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Funeral

Photo: NC NAACP

As the North Carolina NAACP holds a “Denial of Medicaid Funeral Procession” today, it’s worth considering some of the facts and data surrounding the impact of North Carolina’s ongoing refusal to expand Medicaid under the Affordable Care Act:

The North Carolina Institute of Medicine’s 2009 Access to Care study begins with this statement: “The lack of health insurance coverage is the foremost barrier to accessing health care services.”

In the report’s introduction it continues:

In a statewide survey of adults, nearly half of the uninsured in North Carolina reported forgoing necessary care due to cost, compared to 10% of individuals with insurance coverage. Lack of coverage also adversely affects health as the uninsured are less likely to get preventive screenings or ongoing care for chronic conditions. Consequently, the uninsured have a greater likelihood than people with coverage of being diagnosed with severe health conditions (such as late stage cancer), being hospitalized for preventable health problems, or dying prematurely. In fact, adults who lack insurance coverage are 25% more likely to die prematurely than adults with insurance coverage.

A Families USA report in 2010 estimated that before the Affordable Care Act passed nearly 1,000 North Carolinians died each year between 2005 and 2010 due to lack of health insurance.

What has changed is that the states now have an unprecedented tool for saving lives. North Carolina now has the opportunity to extend health insurance coverage to nearly all low-income adults, the majority of whom are working. The federal government will finance nearly the entire cost of this coverage expansion. Not expanding coverage is not only morally misguided but it is also fiscally irresponsible. Read More

Commentary

The debate over women’s rights has been front and center in the North Carolina U.S. Senate race for months now — often with a lot more heat than light on the subject. I f you’d like to get up to speed on what’s really at issue in Washington — both in our high courts and in the halls of Congress, you won’t want to miss the next N.C. Policy Watch Crucial Conversation: Breakfast with Judy Waxman, Vice President for Health and Reproductive Rights at the National Women’s Law Center

NCPW-CC-2014-10-21-reproductive-rights-judy-waxman

Judy Waxman is the Vice President of Health and Reproductive Rights at the National Women’s Law Center, where she leads the center’s team of advocates, who are at the forefront of major legal, public policy and educational initiatives to protect and advance women’s health and reproductive rights. Prior to joining the center, Ms. Waxman served as Deputy Executive Director at Families USA for over a decade.

Especially in the aftermath of the Supreme Court’s recent and now infamous ruling in the Hobby Lobby case, you won’t want to miss the opportunity to hear from one of the nation’s leading experts in this critically important and fast-evolving field.

Cosponsored by: North Carolina Women United, the North Carolina chapter of the National Organization for Women and Women AdvaNCe.

When: Tuesday, October 21, at 8:15 a.m. — Breakfast will be available at 8:00 a.m.

Where: Center for Community Leadership Training Room at the Junior League of Raleigh Building, 711 Hillsborough St. (At the corner of Hillsborough and St. Mary’s streets)

Space is limited – pre-registration required.

Cost: $5, admission includes light breakfast.

Click here to register

Questions?? Contact Rob Schofield at 919-861-2065 or rob@ncpolicywatch.com

Commentary

Conspiracy kooksThere’s very little that right-wing opponents of President Obama and the Affordable Care Act aren’t willing to claim in public about America’s increasingly successful and transformative health care law. From “death panels” to imaginary massive tax hikes to allegations about global conspiracies and plots to impose martial law and suspend the Constitution, the loony conspiracy theories are as endlessly creative as they are delusional.

As a general matter, the kookiness does seem to be somewhat on the wane of late as the ACA slowly but surely moves millions of new people onto the insurance rolls while helping to contain the growth in health care costs. Heck, even the McCrory administration has finally recognized that North Carolina must expand Medicaid under the ACA.

For a few true believers and unrepentant, whatever-it-takes propagandists, however, the battle is still on and just about any anti-Obamacare claim — however preposterous — will do. For a classic example, check out this post by a staffer over at the Locke Foundation entitled “Medicaid Expansion Could Steer Resources Away From the Most Vulnerable.” Here, as best as can be determined, is the “argument”: Read More

Commentary

If there’s one story that’s been notably and inexplicably under-reported in the mainstream news media this week it’s been this one. As  our former colleague Adam Searing, to his credit, reported Monday:

In two interviews over the last few days, North Carolina’s Secretary of the Department of Health and Human Services Dr. Aldona Wos and NC’s Medicaid Director Dr. Robin Cummings address the question of Medicaid expansion in NC:  How soon, the presentation of options for policymakers and whether the state should create its own unique plan are discussed.  Both officials comment on the fact that the federal government is working with states to create state-tailored plans and seem clear that North Carolina’s Governor will be presented with options for expansion that can be taken to NC’s General Assembly.  No timeline is discussed, but NC’s legislature reconvenes in January 2015.

Click here to watch Health and Human Services Secretary Aldona Wos and Medicaid Director Robin Cummings finally confirm plans to do what advocates, providers and economists have been demanding for nearly two years: expand Medicaid.

Commentary
Obama window

Pres. Obama and a staffer hail Rose Garden maintenance team to join them at today’s press event. Photo: www.whitehouse.gov

President proposes heath care expansion financed by rich liberals, people of color and immigrants
Conservative leaders skeptical that tax plan is sufficiently targeted

WASHINGTON - In an effort to break the logjam that has kept millions of Americans in numerous states from fully participating in all aspects of the Affordable Care Act, President Obama announced today that he would offer yet another olive branch to conservative critics of his signature health plan.

Under a new initiative the President referred to as the “Keeping Our Citizens Healthy by Selling-out Wholesale If Necessary” plan or “KOCHS WIN” for short, Medicaid expansion and other costs associated with the Affordable Care Act would be underwritten as of January, 2015 via a series of new taxes to be levied directly on three of Mr. Obama’s most loyal groups of supporters: liberal billionaires, people of color and immigrants. The President announced the new plan today at a White House ceremony in which he was joined by Warren Buffett, Bill Gates, George Soros and a several members of the Rose Garden maintenance team.

According to Mr. Obama, the KOCHS WIN plan was just his latest good-faith effort to do whatever it takes to find common ground with critics who have fought the Affordable Care Act and virtually every other initiative of his administration since it took office in 2009, even when the initiatives in question were originally the critics’ ideas.

“My administration has compromised so much on so many things at this point – Iraq, Guantanamo, taxes, trade, reproductive rights, immigration, gun control, just to name a few – that this one was really a no-brainer,“ said the President. Hearkening back to a theme that has arisen repeatedly over the last five and a half years, Mr. Obama declared that “there are very few principles of progressivism and good governance that we aren’t prepared to sacrifice in order to get a deal and maybe save some lives.”

New tax schemes

Under the plan, which Mr. Buffett claimed to have first suggested to the President during toasts at a White House state dinner for African leaders last month, each of the growing number of billionaires who have contributed to the President’s Organizing for Action advocacy group and its affiliated nonprofits, plus those who are registered as Democrats or who have significant holdings in the film industry, will pay a special one-time surtax of 3% of their net wealth.

“Heck, I told the President that Bill, George and I ought to probably just pay for the whole darned thing ourselves,” said Mr. Buffett. “But he said ‘no, if we’re going to have a shot at getting this through we can’t let ourselves be accused of engaging in class warfare.’ That’s when someone – I think it was Harry Reid – suggested a small tax on some other groups conservatives love to hate. ”

Those other groups, under the initial version of the KOCHS WIN plan, would be immigrants and lower-income minorities – both of which would be targeted for new federal excise taxes. Read More