Journal estimates that about half of those who have picked a private plan have so far made this payment.

And meanwhile the way health insurance is delivered will never be the same.
Your Email has been sent.
You must add at least one tag to this diary before publishing it.

Add keywords that describe this diary. Separate multiple keywords with commas.
Tagging tips - Search For Tags - Browse For Tags


More Tagging tips:

A tag is a way to search for this diary. If someone is searching for "Barack Obama," is this a diary they'd be trying to find?

Use a person's full name, without any title. Senator Obama may become President Obama, and Michelle Obama might run for office.

If your diary covers an election or elected official, use election tags, which are generally the state abbreviation followed by the office. CA-01 is the first district House seat. CA-Sen covers both senate races. NY-GOV covers the New York governor's race.

Tags do not compound: that is, "education reform" is a completely different tag from "education". A tag like "reform" alone is probably not meaningful.

Consider if one or more of these tags fits your diary: Civil Rights, Community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, Media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don't fit in any of these tags. Don't worry if yours doesn't.

You can add a private note to this diary when hotlisting it:
Are you sure you want to remove this diary from your hotlist?
Are you sure you want to remove your recommendation? You can only recommend a diary once, so you will not be able to re-recommend it afterwards.
Rescue this diary, and add a note:
Are you sure you want to remove this diary from Rescue?
Choose where to republish this diary. The diary will be added to the queue for that group. Publish it from the queue to make it appear.

You must be a member of a group to use this feature.

Add a quick update to your diary without changing the diary itself:
Are you sure you want to remove this diary?
(The diary will be removed from the site and returned to your drafts for further editing.)
(The diary will be removed.)
Are you sure you want to save these changes to the published diary?

Comment Preferences

Subscribe or Donate to support Daily Kos.

Click here for the mobile view of the site