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Tuesday, Sep 4 2018

Full Issue

Different Takes: Keep Saying Nay To Repealing The Health Law; Preserve The Bargains In Short-Term Plans

Editorial pages examine health insurance issues.

Let鈥檚 be honest: Despite his reputation as a maverick, John McCain spent most of his last decade being a very orthodox Republican, toeing the party line no matter how irresponsible it became. Think of the way he abandoned his onetime advocacy of action to limit climate change. But he redeemed much of that record with one action: He cast the crucial vote against G.O.P. attempts to repeal the Affordable Care Act. That single 鈥渘ay鈥 saved health care for tens of millions of Americans, at least for a while. (Paul Krugman, 9/3)

While our political views differed in many areas, I gained a new level of respect for Sen. McCain the night he saved ObamaCare with a simple thumbs down. It is a gesture that now serves as a bookend for his Senate career and one that saved the health coverage for millions of Americans, particularly those with mental health and substance use challenges.聽聽While the rest of the country pauses to honor his legacy, many on Capitol Hill are already focused on undoing it by聽urging the governor of Arizona to appoint a senator聽to McCain鈥檚 seat who they can trust will repeal ObamaCare. While we are having no shortage of political issues that we need to mobilize behind, I urge mental health advocates to keep up the fight against those looking to strip away care that took more than a century and a half to obtain. 聽(Daniel E. Dawes, 9/2)

Democrats say they鈥檙e champions of health care for all, but that narrative needs a reality check. Progressives around the country are working to outlaw insurance products that could cover Americans who have no other affordable options. On Governor Jerry Brown鈥檚 desk is a bill that bans the sale of short-term, limited-duration insurance in California. The Trump Administration recently issued rules on the plans, which don鈥檛 have to comply with Affordable Care Act mandates. The coverage can now last up to a year, which was the norm before the Obama Administration limited the options to three months. Plans also can be renewed for up to 36 months. (9/3)

Since the Affordable Care Act was signed into law in 2010, America鈥檚 access to healthcare has improved dramatically. Roughly 20 million Americans have gained health insurance coverage. Medicare beneficiaries can now get free preventive care and pay less for prescription drugs. And no one can be denied coverage based on preexisting conditions. And yet, a group of 20 Republican governors and attorneys general are trying to accomplish in court what Republican lawmakers repeatedly failed to do in Congress: removal of the ACA and its vital protections for consumers. (Georges C. Benjamin, 9/4)

America鈥檚 current system of employer-sponsored health insurance is an accident of history that emerged from the Great Depression and the Second World War. But that doesn鈥檛 mean it鈥檚 going away in this era of rebuilding, or at least rethinking, health care. In fact, I believe that employer-sponsored health insurance offers a model for the future.No other industrialized nation鈥檚 health care system is dominated by employers. Then again, no other industrialized country lacks a public health insurance system that covers almost all of its citizens. As a doctor who has seen patients harmed by a lack of insurance or uncertain coverage, I support the idea that government-sponsored health insurance for all could be a promising alternative to our current system. (Rajaie Batniji, 9/4)

No issue is more important to the American people 鈥 or more turbulent 鈥 than what to do about health care in our nation. As the national discussion on health care continues, very publicly and at all levels of government and within the populace, we need focus on what is realistic and what will work. Most progressives, and a large percentage of would-be presidential candidates on the Democratic side, have pledged to try to adopt a single-payer option. Single-payer has failed in experiments, such as those attempted in Vermont and Colorado, and at the moment it鈥檚 not where progressives should focus their resources. (Former Gov. Ed Rendell, 9/2)

It鈥檚 wages vs. health benefits. On this Labor Day, just about everything seems to be going right for typical American workers, with the glaring and puzzling exception of wage stagnation. The unemployment rate is 3.9 percent, near its lowest since 2000. The number of new jobs exceeds the peak in 2008 by about 11 million. Then there鈥檚 wage stagnation. Corrected for inflation, wages are up a scant 2 percent since January 2015, according to the Bureau of Labor Statistics. The gain is roughly one-half of 1 percent annually. Little wonder that many workers feel they鈥檙e not getting ahead. They aren鈥檛. (Robert J. Samuelson, 9/2)

The political divide over the insurance provisions of the Affordable Care Act looks to be unbridgeable for now, but out of public view, Republicans and Democrats are quietly forging a consensus on an even more consequential aspect of medical care: improving its value for all Americans by increasing its quality and lowering its cost. (Lanhee J. Chen and James C. Capretta, 8/31)

For the latest example of unintended consequences in the U.S. health-care system, consider preauthorization. Before paying to cover a treatment, insurers increasingly require doctors to seek their approval. That鈥檚 meant to cut waste and ensure quality. Instead it causes delays and deprives patients of care they need. Many patients recently have sued their insurers over preauthorization disturbances of this sort, and Democratic Rep. Ami Bera and GOP Rep. Phil Roe have formally asked the Centers for Medicare and Medicaid Services to review its preauthorization rules for the Medicare Advantage program. (Richard Menger, 9/3)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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