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Summaries of health policy coverage from major news organizations
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GOP Health Bill鈥檚 Changes Go Far Beyond Preexisting Conditions
The measure proposed by Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.) would disrupt the existing health system more than any of the measures considered so far this year, according to supporters and critics.
A Tale Of Two States: California, Texas And The Latest ACA Repeal Bid
In the GOP's attempt to repeal the Affordable Care Act, California would lose a lot of federal funding. Texas would gain a lot in the short term, but experts worry Texas would not use the money well.
Sunday Hours: Obamacare Website To Be Shut Down For Portion of Most Weekends
The shutdown, which raised protests from navigator groups, will occur from midnight Saturday to 12 p.m. Sunday on all but one weekend.
Everyone Says We Must Control Exorbitant Drug Prices. So, Why Don鈥檛 We?
Any momentum to address prescription drug costs has been lost amid rancorous debates over replacing Obamacare and stalled by roadblocks erected via lobbying and industry cash.
Medicaid Covers All That? It鈥檚 The Backstop Of America's Ailing Health System
Those relying on the federal government鈥檚 safety net are grandmothers, the kid next door, your supermarket cashier 鈥 maybe even you.
Money-Saving Offer For Medicare鈥檚 Late Enrollees Is Expiring. Can They Buy Time?
Sept. 30 marks the end of Medicare鈥檚 temporary offer to waive penalties for certain late Medicare enrollees with Affordable Care Act insurance coverage.
Summaries Of The News:
Health Law
With Clock Ticking, Senators Tweak Health Plan To Shift Money To Reluctant Senators' States
With time running short, the authors of the latest plan to repeal and replace the Affordable Care Act shifted money in the bill to Alaska and Maine, which are represented by Republican senators who appear reluctant to support it. The revised version of the bill, written by Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana, would provide extra money for an unnamed 鈥渉igh-spending low-density state,鈥 a last-minute change seemingly aimed at Alaska and its holdout Republican senator, Lisa Murkowski, who has yet to say how she will vote. It would also send money toward Maine, whose Republican senator, Susan Collins, had said earlier on Sunday that she would almost certainly vote no. (Pear and Kaplan, 9/24)
The revised Republican health-care bill that senators plan to unveil Monday would partly even out wide gaps between states that would win and lose financially, providing more generous funding to states of some reluctant GOP lawmakers, but would give states less freedom to unwind federal health insurance rules. The new version of the Cassidy-Graham legislation eliminates what had been one of the measure鈥檚 most controversial features, which would have enabled states to get federal permission to let insurers charge higher prices to customers with preexisting medical conditions. In addition, states now would not be able to allow health plans to impose annual or lifetime limits on coverage, as the original bill would have done. (Goldstein and Eilperin, 9/25)
The plan was distributed among Republicans late Sunday, with party leaders just one 鈥渘o鈥 vote away from defeat and as Republican senators from across the political spectrum were distancing themselves from the prior draft. Aides to Murkowski and Collins did not immediately comment late Sunday. Some Republicans close to the process have long counted Collins as an eventual 鈥渘o,鈥 predicting that little could be done to the bill to change her mind. On Sunday night, some聽were once again privately pessimistic the changes would convince her to vote yes. (Sullivan, Cunningham and Phillip, 9/24)
Under the revised text, the bill's authors now project increases in federal funding for Arizona (14 percent), Kentucky (4 percent) and Alaska (3 percent), which would have seen declines under the previous version, according to a leaked analysis from Trump's health department. In particular, Murkowski's home state would uniquely benefit from Sec. 129, which allows the state with the highest separate poverty guideline 鈥 Alaska 鈥 to receive a 25 percent hike in federal matching funds for Medicaid. (Pradhan and Diamond, 9/24)
The bill by Sens. Bill Cassidy of Louisiana and Lindsey Graham of South Carolina would set 鈥渂lock grants鈥 of federal funding for each state to use for health care, including the Medicaid program for the poor. The revised text of the bill gives states broad authority to make changes to coverage mandated under the ACA, and they no longer must seek a waiver to roll back some of those requirements, which was in the earlier text of the bill, health analysts reviewing the new bill said. (Radnofsky and Peterson, 9/24)
The numbers are misleading, partly because they omit GOP Medicaid cuts from clamping per-person spending caps on the program, said Matt House, spokesman for Senate Minority Leader Chuck Schumer, D-N.Y. In a statement, Schumer said the measure would "throw our health insurance system into chaos." (Fram, 9/25)
鈥淒espite an attempt to appear to add money for a select few states, this bill is just as bad for those states and the rest of the states because it still contains a massive cut to Medicaid, and would throw our health insurance system into chaos while raising premiums," Senate Democratic Leader Chuck Schumer (N.Y.) said in a statement. "It still takes away protections for those with preexisting conditions and further weakens consumer protections." (Sullivan, 9/24)
With a vote expected as soon as Wednesday, according to the White House, and backers still talking about potentially major changes, the legislation will get its first and only congressional hearing Monday afternoon. The independent Congressional Budget Office, which lawmakers rely on to assess major legislation, already has said it won鈥檛 have time to analyze the bill鈥檚 effect on health coverage and insurance premiums. 鈥淭his is like legislating blind,鈥 said University of North Carolina political scientist Jonathan Oberlander, who has written extensively on the history of major healthcare legislation.鈥淚t is really hard to find an example of something where Congress was this reckless.鈥 (Levey, 9/25)
If Republicans can鈥檛 get the votes -- or decide to scrap this bill altogether -- it would mark another reminder of the party鈥檚 inability to deliver on seven years of promises to repeal the 2010 law. The GOP could still try to resurrect a proposal later in the year, but the repeal effort鈥檚 collapse would seed doubts about the party鈥檚 ability to deliver any significant legislative victories. (Litvan, Tracer and Dennis, 9/25)
"It鈥檚 not dead,鈥 Marc Short, the White House director of legislative affairs, told 鈥淔ox News Sunday." "Here we are, just days away from a final vote and we鈥檝e trying to win over the support of the last couple senators to get there." Short added that he anticipated a vote on the healthcare legislation to come up on Wednesday. Senate Majority Leader Mitch McConnell (R-Ky.) hasn't formally scheduled a vote but said last week that he "intends" to bring up ObamaCare repeal. (Carney, 9/24)
Congress has just a few days to act on the Republican health care repeal bill through the聽shortcut budget reconciliation process, but the bill鈥檚 abortion restrictions could create problems under those rules. The draft bill from Sens. Lindsey Graham, R-S.C.; Bill Cassidy, R- La.; Dean Heller, R-Nev.; and Ron Johnson, R-Wis., retains several of the anti-abortion provisions from previous efforts to repeal the 2010 health care law. Those include language defunding Planned Parenthood for one year and banning individuals from using tax credits to buy insurance that covers abortion. Both provisions were both deemed violations by the parliamentarian in July. (Raman, 9/22)
Sen. Lindsey Graham (R-S.C.) said on Sunday he would not vote for a budget resolution that did not allow the health care debate to continue. "We're not going to vote for a budget resolution that doesn't allow the health care debate to continue," Graham, who sits on the Senate Budget Committee, said on ABC's "This Week." (Carney and Manchester, 9/24)
Sen. Lindsey Graham (R-S.C.) on Sunday pushed back on the possibility of working with Democrats on heath care reform, saying聽ObamaCare is a placeholder for "BernieCare" for Democrats.聽鈥淚鈥檝e come to conclude that ObamaCare is a placeholder for BernieCare in the Democratic world," Graham said on ABC's "This Week," adding that there is no bipartisan process at this point for moving forward on health care reform. (Manchester, 9/24)
Rand Paul Gives GOP Glimmer Of Hope, But Chances Of Securing 50 Votes Still Dim
The embattled Republican effort to repeal the nation鈥檚 health-care law now centers on winning over a hard-line conservative, Sen. Rand Paul (R-Ky.), who continues to engage with President Trump and Senate leaders, giving proponents of the latest GOP bill a glimmer of hope. While Paul remains wary of that proposal, he signaled Sunday that he is willing to consider a 鈥渘arrow鈥 version of the legislation, which would give states vast authority over money provided under the Affordable Care Act and waive many federal rules and regulations. (Costa, 9/24)
Sen. Rand Paul (R-Ky.), who has said he will vote against the GOP's latest ObamaCare repeal bill, said Sunday that converting health care funding into block grants to states sets up 鈥渁 perpetual food fight.鈥 鈥淲ell I鈥檝e always been a yes for repeal but the bill, unfortunately the Graham-Cassidy, basically keeps most of the ObamaCare spending,鈥 Paul told NBC鈥檚 鈥淢eet the Press,鈥 referencing the legislation Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.) are pushing. (Shelbourne, 9/24)
Sen. Ted Cruz on Sunday said he doesn鈥檛 support the latest Obamacare repeal plan, dealing a fresh blow to Republicans鈥 last-ditch effort to kill Barack Obama鈥檚 signature health care law. After seven years of promises to repeal Obamacare, Republicans have six days to pass legislation with a party-line vote. But with Cruz鈥檚 opposition, at least five Republicans in the 52-member caucus have signaled that they either won鈥檛 vote for or are leaning against supporting the Graham-Cassidy bill. (Rayasam and McCaskill, 9/24)
Sen. Ted Cruz (R-Texas) said on Sunday that he isn't yet ready to support the latest GOP effort to repeal and replace ObamaCare, increasing聽uncertainty聽that聽Republicans will be able to pass the legislation.聽"Right now they don't have my vote, and I don't think they have [Sen.] Mike Lee's [R-Utah]聽either," Cruz said at the Texas Tribune Festival. (Carney, 9/24)
Republicans face an uphill climb this week to overhaul the 2010 health care law before a crucial Saturday deadline, with two more senators suggesting Sunday that they oppose a last-ditch effort to follow through on a years-long promise. Sen. Susan Collins, R-Maine, said on CNN that it was "difficult to envision a scenario" where she would vote for the proposal Republicans are considering, while Sen. Ted Cruz, R-Texas, said at the Texas Tribune Festival that he does not currently support the plan. (McIntire, 9/24)
Sen. Susan Collins (R-Maine) signaled on Sunday that she is unlikely to support the latest GOP ObamaCare repeal effort, but said she hasn't made a final decision. "It鈥檚 very difficult for me to envision a scenario where I would end up voting for this bill," she told CNN's "State of the Union." (Carney, 9/24)
As the clock ticks down on September, all eyes are on Maine Senator Susan Collins, whose swing vote on the latest attempt to repeal and replace the Affordable Care Act in the coming days will have a major effect on whether the Republican legacy bill lives or dies. But it鈥檚 another, lesser-known decision Collins is weighing that could actually be the biggest of her career: whether to run for governor. (Pindell, 9/22)
Senate Republican leaders are struggling to win support from holdouts in their party for what may be their last chance for a long time to pass a GOP-only repeal of Obamacare. Senator Susan Collins of Maine said Friday she鈥檚 leaning against the bill because among other things it undermines protection for people with pre-existing medical conditions, according to the Portland Press Herald. "The premiums would be so high they would be unaffordable," she said. (Litvan, 9/22)
U.S. Sens. Mark Warner and Tim Kaine, both Virginia Democrats, said Friday that there's what they called a frightening prospect of the GOP health care bill passing next week, terming it a disaster for Medicaid and care of children, the elderly and people with disabilities. (Wilson, 9/22)
Friendship With GOP Health Plan's Drafter Not Enough To Sway McCain
Longtime friends and advisers of Sen. John McCain say they're not surprised by his decision to oppose a last-ditch Republican effort to overhaul the nation's health care law. McCain objected to the legislation in part because Senate GOP leaders wanted a vote without holding hearings or debate. The Arizona senator has made a return to "regular order" in the Senate a priority since he came back to Congress following a cancer diagnosis. (Pace and Kellman, 9/25)
For months, Mr. McCain has lamented a Senate legislative process that avoided hearings or formal bill-drafting procedures and excluded Democrats. On Friday, he said those tactics were intolerable. 鈥淲e should not be content to pass health care legislation on a party-line basis, as Democrats did when they rammed Obamacare through Congress in 2009,鈥欌 Mr. McCain said. 鈥淚f we do so, our success could be as short-lived as theirs when the political winds shift, as they regularly do.鈥欌 (Kaplan and Pear, 9/22)
A defeat for Graham-Cassidy would be a blow for President Donald Trump and Senate Majority Leader Mitch McConnell (R., Ky.), who threw their support behind the last-ditch legislation just as it gained momentum that surprised even some Republicans. Mr. Trump has regularly criticized Republicans who oppose the party鈥檚 health-care efforts, including in a tweet Friday morning aimed at the holdout Mr. Paul. It could also be the death knell of the GOP鈥檚 seven-year quest to dismantle former President Barack Obama鈥檚 signature health law, often called Obamacare. (Armour and Peterson, 9/22)
Not even 24 hours after John McCain dramatically tanked a Republican effort to repeal Obamacare in late July, his best friend, Lindsey Graham, started working feverishly in private to try again. Graham 鈥 who鈥檚 never shown much interest in health care policy 鈥 quietly trekked to the White House with Sen. Bill Cassidy to try and sell President Donald Trump on their latest proposal that would transform Obamacare into a block grant program for states. (Everett and Kim, 9/22)
With GOP leaders鈥 current hopes of repealing Obamacare dangling by a thread after Sen. John McCain made his opposition public Friday, will lawmakers now turn to the course advocated by McCain, Ohio Sen. Sherrod Brown and Gov. John Kasich: forging a bipartisan compromise? (Rowland, 9/23)
U.S. Sen. Al Franken said Friday that while Republican colleague John McCain announced his opposition to the latest Republican health care plan, Franken is not ready to declare victory. (LIvingston, 9/22)
Trump Blasts McCain, Puts Pressure On Wavering Senators
President Trump on Saturday morning lashed out at Senator John McCain of Arizona for breaking with him and opposing Republicans鈥 latest plan to roll back the Affordable Care Act, saying the senator had let his state down and been deceived by Democrats into abandoning a promise. (Davis, 9/23)
Unwilling to concede defeat on a bedrock GOP promise, President Donald Trump on Saturday tried to sway two Republican holdouts on the party's last-ditch health care hope while clawing at his nemesis who again has brought the "Obamacare" repeal-and-replace effort to the brink of failure. Trump appealed to Sen. Lisa Murkowski, a possible "no" vote, to swing around for the sake of Alaskans up in arms over high insurance costs, and suggested that Kentucky Sen. Rand Paul might reverse his stated opposition "for the good of the Party!" (Lucey, 9/23)
President Trump continued his criticism of Senator John McCain Saturday in a series of tweets that accused the Arizona legislator of letting his state down for opposing the GOP鈥檚 health care bill. (Gans, 9/23)
鈥淟arge Block Grants to States is a good thing to do. Better control & management,鈥 Mr. Trump tweeted Saturday. 鈥淕reat for Arizona. McCain let his best friend L.G. down!鈥 Mr. McCain was the second Republican to oppose the bill, following Sen. Rand Paul (R., Ky.) On Friday Sen. Susan Collins (R., Maine) said she was leaning against the legislation. Mr. Trump said Saturday that he hoped to persuade Mr. Paul to change his mind. (Peterson, 9/23)
Trump directed tweets at Senators Rand Paul of Kentucky and John McCain of Arizona. Both have said they鈥檒l oppose the bill, meaning one more committed 鈥渘o鈥 will sink the legislation. 鈥淚 know Rand Paul and I think he may find a way to get there for the good of the Party!鈥 Trump told his 39 million followers. (Litvan and Dennis, 9/22)
President Trump on Saturday chided Democrats who praised Sen. John McCain's (R-Ariz.) opposition to Senate Republicans' latest effort to repeal and replace the Affordable Care Act. "Democrats are laughingly saying that McCain had a 'moment of courage,'" he wrote on Twitter. "Tell that to the people of Arizona who were deceived. 116% increase!" (Greenwood. 9/23)
White House legislative affairs director Marc Short on Sunday insisted that the Republican effort to repeal ObamaCare is not dead, despite a聽lack of support from several key GOP senators. 鈥淣o, Chris, it鈥檚 not dead,鈥 Short told Chris Wallace on 鈥淔ox News Sunday" when asked if the legislation is doomed. (Shelbourne, 9/24)
President Trump on Sunday afternoon expressed optimism over a Republican-led effort to repeal and replace ObamaCare. Speaking to reporters on the tarmac of Morristown Municipal Airport in New Jersey, Trump took a jab at Republican leaders who have either come out against or expressed doubt over the latest GOP health-care bill. (Conradis, 9/24)
Cassidy Claims Coverage For Preexisting Conditions Is 'Absolutely The Same' But That's Not True
In the dispute between late-night host Jimmy Kimmel and Sen. Bill Cassidy (R-La.), one of the key authors of the long-shot GOP effort to repeal the Affordable Care Act, a key issue is whether the proposal maintains the ACA鈥檚 guarantee that people with preexisting condition can obtain health insurance. That has always been one of the most popular parts of Obamacare, and President Trump has insisted he would not sign a bill without such protections. He tweeted that this version of repeal 鈥 co-sponsored by Cassidy and Sen. Lindsey O. Graham (R-S.C.) 鈥 contains such protections. (Kessler, 9/23)
U.S. Sen. Ron Johnson (R-Wis.), one of four co-sponsors of the latest GOP health care bill, says the bill will protect people with pre-existing conditions "every bit as well as Obamacare did." PolitiFact Wisconsin finds that, by allowing states to obtain waivers, insurers could be allowed to raise rates and reduce benefits for people with pre-existing medical conditions. (Kertscher, 9/22)
White House legislative affairs director Marc Short stressed on聽Sunday that the GOP's latest ObamaCare repeal effort includes coverage聽for pre-existing conditions. "The ObamaCare legislation required coverage of pre-existing conditions. This legislation does not change that," Short said on CBS's "Face The Nation." (Savransky, 9/24)
Comedian Jimmy Kimmel consulted with Senate Minority Leader聽Charles聽Schumer's (D-N.Y.) office on details surrounding the health-care debate, The Daily Beast聽reported Friday. Schumer's office "provided technical guidance and info about the bill, as well as stats from various think tanks and experts on the effects of" the legislation, a source told the outlet. (Manchester, 9/22)
After the Arizona Sen. John McCain confirmed Friday he would not support the GOP's latest health-care bill, late-night host Jimmy Kimmel thanked the senator on Twitter, capping Kimmel's high-profile week of publicly opposing the bill. (McCrory, 9/22)
Beyond Preexisting Conditions And Medicaid: How GOP Plan Would Affect Americans' Health Care
If Senate Republicans vote to repeal and replace the Affordable Care Act this week, it would affect the health care of pretty much every American. Here's a recap of four key flash points in the health overhaul debate with links to NPR coverage over the past six months, and our chart laying out how the Graham-Cassidy bill under consideration in the Senate addresses those issues compared with the Affordable Care Act. (Shute, 9/24)
The latest GOP effort to 鈥渞epeal and replace鈥 the Affordable Care Act is getting a lot of attention, even if its passage seems unlikely. But there is far more to the measure than its changes to rules regarding preexisting health conditions. In fact, the bill proposed by Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.) would disrupt the existing health system more than any of the measures considered so far this year, according to supporters and critics. (Rovner, 9/22)
At first glance, the latest Republican plan to repeal the Affordable Care Act might appear similar to earlier bills. It would repeal the individual mandate to purchase insurance and get rid of certain subsidies for out-of-pocket health expenses. But the measure has important differences from the three bills that failed to pass the Senate in July and the one that passed the House in May. (Park, 9/22)
It's Not Just Blue States That Will Be Hurt Under GOP Plan -- Trump Country Would Take Hit Too
Memo to Republican senators: Many of the states President Donald Trump won last year would lose significant federal financing under the last-ditch Republican health care bill headed for a possible showdown in the Senate this week. Among states expected to lose are Arizona, Florida, Kentucky, and Ohio, where cuts could swell the number of uninsured people. That has political implications for Republicans girding for congressional midterm elections next year, as well as for the next presidential race in 2020. That year is when the biggest spending reductions from the legislation by GOP Sens. Lindsey Graham and Bill Cassidy would start taking effect. (Alonso-Zaldivar, 9/25)
California, which has used the Affordable Care Act to extend health protections to millions of its residents and cut in half the number of people without health insurance, stands to lose more than any other state under the latest Republican plan to roll back the 2010 law. The GOP plan, which Senate leaders want to bring to a vote this week, would slash more than $100 billion in federal funding for the state over the next decade and tens of billions more in the years that follow. (Levey, 9/24)
The GOP鈥檚 latest attempt to repeal the Affordable Care Act wobbled on Friday as Sen. John McCain (R-Ariz.) said he could not support it. But the bill known as Graham-Cassidy isn鈥檛 dead yet. And whatever its fate, the long-held Republican goal it embodies 鈥 to fundamentally change how the government funds Medicaid 鈥 will survive. Graham-Cassidy would dramatically redistribute federal funds to states. And, generally, states that expanded Medicaid 鈥 like California 鈥 stand to lose billions of dollars as that money is doled out to states that didn鈥檛 鈥 like Texas. (Dembosky and Lopez, 9/22)
At least 21 million fewer Americans would have health-care coverage from 2020 to 2026 under the Senate Republicans鈥 latest plan to repeal and replace parts of Obamacare, according to an estimate by the聽Brookings Institution. The number 鈥渓ikely underestimates the reductions in insurance coverage鈥 because it doesn鈥檛 take into account difficulties states may face setting up their own health systems, said the nonprofit policy group, which has been supportive of the Affordable Care Act. (Edney, 9/22)
The billions of dollars in cuts to Medicaid proposed in Senate Republicans鈥 latest and perhaps final attempt to repeal the Affordable Care Act would be devastating to children across Washington, U.S. Sen. Maria Cantwell said Friday. Named after its lead sponsors, Republican Sens. Lindsey Graham of South Carolina and Bill Cassidy of Louisiana, the repeal bill would end the ACA鈥檚 Medi颅caid expansion, which has provided insurance to about 600,000 people in Washington. It would also end the federal subsidies that help people buy private insurance. (Gutman, 9/22)
New Hampshire Department of Health and Human Services Commissioner Jeffrey Meyers predicted a sharp financial toll on the state鈥檚 Medicaid program if the federal Graham-Cassidy health care bill passes, and warned of funding shortages that could result from the bill鈥檚 block grant system. Speaking at a Monitor editorial board meeting Wednesday, Meyers said that the proposed legislation could cause a loss of about $820 million in Medicaid funding between 2020 and 2026, citing calculations made by his office. (DeWitt, 9/23)
Federal healthcare funding to Connecticut would be reduced by about $7 billion, and 鈥渄ramatic numbers鈥 of individuals would lose coverage or have it reduced between 2020 and 2026 under the latest Republican proposal to repeal and replace the Affordable Care Act, the state鈥檚 budget office said Friday. (Rigg, 9/22)
The bill would also end the Medicaid expansion that 31 states, including Michigan, and Washington, D.C., took advantage of under Obamacare and overhaul the funding for traditional Medicaid.聽In Michigan, more than 670,000 people signed up for the Medicaid expansion program. 鈥淭he current bill will be devastating for patients and Michiganders who are finally getting health care they need and deserve,鈥 said Wright Lassiter, president and CEO of the Henry Ford Health System. (Gray, 9/22)
The state legislative report issued this week predicts Arizona's Medicaid program would lose $10.4 billion from 2020 through 2026 under the health-care bill introduced by Sens. Lindsey Graham, R-S.C., and Bill Cassidy, R-La., when compared with funding authorized under the current health-care law, the Affordable Care Act. (Alltucker, 9/22)
Graham-Cassidy Bill Did What Other GOP Attempts Didn't: Unified Industry Opposition
Health insurers, who had been strangely quiet for much of the year, came off the sidelines to criticize it. Many state Medicaid directors could not stomach it, either. For months now, proposals to repeal and replace the Affordable Care Act have risen and fallen in the House and the Senate, almost always uniting health care providers and patient advocacy groups in opposition but winning support among conservatives, including Republican policy makers. But the version drafted by Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana 鈥 and hastily brought into the spotlight last week 鈥 went further. (Stolberg and Pear, 9/23)
One factor in the bill's apparent (although not yet certain) demise: Cassidy-Graham聽has mobilized nearly聽the entire American health-care community in opposition. Dozens聽of national advocacy groups representing patients, doctors, insurers and hospitals have issued strongly worded condemnations of the proposal. The American Medical Association warns聽it violates doctors' oath to 鈥渇irst do no harm.鈥澛燢aiser Permanente says that any changes to health-care law should 鈥渋ncrease access to high-quality, affordable care and coverage for as many people as possible鈥 and that 鈥渢he Cassidy-Graham bill does not meet any of those tests.鈥 (Ingraham, 9/22)
Leading medical associations are calling on lawmakers to reject Republicans' latest attempt to repeal and replace the Affordable Care Act. In a statement issued聽Saturday, several doctor and hospital trade groups, including the American Medical Association and the Federation of American Hospitals said that the bill introduced by Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.) ultimately falls short of key benchmarks, weakening patient protections and the individual insurance market. (Greenwood, 9/23)
Hospital and health insurance stocks moved upward Friday after Republican Senator John McCain said he would withhold his vote from a GOP proposal to repeal much of Obamacare, potentially dooming efforts to bring the measure to the floor. The Republican proposal would cut planned federal spending on health care by $215 billion through 2026, according to consulting firm Avalere Health. It would also end a requirement that all Americans have insurance coverage. Both policies helped expand insurance coverage to millions of Americans, providing insurers with more clients and hospitals with more paying customers. (Rausch, 9/22)
Meanwhile, Americans are also voicing their opposition to the measure聽鈥
Americans favor ObamaCare to the Graham-Cassidy health-care legislation by more than 20 points, according to a new ABC News/Washington Post poll. Fifty-six percent of Americans surveyed said they preferred the current health-care law to the latest repeal-and-replace legislation put forth by Senate Republicans, while only 33 percent of those polled said they supported the new legislation. (Manchester, 9/22)
As the nation has debated the GOP proposals to repeal and replace the Affordable Care Act, NPR member station reporters have been talking to people around the country about how the proposed changes in the health law would affect them. Here are five of those stories. (Grayson, 9/23)
What's With All The Zeal To Resurrect Repeal Efforts? Some Hint At Backlash From GOP Donors
As more than 40 subdued Republican senators lunched on Chick-fil-A at a closed-door session last week, Senator Cory Gardner of Colorado painted a dire picture for his colleagues. Campaign fund-raising was drying up, he said, because of widespread disappointment among donors over the inability of the Republican Senate to repeal the Affordable Care Act or do much of anything else. Mr. Gardner is in charge of his party鈥檚 midterm re-election push, and he warned that donors of all stripes were refusing to contribute another penny until the struggling majority produced some concrete results. (Hulse, 9/22)
Sen. Cory Gardner (R-Colo.) said Sunday the GOP push to get an ObamaCare repeal bill passed has nothing to do with politics.聽"This has nothing to do with politics. It has nothing to do with donors." Gardner said on CBS's "Face The Nation," when asked about whether there was a rush to pass the ObamaCare repeal bill for political and not substantive reasons. (Savransky, 9/24)
Administration News
Private Jets For Tom Price Grounded While Inspector General Investigates Travel Spending
Federal investigators are examining Health and Human Services Secretary Tom Price's recent use of costly charter flights on the taxpayers' dime for official business. The HHS inspector general's office said Friday the agency is reviewing Price's charters to see if they violated government travel regulations, which generally require officials to minimize costs. (Alonso-Zaldivar, 9/22)
President Donald Trump on Sunday said his administration is looking into Health and Human Services Secretary Tom Price's use of private planes during his tenure in the Cabinet." As far as Secretary Price is concerned, that鈥檚 different. We鈥檙e looking into it," Trump told reporters in Washington, according to a pool report. He was answering a question that also pertained to Treasury Secretary Steven Mnuchin. (Griffiths, 9/24)
Health and Human Services (HHS) Secretary Tom Price will cease using private charter jets to travel around the country in the midst of an investigation from the HHS Inspector General office on his travel expenditures. 鈥淲e鈥檝e heard the criticism. We鈥檝e heard the concerns. We take that very seriously and have taken it to heart,鈥 Price聽told Fox News聽Saturday. 聽鈥淚 don鈥檛 think there will be any charter trips until this review is complete. I think that鈥檚 appropriate because of the concerns that we鈥檝e heard.鈥 (Bowden, 9/23)
Price continued to take charter jets after a POLITICO investigation identified that the HHS secretary had been chartering private planes to conduct official business for months. The cost of his trips this past week was $56,500, according to a federal contract. (Diamond, 9/23)
Employees at the Department of Health and Human Services (HHS) were reportedly required to watch a 31 minute video on the dangers of leaking information聽as a part of training session aimed at combating leaks within the department.聽The video, which is dubbed "Insider Threat," is narrated by the HHS Assistant Secretary for Administration John Bardis,聽according to BuzzFeed News. (Manchester, 9/22)
The inspector general of the Health and Human Services Department said Friday it will investigate the expensive use of private planes by department Secretary Tom Price. Democratic lawmakers requested that the inspector general look into Price鈥檚 use of private aircraft to travel the country for meetings, which has cost taxpayers at least $300,000 in recent months, according to reporting by Politico, which broke the news of Price鈥檚 travels. (Siddons, 9/22)
HHS Secretary Tom Price has been taking private jets because an unreliable commercial flight once forced him to cancel an important meeting, an HHS spokesperson says, part of his agenda to meet with average Americans outside of Washington. But the flight in question 鈥 to a two-day industry conference at a Ritz-Carlton hotel in southern California 鈥 didn't get off the ground on a day when storms virtually shut down air traffic in the Washington region, preventing even private jets from getting out. (Diamond, 9/22)
Administration To Shut Down ACA Enrollment Website For 12 Hours On Most Sundays
The Trump administration plans to shut down healthcare.gov, a website consumers use to sign up for the Affordable Care Act, for 12 hours on nearly every Sunday of the coming ACA enrollment season. The outages, which the administration says are for maintenance, will occur from midnight through noon on every Sunday other than Dec. 10. This year鈥檚 enrollment season, which the administration has shortened to half the length of previous years, will run from Nov. 1 through Dec. 15 for states that use the federal marketplace. (Hackman, 9/23)
A spokesperson for the Centers for Medicare and Medicaid Services said the maintenance periods were planned ahead of time. 鈥淢aintenance outages are regularly scheduled on HealthCare.gov every year during open enrollment. This year is no different,鈥 the spokesperson said. 鈥淭he maintenance schedule was provided in advance this year in order to accommodate requests from certified application assisters. (Carter, 9/22)
The Trump administration has come under attack from critics who say that it is intentionally undermining the Affordable Care Act, through regulatory actions. It shortened the enrollment period, withdrew money for advertising and cut the budget for navigator groups, which help people shop for plans. (Galewitz, 9/22)
Coverage And Access
Sanders Champions Single-Player Plan To Receptive California Crowd: 'We're Going To Win This Fight'
Sen. Bernie Sanders pilloried Republican efforts to overhaul the health care system and touted his own Medicare for all plan Friday before an effusive California audience that welcomed him on stage with chants of "Run, Bernie, Run!" Sanders' speech to the influential California nurses' union in San Francisco came shortly after Republican Sen. John McCain announced he would vote "no" on the latest GOP effort to roll back President Barack Obama's health care overhaul law. Sanders praised McCain for following his conscience, but he said the fight to preserve 鈥 and expand 鈥 access to health care is far from over. (9/22)
Single-payer health care has long been the goal of progressive Democrats in California. In 2006 and 2008, the Legislature passed bills to create such a system here, but Gov. Arnold Schwarzenegger vetoed both of them. This time around, the nurses union seems intent on not letting this moment slip away. (Shafer, 9/22)
After the Senate鈥檚 Republican majority failed again to repeal the ACA in July, Sanders seemed to think it was time to move on, proposing a single-payer health care system that he had championed during the presidential primaries. But on Monday, Sanders will be back defending the ACA 鈥 this time in a live CNN debate against South Carolina Senator Lindsey Graham and Louisiana Senator Bill Cassidy, the architects of the latest version of a Republican health care bill. (Jacobs, 9/22)
Lt. Gov. Gavin Newsom challenged California鈥檚 Democratic-run Legislature to pass sweeping universal, government-run health care next year, pledging that if the bill stalls again, he will make it a priority regardless of what happens in Washington. (Cadelago and Hart, 9/22)
鈥淚t鈥檚 time to move 562 along,鈥 he said to cheers and a standing ovation at the California Nurses Association conference in San Francisco. 鈥淚t鈥檚 time to do that now.鈥 While he didn鈥檛 explicitly endorse the bill in its current form, Newsom articulated his strongest support for it so far and vowed a 鈥渇irm and absolute commitment鈥 to pass universal health care if he鈥檚 elected governor next year. 鈥淣o one is saying it鈥檚 perfect or complete, but that鈥檚 not the point. That鈥檚 what the legislative process is all about,鈥 he said. (Tolan, 9/22)
Quality
As Heat Rose In Fla. Nursing Home, Staff Asked For Help But Few Understood The Emergency
The emergency room workers at Memorial Regional Hospital rushed the first patient to Room 9, which was devoted to the hope and practice of arresting death. They threaded fluid lines into her veins and readied a breathing tube. Even through gloves, they could feel the heat corseting the 84-year-old woman鈥檚 body. As they prepared to insert a catheter, they saw what looked like steam rising from her legs. (Gabler, Fink and Yee, 9/23)
Voicemails left on Florida Gov. Rick Scott鈥檚 cellphone by employees of the Hollywood nursing home where 11 died in the post-Hurricane Irma heat have been deleted, according to the governor鈥檚 office. (Ostroff, 9/24)
The Republican-led Senate proposal to give each state a fixed block grant of federal money to pay for Medicaid coverage for poor Americans doesn鈥檛 account for 鈥渋ncreased financial stress鈥 states face during economic downturns and natural disasters, insurers and governors opposed to the legislation say. ... But Graham-Cassidy鈥檚 block grants 鈥渄o not accommodate the counter cyclical nature of Medicaid and the inability of states to shoulder increased financial stress during economic downturns,鈥 Medicaid Health Plans Of America CEO Jeff Myers wrote Sen. Cassidy last week. MHPA members include Aetna, Centene, Cigna and UnitedHealth Group. (Japsen, 9/24)
Public Health
Despite Flu Vaccine's Possible Link To Miscarriage, Experts Implore Pregnant Women To Still Get The Shot
Flu symptoms can be more severe when you're pregnant, landing women in the hospital, threatening their lives and even leading to preterm birth or miscarriage. The virus is a risk to the woman and the baby. So, it's particularly important that people who are pregnant get the flu vaccine. And it's also important that the effects of those vaccines be studied in pregnant women. (Hersher, 9/25)
Infant and maternal tetanus was officially eliminated from the Americas this year, the Pan American Health Organization announced on Thursday. At one time, the infection killed about 10,000 newborns annually in the Western Hemisphere; tetanus still kills about 35,000 infants around the world. It was one of several significant global health advances, including new programs against malaria and H.I.V., announced last week in conjunction with the meeting of the United Nations General Assembly in New York. (McNeil, 9/22)
Mosquitoes are more than a spoiler of backyard barbecues. They threaten more than half the world鈥檚 population with their disease-spreading bites. In fact, mosquitoes are deadlier 鈥 by far 鈥 than sharks and snakes. They are the incubator and chief disseminator of malaria, dengue and yellow fevers, as well as newer scourges like the West Nile and Zika viruses. Their numbers explode with floods, hurricanes and climate change, allowing them to outnumber every animal on Earth during their peak breeding season. Public-health officials fret about them 24/7. (Healy, 9/22)
The state Health Department counts only 180 Zika infections in Florida so far in 2017, on track to come in well below the 1,456 cases reported all of last year. The vast majority are travel-related cases brought to Florida by people who came from somewhere else, like Zika hotbed areas in Central and South America or the Caribbean, already infected with the virus. (Griffin, 9/25)
The brain damage was so severe that scientists all but gasped.Aaron Hernandez, the former New England Patriots tight end who was convicted of murder, killed himself in prison in April at age 27. An autopsy revealed that he had brain injuries akin to those seen in afflicted former players in their 60s, researchers announced on Thursday. (Carey, 9/22)
The last 鈥淪aw鈥 movie, released by Lionsgate in 2010, was advertised as 鈥渢he final chapter.鈥 But you didn鈥檛 think a franchise with roughly $1 billion in worldwide ticket sales was going to die that easily, did you? In true horror film fashion, the series will resume its torture killings on Oct. 27 with an R-rated eighth installment titled 鈥淛igsaw.鈥滾ess expected: Lionsgate鈥檚 decision to promote 鈥淛igsaw鈥 by shaking an angry fist at America鈥檚 blood-donation regulations. (Barnes, 9/24)
The Larson quadruplets started kindergarten this month in Lima, N.Y. For any 5-year-old, this would be a normal event. But for Cooper, Brody, Ashlyn and Kylie, it was a hard-fought achievement. The quadruplets were born at 25 weeks and four days, said their mother, Courtney Larson, 31. (A normal pregnancy usually lasts 40 weeks.) (Ali, 9/24)
State Watch
State Highlights: Nurses At Mass. Hospital Plan One-Day Strike; Calif. Free Health Clinic Draws 1,500 Patients
The Massachusetts Nurses Association is planning its third labor strike of the year, this time at Berkshire Medical Center in Pittsfield. The union, which represents about 800 nurses at Berkshire, said Friday that it would stage a one-day strike on Oct. 3 to protest what it calls unfair labor practices. (Dayal McCluskey, 9/22)
While the number of uninsured Californians has decreased from 8.6 percent to 7.3 percent in 2016, according to U.S. Census figures, millions still can鈥檛 afford health insurance or the costly copayments and deductibles that come with their policies. At the California CareForce clinic, about half reported having no insurance, 20 percent said their insurance didn鈥檛 cover their needs and 10 percent were insured but couldn鈥檛 afford the cost of their deductible. (Sullivan, 9/24)
Dr. Mitchell Katz, tapped by Los Angeles County seven years ago to lead the nation鈥檚 second-largest public healthcare system out of a period of instability and mismanagement, has announced he will leave his post at the end of the year. Katz oversees the county鈥檚 Health Agency, the umbrella health organization with a budget of approximately $8 billion and 32,000 employees. He will return to his native New York to take care of his two elderly parents and to become chief executive of the New York City Health and Hospitals Corp., which operates the city鈥檚 public hospitals, clinics and nursing homes. (Agrawal, 9/23)
Julie Shepherd ended up in the hospital earlier this month after her neighbor found her on the floor of her West Covina home, unable to move. Shepherd, 84, was paralyzed and had lost the ability to speak. Doctors diagnosed her illness as West Nile virus. Humans contract the virus through a mosquito bite. There鈥檚 no vaccine or cure for the disease, so Shepherd鈥檚 family could only wait to see if she recovered on her own. (Karlamangla, 9/23)
A Planned Parenthood group asked the Supreme Court on Friday to reverse a lower court ruling that it says would allow Missouri to enforce requirements that would keep three of the state's five abortion clinics shuttered. Comprehensive Health of Planned Parenthood Great Plains and others, in an application to the Supreme Court, wrote that it obtained a preliminary injunction against the requirements: abortion providers must have admitting privileges with a local hospital, and be licensed as ambulatory surgical centers. (Ruger, 9/22)
A disagreement聽between the state of Maryland and the federal government is preventing the use of Walter Reed National Military Medical Center as a Washington-area trauma center, eliminating the potential for an alternative to the troubled MedStar Washington Hospital Center.聽Maryland emergency services聽officials quietly rebuffed Walter Reed's proposal in July to start treating civilian trauma patients, citing the needs of nearby civilian hospitals, although local emergency rooms are overcrowded and the area has a higher-than-usual risk of terrorist attacks. (9/24)
[Artist-in-residence Marty] Weishaar was hired this summer as the University of Maryland hospital鈥檚 first artist in residence with funding from the Yumi C.A.R.E.S. Foundation, a nonprofit started by Maryland first lady Yumi Hogan. An artist who has made art therapy her key issue, Hogan has sold her own paintings at fundraisers to benefit art therapy programs. She started the program at the children鈥檚 hospital, because her husband, Gov. Larry Hogan, was treated for non-Hodgkins lymphoma at the medical system shortly after taking office in 2015. During his stay, the Hogans were inspired by pediatric patients and their families who showed 鈥渙ptimism and positive energy,鈥 despite dealing with grave illnesses, Yumi Hogan said via e-mail. (McDaniels, 9/25)
The Bold Goal project is intended to make the communities in which it is launched 鈥 only seven so far 鈥 healthier by addressing the various issues that influence health, from diabetes and depression to food insecurity and loneliness. ...聽The ultimate 鈥渂old goal鈥 of the program is to improve Richmond鈥檚 health within five years. (O'Connor, 9/24)
Called the Depression Grand Challenge, UCLA鈥檚 initiative 鈥 which seeks to cut the incidence of depression worldwide in half by 2050 鈥 is launching the screenings as new students move into their dorms and prepare for the first day of classes on Thursday. (Seipel, 9/22)
Editorials And Opinions
Parsing The Plan: Graham-Cassidy Is A 'Horror' And 'Legislative Malpractice'
It is difficult to decide which is the worst aspect of the Republicans鈥 latest try at repealing Obamacare: the irresponsibility, the cruelty or the lies. And it is impossible to ignore that the climax of this battle will take place under the shadow of President Trump鈥檚 shameful, racially charged attacks on prominent African American athletes. Once again, Trump has demonstrated his lack of seriousness about the responsibilities of his office, his autocratic habit of demonizing dissent, and his willingness to play racial politics to divide and distract. (E.J. Dionne Jr., 9/24)
Before John McCain put yet another Republican health care plan on life support on Friday, I was going to do with the Graham-Cassidy legislation what I鈥檝e done with previous Republican bills, and weigh the plausible ideas that it contains against its hastily rigged-up architecture and predictable G.O.P. stinginess. But sometimes, when a party has spent most of a year producing health care bills that excite almost nobody and that even the senators voting for them can鈥檛 effectively defend, it鈥檚 worth stepping back and thinking about our national priorities. (Ross Douthat, 9/23)
In a last-ditch effort to repeal the Affordable Care Act, Republican Senators Lindsey Graham and Bill Cassidy are offering a policy mirage. ... This 11th-hour ploy constitutes gross legislative malpractice. (Jon Kingsdale, 9/25)
On Friday, Senator John McCain of Arizona announced that he would not support the latest Republican push to overhaul the health care system. He didn鈥檛 disapprove of the objectives of the bill, but to its process, which was too rushed and partisan, he said in a statement: 鈥淎 bill of this impact requires a bipartisan approach. 鈥滿r. McCain鈥檚 vote most likely dooms the current Obamacare repeal effort, which can afford to lose the votes of only two Republican senators. (Senator Rand Paul of Kentucky and Senator Susan Collins of Maine are generally regarded as no votes as well.) But there is, in fact, a bipartisan effort that could help Congress achieve many of the goals that the recent bill鈥檚 authors say they hope to accomplish. The catch: It would be hard for Republicans to call it Obamacare repeal. (Margot Sanger-Katz, 9/23)
A long list of healthcare experts says the Republican bill to dismantle most of President Obama鈥檚 health insurance program would be a disaster. The American Medical Assn. is against it. Insurance providers are against it. Patient groups are against it. Sen. Bill Cassidy鈥檚 bill, coauthored with Sen. Lindsey Graham, would cut federal spending on Medicaid by amounts one consultant called 鈥渏aw-dropping.鈥 If the bill passes, 21 million fewer people would have health insurance in 2026 than under current law, according to a study by the Brookings Institution and USC. To which Cassidy says, in effect: Pay no attention to the experts. (Doyle McManus, 9/24)
Maybe we have finally established a lasting legislative principle for both parties: Don鈥檛 ever again try to pass major health care legislation using parliamentary gimmicks to avoid a filibuster. The Democrats, under Barack Obama, followed this route in 2010 after they lost their filibuster-proof Senate majority when Republican Scott Brown unexpectedly won the special election to fill Ted Kennedy鈥檚 Senate seat. As a result, final tinkering and technical improvements could not be made in the Obamacare legislation using a House-Senate conference. What the Senate Republicans have been attempting is far worse. (Walter Shapiro, 9/25)
Three states 鈥 California, New York and Massachusetts -- are receiving 37 percent of all Obamacare funds , according to a group of Republican senators. As an example of this inequity, Pennsylvania has nearly twice the population of Massachusetts, but it receives less than half as much Obamacare money. The senators propose to radically change that distribution by giving each state Obamacare funds in the form of a block grant. Eventually, each state鈥檚 share of the total would equal its share of the country鈥檚 poor and near-poor population. That means the people who are the principal target of Obamacare funding will have access to the same federal resources 鈥 regardless of where they live. (John C. Goodman, 9/18)
Until Donald Trump briefly applied himself to the subject, 鈥渘obody knew that health care could be so complicated.鈥 President Van Winkle said this in February 2017. The wonder of discovery is a delight to behold no matter how late in life it awakens. In fact, everyone with a chronic disease in the United States knows health care is complicated. Rich or poor, young or old, their illnesses open their eyes to the fact that the so-called health-care industry, which amounts to roughly one-sixth of the U.S. economy, is not an industry at all. It is a chaotic crossroads of many different industries and professions, often in fierce competition, each adapted to its own culture and pursuing its own business model. (David Von Drehle, 9/23)
The last Democrat I voted for was Jimmy Carter. The last Republican I voted for was Donald Trump. After the past eight months, I am now a health care voter. My story, and my family鈥檚 story, is like so many others. In 2008, after a 20-year career in health care, I became another statistic in the number of uninsured Americans and no longer had a job or employer-provided health care. I had followed the American dream and started my own small business. I am a barber in Tennessee and I love it. I was able to get insurance through my wife鈥檚 job. (Dennis Wallace, 9/25)
At a rally for Sen. Luther Strange (R-Ala.) on Friday night, President Trump claimed Sen. John McCain鈥檚 (R-Ariz.) decision to vote no on the Cassidy-Graham health-care bill was 鈥渁n unexpected thing.鈥 If so, Trump is oblivious and his legislative liaisons are rotten at their jobs. McCain鈥檚 decision was unexpected only if one hadn鈥檛 been paying attention or hadn鈥檛 taken him seriously when he nixed the prior version of Trumpcare. (Jennifer Rubin, 9/24)
Sen. John McCain on Friday announced he won鈥檛 be jumping on the Senate Republicans鈥 bullet train to destinations unknown (a k a Graham-Cassidy.) McCain鈥檚 opposition will likely kill yet another fast-track plan to repeal and replace Obamacare. (Laurie Roberts, 9/22)
Perspectives On Single-Payer: Is It A Pipe Dream Or Is The GOP Repeal-And-Replace Plan Priming The Pump?
Perhaps the oddest thing about the last-ditch Republican plan to repeal Obamacare is that it is being sold not as a repeal of Obamacare 鈥 which is popular 鈥 but instead as a rebuke to a law that does not yet exist. 鈥淚f you want a single-payer health-care system, this is your worst nightmare,鈥 Lindsey Graham has boasted of his plan. 鈥淗ell no to Berniecare.鈥 Graham鈥檚 weird promise that his plan 鈥渆nds single-payer health care鈥 has somehow taken hold, to the point where Republicans appear to believe it would foreclose even public debate on left-wing alternatives. The bill 鈥渟tops us from having conversation in the future about Medicare for all,鈥 claims Senator Tim Scott. (Jonathan Chait, 9/19)
Democrats have long suffered from an inability to present messages that are simple, appealing and understandable. That is one of the biggest reasons Sen. Bernie Sanders of Vermont has had so much success. In his overly simplistic world, there is virtually no problem of economics or federal spending that isn鈥檛 the consequence of the rich getting richer and that can鈥檛 be addressed with higher taxes. (9/25)
We now have the most wasteful, inefficient and bureaucratic health care system in the world. In fact, we are spending almost twice as much per capita as any other country, while our health care outcomes are often worse. Instead of providing quality care to all in a cost-effective way, our current system is designed to provide hundreds of billions in profits to insurance companies, the pharmaceutical industry and medical equipment suppliers. Moving to a Medicare-for-all, single-payer system would eliminate insurance industry profits and reduce waste, saving up to $500 billion a year on administrative costs. (Sen. Bernie Sanders, 9/25)
Since its inception, Medicare has exhibited poor cost control and unbridled growth. The program is riddled with fraud. A 2015 Government Accountability Office report estimated that over 10 percent of program funds, or 60 billion dollars, are squandered on fraud, waste, abuse and improper payments. ... Despite this undeniable reality, Sen. Sanders and his co-sponsors propose to miraculously give complete coverage to an additional 270 million people, while absorbing the costs and removing the constraints associated with copayments and deductibles. (Dr. Roger Klein, 9/24)
The United States is about to debate the merits of Bernie Sanders鈥 proposal for a single-payer health care system. While cost will be an issue, evidence shows that many countries provide access to quality care for all their citizens through a single-payer model while spending far less than the U.S. does now. How can this be? (Colleen M. Flood and Allan Rock, 9/24)
Viewpoints: Examining The Link Between Opioids And Medicaid; Putting The Squeeze On ACA Navigators
Forty-one state attorneys general are investigating drug manufacturers and distributors for fanning the opioid epidemic; several have already sued. The allegation is that Big Pharma used deceptive marketing to hook millions of Americans on prescription painkillers, which served as gateway drugs to more potent opioids like heroin and fentanyl. (Allysia Finley, 9/24)
As another iteration of Trumpcare rears its ugly, untenable head in Washington, like a zombie that just won鈥檛 go down, the administration has found another, more insidious way of attacking the Affordable Care Act. Just last week, the Department of Health and Human Services announced massive funding cuts to the Navigator program. (Emily Mills, 9/22)
Years ago, Congress constructed a well-intentioned program to help certain hospitals and select community and disease-specific health clinics control their prescription drug costs. ... Unfortunately, good ideas sometimes go awry, and that鈥檚 the case with this program, called 340B. It鈥檚 having a negative impact on cancer care provided locally in Cincinnati, across Ohio, and across the country. (Randolph Broun, 9/23)
The U.S. Congress has put the health of millions at risk with its counterproductive attempts to gut Medicaid. The changes being proposed will move America鈥檚 health care system, and our entire economy, in a dangerous and harmful direction, phasing out Medicaid coverage for millions of Americans and threatening the viability of the Medicaid system through underfunded per capita allotments. (Christine Tomcala, 9/24)
Dozens of Republican incumbents in the Ohio House also may face May 8 primary races next year to retain their seats. Those facts help explain why Taylor and the House GOP caucus are suffering a relapse of Obamacare-phobia -- partly (or largely) out of fear of Republican primary opponents who may seize on Ohio's expansion of Medicaid, made possible under Obamacare, to pummel GOP incumbents.That's self-defeating and wrong. (9/23)