Showing posts with label Democrats. Show all posts
Showing posts with label Democrats. Show all posts

Tuesday, June 15, 2010

Obama, Democrats Launch Health Care Push

by Scott Horsley

June 8, 2010

Listen to the Story All Things Considered

[3 min 54 sec] Add to Playlist Download   text size A A A June 8, 2010

With a speech on Tuesday, President Obama rolls out the first stages of implementing the health care overhaul. The public remains ambivalent about the new law, but polls suggest most are willing to let it play out before judging it. The administration and its Democratic Party allies are launching a campaign to sell it to the American people.

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ROBERT SIEGEL, host:

From NPR News, it's ALL THINGS CONSIDERED. Im Robert Siegel.

Remember health care? More than two months after passage of a sweeping overhaul, many Americans are still skeptical of or downright opposed to the law.

As NPR's Scott Horsley reports, President Obama and his allies are now mounting a major effort to defend the measure.

SCOTT HORSLEY: President Obama held a telephone town hall meeting today for seniors, who are the most concerned about health care and any changes to their own coverage.

He was introduced by Fran Garfinkle, a cancer survivor whose costly drugs have put her into the so-called donut hole - thats the gap in Medicare's prescription drug benefit, where seniors have to pay for their own medication.

Ms. FRAN GARFINKLE: It's pretty scary. I understand now how just one serious medical setback can cause one to lose their home, and to use their savings and their retirement fund.

HORSLEY: The president promised some relief for Garfinkle and the estimated four million seniors who will find themselves in the donut hole this year. Under the new health care law, theyll each receive a $250 check to help cover the cost of their medication. The first of those checks go out later this week.

President BARACK OBAMA: Beginning next year, if you fall into the coverage gap you'll get a 50 percent discount on the brand name medicine that you need - 50 percent.

(Soundbite of applause)

HORSLEY: The administration is actively promoting the drug rebate checks and other benefits for seniors. The White House hired campaign strategist Stephanie Cutter to oversee its sales push. She admits it's an uphill battle, given Republican success in characterizing the law as too costly and risky.

Ms. STEPHANIE CUTTER (Assistant to the President, Special Projects): We may be starting from a couple of steps back from where we need to be, but we're going to get it done. We're going to communicate with seniors all the things they need to know under the law.

HORSLEY: The administration is getting some help from groups like AARP, which lobbied for the new law and has now sent mailings about it to nearly 40 million members. The group's vice president, Nancy LeaMond, says for many seniors ideological opposition is giving way to practical questions about how the law will work.

Ms. NANCY LEAMOND (Executive Vice President, AARP): Particularly for America's seniors, the focus now really is on finding out what it means to them.

HORSLEY: LeaMond knows it took years to educate seniors about the Prescription Drug Benefit, and the health care overhaul is considerably more involved.

Supporters are also launching a new non-profit group to defend the law and the politicians behind it. The Health Information Center is being organized by veteran Democratic strategists and bankrolled with up to $25 million this year, from unions, foundations and corporate contributors.

If all this sounds a little defensive for what is, after all, the law of the land, Harvard analyst Robert Blendon says there's a good reason.

Professor ROBERT BLENDON (Health Policy and Political Analysis, Harvard University): There is a continuing debate around this law because the majority of Americans have not come to the judgment that it's the right thing to do.

HORSLEY: Blendon says it's hard for people to reach that judgment because most of the law hasnt taken effect yet. The administration is trying to speed up some of the more popular early provisions, like the ban on lifetime insurance limits and the requirement that insurance companies cover sick children.

Prof. BLENDON: I think the administration is trying to put facts on the ground. But much of this legislation does not take effect for years, and that makes it harder for people to be absolutely supportive of its continuation.

HORSLEY: Republicans are actively campaigning for repeal of the health care law. But even though more Americans disapprove of the measure than support it, a Wall Street Journal poll last month found most want to give the overhaul a chance to work and make changes as needed.

In order to sell the new law as a major accomplishment, Democrats need to build public support for it. And the White House is convinced that as people grow accustomed to the benefits in the law, it will be harder for opponents to take them away.

Scott Horsley, NPR News, Washington.

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Rising Costs: A Health Care Challenge For Democrats

by Julie Rovner

June 15, 2010

Listen to the Story Morning Edition

[3 min 52 sec] Add to Playlist Download Transcript   Related Blog Posts As Consumer Group Slams Health Plans' Profits, Insurers Point Finger Elsewhere May 13, 2010 Is More Health Care Better Or Worse? Well, It Certainly Costs More June 3, 2010 text size A A A June 15, 2010

For Democrats, passing the new health care law may have been the easy part. Now that it's the law, everything that happens in health care, whether due to the Patient Protection and Affordable Care Act or not, is their responsibility.

"The Democrats have guaranteed that the American health care system is going to be affordable. They put it in the title of their bill," health policy analyst Bob Laszewski said. "So everything that happens after March 23, 2010 [the day President Obama signed the measure] is theirs. They own it."

Democrats came under fire from Republicans on Monday for the latest set of regulations they issued. The new rules lay out which insurance plans can remain as is when new consumer protections and other requirements take effect.

"This rule reflects the president's policy that Americans should be able to keep their health plan and doctor if they want," Health and Human Services Secretary Kathleen Sebelius said.

But plans won't be able to remain "grandfathered" if they raise premiums too much, or cut too many benefits. Sebelius said the idea was to create a balance, "to make sure the grandfathered plans still have the flexibility they need to make reasonable changes, but also making sure that insurance companies don't use this additional flexibility to take advantage of their customers."

Republicans, however, were quick to point out that by the department's own estimates, many insurance plans would not qualify to remain unchanged.

Despite repeated promises by President Obama to the contrary, said Senate Minority Leader Mitch McConnell (R-KY), "the government is about to change the plans most Americans have. Here's one more promise the administration has broken on health care and one more warning Republicans issued on this bill that's been vindicated."

What Republicans don't say is that plans that do have to change will have to offer more, rather than fewer, benefits and consumer protections. That includes things such as free preventive services and guaranteed direct access to obstetrician/gynecologists for women.

But most of those new benefits won't take effect for another three years. What makes Democrats more immediately vulnerable is what's going to happen to people's health insurance costs next year. They're going up.

At least that's the finding of a new report from the consulting group PricewaterhouseCoopers.

"I think you can expect to continue to see significant increases in what you pay for your health care," says Mike Thompson, a principal with the firm and the study's lead author.

In order to cope with a projected medical inflation rate of 9 percent next year, Thompson says, he expects that employers will load more costs onto workers, both through higher deductibles and by replacing flat co-payments with percentage coinsurance. In other words, rather than paying a flat $20 fee to see a doctor, more workers will be expected to contribute 20 percent of that doctor's bill.

Both Thompson and Laszewski say next year's rising costs aren't due to the new health law. And none of the new law's provisions intended to restrain health spending have yet to take effect. But those are subtleties likely to be lost on most of the public. They're simply going to wonder why their costs keep going up.

"I myself would not have called it the 'affordable' health care act," Laszewski says. "I think that's making a promise you're not likely to be able to keep."

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