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This morning’s Greensboro News & Record makes some sound points in assessing the split in the federal courts over the Affordable Care Act and the availability of subsidies in states without state-based exchanges.

While the editorial (which is entitled “Save the subsidies”) acknowledges the ambiguity of some of the language in the statute, it also rightfully calls for judges and lawmakers to apply common sense in interpreting and applying it.

As it notes:

“Yet, it [the inartfully crafted statute] could be fixed easily. Congress could pass a technical correction, making plain its original intent that subsidies should be made available across the country. Republicans won’t agree to that, preferring to see the program collapse.

North Carolina could provide a remedy for its residents, creating a state exchange and allowing them to sign up again for coverage. Our state’s Republicans won’t do that, for the same reason. They would rather stick to their opposition, even if more than 300,000 residents lose their medical coverage. It’s all about politics.

For now, after Tuesday’s contradictory rulings, the legal question is still open. Politics seems to influence the courts as well. The three judges on the Richmond panel were appointed by Democratic presidents. The two who produced the majority opinion in Washington were nominated by Republican presidents. If the full D.C. court hears the case on appeal, a reversal is expected because most of the court’s judges are Democratic appointees.

It would be refreshing to see a ruling made on the legal merits of a case, rather than politics.

Also helpful would be consideration for what’s really best for the public. The ACA intends to improve access to medical care. Whether the enrollment mechanism is a federal or state exchange shouldn’t matter, and judges should apply common sense to their final decision.

Read the entire editorial by clicking here.

 

 

 

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.

 

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.)

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.