Tennessee's Marsha Blackburn caught in another lie. She should be a case study on ignorance, deceit, and winning elections. How does she do it?
Remember Emilie with Lupus "whose $57-a-month plan was canceled because it didn’t meet the standards of the new law...?"
From Consumer Reports:
Her old health plan, CoverTN, may have been a well-intentioned effort by the state of Tennesee to provide minimal coverage for lower-income working people. But the most it would pay out for health care in a single year was $25,000. That’s barely enough for an uncomplicated pregnancy, and totally inadequate for a serious, unpredictable illness such as lupus that can require expensive treatments.
“Lupus is a highly variable disease,” Gary Gilkeson, M.D., a professor of medicine and lupus specialist at the Medical University of South Carolina, said. “There certainly are patients that do well on low-cost generic medications, but about 50 or 60 percent will end up needing immunosuppressants.” If lower-cost varieties don’t work, he said, “they go on to the biologics like Benlysta, which is around $50,000 a year, or Rituxan, which is about $60,000 a year.”
In addition, having lupus greatly increases a person’s risk of developing cancer, kidney failure, or heart disease, all of which can have six-figure treatment costs—well above the $25,000 limit of Lamb's old plan. Luckily, Lamb hasn't yet needed any of these expensive drugs or treatments. But there's a very good chance that she will.
Under her old plan, they would not have been covered. Under her new plan, they will be. I used HealthCare.gov’s window-shopping feature to identify what she purchased: a Platinum plan with a $1,500 out-of-pocket limit. (Here’s the Summary of Benefits and Coverage for it.) There is no deductible, 25 percent coinsurance for pretty much all services, and, most critically, no upper limit on what the plan will pay out for medical care. So if she ever has a complication of her disease, or needs one of those expensive drugs, the most she’ll have to pay out of pocket in a year is $1,500. The insurance company will pick up the rest of the tab, no matter how costly.
In other words, she now has real health insurance, not junk. The only "horror story" here was the insurance she used to have.
How many of these lies can the GOP get away with before Chuck Toad and David Gregory say anything? Instead, we get crap like "Obamacare deadbeats not paying their bills." What?
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