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Statisticians Study Who Was Helped Most By Obamacare
HughPickens.com writes We know that about 10 million more people have insurance coverage this year as a result of the Affordable Care Act but until now it has been difficult to say much about who was getting that Obamacare coverage — where they live, their age, their income and other such details. Now Kevin Quealy and Margot Sanger-Katz report in the NYT that a new data set is providing a clearer picture of which people gained health insurance under the Affordable Care Act. The data is the output of a statistical model based on a large survey of adults and shows that the law has done something rather unusual in the American economy this century: It has pushed back against inequality, essentially redistributing income — in the form of health insurance or insurance subsidies — to many of the groups that have fared poorly over the last few decades. The biggest winners from the law include people between the ages of 18 and 34; blacks; Hispanics; and people who live in rural areas. The areas with the largest increases in the health insurance rate, for example, include rural Arkansas and Nevada; southern Texas; large swaths of New Mexico, Kentucky and West Virginia; and much of inland California and Oregon.
Despite many Republican voters' disdain for the Affordable Care Act, parts of the country that lean the most heavily Republican (according to 2012 presidential election results) showed significantly more insurance gains than places where voters lean strongly Democratic. That partly reflects underlying rates of insurance. In liberal places, like Massachusetts and Hawaii, previous state policies had made insurance coverage much more widespread, leaving less room for improvement. But the correlation also reflects trends in wealth and poverty. Many of the poorest and most rural states in the country tend to favor Republican politicians.
Despite many Republican voters' disdain for the Affordable Care Act, parts of the country that lean the most heavily Republican (according to 2012 presidential election results) showed significantly more insurance gains than places where voters lean strongly Democratic. That partly reflects underlying rates of insurance. In liberal places, like Massachusetts and Hawaii, previous state policies had made insurance coverage much more widespread, leaving less room for improvement. But the correlation also reflects trends in wealth and poverty. Many of the poorest and most rural states in the country tend to favor Republican politicians.
A: the insurance companies.
---- MISSING MISCELLANEOUS DATA SEGMENT --- [sigdash] trolololol
Bullshit. There are many other factors to blame for it.
I'm watching the same thing happen in New Zealand right now, but it's because of right wing "I've got mine!" policies.
The wealthy are hoarding away their money, pay rates for the rest of us are dropping through the floor. It's only a matter of time until we can't afford to spend, and the economy will grind to a halt. That is, unless the wealthy suddenly drop their trillions back into the pockets of the people who actually do the hard work.
People with health care should be more able to prosper because they are healthy and can work. People with untreated sickness are not going to prosper regardless if how incentivized they are to work harder.
Also, a workforce not afraid to lose insurance if they leave their jobs is a more mobile workforce, able to migrate to regions with better job markets.
By far the biggest impact from Obamacare has been the expansion of Medicaid. That could've been accomplished without messing with my private insurance.
The same number that Romneycare killed. remember, Obamacare is BASED ON good Ol' Mitt Romney, the GOP shining example's own Romney care that he put in place in his home state.
Are republicans so stupid that they can not see it's a Republican system? Because as a Democrat I wanted a system closer to Canadian Healthcare as it works.
Repubs made sure the insurance companies would be happy with it so they could get max profits. And that is what we got...... Romneycare.
Do not look at laser with remaining good eye.
Bingo! I would not have been able to do multiple start-ups and freelance in banking and writing if tied to a job by health insurance given that I have had imperfect health.
Score one for the UK NHS, even though also imperfect, for giving me mobility.
Rgds
Damon
http://m.earth.org.uk/
That you have to pay "cash" to get medical attention strucks me as hard as if you'd had to pay to have the police assiting you, or that if you had to pay to get your children into the school. All of those are basic rights that any development country considers "essential". Of course you pay for them, but you do so in your taxes... and if you want a premium service, then yes: you can use your cash as much as you want, and have hot blonde nurses for all I care. American republicans are fucked up around private healthcare. Why don't they ask for only-private police? that only serves and protects those that can afford it? or only-private education?
You don't understand. Your visit to the doctor costs what it does because of the complexities of the insurance system, including both health insurance and malpractice insurance. Doctors have a lot of overhead to pay, and in hospitals, they are just employees with no control over their schedules. If the administrators put 40 people per day into their schedule, they see 40 people per day. People without insurance use the emergency room to fix problems after they occur, a very expensive way to deal with health problems - something which Obamacare was feebly attempting to address. Everyone else who uses the place has to pay more to cover those costs. Every time a doctor makes an error the patient calls a lawyer. Doctors order test after test to cover their asses against malpractice suits- they are told to do so in "risk management" seminars put on by insurance companies that they must attend every year to maintain their malpractice insurance. The system is full of waste at every level. Doctors are not the cause of the problem. They have been made to look that way by insurers and hospital administrators who want to deflect attention away from themselves.
When you look at Las Vegas, what do you see? You see huge luxury hotels, bright lights, excitement, partying, etc. Where does that money come from? From losers. Yet it's the winners who get the attention. Yeah, great, Vegas baby! Now look at insurance companies. Huge luxury office buildings, executives who make millions- it's a lot like Vegas. Where does the money come from? Losers like you and me who have to pay ridiculous premiums for minimal coverage. Yeah, Insurance baby!
My son has expressed an interest in studying medicine when he graduates from high school. My wife is a physician and I am a dentist. We have suggested that he get a degree in business and become a hospital administrator. Those people make $ millions with no special skill set and without the arduous training imposed on healthcare providers.
And by "never supported", you mean were dictated their position following their party line after the GOP chose to make the ACA a wedge issue.
And Romney wasn't just some RINO rebel GOP governor in a backwater state that the GOP could write off as being a product of a liberal constituent... he was who the GOP chose to be the shining star and face of their party to combat the derivative of the very plan Romney pushed for in his home state.
You had to put some powerful spin to make that jive in your red worldview.
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"Not sure how well the mobile part works when you actually have to pay for the insurance"
ACA helps because when you switch jobs, you know that you can get reasonably priced insurance afterwards. And because the insurance companies can no longer use the job change to declare any current medical conditions "pre-existing" and deny you insurance.
Previously there are _many_ people trapped in jobs for the health insurance, because if they went to a startup or became an independent consultant they had to pay absurdly high rates for insurance. Or because they had any medical condition that the new insurance company didn't want to cover they'd be denied insurance completely if they change jobs.
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They opposed it because they oppose everything that Obama does.
Whatever he does, they support the opposite. No one cared about Common Core originally, and it was implemented in 43 states. But as soon as Obama said it was a good idea, everyone on the started freaking out and saying it was the worst EVAH.
When he suggested bombing Syria they said no way.
When he was reluctant to bomb Russia/Ukraine they said we needed to.
If he said cyanide was toxic they would stand on the Capitol Steps and chug it just to spite him.
If he cured cancer they'd complain he was putting doctors out of work.
It's a Republican plan because they came up with it 20+ years ago.
Nearly every key aspect of it comes from the GOP plan that Heritage came up with around 1989.
Most everything in the plan is oriented around implementing and supporting a free market, ie existing insurance industry, based solution to expanding care. Even the mandate originates with Heritage, and is essential to preventing free riders so that the insurance based approach can work.
Further, the GOP HAS NO HEALTHCARE PLAN. They keep saying they want to repeal Obamacare, but when asked about what they'd replace it with, they have no answer. the few who actually give an answer, invariably end up describing something that resembles Obamacare.
Dems went with a Romneycare clone because they figured, hey, we're never going to get a nationalized healthcare system through congress, not yet. But they themselves implemented this thing up in Mass., and it's working pretty good, so lets do that. Let's compromise. Instead of pushing for a NHS, we'll push for increased access using the a market based approach thorugh the insurance companies. So thats what they did.
Its not terrible.
Its not a cluster.
And GOP opposition is just smoke and mirrors.
The only one flying in the face of the facts is YOU.
You completely ignorant of the facts, of history, and the context.
The guy who said the election was rigged won the presidency with the second-most votes.
Question: Not a single Republican voted for Obamacare, so exactly how does it make it their "wet dream"?
Answer: Because Obama adopted the Republican plan in an attempt to unify the parties in implementing healthcare reform. The Democratic plan was Single Payer, which was cheaper, simpler, and more effective. Obama agreed to the more expensive, complex and ineffective Republican plan in an attempt to get Republicans to engage in the reform.
Unfortunately, Republicans immediately turned against their own plan, because they cared more about preventing reform than in their own reform plans.
The shame is that the Democrats didn't then go back to their own plan and push that through. Unfortunately there were enough Democrats tied to the insurance industry (Lieberman....) that, combined with 100% Republican obstruction, they were able to force the country to waste $trillions on insurance company waste. Because what's waste to us is record profits for insurance companies.
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I agree that they should have expanded Medicare to cover everyone who wanted it - that's by far the most efficient system with the highest patient satisfaction. Much better than private insurance, so likely the competition would have forced insurers to become at least marginally efficient and improve coverage.
That being said, I don't follow your comment about your private insurance. The only thing that happened to your private insurance is that the worst abuses were now outlawed, so (for example) insurance companies aren't allowed to waste more than 20% of what you pay them, resulting in $billions in refunds being sent to customers who were previously being really ripped off. Well, and you also indirectly benefitted in that the exchanges are so competitive that private insurance rates are going up much more slowly than they have in the past, so you're probably having money paying a 2-3% annual increase (that's the average post-ACA) compared to the historical 7-9% annual increases.
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I disagree with the premise that "ObamaCare" and the ACA are the same thing. When Obama introduced his framework for health care reform, it included, among other things, a single-payer system. Controversial to be sure, but a key part of the plan. The republicans focused on that and the individual mandate as their two key talking points of opposition. The former was framed as a government takeover of healthcare, and the latter as unconstitutional. The democrats dropped the former to make it more palatable, presumably thinking something is better than nothing and perhaps it will be added in time. The republicans were quick to jump on board with that probably thinking without the single-payer element, the whole thing was dead. The latter was deemed constitutional by the supreme court, breathing new life into the legislation.
While the republicans termed the whole notion of healthcare reform as "ObamaCare" as a pejorative, in my mind the ACA is actually more of an inadvertent compromise between the democrats and the republicans. It wasn't the intention of the republicans to add things in and take things out as a means of compromise. What they did, they did to kill the legislation; but it didn't work out that way. In the end, the ACA is a democrat-led effort for healthcare reform with many compromises made to please, and at the behest of, republicans.
While the republicans didn't vote for the legislation; the legislation that passed has their fingerprints all over it.
But all of this is just political theater and bullshit. If any of you think your party is "right" or fighting for and representing your interests, you are deluded and probably of only average intelligence.
I'm sorry, but your opinion seems to be wrong.
Some of our previously insured patients seemed miffed because, just like before, medical care is expensive and the system is complicated. Some of them who used to blame the insurance companies now blame Obamacare.
My family insurance rates went from ~$400/mo for a PPO plan in 2012, to ~$750/mo in 2013, and now just under $1000/mo in 2014, all with declining levels of coverage. Thank you 'Affordable' Care Act. Even a modest 6-figure household income can't realistically afford $1000/mo for health insurance so we dropped it. It doesn't end there either. After $12k in premiums, i have exposure for another $6000 per year. So now we have a bare bones plan and contribute less to the system overall. Worst law in the history of the United States.
Scott
Lets look at the history of the Affordable Care Act, a.k.a. Obamacare. Back in 2008, then-presidential nominee Barack Obama ran a campaign with healthcare reform as one of its central issues. He advocated for universal healthcare but opposed an individual mandate. However, after input from experts that claimed that government-guaranteed healthcare would encourage too many free-riders, Obama decided to include an individual mandate as a central part of his healthcare reform efforts.
The individual mandate is largely credited as an idea by the conservative think-tank The Heritage Foundation as an alternative to a system in which the government pays for healthcare. It required each person to pay for their own healthcare and was proposed by Republicans during the Clinton era as a free-market solution that embodies the tenant of personal responsibility that Republicans claim to hold.
Once adopted by the Democrats and proposed in a bill on September 17, 2009, the Republicans staunchly opposed the measure. The Republicans, some of whom have been around long enough to have supported a similar bill during the Clinton administration, claimed that the individual mandate was an unconstitutional assault on freedom.
After 3 weeks of debate and town hall meetings, the bill passed through the House of Representatives and was sent to the Senate. The Democrats attempted to gain the support of moderate Republicans like Olympia Snowe, Bob Bennet, Mike Enzi, and Chuck Grassley. However, the moderate Republicans found themselves subject to intense pressure by the party to fall in line and oppose any healthcare reform effots.
The bill continued to be opposed by conservatives in the Senate who claimed that the bill's "public option" was a deal-breaker. The public option was government-run healthcare insurance that would be available to people alongside private health insurance in the market. Conservatives claimed that the public option would put private insurance out of business because the government is under no pressure to compete or turn a profit. After over 3 months of debate, the public option was dropped from the bill. Senator Grassley was quoted as saying:
"No public option. No play-or-pay. No things that are going to lead to any rationing of health care. No interference with the doctor-patient relationship," says Grassley. "About the only place we haven't made progress along the lines of what Republicans are wanting on the bill is in tort reform."
Despite this, it still took several last-minute concessions for conservatives to get the bill passed through the Senate on December 24, 2009, with support from independents and conservative Democrats to overcome the Republican threat of fillibuster.
The bill languished in the House of Representatives for 3 more months. In order to gets the admendments made to the bill back in the House, the Democrats had to win support from pro-life Representatives who worried that the bill would allow federal funds to be used to pay for abortions. To assuage anti-abortion politicians' fears, Barack Obama signed an executive order on March 21, 2010 to affirm that no federal funds could or would be used to fund abortions. The amendments were finally passed through the House and signed into law by Obama on March 23, 2010 (over 6 months after being proposed).
The best thing about UDP jokes is I don't care if you get them or not
You don't seem to realize it's the perverse notion that health insurance companies need to exist which has caused this situation. You should see what happens in civilized countries - people don't even have to think about health insurance (or, if they desire, they can spend up to $100 a month for some perks, but no improvement in treatments, as all treatments are available to everyone). If they need treatment, they go see a doctor. No money changes hands (except in some areas a token fee of ~$10), and people get treated. If a country has true universal healthcare, the amount of bargaining power the health service has means they can get drugs at a fraction of the cost, and in some countries the price for a prescription is the same regardless of what drugs are being prescribed (and usually free for 65s, and pregnant women). How does ~$10 for a prescription sound? Impossible to you, I'm sure. Here's another thing to think about: no-one goes bankrupt because of medical bills. No-one. Not a single person. And this costs less of a portion of the GDP, with comparable (and frequently better) outcomes.
People who live in these more civilized countries read this shit about the US and simply scratch their heads. The numbers alone are mind-boggling to people whose entire annual medical expenditure is usually under $100, and frequently 0.
Stop bitching about Obamacare and start bitching about your insurance overlords who simply should not exist, or should be in the business of topping-up an already good healthcare system with comfier pillows and colder sodas.
Because if you banned pre-existing condition exclusions without forcing folks to be insured, people wouldn't get insured until after they were sick.
I guess you weren't around during the Great Depression. There is a reason so much of the country became solidly Democratic for a generation after that -- the people who were in it credited FDR for saving their butts when no one else cared. They certainly didn't see the invisible hand of "economic growth" putting food on the table anytime soon back then. You have to live through the hard times in order to be around when things get better through growth. So where are these places on the planet of fantastic prosperity where the government is less intrusive than in the USA now ('less intrusive' includes 'no government provided health care')?