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On the Election Results of November 2010

Gauging the Impact of the Affordable Care Act?


ME-P readers and others have been asking us – what does the election outcome mean for health care and the ACA?


In short, not as much as many think, according to Steve Pizer JD and Austin Frakt PhD of the Incidental Economist.




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12 Responses

  1. ObamaCare

    Is a repeal of the new healthcare law in the offering?
    You bet it is!




  2. Right or Privilege?

    Doctors Debate Right to Healthcare


    Adam, and isn’t healthcare a patient responsibility too?



  3. Obama Open to GOP Ideas on Healthcare Reform

    Addressing the nation for the first time after Republicans claimed control of the U.S. House of Representatives, President Barack Obama said if Republicans have ideas on how to improve the nation’s healthcare system, he is happy to consider those ideas.

    Obama said it would be misreading the election to think voters want to re-litigate the last two years of work. He did say, however, that he’d be willing to discuss provisions of the bill and acknowledged if the bill’s 1099 provision for small businesses—designed to raise revenue—is “too burdensome,” then that could potentially be one area to tweak. “Let’s talk specifics,” Obama said, referring to areas Republicans may want to change.

    Source: Jessica Zigmond, Modern Healthcare [11/3/10]


  4. Senate Minority Leader Takes Aim at Healthcare Reform

    Senate Minority Leader Mitch McConnell (R-KY) sent a clear message Thursday when he said Republicans “can and should propose and vote on straight repeal, repeatedly” on this year’s healthcare reform bill. “But we can’t expect the president to sign it,” McConnell said in prepared remarks for a speech he gave at the Heritage Foundation, a conservative think tank on Capitol Hill. “So we’ll also have to work, in the House, on denying funds for implementation, and, in the Senate, on votes against its most egregious provisions. At the same time, we’ll need to continue educating the public about the ill-effects of this bill on individuals young and old, families, and small businesses.”

    McConnell also pledged what he called “smart, aggressive oversight” of the administration and its agencies, which includes HHS. “Through oversight, we’ll also keep a spotlight on the various agencies the administration will now use to advance through regulation what it can’t through legislation,” McConnell said.

    Source: Jessica Zigmond, Modern Healthcare [11/4/10]


  5. The Affordable Care Act – Not so Affordable?

    According to Richard Reece MD, writing for The Health Care Blog, the October 28th 2010 issue of the NEJM – by Henry Aaron PhD, of the liberal Brookings Institute in Washington, DC – sounds the alarm and breaks out of the chamber by saying, in effect, “Hey! Maybe this thing we call ACA isn’t going to work after all.”


    And so, was the election a repudiation of the ACA?



  6. Will the ACA and HIT Initiatives be Repealed?


    Will MU, HI-TECH, ARRA and incentives for eHRs, etc, be done away with? Please opine.

    Hope R. Hetico RN, MHA
    [Managing Editor]


  7. “HealthCare Freedom Acts” A Symbolic Protest

    Arizona and Oklahoma voters’ November 2nd approval of constitutional amendments to block requirements for individuals to have health insurance could inspire similar pushes in other states in 2011 and 2012.

    The similarly worded amendments — generally referred to as “healthcare freedom acts” — were written to prevent states from requiring individuals to have health insurance and provide as much protection as possible from similar upcoming federal requirements. Arizona and Oklahoma are the second and third states to approve ballot measures against the insurance mandate. Missouri voters approved a ballot initiative on August 3rd.

    But, the state constitutional amendments are probably more a symbolic stand against the national health reform law’s mandate for individuals to have health insurance, set to take effect in 2014. Few legal experts expect the state amendments to block the federal mandate because federal law generally trumps state law.

    Source: Doug Trapp, AMNews [11/22/10]


  8. MN Governor Supports Legal Challenge to Health Reform Law

    Minnesota Gov. Tim Pawlenty (R) is publicly supporting a legal challenge to the reform law that’s under way in Florida. The presidential hopeful, along with Rhode Island Gov. Donald Carcieri (R), filed a motion opn Nov. 11th that claims the reform law “fundamentally transforms Medicaid and will effectively co-opt control over the states’ budgetary processes and legislative agendas, crowding out spending on other state priorities.”

    Pawlenty has challenged the law before, choosing not to enroll Minnesota in its Medicaid expansion because of the estimated $430 million cost to the state, and issuing an executive order directing state agencies to decline all discretionary participation in the law. The law “represents an unconstitutional power grab by the federal government that undermines freedom and states’ rights that needs to be stopped,” said Pawlenty in a prepared statement.

    Source: Health Reform Week [11/22/10]


  9. On Politicians and the Elections

    Did you know that almost all of the physicians in Congress are Republicans? What will this mean relative to conventional ‘tort reforms’ as a panacea for cost-growth in healthcare?



  10. Ohio Joins Growing List of States Challenging the ACA

    Kent – Ohio Attorney General, Mike DeWine (R), took actions on January 10th to join the increasing number of states challenging the constitutionality of the health reform law. “Our Constitution provides for a federal government of significant, but defined and limited powers,” DeWine said in a prepared statement. “By ignoring the constitutional limits on federal power, the healthcare law tramples on the rights of Ohio’s citizens.”

    More than 20 states have asked the court to declare the healthcare law unconstitutional in a lawsuit pending before the U.S. District Court for the Northern District of Florida.

    Source: AIS’s Health Reform Week [1/17/11]


  11. Senate Rejects Reform Repeal
    [Measure to Kill 1099 Provision Okayed]

    The Senate on Wednesday rejected a Republican-sponsored amendment to repeal last year’s Patient Protection and Affordable Care Act. Senator Minority Leader Mitch McConnell (R-KY) had introduced the amendment, a measure that was identical to the healthcare reform repeal bill that the U.S. House of Representatives passed late last month. Had the Senate amendment passed, it would have been attached to an air traffic safety bill. The Republican-sponsored measure required 60 votes in the Senate, but fell short with a final tally of 51 senators voting against it and 47 senators supporting it.

    One of the law’s mandates that many have found burdensome—the contentious 1099 reporting provision—was the topic of another Senate vote on Wednesday. The Senate voted 81 to 17 to approve Sen. Debbie Stabenow’s (D-MI) amendment to repeal that provision in the law, which requires American businesses to file a form with the Internal Revenue Service for every vendor with which they conduct transactions worth $600 or more.

    Source: Jessica Zigmonf, Modern Healthcare [2/2/11]


  12. Beginning in 2014, the healthcare law requires individuals to have coverage or pay a fine. The starting fine for an individual without health insurance will be as little as $95, but by 2016, the penalty jumps to $695, or 2.5 percent of taxable income, whichever is greater.

    Hope Hetico RN MHA
    [Managing Editor]


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