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Winston Churchill famously stated that “Democracy is the worst form of government, except for all the others.” One is increasingly tempted to offer the same assessment of Obamacare.

Is it flawed and messy? Absolutely. Could we call envision a scenario in which each of us — acting as philosopher kings — could craft a better system? Sure.

But when it gets down to the nitty-gritty of making something work in a huge, complex and wildly diverse nation, the following AP story tells you what you need to know about Obamacare on July 24, 2014:

A new study estimates that more than 10 million adults gained health insurance by midyear as the coverage expansion under President Barack Obama’s law took hold in much of the country.

The study published Wednesday in the New England Journal of Medicine found that the share of Americans ages 18 to 64 without insurance dropped by a little more than 5 percentage points.

States that embraced the law’s Medicaid expansion saw significant coverage gains among low-income uninsured people. About half the states have expanded.

The law offers subsidized private insurance for middle-class people who don’t have access through their jobs and expanded Medicaid for low-income adults.

The latest study results are in line with findings by Gallup and with estimates from the Congressional Budget Office.

Read the AP article by clicking here.

 

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Here are two morning editorials that ought to be a “must reads” for North Carolina’s conservative political leaders:

The first comes from the Fayetteville Observer and it’s entitled “Yes, Republicans can expand Medicaid too.” As it notes:

Last month, hundreds of representatives from North Carolina hospitals and other health-care institutions brought a united message to Raleigh: Cuts in the Medicaid program are causing them serious economic harm. Further cuts could be disastrous.

That doesn’t begin to consider the financial drain that comes from treating the thousands of North Carolinians who have no health insurance at all – those who are ineligible for Medicaid but too poor to afford conventional health insurance. By law, hospitals must treat them if they show up in the emergency room, even though there is no chance that they can pay their bill….

That’s one reason why officials in Republican-led Indiana changed their minds about Medicaid participation in May, developing a hybrid state-federal system that will bring coverage to more low-income residents there.

Indiana Gov. Mike Pence, a Republican, is using the supplementary Medicaid money to fund a state health-insurance plan for low-income residents. But it will have the same net effect in bringing coverage to those who don’t have it.

That’s a lesson in that for our GOP leaders, who have resisted participation in Obamacare. Don’t resist. Take the money and build a program that works.

The second comes from the Wilmington Star News. It’s entitled: “Instead of bullying children fleeing violence, put blame where it belongs.”

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Get Covered AmericaThe good folks over at Get Covered America, who have been working tirelessly and with great success to get hundreds of thousands of North Carolinians into affordable health insurance over the last several months despite the mean-spirited obstructionism of the state’s conservative political leadership, issued the following common sense response to today’s competing U.S. Court of Appeals rulings:

Today the Federal Court of Appeals for the Fourth Circuit, which covers North Carolina, ruled in the King v Burwell case that the U.S. Internal Revenue Service does have authority to issue tax subsidies in states with a federally facilitated marketplace such as North Carolina. In a separate ruling today, the federal court in DC ruled differently. The end result, is that nothing changes for the 357,584 North Carolinians that already enrolled in insurance on the federal marketplace and nothing changes for those who can still enroll now. While the legal process takes its course, Get Covered America-North Carolina staff and volunteers will continue to reach out to uninsured North Carolinians and let them know about the financial help that continues to be available to them during the current Special Enrollment Period and the upcoming Open Enrollment Period beginning in November. The financial assistance made available by the Affordable Care Act to help consumers afford health coverage has made a huge difference for thousands of North Carolinia families. In fact, 91% of North Carolinians who enrolled in insurance on the federal marketplace are receiving financial assistance to pay for it. The clear intention of the law is to make health insurance affordable for all Americans. (Emphasis supplied.)

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Health-Reform-SBAs Adam Linker explained last week when he debunked the latest conservative mythology surrounding the Affordable Care Act, the law continues to succeed despite its imperfections and the endless, hysterical attacks of the President’s political opponents.

Today, there’s still more confirmation of this undeniable reality from Washington state. As The Olympian reported this morning, the state’s uninsured rate has been plummeting:

State insurance officials say fewer than 9 percent of Washington residents still don’t have health insurance.

That’s a significant improvement from numbers before the Affordable Care Act went into effect.

The state Office of the Insurance Commissioner counted 970,000 uninsured Washington residents last year. That number is now 600,000 or about 8.65 percent of the state population.

Agency spokeswoman Stephanie Marquis told The Olympian (http://is.gd/p2XsBG ) two factors are driving the improvement: enrollment in Medicaid and sign-ups for private insurance, but inside and outside of the new state health insurance exchange.

The insurance department reports the individual market has grown to more than 327,000 policies. That represents about 81,000 more insured people than before Oct. 1, when Washington’s Health Benefit Exchange opened.

The exchange also helped sign up nearly 350,000 people for free insurance through Medicaid.

Despite the many successes here, at last check, North Carolina’s uninsured rate remains significantly higher.

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nci-vol-2174-300The White House Council of Economic Advisers released a report today detailing the health and economic consequences of refusing to accept federal Medicaid money to expand insurance coverage in North Carolina.

If the state accepted federal funds we could provide insurance coverage to 377,000 more people. This influx of federal money would also create jobs and boost our economy. And reducing our uninsured rate would have salutary impacts on the lives of those able to obtain affordable health care.

For example: 27,000 women would gain access to to recommended health screenings; 90,000 people would gain access to a medical home; 50,000 more people would report that they are in good health. The individual financial impacts are no less dramatic. Closing the coverage gap here would mean 17,000 fewer families facing catastrophic medical bills and 53,600 fewer people borrowing money to finance their health needs.

Some claim that North Carolina can’t afford to extend health coverage to more people. When you look at the numbers it’s clear that we can’t afford not to expand coverage. In 2014 the state is giving up $2.7 billion in federal funds. In 2015 that increases to $3.2 billion. In 2016 it’s $3.6 billion. In 2014 we could create 8,700 jobs. In 2015 we could create 19,400 jobs. If a private company or a new military base opened in North Carolina that created 19,000 jobs, politicians would be elbowing each other to get to the ribbon cutting.

The Council of Economic Advisers calls the decision to refuse new Medicaid funds a “missed opportunity.” That’s an understatement; it’s more like a terrible shame.