Policy process part 1

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Policy process part 1

Health Care Policy and Marketplace Review A Health Care Reform Blog——Bob Laszewski's review of the latest developments in federal health policy, health care reform, and marketplace activities in the health care financing business.

Democrats are claiming the election vindicated Obamacare because they were successful in gaining control of the House of Representatives by criticizing losing Republicans for their votes to repeal the Affordable Care Act--including its key consumer protections.

My sense is that both Democrats and Republicans have missed the critical point. Both sides don't understand that this was not about Obamacare.

It was about health insurance security. Obamacare guaranteed people that they would never again be turned down for health insurance because of a preexisting condition. It assured those who couldn't afford to buy health insurance they would be given financial assistance.

And, it offered the expansion of Medicaid to the poorest. Obamacare offered health insurance security--at least, it turned out, to those with the lowest incomes. But Obamacare also devastated the individual health insurance market with its prohibitively high prices and out-of-pocket costs for the middle-class.

Let me suggest that what happened in Virginia's 10th Congressional District tells the story. Like the Virginia 10th, all across the nation one Democrat after another ran effective ads promising to protect Obamacare and its preexisting condition reforms from those Republicans who had voted to repeal the law.

Policy process part 1

The ads resonated even though Obamacare has continued to devastate the individual health insurance market: In March ofthere were In March of that count was down to In March of the count was In March of there were 7, people covered in the off-exchange individual health insurance market where subsidies are not available.

In March of 5, were covered.

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And, the Obamacare subsidies paid to consumers are hardly sustainable. Why has the Obamacare individual market melted-down in these last two years? Because its premiums and deductibles are sky high--for all but the lowest income participants. Democrats are now arguing that Obamacare was the big winner in the midterms.

Why would a law that has so devastated the individual market be a winner?

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And, why would it be a winner in the Virginia 10th? Because the Republican incumbent voted for the Republican House bill to repeal and replace Obamacare. In passing the House bill, Republicans were health care tone deaf.

The bill would have:1. Background.

Policy process part 1

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Chapters available for downloading are highlighted. All chapters for this Department are formatted in Microsoft Word. A Health Care Reform Blog––Bob Laszewski's review of the latest developments in federal health policy, health care reform, and marketplace activities in the health care financing business.

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