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Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>","avatar":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twitter":"laliferis","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["subscriber"]},{"site":"food","roles":["contributor"]}],"headData":{"title":"Lisa Aliferis | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lisaaliferis"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"stateofhealth_3826":{"type":"posts","id":"stateofhealth_3826","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"3826","score":null,"sort":[1332194150000]},"guestAuthors":[],"slug":"the-supreme-courts-4-health-care-reform-questions","title":"The 4 Health Care Overhaul Questions Before the Supreme Court","publishDate":1332194150,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>\u003cem>The Supreme Court issued its decisions on the Affordable Care Act on June 28, 2012. This post has been updated to reflect the court’s rulings.\u003c/em>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4289\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtJustices_2012_032620121.jpg\">\u003cimg class=\"size-medium wp-image-4289\" title=\"(Courtesy: U.S. Supreme Court)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtJustices_2012_032620121-300x240.jpg\" alt=\"(Courtesy: U.S. Supreme Court)\" width=\"300\" height=\"240\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: U.S. Supreme Court)\u003c/figcaption>\u003c/figure>\n\u003cp>Next Monday, the Supreme Court begins considering the Constitutionality of the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>, or ACA. Three days, six hours of oral arguments. But it's not just one long slog about health care reform. The Supreme Court is considering four different questions over those three days.\u003c/p>\n\u003cp>Legal scholars, pundits and those suitably opinionated have been pontificating about all kinds of legal issues. But the average American might want to know, in straightforward language, what those Four Questions actually mean.\u003c/p>\n\u003cp>Here's my take on them:\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>1. Can the Supreme Court Consider the ACA Now, Anyway?\u003c/strong>\u003cbr>\nOral arguments Monday, March 26, 7-8:30am PT\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This is a question only lawyers can love. Feel free to skip to Question #2 if you like. If you're still with me, start by going 140 years back in time to the \u003ca title=\"http://www.law.cornell.edu/uscode/text/26/7421\" href=\"http://www.law.cornell.edu/uscode/text/26/7421\" target=\"_blank\">1867 Tax Anti-Junction Act\u003c/a>. No, I'm not making this up--it's the crux of this first question before the Supreme Court. Here's the deal: the ACA requires that people purchase health insurance or pay a penalty. Many people say this \"penalty\" is a tax in disguise. The Tax Anti-Injunction Act bars people from suing over a tax \u003cem>until they actually pay the tax.\u003c/em> Since the ACA goes into full effect in 2014, no penalties will be paid until 2015. And so, 2015 would be the soonest someone who paid the tax could challenge the constitutionality of the ACA. Will the Supreme Court punt and say, \"Come back in 2015\"? Court-watchers say that's unlikely. \u003cstrong>SPECIAL NOTE: \u003c/strong>If you can only pay attention to two of the three days of hearings, this is your day to skip.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Update: The Supreme Court determined it had the authority to rule.\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>2. Is the Individual Mandate Constitutional?\u003c/strong>\u003cbr>\nOral arguments Tuesday, March 27, 7-9am PT\u003c/p>\n\u003cp>Of the four questions the Supreme Court is considering, this is the big one. As you learned in Question #1, the ACA requires all Americans to purchase health insurance or pay a penalty/tax. If your annual income is below a certain level--about $92,000 for a family of four-- the government will provide subsidies or tax credits to help you. But the mandate is unpopular. Just \u003ca title=\"http://www.kff.org/kaiserpolls/upload/8285-F.pdf\" href=\"http://www.kff.org/kaiserpolls/upload/8285-F.pdf\" target=\"_blank\">over half of Americans\u003c/a> think the Supreme Court should declare the mandate unconstitutional, while 28 percent think it should stay. The primary legal question is this: does Congress have the authority under the \u003ca title=\"http://www.law.cornell.edu/wex/commerce_clause\" href=\"http://www.law.cornell.edu/wex/commerce_clause\" target=\"_blank\">Commerce Clause\u003c/a> of the U.S. Constitution to require Americans to purchase a product, in this case health insurance? Those in favor say yes--Congress can both regulate interstate commerce and legislate taxes. Those opposed say this is the first time Congress has required Americans to purchase a product and it's unconstitutional. \u003cstrong>SPECIAL NOTE:\u003c/strong> if your employer provides health insurance or if you are a Medicare recipient, nothing about your personal situation will change. On January 1, 2014, you would continue to receive the same employer-based coverage or Medicare.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Update: In a 5-4 ruling, the Supreme Court determined that the individual mandate is constitutional.\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>3. If the Individual Mandate is Unconstitutional, Can the Rest of the ACA Go Forward?\u003c/strong>\u003cbr>\nOral arguments Wednesday, March 28, 7-8:30am PT\u003c/p>\n\u003cp>Severability. This word will be all over the news next Wednesday. Why? Suppose the Supreme Court decides the individual mandate is unconstitutional. Can the mandate be \"severed\" from the ACA, allowing the ACA to stand? This question has a bit of unusual background: normally when Congress writes a law, it includes a \"severability\" clause, so that if one part of a law is struck down, the rest of the law can still stand. Back in the last days of drafting the ACA, the House version indeed had a severability clause. The Senate side expected to add it in a conference committee. But things got so hectic at the end, there was never a conference committee and the severability clause was not part of the final law. \u003cstrong>SPECIAL NOTE:\u003c/strong> many experts think severability is implied. They say if the individual mandate is struck down, the rest of the law can stand. Only the Supreme Court will say for sure.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Update: The question of “severability” became irrelevant since the Supreme Court determined that the individual mandate is constitutional. \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>4. Is the Medicaid Expansion Constitutional?\u003c/strong>\u003c/em>\u003cbr>\nOral arguments Wednesday, March 28, 10-11am PT\u003c/p>\n\u003cp>\u003ca title=\"http://www.medicaid.gov/\" href=\"http://www.medicaid.gov/\" target=\"_blank\">Medicaid\u003c/a> is the health care plan for the poor and disabled that is run by individual states with both state and federal dollars. The Affordable Care Act expands those eligible for Medicaid to adults earning 133 percent of the federal poverty level. But in order for states to continue receiving \u003cem>any\u003c/em> federal money for Medicaid, the ACA requires them to comply with this expansion. Twenty-six states who have challenged this requirement say withholding all monies for Medicaid is coercive and therefore unconstitutional. Those states which support the expansion--including California--say that Congress can constitutionally attach such conditions under what's known as the \"Spending Clause.\" \u003cstrong>SPECIAL NOTE:\u003c/strong> Congress has expanded Medicaid many times in the past and never had an expansion struck down.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Update: The Supreme Court ruled 5-4 that Congress may not take away all funds for Medicaid if a state decides not to expand the program. As of January 2013, many states have determined to go forward with the expansion; the federal government will pay 100 percent of the costs of any newly eligible enrollees for the first three years and not less than 90 percent of the cost thereafter. Other states have said they will not expand the program; Congress must continue to fund a state's existing Medicaid program at the existing level.\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Some final thoughts:\u003c/strong>\u003c/p>\n\u003cp>The Supreme Court's decisions are expected in late June, possibly early July.\u003cbr>\n\u003cem>Update: as noted, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/28/supreme-court-health-care-decision/\" target=\"_blank\">the decisions\u003c/a> came down June 28, 2012.\u003c/em>\u003c/p>\n\u003cp>The Court will make audio recordings available following the end of arguments each day, but turned down requests for live TV or radio broadcasts.\u003cbr>\n\u003cem>Update:\u003c/em> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/audiotranscripts-of-wednesdays-supreme-court-hearings-on-the-fate-of-the-health-law/\" target=\"_blank\">Oral arguments and transcripts on the Medicaid expansion and individual mandate. \u003c/a>\u003c/p>\n\u003cp>While some elements of the Affordable Care Act have already gone into effect, the major components of the legislation take effect on January 1, 2014.\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cp>Background on the Individual Mandate: \u003ca title=\"http://news.yahoo.com/court-weighs-making-health-coverage-fact-life-133951595.html\" href=\"http://news.yahoo.com/court-weighs-making-health-coverage-fact-life-133951595.html\" target=\"_blank\">Court Weighs Making Health Coverage a Fact of Life\u003c/a> (AP)\u003c/p>\n\u003cp>\u003ca title=\"http://www.kff.org/healthreform/upload/8270-2.pdf\" href=\"http://www.kff.org/healthreform/upload/8270-2.pdf\" target=\"_blank\">A Guide to the Supreme Court’s Review of the 2010 Health Care Reform Law\u003c/a> [PDF] (Kaiser Family Foundation)\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>And for you wonks out there, you can find content galore here:\u003cbr>\n\u003ca title=\"http://www.kaiserhealthnews.org/Supreme-Court-Decides-Health-Law.aspx\" href=\"http://www.kaiserhealthnews.org/Supreme-Court-Decides-Health-Law.aspx\" target=\"_blank\">The Supreme Court Decides: Health Care at the High Court\u003c/a> (Kaiser Health News)\u003c/p>\n\n","blocks":[],"excerpt":"Next Monday, the Supreme Court begins considering the Constitutionality of the Affordable Care Act, or ACA. Three days, six hours of oral arguments. But it's not just one long slog about health care reform. The Supreme Court is considering four different questions over those three days.\r\n\r\nLegal scholars, pundits and those suitably opinionated have been pontificating about all kinds of legal issues. But the average American might want to know, in straightforward language, what those Four Questions actually mean.\r\n\r\nHere's my take on them:","status":"publish","parent":0,"modified":1377635096,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1145},"headData":{"title":"The 4 Health Care Overhaul Questions Before the Supreme Court | KQED","description":"Next Monday, the Supreme Court begins considering the Constitutionality of the Affordable Care Act, or ACA. Three days, six hours of oral arguments. But it's not just one long slog about health care reform. The Supreme Court is considering four different questions over those three days.\r\n\r\nLegal scholars, pundits and those suitably opinionated have been pontificating about all kinds of legal issues. But the average American might want to know, in straightforward language, what those Four Questions actually mean.\r\n\r\nHere's my take on them:","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"The 4 Health Care Overhaul Questions Before the Supreme Court","datePublished":"2012-03-19T21:55:50.000Z","dateModified":"2013-08-27T20:24:56.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"3826 http://blogs.kqed.org/stateofhealth/?p=3826","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/03/19/the-supreme-courts-4-health-care-reform-questions/","disqusTitle":"The 4 Health Care Overhaul Questions Before the Supreme Court","path":"/stateofhealth/3826/the-supreme-courts-4-health-care-reform-questions","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>\u003cem>The Supreme Court issued its decisions on the Affordable Care Act on June 28, 2012. This post has been updated to reflect the court’s rulings.\u003c/em>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4289\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtJustices_2012_032620121.jpg\">\u003cimg class=\"size-medium wp-image-4289\" title=\"(Courtesy: U.S. Supreme Court)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtJustices_2012_032620121-300x240.jpg\" alt=\"(Courtesy: U.S. Supreme Court)\" width=\"300\" height=\"240\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: U.S. Supreme Court)\u003c/figcaption>\u003c/figure>\n\u003cp>Next Monday, the Supreme Court begins considering the Constitutionality of the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>, or ACA. Three days, six hours of oral arguments. But it's not just one long slog about health care reform. The Supreme Court is considering four different questions over those three days.\u003c/p>\n\u003cp>Legal scholars, pundits and those suitably opinionated have been pontificating about all kinds of legal issues. But the average American might want to know, in straightforward language, what those Four Questions actually mean.\u003c/p>\n\u003cp>Here's my take on them:\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>1. Can the Supreme Court Consider the ACA Now, Anyway?\u003c/strong>\u003cbr>\nOral arguments Monday, March 26, 7-8:30am PT\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This is a question only lawyers can love. Feel free to skip to Question #2 if you like. If you're still with me, start by going 140 years back in time to the \u003ca title=\"http://www.law.cornell.edu/uscode/text/26/7421\" href=\"http://www.law.cornell.edu/uscode/text/26/7421\" target=\"_blank\">1867 Tax Anti-Junction Act\u003c/a>. No, I'm not making this up--it's the crux of this first question before the Supreme Court. Here's the deal: the ACA requires that people purchase health insurance or pay a penalty. Many people say this \"penalty\" is a tax in disguise. The Tax Anti-Injunction Act bars people from suing over a tax \u003cem>until they actually pay the tax.\u003c/em> Since the ACA goes into full effect in 2014, no penalties will be paid until 2015. And so, 2015 would be the soonest someone who paid the tax could challenge the constitutionality of the ACA. Will the Supreme Court punt and say, \"Come back in 2015\"? Court-watchers say that's unlikely. \u003cstrong>SPECIAL NOTE: \u003c/strong>If you can only pay attention to two of the three days of hearings, this is your day to skip.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Update: The Supreme Court determined it had the authority to rule.\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>2. Is the Individual Mandate Constitutional?\u003c/strong>\u003cbr>\nOral arguments Tuesday, March 27, 7-9am PT\u003c/p>\n\u003cp>Of the four questions the Supreme Court is considering, this is the big one. As you learned in Question #1, the ACA requires all Americans to purchase health insurance or pay a penalty/tax. If your annual income is below a certain level--about $92,000 for a family of four-- the government will provide subsidies or tax credits to help you. But the mandate is unpopular. Just \u003ca title=\"http://www.kff.org/kaiserpolls/upload/8285-F.pdf\" href=\"http://www.kff.org/kaiserpolls/upload/8285-F.pdf\" target=\"_blank\">over half of Americans\u003c/a> think the Supreme Court should declare the mandate unconstitutional, while 28 percent think it should stay. The primary legal question is this: does Congress have the authority under the \u003ca title=\"http://www.law.cornell.edu/wex/commerce_clause\" href=\"http://www.law.cornell.edu/wex/commerce_clause\" target=\"_blank\">Commerce Clause\u003c/a> of the U.S. Constitution to require Americans to purchase a product, in this case health insurance? Those in favor say yes--Congress can both regulate interstate commerce and legislate taxes. Those opposed say this is the first time Congress has required Americans to purchase a product and it's unconstitutional. \u003cstrong>SPECIAL NOTE:\u003c/strong> if your employer provides health insurance or if you are a Medicare recipient, nothing about your personal situation will change. On January 1, 2014, you would continue to receive the same employer-based coverage or Medicare.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Update: In a 5-4 ruling, the Supreme Court determined that the individual mandate is constitutional.\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>3. If the Individual Mandate is Unconstitutional, Can the Rest of the ACA Go Forward?\u003c/strong>\u003cbr>\nOral arguments Wednesday, March 28, 7-8:30am PT\u003c/p>\n\u003cp>Severability. This word will be all over the news next Wednesday. Why? Suppose the Supreme Court decides the individual mandate is unconstitutional. Can the mandate be \"severed\" from the ACA, allowing the ACA to stand? This question has a bit of unusual background: normally when Congress writes a law, it includes a \"severability\" clause, so that if one part of a law is struck down, the rest of the law can still stand. Back in the last days of drafting the ACA, the House version indeed had a severability clause. The Senate side expected to add it in a conference committee. But things got so hectic at the end, there was never a conference committee and the severability clause was not part of the final law. \u003cstrong>SPECIAL NOTE:\u003c/strong> many experts think severability is implied. They say if the individual mandate is struck down, the rest of the law can stand. Only the Supreme Court will say for sure.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Update: The question of “severability” became irrelevant since the Supreme Court determined that the individual mandate is constitutional. \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>4. Is the Medicaid Expansion Constitutional?\u003c/strong>\u003c/em>\u003cbr>\nOral arguments Wednesday, March 28, 10-11am PT\u003c/p>\n\u003cp>\u003ca title=\"http://www.medicaid.gov/\" href=\"http://www.medicaid.gov/\" target=\"_blank\">Medicaid\u003c/a> is the health care plan for the poor and disabled that is run by individual states with both state and federal dollars. The Affordable Care Act expands those eligible for Medicaid to adults earning 133 percent of the federal poverty level. But in order for states to continue receiving \u003cem>any\u003c/em> federal money for Medicaid, the ACA requires them to comply with this expansion. Twenty-six states who have challenged this requirement say withholding all monies for Medicaid is coercive and therefore unconstitutional. Those states which support the expansion--including California--say that Congress can constitutionally attach such conditions under what's known as the \"Spending Clause.\" \u003cstrong>SPECIAL NOTE:\u003c/strong> Congress has expanded Medicaid many times in the past and never had an expansion struck down.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Update: The Supreme Court ruled 5-4 that Congress may not take away all funds for Medicaid if a state decides not to expand the program. As of January 2013, many states have determined to go forward with the expansion; the federal government will pay 100 percent of the costs of any newly eligible enrollees for the first three years and not less than 90 percent of the cost thereafter. Other states have said they will not expand the program; Congress must continue to fund a state's existing Medicaid program at the existing level.\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Some final thoughts:\u003c/strong>\u003c/p>\n\u003cp>The Supreme Court's decisions are expected in late June, possibly early July.\u003cbr>\n\u003cem>Update: as noted, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/28/supreme-court-health-care-decision/\" target=\"_blank\">the decisions\u003c/a> came down June 28, 2012.\u003c/em>\u003c/p>\n\u003cp>The Court will make audio recordings available following the end of arguments each day, but turned down requests for live TV or radio broadcasts.\u003cbr>\n\u003cem>Update:\u003c/em> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/audiotranscripts-of-wednesdays-supreme-court-hearings-on-the-fate-of-the-health-law/\" target=\"_blank\">Oral arguments and transcripts on the Medicaid expansion and individual mandate. \u003c/a>\u003c/p>\n\u003cp>While some elements of the Affordable Care Act have already gone into effect, the major components of the legislation take effect on January 1, 2014.\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cp>Background on the Individual Mandate: \u003ca title=\"http://news.yahoo.com/court-weighs-making-health-coverage-fact-life-133951595.html\" href=\"http://news.yahoo.com/court-weighs-making-health-coverage-fact-life-133951595.html\" target=\"_blank\">Court Weighs Making Health Coverage a Fact of Life\u003c/a> (AP)\u003c/p>\n\u003cp>\u003ca title=\"http://www.kff.org/healthreform/upload/8270-2.pdf\" href=\"http://www.kff.org/healthreform/upload/8270-2.pdf\" target=\"_blank\">A Guide to the Supreme Court’s Review of the 2010 Health Care Reform Law\u003c/a> [PDF] (Kaiser Family Foundation)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And for you wonks out there, you can find content galore here:\u003cbr>\n\u003ca title=\"http://www.kaiserhealthnews.org/Supreme-Court-Decides-Health-Law.aspx\" href=\"http://www.kaiserhealthnews.org/Supreme-Court-Decides-Health-Law.aspx\" target=\"_blank\">The Supreme Court Decides: Health Care at the High Court\u003c/a> (Kaiser Health News)\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/3826/the-supreme-courts-4-health-care-reform-questions","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_222","stateofhealth_41","stateofhealth_119","stateofhealth_402"],"featImg":"stateofhealth_4289","label":"stateofhealth"},"stateofhealth_3422":{"type":"posts","id":"stateofhealth_3422","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"3422","score":null,"sort":[1330652659000]},"guestAuthors":[],"slug":"healthy-san-francisco-snapshot-of-universal-care","title":"Healthy San Francisco: Snapshot of Universal Care","publishDate":1330652659,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_3433\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/HealthySF_Jack-Snook_Credit_KamalMenghrajani_02.jpg\">\u003cimg class=\"size-medium wp-image-3433\" title=\"Jack Snook expresses his appreciation for Healthy San Francisco in a panel discussion last night. (Photo: Kamal Menghrajani)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/HealthySF_Jack-Snook_Credit_KamalMenghrajani_02-300x224.jpg\" alt=\"Jack Snook expresses his appreciation for Healthy San Francisco in a panel discussion last night. (Photo: Kamal Menghrajani)\" width=\"300\" height=\"224\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jack Snook expresses his appreciation for Healthy San Francisco in a panel discussion last night. (Photo: Kamal Menghrajani)\u003c/figcaption>\u003c/figure>\n\u003cp>It's been almost five years since San Francisco launched its innovative, universal health plan--\u003ca title=\"http://www.healthysanfrancisco.org/\" href=\"http://www.healthysanfrancisco.org/\" target=\"_blank\">Healthy San Francisco\u003c/a>--and last night a panel of public health experts and care providers gathered at the Tenderloin's \u003ca title=\"https://www.glide.org/sslpage.aspx\" href=\"https://www.glide.org/sslpage.aspx\" target=\"_blank\">Glide Foundation\u003c/a> to provide a snapshot of how the program is faring.\u003c/p>\n\u003cp>Glide has a long history of providing services to the poor and marginalized--and advocating on their behalf. Glide's Freedom Hall was packed, with a smattering of people who indicated they were participants in Healthy San Francisco. Tangerine Brigham, director of the program, spoke first and described the program's goals: to provide improved access to care through a network of community clinics and hospitals. Of primary importance is for people to have a relationship with a doctor or clinic so they don't resort to the emergency room for what are essentially primary care problems.\u003c/p>\n\u003caside class=\"pullquote alignright\">Healthy San Francisco has enrolled 80 percent of San Francisco's uninsured--about 55,000 adults.\u003c/aside>\n\u003cp>Since its inception in 2007, Healthy San Francisco has enrolled 80 percent of San Francisco's uninsured--about 55,000 adults. And people are using the primary care benefits. \"Over 70 percent of the people in Healthy SF are getting a primary care visit at least once a year,\" Brigham said. \"Because they're using primary care, we saw a reduction in emergency room utilization at \u003ca title=\"http://sfghed.ucsf.edu/\" href=\"http://sfghed.ucsf.edu/\" target=\"_blank\">San Francisco General Hospital\u003c/a>. We compared that to other public hospitals in California and what that analysis showed was that San Francisco emergency utilization was declining while others' was rising.\"\u003c!--more-->\u003c/p>\n\u003cp>Healthy San Francisco is not health insurance. Participants pay a quarterly fee--on a sliding scale--for care at the clinics and hospitals that participate in the program, which are in San Francisco only\u003cstrong>.\u003c/strong> But people don't seem to be bothered by the geographic constraints. A \u003ca title=\"http://www.kff.org/kaiserpolls/kaiserpolls082609nr.cfm\" href=\"http://www.kff.org/kaiserpolls/kaiserpolls082609nr.cfm\" target=\"_blank\">2009 survey\u003c/a> by the Kaiser Family Foundation found that 94 percent of participants were at least \"somewhat satisfied\" with the program and 92 percent would recommend to a friend.\u003c/p>\n\u003cp>\u003ca title=\"http://futurehealth.ucsf.edu/Public/Leadership-Programs/MiniProfile.aspx?pid=33&asuid=8814\" href=\"http://futurehealth.ucsf.edu/Public/Leadership-Programs/MiniProfile.aspx?pid=33&asuid=8814\" target=\"_blank\">Karen Hill\u003c/a> is the clinic manager at \u003ca title=\"http://glide.org/health\" href=\"http://glide.org/health\" target=\"_blank\">Glide Health Services\u003c/a>. As a provider, she is also highly satisfied with Healthy San Francisco. \"From a clinic manager's perspective,\" she says, \"I don't have to worry about where I need to send someone for specialty care. I know they have a place to go. ... We are going to be able to get those specialty tests they need. We have access for blood tests and for medications.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As part of San Francisco's health care overhaul, businesses with more than 20 employees are \u003ca title=\"http://www.healthysanfrancisco.org/employers/HCSO_Compliance.aspx\" href=\"http://www.healthysanfrancisco.org/employers/HCSO_Compliance.aspx\" target=\"_blank\">required to provide health insurance\u003c/a> to their employees. Before implementation of the plan, employers--especially restaurant owners--had worried that this requirement would cost jobs, since businesses in surrounding cities and counties might not bear the same health insurance costs. \u003ca title=\"http://sph.berkeley.edu/faculty/dow.php\" href=\"http://sph.berkeley.edu/faculty/dow.php\" target=\"_blank\">William Dow\u003c/a>, Professor of Health Economics at UC Berkeley, has looked at this issue extensively. \"Were there fewer jobs in the City after this happened?\" he asked, in reference to the implementation of Healthy San Francisco. \"The answer is no.\" You can read his full analysis \u003ca title=\"http://www.nber.org/papers/w16179.pdf\" href=\"http://www.nber.org/papers/w16179.pdf\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>The discussion was peppered with comments and questions from the audience. Many spoke in favor of Healthy SF, including Jack Snook. \"I think Healthy San Francisco is the best thing that ever happened to me other than being a teacher for 20 years,\" he said. \"I'm able to easily attain care through Healthy SF. ... It's been a big blessing in my life.\"\u003c/p>\n\u003cp>Looking ahead to the rollout of federal health care reform in 2014, panelists agreed that San Francisco's near-universal health coverage makes the upcoming change easier. \"We will be in a very unique position as a provider community in 2014,\" said Tangerine Brigham, \"because we will be far better prepared with our residents in Healthy San Francisco to transition either from Medicaid or into another program.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The panel unfortunately ended before any discussion of cost of the program could be addressed. \u003ca title=\"http://sfpublicpress.org/\" href=\"http://sfpublicpress.org/\" target=\"_blank\">The San Francisco Public Press\u003c/a>--sponsor of last night's event--featured an \u003ca title=\"http://sfpublicpress.org/news/healthy-sf\" href=\"http://sfpublicpress.org/news/healthy-sf\" target=\"_blank\">in-depth special report\u003c/a> last November. The entire edition is worth a read, but \u003ca title=\"http://sfpublicpress.org/news/2011-11/san-franciscos-universal-health-plan-reaches-tens-of-thousands-rests-on-unstable-funding\" href=\"http://sfpublicpress.org/news/2011-11/san-franciscos-universal-health-plan-reaches-tens-of-thousands-rests-on-unstable-funding\" target=\"_blank\">one ominous parting note\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The employer contribution raised relatively modest revenues. Of Healthy San Francisco’s total $177 million budget in the last fiscal year, businesses covered just $12.9 million, or about 7 percent. When city officials created the program they envisioned businesses covering $30 million to $40 million, or at least 15 percent of the cost.\u003c/p>\n\u003cp>The city’s General Fund picked up nearly eight times that amount — $99.7 million. The contributions of individuals opting to buy Healthy San Francisco for themselves contribute just $5.9 million or a bit more than 3 percent of total costs.\u003c/p>\u003c/blockquote>\n\n","blocks":[],"excerpt":"It's been almost five years since San Francisco launched its innovative, universal health plan--Healthy San Francisco--and last night a panel of public health experts and care providers gathered at the Tenderloin's Glide Foundation to provide a snapshot of how the program is faring.","status":"publish","parent":0,"modified":1332477866,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":808},"headData":{"title":"Healthy San Francisco: Snapshot of Universal Care | KQED","description":"It's been almost five years since San Francisco launched its innovative, universal health plan--Healthy San Francisco--and last night a panel of public health experts and care providers gathered at the Tenderloin's Glide Foundation to provide a snapshot of how the program is faring.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Healthy San Francisco: Snapshot of Universal Care","datePublished":"2012-03-02T01:44:19.000Z","dateModified":"2012-03-23T04:44:26.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"3422 http://blogs.kqed.org/stateofhealth/?p=3422","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/03/01/healthy-san-francisco-snapshot-of-universal-care/","disqusTitle":"Healthy San Francisco: Snapshot of Universal Care","path":"/stateofhealth/3422/healthy-san-francisco-snapshot-of-universal-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3433\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/HealthySF_Jack-Snook_Credit_KamalMenghrajani_02.jpg\">\u003cimg class=\"size-medium wp-image-3433\" title=\"Jack Snook expresses his appreciation for Healthy San Francisco in a panel discussion last night. (Photo: Kamal Menghrajani)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/HealthySF_Jack-Snook_Credit_KamalMenghrajani_02-300x224.jpg\" alt=\"Jack Snook expresses his appreciation for Healthy San Francisco in a panel discussion last night. (Photo: Kamal Menghrajani)\" width=\"300\" height=\"224\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jack Snook expresses his appreciation for Healthy San Francisco in a panel discussion last night. (Photo: Kamal Menghrajani)\u003c/figcaption>\u003c/figure>\n\u003cp>It's been almost five years since San Francisco launched its innovative, universal health plan--\u003ca title=\"http://www.healthysanfrancisco.org/\" href=\"http://www.healthysanfrancisco.org/\" target=\"_blank\">Healthy San Francisco\u003c/a>--and last night a panel of public health experts and care providers gathered at the Tenderloin's \u003ca title=\"https://www.glide.org/sslpage.aspx\" href=\"https://www.glide.org/sslpage.aspx\" target=\"_blank\">Glide Foundation\u003c/a> to provide a snapshot of how the program is faring.\u003c/p>\n\u003cp>Glide has a long history of providing services to the poor and marginalized--and advocating on their behalf. Glide's Freedom Hall was packed, with a smattering of people who indicated they were participants in Healthy San Francisco. Tangerine Brigham, director of the program, spoke first and described the program's goals: to provide improved access to care through a network of community clinics and hospitals. Of primary importance is for people to have a relationship with a doctor or clinic so they don't resort to the emergency room for what are essentially primary care problems.\u003c/p>\n\u003caside class=\"pullquote alignright\">Healthy San Francisco has enrolled 80 percent of San Francisco's uninsured--about 55,000 adults.\u003c/aside>\n\u003cp>Since its inception in 2007, Healthy San Francisco has enrolled 80 percent of San Francisco's uninsured--about 55,000 adults. And people are using the primary care benefits. \"Over 70 percent of the people in Healthy SF are getting a primary care visit at least once a year,\" Brigham said. \"Because they're using primary care, we saw a reduction in emergency room utilization at \u003ca title=\"http://sfghed.ucsf.edu/\" href=\"http://sfghed.ucsf.edu/\" target=\"_blank\">San Francisco General Hospital\u003c/a>. We compared that to other public hospitals in California and what that analysis showed was that San Francisco emergency utilization was declining while others' was rising.\"\u003c!--more-->\u003c/p>\n\u003cp>Healthy San Francisco is not health insurance. Participants pay a quarterly fee--on a sliding scale--for care at the clinics and hospitals that participate in the program, which are in San Francisco only\u003cstrong>.\u003c/strong> But people don't seem to be bothered by the geographic constraints. A \u003ca title=\"http://www.kff.org/kaiserpolls/kaiserpolls082609nr.cfm\" href=\"http://www.kff.org/kaiserpolls/kaiserpolls082609nr.cfm\" target=\"_blank\">2009 survey\u003c/a> by the Kaiser Family Foundation found that 94 percent of participants were at least \"somewhat satisfied\" with the program and 92 percent would recommend to a friend.\u003c/p>\n\u003cp>\u003ca title=\"http://futurehealth.ucsf.edu/Public/Leadership-Programs/MiniProfile.aspx?pid=33&asuid=8814\" href=\"http://futurehealth.ucsf.edu/Public/Leadership-Programs/MiniProfile.aspx?pid=33&asuid=8814\" target=\"_blank\">Karen Hill\u003c/a> is the clinic manager at \u003ca title=\"http://glide.org/health\" href=\"http://glide.org/health\" target=\"_blank\">Glide Health Services\u003c/a>. As a provider, she is also highly satisfied with Healthy San Francisco. \"From a clinic manager's perspective,\" she says, \"I don't have to worry about where I need to send someone for specialty care. I know they have a place to go. ... We are going to be able to get those specialty tests they need. We have access for blood tests and for medications.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As part of San Francisco's health care overhaul, businesses with more than 20 employees are \u003ca title=\"http://www.healthysanfrancisco.org/employers/HCSO_Compliance.aspx\" href=\"http://www.healthysanfrancisco.org/employers/HCSO_Compliance.aspx\" target=\"_blank\">required to provide health insurance\u003c/a> to their employees. Before implementation of the plan, employers--especially restaurant owners--had worried that this requirement would cost jobs, since businesses in surrounding cities and counties might not bear the same health insurance costs. \u003ca title=\"http://sph.berkeley.edu/faculty/dow.php\" href=\"http://sph.berkeley.edu/faculty/dow.php\" target=\"_blank\">William Dow\u003c/a>, Professor of Health Economics at UC Berkeley, has looked at this issue extensively. \"Were there fewer jobs in the City after this happened?\" he asked, in reference to the implementation of Healthy San Francisco. \"The answer is no.\" You can read his full analysis \u003ca title=\"http://www.nber.org/papers/w16179.pdf\" href=\"http://www.nber.org/papers/w16179.pdf\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>The discussion was peppered with comments and questions from the audience. Many spoke in favor of Healthy SF, including Jack Snook. \"I think Healthy San Francisco is the best thing that ever happened to me other than being a teacher for 20 years,\" he said. \"I'm able to easily attain care through Healthy SF. ... It's been a big blessing in my life.\"\u003c/p>\n\u003cp>Looking ahead to the rollout of federal health care reform in 2014, panelists agreed that San Francisco's near-universal health coverage makes the upcoming change easier. \"We will be in a very unique position as a provider community in 2014,\" said Tangerine Brigham, \"because we will be far better prepared with our residents in Healthy San Francisco to transition either from Medicaid or into another program.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The panel unfortunately ended before any discussion of cost of the program could be addressed. \u003ca title=\"http://sfpublicpress.org/\" href=\"http://sfpublicpress.org/\" target=\"_blank\">The San Francisco Public Press\u003c/a>--sponsor of last night's event--featured an \u003ca title=\"http://sfpublicpress.org/news/healthy-sf\" href=\"http://sfpublicpress.org/news/healthy-sf\" target=\"_blank\">in-depth special report\u003c/a> last November. The entire edition is worth a read, but \u003ca title=\"http://sfpublicpress.org/news/2011-11/san-franciscos-universal-health-plan-reaches-tens-of-thousands-rests-on-unstable-funding\" href=\"http://sfpublicpress.org/news/2011-11/san-franciscos-universal-health-plan-reaches-tens-of-thousands-rests-on-unstable-funding\" target=\"_blank\">one ominous parting note\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The employer contribution raised relatively modest revenues. Of Healthy San Francisco’s total $177 million budget in the last fiscal year, businesses covered just $12.9 million, or about 7 percent. When city officials created the program they envisioned businesses covering $30 million to $40 million, or at least 15 percent of the cost.\u003c/p>\n\u003cp>The city’s General Fund picked up nearly eight times that amount — $99.7 million. The contributions of individuals opting to buy Healthy San Francisco for themselves contribute just $5.9 million or a bit more than 3 percent of total costs.\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/3422/healthy-san-francisco-snapshot-of-universal-care","authors":["240"],"categories":["stateofhealth_11","stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_41","stateofhealth_43"],"featImg":"stateofhealth_3433","label":"stateofhealth"},"stateofhealth_3296":{"type":"posts","id":"stateofhealth_3296","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"3296","score":null,"sort":[1330132115000]},"guestAuthors":[],"slug":"high-risk-insurance-pool-helps-but-what-about-cost","title":"High-Risk Insurance Pool Helps ... But What About Cost?","publishDate":1330132115,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>By: Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_3303\" class=\"wp-caption alignleft\" style=\"max-width: 245px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Man_HospitalBed_DSharonPruitt_Flickr_02242012.jpg\">\u003cimg class=\"size-medium wp-image-3303 \" title=\"Because many people who enroll in the pool have been uninsured, there is pent-up demand for health care, experts say. (D. Sharon Pruitt: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Man_HospitalBed_DSharonPruitt_Flickr_02242012-300x366.jpg\" alt=\"Because people who enroll in the pool have been uninsured, there is pent-up demand for health care, experts say. (D. Sharon Pruitt: Flickr)\" width=\"245\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Because people who enroll in the pool have been uninsured, there is pent-up demand for health care, experts say. (D. Sharon Pruitt: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Thousands of California’s sickest residents are already benefitting from the federal health care law. The Affordable Care Act says that people cannot be denied health insurance for a pre-existing condition. Until the law goes into full effect in 2014, the government has created a bridge program to help--the \u003ca title=\"https://pcip.gov/\" href=\"https://pcip.gov/\" target=\"_blank\">Pre-Existing Condition Insurance Plan\u003c/a>, or PCIP. But this high-risk insurance program is proving to be much more expensive than expected.\u003c/p>\n\u003cp>California is spending three times more than anticipated to insure the people who have enrolled in this program. Before the program launched in 2010, California projected that the program would cost about $12,000 a year for each member. But a year later the administrators of the program determined it was costing more than $37,000 per patient.\u003c/p>\n\u003cp>According to \u003ca title=\"http://www.cciio.cms.gov/resources/files/Files2/02242012/pcip-annual-report.pdf\" href=\"http://www.cciio.cms.gov/resources/files/Files2/02242012/pcip-annual-report.pdf\" target=\"_blank\">a report\u003c/a> [PDF] from the White House, the cost of care for PCIP patients across the country is twice as much as originally projected.\u003c!--more-->\u003c/p>\n\u003cp>As the \u003ca title=\"http://www.washingtonpost.com/national/health-science/per-person-cost-of-federal-high-risk-medical-plan-doubles/2012/02/23/gIQAX3xVWR_story.html\" href=\"http://www.washingtonpost.com/national/health-science/per-person-cost-of-federal-high-risk-medical-plan-doubles/2012/02/23/gIQAX3xVWR_story.html\" target=\"_blank\">Washington Post \u003c/a>reports:\u003c/p>\n\u003cblockquote>\u003cp>Those who have enrolled in the program are projected to have significantly higher medical costs than the government initially expected. Each participant is expected to average $28,994 in medical costs in 2012, according to the report, more than double what government-contracted actuaries predicted in November 2010. Then, the analysts expected that the program would cost $13,026 per enrollee.\u003c/p>\u003c/blockquote>\n\u003cp>Looking beyond costs, thousands of people across California are being helped by this plan. Some had been denied coverage because they carry a diagnosis of cancer, heart disease, or kidney failure. Others found that the only insurance they could get was excessively costly, with rates of thousands of dollars per month.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When Gabe Chavez, a 39-year-old father of two from Alameda, was first diagnosed with Type II diabetes, he was only worried about treatment, because he had health insurance.\u003c/p>\n\u003cp>“All the horrible stories hit your mind. I’m going to die. I’m going to lose a leg.” He knew it would be important to change his lifestyle and felt comforted by his doctor’s support. “You know, it’s treatable,” he told me.\u003c/p>\n\u003cp>But then Chavez’s company was sold, and the new owners did not provide health insurance. So he went looking for coverage on his own, making innumerable phone calls to insurance providers. “I would say, on a daily basis, I spent two to three hours.”\u003c/p>\n\u003cp>He went on like this for eight months.\u003c/p>\n\u003cp>“Everyday, I would call and see if I could get insurance. I even tried to get it from another state. I exhausted every avenue I could find.”\u003c/p>\n\u003cp>But nobody would provide insurance at a reasonable price. He was paying around $160 to cover his wife and two kids under Blue Cross. To get coverage for himself would have cost an additional $1,200.\u003c/p>\n\u003cp>Finally, Chavez heard about \u003ca title=\"http://www.pcip.ca.gov/\" href=\"http://www.pcip.ca.gov/\" target=\"_blank\">California's Pre-Existing Condition Insurance Plan\u003c/a> and after going for months without insurance, he was able to get coverage for doctor visits and the medications he needed.\u003c/p>\n\u003cp>Currently, 6,861 Californians are enrolled in the program. By law, they must have been previously uninsured for 6 months or more. This gap in coverage might be the reason why insuring them is so costly.\u003c/p>\n\u003cp>“Because they haven’t had health care for a while, they have this pent-up demand,” says Jeanie Esajian, a spokesperson for the\u003ca title=\"http://www.mrmib.ca.gov/\" href=\"http://www.mrmib.ca.gov/\" target=\"_blank\"> state governmental group\u003c/a> that runs PCIP here.\u003c/p>\n\u003cp>“They need medical tests, have surgeries they put off, maybe they have a chronic condition they couldn’t quite get under control,\" Esajian told me.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In a sense, Chavez dodged a bullet. He was able to maintain his health during the time he did not have insurance. He now pays $350 a month for coverage, a rate he says he can afford. For him, though, a psychic burden is eased. He had been worried about all kinds of complications--including a diabetic coma. \"I just didn’t want to die,\" he says. \"Health is probably one of the most important things, next to marriage and family. And you want to say healthy for them.\"\u003c/p>\n\n","blocks":[],"excerpt":"Thousands of California’s sickest residents are already benefitting from the federal health care law. The Affordable Care Act says that people cannot be denied health insurance for a pre-existing condition. Until the law goes into full effect in 2014, the government has created a bridge program to help--the Pre-Existing Condition Insurance Plan, or PCIP. But this high-risk insurance program is proving to be much more expensive than expected.","status":"publish","parent":0,"modified":1332537714,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":733},"headData":{"title":"High-Risk Insurance Pool Helps ... But What About Cost? | KQED","description":"Thousands of California’s sickest residents are already benefitting from the federal health care law. The Affordable Care Act says that people cannot be denied health insurance for a pre-existing condition. Until the law goes into full effect in 2014, the government has created a bridge program to help--the Pre-Existing Condition Insurance Plan, or PCIP. But this high-risk insurance program is proving to be much more expensive than expected.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"High-Risk Insurance Pool Helps ... But What About Cost?","datePublished":"2012-02-25T01:08:35.000Z","dateModified":"2012-03-23T21:21:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"3296 http://blogs.kqed.org/stateofhealth/?p=3296","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/02/24/high-risk-insurance-pool-helps-but-what-about-cost/","disqusTitle":"High-Risk Insurance Pool Helps ... But What About Cost?","WpOldSlug":"while-pricey-high-risk-insurance-pool-helps-thousands","path":"/stateofhealth/3296/high-risk-insurance-pool-helps-but-what-about-cost","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By: Kamal Menghrajani\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_3303\" class=\"wp-caption alignleft\" style=\"max-width: 245px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Man_HospitalBed_DSharonPruitt_Flickr_02242012.jpg\">\u003cimg class=\"size-medium wp-image-3303 \" title=\"Because many people who enroll in the pool have been uninsured, there is pent-up demand for health care, experts say. (D. Sharon Pruitt: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Man_HospitalBed_DSharonPruitt_Flickr_02242012-300x366.jpg\" alt=\"Because people who enroll in the pool have been uninsured, there is pent-up demand for health care, experts say. (D. Sharon Pruitt: Flickr)\" width=\"245\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Because people who enroll in the pool have been uninsured, there is pent-up demand for health care, experts say. (D. Sharon Pruitt: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Thousands of California’s sickest residents are already benefitting from the federal health care law. The Affordable Care Act says that people cannot be denied health insurance for a pre-existing condition. Until the law goes into full effect in 2014, the government has created a bridge program to help--the \u003ca title=\"https://pcip.gov/\" href=\"https://pcip.gov/\" target=\"_blank\">Pre-Existing Condition Insurance Plan\u003c/a>, or PCIP. But this high-risk insurance program is proving to be much more expensive than expected.\u003c/p>\n\u003cp>California is spending three times more than anticipated to insure the people who have enrolled in this program. Before the program launched in 2010, California projected that the program would cost about $12,000 a year for each member. But a year later the administrators of the program determined it was costing more than $37,000 per patient.\u003c/p>\n\u003cp>According to \u003ca title=\"http://www.cciio.cms.gov/resources/files/Files2/02242012/pcip-annual-report.pdf\" href=\"http://www.cciio.cms.gov/resources/files/Files2/02242012/pcip-annual-report.pdf\" target=\"_blank\">a report\u003c/a> [PDF] from the White House, the cost of care for PCIP patients across the country is twice as much as originally projected.\u003c!--more-->\u003c/p>\n\u003cp>As the \u003ca title=\"http://www.washingtonpost.com/national/health-science/per-person-cost-of-federal-high-risk-medical-plan-doubles/2012/02/23/gIQAX3xVWR_story.html\" href=\"http://www.washingtonpost.com/national/health-science/per-person-cost-of-federal-high-risk-medical-plan-doubles/2012/02/23/gIQAX3xVWR_story.html\" target=\"_blank\">Washington Post \u003c/a>reports:\u003c/p>\n\u003cblockquote>\u003cp>Those who have enrolled in the program are projected to have significantly higher medical costs than the government initially expected. Each participant is expected to average $28,994 in medical costs in 2012, according to the report, more than double what government-contracted actuaries predicted in November 2010. Then, the analysts expected that the program would cost $13,026 per enrollee.\u003c/p>\u003c/blockquote>\n\u003cp>Looking beyond costs, thousands of people across California are being helped by this plan. Some had been denied coverage because they carry a diagnosis of cancer, heart disease, or kidney failure. Others found that the only insurance they could get was excessively costly, with rates of thousands of dollars per month.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When Gabe Chavez, a 39-year-old father of two from Alameda, was first diagnosed with Type II diabetes, he was only worried about treatment, because he had health insurance.\u003c/p>\n\u003cp>“All the horrible stories hit your mind. I’m going to die. I’m going to lose a leg.” He knew it would be important to change his lifestyle and felt comforted by his doctor’s support. “You know, it’s treatable,” he told me.\u003c/p>\n\u003cp>But then Chavez’s company was sold, and the new owners did not provide health insurance. So he went looking for coverage on his own, making innumerable phone calls to insurance providers. “I would say, on a daily basis, I spent two to three hours.”\u003c/p>\n\u003cp>He went on like this for eight months.\u003c/p>\n\u003cp>“Everyday, I would call and see if I could get insurance. I even tried to get it from another state. I exhausted every avenue I could find.”\u003c/p>\n\u003cp>But nobody would provide insurance at a reasonable price. He was paying around $160 to cover his wife and two kids under Blue Cross. To get coverage for himself would have cost an additional $1,200.\u003c/p>\n\u003cp>Finally, Chavez heard about \u003ca title=\"http://www.pcip.ca.gov/\" href=\"http://www.pcip.ca.gov/\" target=\"_blank\">California's Pre-Existing Condition Insurance Plan\u003c/a> and after going for months without insurance, he was able to get coverage for doctor visits and the medications he needed.\u003c/p>\n\u003cp>Currently, 6,861 Californians are enrolled in the program. By law, they must have been previously uninsured for 6 months or more. This gap in coverage might be the reason why insuring them is so costly.\u003c/p>\n\u003cp>“Because they haven’t had health care for a while, they have this pent-up demand,” says Jeanie Esajian, a spokesperson for the\u003ca title=\"http://www.mrmib.ca.gov/\" href=\"http://www.mrmib.ca.gov/\" target=\"_blank\"> state governmental group\u003c/a> that runs PCIP here.\u003c/p>\n\u003cp>“They need medical tests, have surgeries they put off, maybe they have a chronic condition they couldn’t quite get under control,\" Esajian told me.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In a sense, Chavez dodged a bullet. He was able to maintain his health during the time he did not have insurance. He now pays $350 a month for coverage, a rate he says he can afford. For him, though, a psychic burden is eased. He had been worried about all kinds of complications--including a diabetic coma. \"I just didn’t want to die,\" he says. \"Health is probably one of the most important things, next to marriage and family. And you want to say healthy for them.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/3296/high-risk-insurance-pool-helps-but-what-about-cost","authors":["240"],"categories":["stateofhealth_15","stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_222","stateofhealth_41","stateofhealth_79"],"featImg":"stateofhealth_3303","label":"stateofhealth"},"stateofhealth_2519":{"type":"posts","id":"stateofhealth_2519","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"2519","score":null,"sort":[1327512154000]},"guestAuthors":[],"slug":"state-of-the-union-the-president-on-health-care","title":"State of the Union: The President on Health Care","publishDate":1327512154,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cobject id=\"flashObj\" width=\"486\" height=\"412\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashVars\" value=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"base\" value=\"http://admin.brightcove.com\">\u003cparam name=\"seamlesstabbing\" value=\"false\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"swLiveConnect\" value=\"true\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"src\" value=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\">\u003cparam name=\"flashvars\" value=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"pluginspage\" value=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cparam name=\"swliveconnect\" value=\"true\">\u003cembed width=\"486\" height=\"412\" type=\"application/x-shockwave-flash\" src=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\" flashvars=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\" base=\"http://admin.brightcove.com\" allowfullscreen=\"true\" allowscriptaccess=\"always\" pluginspage=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cem>From \u003cstrong>\u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/24/state-of-the-union-excerpts.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/24/state-of-the-union-excerpts.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/strong>: In his State of the Union speech, President Barack Obama made just one explicit mention of the 2010 health law. Here is a transcript of the few parts of his speech that mentioned health care issues:\u003c/em>\u003c/p>\n\u003cp>Innovation also demands basic research. Today, the discoveries taking place in our federally-financed labs and universities could lead to new treatments that kill cancer cells but leave healthy ones untouched. ...\u003c/p>\n\u003cp>I will not go back to the days when health insurance companies had unchecked power to cancel your policy, deny your coverage, or charge women differently than men. ...\u003c!--more-->\u003c/p>\n\u003cp>Do we want to keep these tax cuts for the wealthiest Americans? Or do we want to keep our investments in everything else – like education and medical research; a strong military and care for our veterans? Because if we’re serious about paying down our debt, we can’t do both. The American people know what the right choice is. So do I. As I told the Speaker this summer, I’m prepared to make more reforms that rein in the long term costs of Medicare and Medicaid, and strengthen Social Security, so long as those programs remain a guarantee of security for seniors. ...\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I recognize that people watching tonight have differing views about taxes and debt; energy and health care. But no matter what party they belong to, I bet most Americans are thinking the same thing right about now: Nothing will get done this year, or next year, or maybe even the year after that, because Washington is broken. ...\u003c/p>\n\u003cp>I’m a Democrat. But I believe what Republican Abraham Lincoln believed: That government should do for people only what they cannot do better by themselves, and no more. That’s ... That’s why we’re getting rid of regulations that don’t work. That’s why our health care law relies on a reformed private market, not a government program. ...\u003c/p>\n\u003cp>Above all, our freedom endures because of the men and women in uniform who defend it. As they come home, we must serve them as well as they served us. That includes giving them the care and benefits they have earned – which is why we’ve increased annual VA spending every year I’ve been president.\u003c/p>\n\u003cp>--------------------------------------------------------------\u003c/p>\n\u003cp>\u003cem>Indiana Gov. Mitch Daniels delivered the Republican response. Here are excerpts of his remarks:\u003c/em>\u003c/p>\n\u003cp>[We] must unite to save the safety net. Medicare and Social Security have served us well, and that must continue. But after half and three quarters of a century respectively, it's not surprising that they need some repairs. We can preserve them unchanged and untouched for those now in or near retirement, but we must fashion a new, affordable safety net so future Americans are protected, too.\u003c/p>\n\u003cp>Decades ago, for instance, we could afford to send millionaires pension checks and pay medical bills for even the wealthiest among us. Now, we can't, so the dollars we have should be devoted to those who need them most.\u003c/p>\n\u003cp>The mortal enemies of Social Security and Medicare are those who, in contempt of the plain arithmetic, continue to mislead Americans that we should change nothing. Listening to them much longer will mean that these proud programs implode, and take the American economy with them. ...\u003c/p>\n\u003cp>It's not fair and it's not true for the President to attack Republicans in Congress as obstacles on these questions. They and they alone have passed bills to reduce borrowing, reform entitlements, and encourage new job creation, only to be shot down time and time again by the President and his Democratic Senate allies.\u003c/p>\n\u003cp>This year, it falls to Republicans to level with our fellow citizens about this reality: if we fail to act to grow the private sector and save the safety net, nothing else will matter much. ...\u003c/p>\n\u003cp>In word and deed, the President and his allies tell us that we just cannot handle ourselves in this complex, perilous world without their benevolent protection. Left to ourselves, we might pick the wrong health insurance, the wrong mortgage, the wrong school for our kids; why, unless they stop us, we might pick the wrong light bulb!\u003c/p>\n\u003cp>\u003cstrong>This post has been updated with this additional coverage:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Read More-- \u003ca title=\"http://www.kaiserhealthnews.org/Multimedia/2012/January/012612-health-on-the-hill.aspx\" href=\"http://www.kaiserhealthnews.org/Multimedia/2012/January/012612-health-on-the-hill.aspx\" target=\"_blank\">Kaiser Health News analysis\u003c/a> of the President's limited discussion of health care in the State of the Union address.\u003c/p>\n\n","blocks":[],"excerpt":"From Kaiser Health News: In his State of the Union speech, President Barack Obama made just one explicit mention of the 2010 health law. Here is a transcript of the few parts of his speech that mentioned health care issues:\r\n\r\nInnovation also demands basic research. Today, the discoveries taking place in our federally-financed labs and universities could lead to new treatments that kill cancer cells but leave healthy ones untouched. ...","status":"publish","parent":0,"modified":1327526443,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":744},"headData":{"title":"State of the Union: The President on Health Care | KQED","description":"From Kaiser Health News: In his State of the Union speech, President Barack Obama made just one explicit mention of the 2010 health law. Here is a transcript of the few parts of his speech that mentioned health care issues:\r\n\r\nInnovation also demands basic research. Today, the discoveries taking place in our federally-financed labs and universities could lead to new treatments that kill cancer cells but leave healthy ones untouched. ...","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"State of the Union: The President on Health Care","datePublished":"2012-01-25T17:22:34.000Z","dateModified":"2012-01-25T21:20:43.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"2519 http://blogs.kqed.org/stateofhealth/?p=2519","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/01/25/state-of-the-union-the-president-on-health-care/","disqusTitle":"State of the Union: The President on Health Care","path":"/stateofhealth/2519/state-of-the-union-the-president-on-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cobject id=\"flashObj\" width=\"486\" height=\"412\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashVars\" value=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"base\" value=\"http://admin.brightcove.com\">\u003cparam name=\"seamlesstabbing\" value=\"false\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"swLiveConnect\" value=\"true\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"src\" value=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\">\u003cparam name=\"flashvars\" value=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"pluginspage\" value=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cparam name=\"swliveconnect\" value=\"true\">\u003cembed width=\"486\" height=\"412\" type=\"application/x-shockwave-flash\" src=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\" flashvars=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\" base=\"http://admin.brightcove.com\" allowfullscreen=\"true\" allowscriptaccess=\"always\" pluginspage=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cem>From \u003cstrong>\u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/24/state-of-the-union-excerpts.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/24/state-of-the-union-excerpts.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/strong>: In his State of the Union speech, President Barack Obama made just one explicit mention of the 2010 health law. Here is a transcript of the few parts of his speech that mentioned health care issues:\u003c/em>\u003c/p>\n\u003cp>Innovation also demands basic research. Today, the discoveries taking place in our federally-financed labs and universities could lead to new treatments that kill cancer cells but leave healthy ones untouched. ...\u003c/p>\n\u003cp>I will not go back to the days when health insurance companies had unchecked power to cancel your policy, deny your coverage, or charge women differently than men. ...\u003c!--more-->\u003c/p>\n\u003cp>Do we want to keep these tax cuts for the wealthiest Americans? Or do we want to keep our investments in everything else – like education and medical research; a strong military and care for our veterans? Because if we’re serious about paying down our debt, we can’t do both. The American people know what the right choice is. So do I. As I told the Speaker this summer, I’m prepared to make more reforms that rein in the long term costs of Medicare and Medicaid, and strengthen Social Security, so long as those programs remain a guarantee of security for seniors. ...\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I recognize that people watching tonight have differing views about taxes and debt; energy and health care. But no matter what party they belong to, I bet most Americans are thinking the same thing right about now: Nothing will get done this year, or next year, or maybe even the year after that, because Washington is broken. ...\u003c/p>\n\u003cp>I’m a Democrat. But I believe what Republican Abraham Lincoln believed: That government should do for people only what they cannot do better by themselves, and no more. That’s ... That’s why we’re getting rid of regulations that don’t work. That’s why our health care law relies on a reformed private market, not a government program. ...\u003c/p>\n\u003cp>Above all, our freedom endures because of the men and women in uniform who defend it. As they come home, we must serve them as well as they served us. That includes giving them the care and benefits they have earned – which is why we’ve increased annual VA spending every year I’ve been president.\u003c/p>\n\u003cp>--------------------------------------------------------------\u003c/p>\n\u003cp>\u003cem>Indiana Gov. Mitch Daniels delivered the Republican response. Here are excerpts of his remarks:\u003c/em>\u003c/p>\n\u003cp>[We] must unite to save the safety net. Medicare and Social Security have served us well, and that must continue. But after half and three quarters of a century respectively, it's not surprising that they need some repairs. We can preserve them unchanged and untouched for those now in or near retirement, but we must fashion a new, affordable safety net so future Americans are protected, too.\u003c/p>\n\u003cp>Decades ago, for instance, we could afford to send millionaires pension checks and pay medical bills for even the wealthiest among us. Now, we can't, so the dollars we have should be devoted to those who need them most.\u003c/p>\n\u003cp>The mortal enemies of Social Security and Medicare are those who, in contempt of the plain arithmetic, continue to mislead Americans that we should change nothing. Listening to them much longer will mean that these proud programs implode, and take the American economy with them. ...\u003c/p>\n\u003cp>It's not fair and it's not true for the President to attack Republicans in Congress as obstacles on these questions. They and they alone have passed bills to reduce borrowing, reform entitlements, and encourage new job creation, only to be shot down time and time again by the President and his Democratic Senate allies.\u003c/p>\n\u003cp>This year, it falls to Republicans to level with our fellow citizens about this reality: if we fail to act to grow the private sector and save the safety net, nothing else will matter much. ...\u003c/p>\n\u003cp>In word and deed, the President and his allies tell us that we just cannot handle ourselves in this complex, perilous world without their benevolent protection. Left to ourselves, we might pick the wrong health insurance, the wrong mortgage, the wrong school for our kids; why, unless they stop us, we might pick the wrong light bulb!\u003c/p>\n\u003cp>\u003cstrong>This post has been updated with this additional coverage:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Read More-- \u003ca title=\"http://www.kaiserhealthnews.org/Multimedia/2012/January/012612-health-on-the-hill.aspx\" href=\"http://www.kaiserhealthnews.org/Multimedia/2012/January/012612-health-on-the-hill.aspx\" target=\"_blank\">Kaiser Health News analysis\u003c/a> of the President's limited discussion of health care in the State of the Union address.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/2519/state-of-the-union-the-president-on-health-care","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_41"],"featImg":"stateofhealth_2526","label":"stateofhealth"},"stateofhealth_2107":{"type":"posts","id":"stateofhealth_2107","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"2107","score":null,"sort":[1326483802000]},"guestAuthors":[],"slug":"health-insurance-public-option-alive-and-well-in-california","title":"Health Insurance Public Option Alive and Well in California","publishDate":1326483802,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>By Sarah Varney\u003c/p>\n\u003cfigure id=\"attachment_2117\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/CfakepathDoctorandPatient20110204.jpg\">\u003cimg src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/CfakepathDoctorandPatient20110204-300x169.jpg\" alt=\"(Joe Raedle: Getty Images)\" title=\"(Joe Raedle: Getty Images)\" width=\"300\" height=\"169\" class=\"size-medium wp-image-2117\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Joe Raedle: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>In a cavernous room just east of San Francisco, an army of phone operators fields calls from their customers. A large computer screen blinks the number of people on hold: two, and the average wait time: one minute, 12 seconds.\u003c/p>\n\u003cp>These phone operators working in a non-descript office park in Alameda are employed by a large health insurance plan, and they're willing to go the extra mile for their customers. They'll schedule a doctor to come to your home, a pharmacist to drop off a prescription, and they'll even help you fill out an application for food stamps.\u003c/p>\n\u003cp>\"We do things for them that a traditional, commercial health plan doesn't do,\" says Ingrid Lamirault, chief executive officer of the \u003ca title=\"http://alamedaalliance.org/\" href=\"http://alamedaalliance.org/\" target=\"_blank\">Alameda Alliance for Health\u003c/a>, a county-run, not-for-profit insurer.\u003c!--more-->\u003c/p>\n\u003cp>The much celebrated, and much maligned, public option may have died in Congress, but it's alive and well in California.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Unique in the nation for having public health insurance plans that are run by counties, California has plans that stretch from San Francisco to the Mexican border and cover 2.5 million people.\u003c/p>\n\u003cp>\u003cstrong>Looking Ahead To 2014\u003c/strong>\u003c/p>\n\u003cp>The Alameda Alliance for Health has a network of doctors and hospitals just like a private health insurance company, and it covers 200,000 people in Oakland and neighboring cities. Just like private health insurance companies, the Alliance also administers a managed care plan for \u003ca title=\"http://www.dhcs.ca.gov/services/medi-cal/pages/mcindividual.aspx\" href=\"http://www.dhcs.ca.gov/services/medi-cal/pages/mcindividual.aspx\" target=\"_blank\">Medi-Cal\u003c/a> beneficiaries and additional plans for county workers.\u003c/p>\n\u003cp>The Alliance's CEO Lamirault doesn't plan on stopping there.\u003c/p>\n\u003cp>In 2014, under the federal health overhaul law, millions of Americans will be able to buy coverage through state-based insurance exchanges. In California, government-run public plans, like the Alameda Alliance for Health, will go head-to-head with private insurance companies to compete for all those new customers, and those who run the county plans believe they can offer a robust network of doctors and hospitals to bargain shoppers looking for low-cost coverage.\u003c/p>\n\u003cp>\"I think when some people get to make a choice,\" says Lamirault, \"having local offices they can walk into and get help with things and get their questions answered, and when they call customer service they get their calls answered in under two minutes. Those kinds of things are important to them.\"\u003c/p>\n\u003cp>Throughout California, county plan members largely go to public health clinics and county hospitals. But many counties also contract with private physicians and top-notch research hospitals. They even share the same lobbying group as the big-named insurance companies, the \u003ca title=\"http://www.calhealthplans.org/\" href=\"http://www.calhealthplans.org/\" target=\"_blank\">California Association of Health Plans\u003c/a>.\u003c/p>\n\u003cp>Some of those companies don't have a lot of love for their public brethren. \"Certainly, there are some health plans that didn't like the idea of having to compete with these public plans,\" says Anthony Wright, a public plan booster and executive director of \u003ca title=\"http://www.health-access.org/\" href=\"http://www.health-access.org/\" target=\"_blank\">Health Access\u003c/a>, a Sacramento-based health care consumer advocacy group. \"Especially ones that, having come out of the Medi-Cal program, are used to providing care at cheaper rate.\"\u003c/p>\n\u003cp>\u003cstrong>A Continuum Of Care?\u003c/strong>\u003c/p>\n\u003cp>In 2010, when California became the first state in the nation to pass legislation establishing an insurance exchange under the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>, \u003ca title=\"http://get.anthem.com/ca/index.aspx?Referrer=Google&wm_crID=9373509&wm_lpID=42636085&wm_ctID=85&wm_kwID=13570875&wm_mtID=3&wm_content=0&wm_g_crID=8484639254&wm_g_kw=anthem+blue+cross&wm_g_pcmt=&wm_g_cnt=0&gclid=CImHlJLbza0CFQduhwodBl3ihQ&wm_kw=anthem+blue+cross&utm_source=google&utm_medium=cpc&utm_term=anthem+blue+cross&utm_campaign=ca+wpi+sem+%2D+brand&wm_sd=1\" href=\"http://get.anthem.com/ca/index.aspx?Referrer=Google&wm_crID=9373509&wm_lpID=42636085&wm_ctID=85&wm_kwID=13570875&wm_mtID=3&wm_content=0&wm_g_crID=8484639254&wm_g_kw=anthem+blue+cross&wm_g_pcmt=&wm_g_cnt=0&gclid=CImHlJLbza0CFQduhwodBl3ihQ&wm_kw=anthem+blue+cross&utm_source=google&utm_medium=cpc&utm_term=anthem+blue+cross&utm_campaign=ca+wpi+sem+%2D+brand&wm_sd=1\" target=\"_blank\">Anthem Blue Cross\u003c/a> tried to bar public plans from the new marketplace. In a letter to state lawmakers, the company said Congress soundly rejected the notion that the government should sell coverage in the private market, and California should not follow suit.\u003c/p>\n\u003cp>Wright, and others, argued successfully that almost half of those expected to buy insurance through the exchange are likely to be low- and moderate-income consumers, and many of them may have, at one point, been on Medi-Cal or another government-sponsored health program. \"Some of these folks who are close to the poverty line may have already been in these public plans previously,\" says Wright. \"And so it made sense that this might actually be a good environment for them, to be an option and for people to continue their care with them even as they move up the income ladder.\"\u003c/p>\n\u003cp>As the public plans try to attract new customers, one of their biggest advantages may simply be disgust among some consumers with well-known health insurance brands.\u003c/p>\n\u003cp>\"I think insurance companies have made a bad name for themselves, deservedly so,\" says Kim Burke, an art school teacher in San Francisco, who was turned down for coverage by private insurers because of pre-existing medical conditions.\u003c/p>\n\u003cp>For the last several years, Burke has paid a low-monthly premium for coverage in San Francisco's public health plan. She says when the exchange opens in 2014, she’ll hold on to her public plan--and her grudge. \"I applied to four different insurance companies, all of which denied me for pre-existing conditions,\" says Burke. \"So I'm not really too keen on purchasing their product since they already denied me care when I really wanted it.\"\u003c/p>\n\u003cp>For many health insurance customers, though, the ultimate selling point may simply be who has the cheapest product.\u003c/p>\n\u003cp>Insurance companies in California say they will happily compete on price so long as the public plans do not get preferential treatment. Today, doctors and hospitals accept low reimbursement rates from public plans, in many cases as part of their charity care. That allows the public plans to keep their premiums low, but private plans say they are charged higher prices.\u003c/p>\n\u003cp>The preferential treatment is not likely to last into the new world of insurance exchanges. When the exchange opens in 2014 in California to people with higher incomes, the government-run plans will have to pay providers more than they do now, says Sumi Sousa, officer of policy development at the \u003ca title=\"http://www.sfhp.org/\" href=\"http://www.sfhp.org/\" target=\"_blank\">San Francisco Health Plan\u003c/a>.\u003c/p>\n\u003cp>Sousa says the utopian belief that public plans always cost less just doesn't pencil out. \"Some commercial providers, because they're so large, they're able to spread their cost over a much broader network,\" says Sousa. That's not the case for many county-run health plans in California, which tend to be quite small. Still, says Sousa, the public plans do have low overhead: Executives like her earn a fraction of the salary paid to the big CEOs, and they don't have stockholders.\u003c/p>\n\u003cp>\u003cem>Editor's note: This story is part of a reporting partnership that includes \u003ca href=\"http://www.kqed.org/news/\">KQED\u003c/a>, \u003ca href=\"http://www.npr.org/\" target=\"_blank\">\u003cimg src=\"http://www.kaiserhealthnews.org/~/media/Images/KHN%20Partners/logo_npr.jpg\" alt=\"NPR\" width=\"45\" height=\"15\">\u003c/a> and \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/13/public-option-health-insurance.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/13/public-option-health-insurance.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Listen to Sarah's report:\u003cbr>\n\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n","blocks":[],"excerpt":"In a cavernous room just east of San Francisco, an army of phone operators fields calls from their customers. A large computer screen blinks the number of people on hold: two, and the average wait time: one minute, 12 seconds.\r\n\r\nThese phone operators working in a non-descript office park in Alameda are employed by a large health insurance plan, and they're willing to go the extra mile for their customers. They'll schedule a doctor to come to your home, a pharmacist to drop off a prescription, and they'll even help you fill out an application for food stamps.","status":"publish","parent":0,"modified":1326483802,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1086},"headData":{"title":"Health Insurance Public Option Alive and Well in California | KQED","description":"In a cavernous room just east of San Francisco, an army of phone operators fields calls from their customers. A large computer screen blinks the number of people on hold: two, and the average wait time: one minute, 12 seconds.\r\n\r\nThese phone operators working in a non-descript office park in Alameda are employed by a large health insurance plan, and they're willing to go the extra mile for their customers. They'll schedule a doctor to come to your home, a pharmacist to drop off a prescription, and they'll even help you fill out an application for food stamps.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Health Insurance Public Option Alive and Well in California","datePublished":"2012-01-13T19:43:22.000Z","dateModified":"2012-01-13T19:43:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"2107 http://blogs.kqed.org/stateofhealth/?p=2107","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/01/13/health-insurance-public-option-alive-and-well-in-california/","disqusTitle":"Health Insurance Public Option Alive and Well in California","path":"/stateofhealth/2107/health-insurance-public-option-alive-and-well-in-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Sarah Varney\u003c/p>\n\u003cfigure id=\"attachment_2117\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/CfakepathDoctorandPatient20110204.jpg\">\u003cimg src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/CfakepathDoctorandPatient20110204-300x169.jpg\" alt=\"(Joe Raedle: Getty Images)\" title=\"(Joe Raedle: Getty Images)\" width=\"300\" height=\"169\" class=\"size-medium wp-image-2117\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Joe Raedle: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>In a cavernous room just east of San Francisco, an army of phone operators fields calls from their customers. A large computer screen blinks the number of people on hold: two, and the average wait time: one minute, 12 seconds.\u003c/p>\n\u003cp>These phone operators working in a non-descript office park in Alameda are employed by a large health insurance plan, and they're willing to go the extra mile for their customers. They'll schedule a doctor to come to your home, a pharmacist to drop off a prescription, and they'll even help you fill out an application for food stamps.\u003c/p>\n\u003cp>\"We do things for them that a traditional, commercial health plan doesn't do,\" says Ingrid Lamirault, chief executive officer of the \u003ca title=\"http://alamedaalliance.org/\" href=\"http://alamedaalliance.org/\" target=\"_blank\">Alameda Alliance for Health\u003c/a>, a county-run, not-for-profit insurer.\u003c!--more-->\u003c/p>\n\u003cp>The much celebrated, and much maligned, public option may have died in Congress, but it's alive and well in California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Unique in the nation for having public health insurance plans that are run by counties, California has plans that stretch from San Francisco to the Mexican border and cover 2.5 million people.\u003c/p>\n\u003cp>\u003cstrong>Looking Ahead To 2014\u003c/strong>\u003c/p>\n\u003cp>The Alameda Alliance for Health has a network of doctors and hospitals just like a private health insurance company, and it covers 200,000 people in Oakland and neighboring cities. Just like private health insurance companies, the Alliance also administers a managed care plan for \u003ca title=\"http://www.dhcs.ca.gov/services/medi-cal/pages/mcindividual.aspx\" href=\"http://www.dhcs.ca.gov/services/medi-cal/pages/mcindividual.aspx\" target=\"_blank\">Medi-Cal\u003c/a> beneficiaries and additional plans for county workers.\u003c/p>\n\u003cp>The Alliance's CEO Lamirault doesn't plan on stopping there.\u003c/p>\n\u003cp>In 2014, under the federal health overhaul law, millions of Americans will be able to buy coverage through state-based insurance exchanges. In California, government-run public plans, like the Alameda Alliance for Health, will go head-to-head with private insurance companies to compete for all those new customers, and those who run the county plans believe they can offer a robust network of doctors and hospitals to bargain shoppers looking for low-cost coverage.\u003c/p>\n\u003cp>\"I think when some people get to make a choice,\" says Lamirault, \"having local offices they can walk into and get help with things and get their questions answered, and when they call customer service they get their calls answered in under two minutes. Those kinds of things are important to them.\"\u003c/p>\n\u003cp>Throughout California, county plan members largely go to public health clinics and county hospitals. But many counties also contract with private physicians and top-notch research hospitals. They even share the same lobbying group as the big-named insurance companies, the \u003ca title=\"http://www.calhealthplans.org/\" href=\"http://www.calhealthplans.org/\" target=\"_blank\">California Association of Health Plans\u003c/a>.\u003c/p>\n\u003cp>Some of those companies don't have a lot of love for their public brethren. \"Certainly, there are some health plans that didn't like the idea of having to compete with these public plans,\" says Anthony Wright, a public plan booster and executive director of \u003ca title=\"http://www.health-access.org/\" href=\"http://www.health-access.org/\" target=\"_blank\">Health Access\u003c/a>, a Sacramento-based health care consumer advocacy group. \"Especially ones that, having come out of the Medi-Cal program, are used to providing care at cheaper rate.\"\u003c/p>\n\u003cp>\u003cstrong>A Continuum Of Care?\u003c/strong>\u003c/p>\n\u003cp>In 2010, when California became the first state in the nation to pass legislation establishing an insurance exchange under the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>, \u003ca title=\"http://get.anthem.com/ca/index.aspx?Referrer=Google&wm_crID=9373509&wm_lpID=42636085&wm_ctID=85&wm_kwID=13570875&wm_mtID=3&wm_content=0&wm_g_crID=8484639254&wm_g_kw=anthem+blue+cross&wm_g_pcmt=&wm_g_cnt=0&gclid=CImHlJLbza0CFQduhwodBl3ihQ&wm_kw=anthem+blue+cross&utm_source=google&utm_medium=cpc&utm_term=anthem+blue+cross&utm_campaign=ca+wpi+sem+%2D+brand&wm_sd=1\" href=\"http://get.anthem.com/ca/index.aspx?Referrer=Google&wm_crID=9373509&wm_lpID=42636085&wm_ctID=85&wm_kwID=13570875&wm_mtID=3&wm_content=0&wm_g_crID=8484639254&wm_g_kw=anthem+blue+cross&wm_g_pcmt=&wm_g_cnt=0&gclid=CImHlJLbza0CFQduhwodBl3ihQ&wm_kw=anthem+blue+cross&utm_source=google&utm_medium=cpc&utm_term=anthem+blue+cross&utm_campaign=ca+wpi+sem+%2D+brand&wm_sd=1\" target=\"_blank\">Anthem Blue Cross\u003c/a> tried to bar public plans from the new marketplace. In a letter to state lawmakers, the company said Congress soundly rejected the notion that the government should sell coverage in the private market, and California should not follow suit.\u003c/p>\n\u003cp>Wright, and others, argued successfully that almost half of those expected to buy insurance through the exchange are likely to be low- and moderate-income consumers, and many of them may have, at one point, been on Medi-Cal or another government-sponsored health program. \"Some of these folks who are close to the poverty line may have already been in these public plans previously,\" says Wright. \"And so it made sense that this might actually be a good environment for them, to be an option and for people to continue their care with them even as they move up the income ladder.\"\u003c/p>\n\u003cp>As the public plans try to attract new customers, one of their biggest advantages may simply be disgust among some consumers with well-known health insurance brands.\u003c/p>\n\u003cp>\"I think insurance companies have made a bad name for themselves, deservedly so,\" says Kim Burke, an art school teacher in San Francisco, who was turned down for coverage by private insurers because of pre-existing medical conditions.\u003c/p>\n\u003cp>For the last several years, Burke has paid a low-monthly premium for coverage in San Francisco's public health plan. She says when the exchange opens in 2014, she’ll hold on to her public plan--and her grudge. \"I applied to four different insurance companies, all of which denied me for pre-existing conditions,\" says Burke. \"So I'm not really too keen on purchasing their product since they already denied me care when I really wanted it.\"\u003c/p>\n\u003cp>For many health insurance customers, though, the ultimate selling point may simply be who has the cheapest product.\u003c/p>\n\u003cp>Insurance companies in California say they will happily compete on price so long as the public plans do not get preferential treatment. Today, doctors and hospitals accept low reimbursement rates from public plans, in many cases as part of their charity care. That allows the public plans to keep their premiums low, but private plans say they are charged higher prices.\u003c/p>\n\u003cp>The preferential treatment is not likely to last into the new world of insurance exchanges. When the exchange opens in 2014 in California to people with higher incomes, the government-run plans will have to pay providers more than they do now, says Sumi Sousa, officer of policy development at the \u003ca title=\"http://www.sfhp.org/\" href=\"http://www.sfhp.org/\" target=\"_blank\">San Francisco Health Plan\u003c/a>.\u003c/p>\n\u003cp>Sousa says the utopian belief that public plans always cost less just doesn't pencil out. \"Some commercial providers, because they're so large, they're able to spread their cost over a much broader network,\" says Sousa. That's not the case for many county-run health plans in California, which tend to be quite small. Still, says Sousa, the public plans do have low overhead: Executives like her earn a fraction of the salary paid to the big CEOs, and they don't have stockholders.\u003c/p>\n\u003cp>\u003cem>Editor's note: This story is part of a reporting partnership that includes \u003ca href=\"http://www.kqed.org/news/\">KQED\u003c/a>, \u003ca href=\"http://www.npr.org/\" target=\"_blank\">\u003cimg src=\"http://www.kaiserhealthnews.org/~/media/Images/KHN%20Partners/logo_npr.jpg\" alt=\"NPR\" width=\"45\" height=\"15\">\u003c/a> and \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/13/public-option-health-insurance.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/13/public-option-health-insurance.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Listen to Sarah's report:\u003cbr>\n\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/2107/health-insurance-public-option-alive-and-well-in-california","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_41"],"label":"stateofhealth"},"stateofhealth_2028":{"type":"posts","id":"stateofhealth_2028","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"2028","score":null,"sort":[1326412110000]},"guestAuthors":[],"slug":"health-reform-hits-main-street-en-espanol","title":"Health Reform Hits Main Street: En Español ","publishDate":1326412110,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>We've told you about the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/12/15/the-health-care-reform-interactive-cartoon/\" href=\"http://ww2.kqed.org/stateofhealth/2011/12/15/the-health-care-reform-interactive-cartoon/\" target=\"_blank\">interactive cartoon \u003c/a>and animation that explains how \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">health care reform\u003c/a> may affect you. Now the non-partisan Kaiser Family Foundation has teamed up with the equally non-partisan \u003ca title=\"http://www.calendow.org/\" href=\"http://www.calendow.org/\" target=\"_blank\">The California Endowment\u003c/a> to release a Spanish-language version of the same video.\u003c/p>\n\u003cfigure id=\"attachment_2049\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\">\u003cimg class=\"size-large wp-image-2049 \" title=\"spanish-healthcare\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/spanish-healthcare-620x347.jpg\" alt=\"\" width=\"620\" height=\"347\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Kaiser Family Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>The video, \"\u003ca title=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\" href=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\" target=\"_blank\">La Reforma Del Cuidado De La Salud Llega al Público\u003c/a>,\" is narrated by Isabel Gómez-Bassols, a psychologist and host of the show “\u003ca title=\"http://www.doctoraisabel.net/\" href=\"http://www.doctoraisabel.net/\" target=\"_blank\">Doctora Isabel, el Angel de la Radio\u003c/a>.” While Latinos account for 16 percent of the U.S. population, here in California, they make up \u003ca title=\"http://quickfacts.census.gov/qfd/states/06000.html\" href=\"http://quickfacts.census.gov/qfd/states/06000.html\" target=\"_blank\">38 percent\u003c/a> of the population -- and about \u003ca title=\"http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t\" href=\"http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t\" target=\"_blank\">one-third\u003c/a> of them don't have health insurance.\u003c/p>\n\u003cp>Check out the video below, or click \u003ca title=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\" href=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=FAf2H3pFtzs]\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"We've told you about the interactive cartoon and animation that explains how health care reform may affect you. Now the non-partisan Kaiser Family Foundation has teamed up with the California Endowment Foundation to release a Spanish-language version of the same video.","status":"publish","parent":0,"modified":1326412110,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":6,"wordCount":145},"headData":{"title":"Health Reform Hits Main Street: En Español | KQED","description":"We've told you about the interactive cartoon and animation that explains how health care reform may affect you. Now the non-partisan Kaiser Family Foundation has teamed up with the California Endowment Foundation to release a Spanish-language version of the same video.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Health Reform Hits Main Street: En Español ","datePublished":"2012-01-12T23:48:30.000Z","dateModified":"2012-01-12T23:48:30.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"2028 http://blogs.kqed.org/stateofhealth/?p=2028","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/01/12/health-reform-hits-main-street-en-espanol/","disqusTitle":"Health Reform Hits Main Street: En Español ","path":"/stateofhealth/2028/health-reform-hits-main-street-en-espanol","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>We've told you about the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/12/15/the-health-care-reform-interactive-cartoon/\" href=\"http://ww2.kqed.org/stateofhealth/2011/12/15/the-health-care-reform-interactive-cartoon/\" target=\"_blank\">interactive cartoon \u003c/a>and animation that explains how \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">health care reform\u003c/a> may affect you. Now the non-partisan Kaiser Family Foundation has teamed up with the equally non-partisan \u003ca title=\"http://www.calendow.org/\" href=\"http://www.calendow.org/\" target=\"_blank\">The California Endowment\u003c/a> to release a Spanish-language version of the same video.\u003c/p>\n\u003cfigure id=\"attachment_2049\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\">\u003cimg class=\"size-large wp-image-2049 \" title=\"spanish-healthcare\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/spanish-healthcare-620x347.jpg\" alt=\"\" width=\"620\" height=\"347\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Kaiser Family Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>The video, \"\u003ca title=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\" href=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\" target=\"_blank\">La Reforma Del Cuidado De La Salud Llega al Público\u003c/a>,\" is narrated by Isabel Gómez-Bassols, a psychologist and host of the show “\u003ca title=\"http://www.doctoraisabel.net/\" href=\"http://www.doctoraisabel.net/\" target=\"_blank\">Doctora Isabel, el Angel de la Radio\u003c/a>.” While Latinos account for 16 percent of the U.S. population, here in California, they make up \u003ca title=\"http://quickfacts.census.gov/qfd/states/06000.html\" href=\"http://quickfacts.census.gov/qfd/states/06000.html\" target=\"_blank\">38 percent\u003c/a> of the population -- and about \u003ca title=\"http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t\" href=\"http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t\" target=\"_blank\">one-third\u003c/a> of them don't have health insurance.\u003c/p>\n\u003cp>Check out the video below, or click \u003ca title=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\" href=\"http://healthreform.kff.org/la-reforma-del-cuidado-de-la-salud-llega-al-publico.aspx\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/FAf2H3pFtzs'\n title='//www.youtube.com/embed/FAf2H3pFtzs'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/2028/health-reform-hits-main-street-en-espanol","authors":["46"],"categories":["stateofhealth_15"],"tags":["stateofhealth_41"],"featImg":"stateofhealth_2049","label":"stateofhealth"},"stateofhealth_1858":{"type":"posts","id":"stateofhealth_1858","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"1858","score":null,"sort":[1326219067000]},"guestAuthors":[],"slug":"great-subject-for-a-graphic-novel-health-reform","title":"Great Subject for a Graphic Novel: Health Reform","publishDate":1326219067,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_1867\" class=\"wp-caption alignleft\" style=\"max-width: 210px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/GruberBookCover_FullRes.jpg\">\u003cimg class=\"size-medium wp-image-1867\" title=\"(Courtesy: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/GruberBookCover_FullRes-300x427.jpg\" alt=\"(Courtesy: Kaiser Health News)\" width=\"210\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Michelle Andrews at \u003ca title=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/health-law-graphic-comic-book-Michelle-Andrews-Gruber.aspx\" href=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/health-law-graphic-comic-book-Michelle-Andrews-Gruber.aspx\" target=\"_blank\">Kaiser Health News\u003c/a> features a Q&A today with MIT economist \u003ca title=\"http://econ-www.mit.edu/faculty/gruberj/shortbio\" href=\"http://econ-www.mit.edu/faculty/gruberj/shortbio\" target=\"_blank\">Jonathan Gruber,\u003c/a> who hatched the idea to inform people about health care reform via a graphic novel.\u003c/p>\n\u003cp>Key Takeaway? After health reform passed in Massachusetts, Gruber says, \"Premiums for individual market plans fell by 50 percent relative to national trends. The biggest surprise to me is that employer-sponsored health insurance actually went up after reform when it was falling everywhere else in the country.\"\u003c/p>\n\u003cdiv>\n\u003cp>No kidding. In California, employers offering health insurance fell from 73 percent to 63 percent in the last two years, according to a \u003ca title=\"http://www.chcf.org/publications/2011/12/employer-health-benefits\" href=\"http://www.chcf.org/publications/2011/12/employer-health-benefits\" target=\"_blank\">study\u003c/a> released just last week.\u003c/p>\n\u003cp>Here's Andrews complete story:\u003c/p>\n\u003cp>Nearly two years after the passage of the federal health law, more than 40 percent of people say they know little or nothing about how the law will affect them, according to the Kaiser Family Foundation's latest \u003ca title=\"http://www.kff.org/kaiserpolls/upload/8265-F.pdf\" href=\"http://www.kff.org/kaiserpolls/upload/8265-F.pdf\" target=\"_blank\">poll\u003c/a>. That figure hasn't budged since April 2010, just after the law was signed.\u003c!--more-->Jonathan Gruber, an economist at the Massachusetts Institute of Technology, aims to change that with a book, \u003ca title=\"http://us.macmillan.com/healthcarereform/JonathanGruber\" href=\"http://us.macmillan.com/healthcarereform/JonathanGruber\" target=\"_blank\">\"Health Care Reform: What It Is, Why It's Necessary, How It Works\u003c/a>.\" It explains the ins and outs of the law in an innovative way: an adult comic-strip form similar to graphic novels.\u003c/p>\n\u003cdiv>\n\u003cp>Gruber was one of the architects of the Massachusetts' health care overhaul, which included many features that appear in the federal law, and he advised the Obama administration and Congress on the Affordable Care Act. I spoke with him about his new book, which he co-authored with HP Newquist. The book is illustrated by Nathan Schreiber.\u003c/p>\n\u003cp>\u003cstrong>Q. What made you decide to write a book for consumers about health reform?\u003c/strong>\u003c/p>\n\u003cp>A. I think what really inspired me was hearing that when you polled consumers about the Affordable Care Act they were split in their support. But when you polled them about individual pieces of the law, they liked it. As an educator, you didn't have to do any more than explain what the law did [to gain support]. It needed to be explained in a way that people understood.\u003c/p>\n\u003cp>\u003cstrong>Q. Why did you choose a graphic novel format?\u003c/strong>\u003c/p>\n\u003cp>A. The publisher approached me about doing it that way. At first I wasn't that enthusiastic. I didn’t think it would be that effective. But the publisher said they had done a graphic novel about the \u003ca title=\"http://us.macmillan.com/the911report-1/SidJacobson\" href=\"http://us.macmillan.com/the911report-1/SidJacobson\" target=\"_blank\">9/11 Report\u003c/a>. My son likes graphic novels, he's 17. He said it's a great opportunity, it's a great medium. When you're on a plane and they want to teach you what to do in case of accident, they hand you a graphic. I think it was the right call.\u003c/p>\n\u003cp>\u003cstrong>Q. Who's the primary audience for this book?\u003c/strong>\u003c/p>\n\u003cp>A. I wrote it for the person who is confused and open-minded about this bill. The person who doesn't understand it. The two groups I really hope will read it and benefit from it are the independent voter who was inclined to like Obama and knows it's a big, transformative bill and wants to learn more, and the disaffected Democratic voter. I'm stunned that many don't support it.\u003c/p>\n\u003cp>\u003cstrong>Q. Do you think it will change any minds? Turn opponents into supporters?\u003c/strong>\u003c/p>\n\u003cp>A. I don't think it's going to change the minds of anyone who's convinced it's a bad piece of legislation. But it could change the minds of those who are wary and concerned.\u003c/p>\n\u003cp>\u003cstrong>Q. You showcase Massachusetts as an example of how health reform can work, noting that it employs some of the same elements that appear in the federal law, like the individual mandate that requires people to have insurance. What should readers be aware of about Massachusetts' experience with health reform? Has anything surprised you?\u003c/strong>\u003c/p>\n\u003cp>A. I would say the point the book tries to make is that Massachusetts was successful in what it tried to do. It reduced the number of uninsured and lowered non-group insurance premiums. Premiums for individual market plans fell by 50 percent relative to national trends. The biggest surprise to me is that employer-sponsored health insurance actually went up after reform when it was falling everywhere else in the country. It speaks to the power of the [individual] mandate. People said, \"Give me health insurance,\" and they did.\u003c/p>\n\u003cp>\u003cstrong>Q. You talk about how health care reform will help Anthony, Betty, Carlos and Dinah, all of whom have different health insurance situations. But you don’t discuss what will happen to Emilio the undocumented worker, who won't get coverage under the new law. Did you consider talking about who loses out under health reform, including the roughly \u003ca title=\"http://www.pewhispanic.org/2011/02/01/unauthorized-immigrant-population-brnational-and-state-trends-2010/\" href=\"http://www.pewhispanic.org/2011/02/01/unauthorized-immigrant-population-brnational-and-state-trends-2010/\" target=\"_blank\">11 million\u003c/a> illegal immigrants?\u003c/strong>\u003c/p>\n\u003cp>A. You hit on a great issue: Who loses out under the law. People don't lose out. Emilio doesn't lose out, he just doesn't gain. A lot of people don't gain. By design, the bill leaves a lot of people alone, including those with employer-sponsored insurance. They don't lose but they don't gain either. As for undocumented immigrants, there was no support to help them. Unfortunately, the law leaves them out in the cold. That was just a political reality.\u003c/p>\n\u003cp>\u003cstrong>Q. I know it's a big piece of legislation and you were trying to cover a lot of ground, but I couldn’t help thinking as I read the book that in some places you oversimplified in such a way that it made the law look better than it is. Can you talk a bit about concerns some may have that you may confuse readers by making sweeping statements about the benefits of this law?\u003c/strong>\u003c/p>\n\u003cp>A. Certainly I wrestled a lot with where to simplify and where not to. I think I tried my best to never be misleading. At the end of the book there's a set of references where people can go to learn more about the law. I think the truth is that most people don't want that level of detail. It's for people who just want to know what the heck is this bill.\u003c/p>\n\u003cp>\u003cstrong>Q. In the book you discuss the long-term care program created under the law, the CLASS Act, which the administration has decided not to implement, at least not at this time. Obviously, this law is changing and evolving. Depending on what happens in the next election, it could change a lot. What do you think is going to happen? Do you have any plans to update the book?\u003c/strong>\u003c/p>\n\u003cp>A. I am fairly confident, I think there's a better than 50 percent chance, for the Supreme Court not to turn down the mandate, and voters not to kick Obama out of office. If both those things go that way, I think it will be an incredibly positive thing for the Democrats in 2016. It will be good for them because the law will be doing good things by then. States need to move more quickly if we're going to implement the law smoothly. I can see it starting out roughly and being in great shape in a year or two.\u003c/p>\n\u003cp>My guess is I wouldn't want to update [the book]. I haven't really thought about that.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Michelle Andrews at Kaiser Health News features a Q&A today with MIT economist Jonathan Gruber, who hatched the idea to inform people about health care reform via a graphic novel.\r\n\r\nKey Takeaway? After health reform passed in Massachusetts, Gruber says, \"Premiums for individual market plans fell by 50 percent relative to national trends. The biggest surprise to me is that employer-sponsored health insurance actually went up after reform when it was falling everywhere else in the country.\"","status":"publish","parent":0,"modified":1326220301,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":1246},"headData":{"title":"Great Subject for a Graphic Novel: Health Reform | KQED","description":"Michelle Andrews at Kaiser Health News features a Q&A today with MIT economist Jonathan Gruber, who hatched the idea to inform people about health care reform via a graphic novel.\r\n\r\nKey Takeaway? After health reform passed in Massachusetts, Gruber says, "Premiums for individual market plans fell by 50 percent relative to national trends. The biggest surprise to me is that employer-sponsored health insurance actually went up after reform when it was falling everywhere else in the country."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Great Subject for a Graphic Novel: Health Reform","datePublished":"2012-01-10T18:11:07.000Z","dateModified":"2012-01-10T18:31:41.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"1858 http://blogs.kqed.org/stateofhealth/?p=1858","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/01/10/great-subject-for-a-graphic-novel-health-reform/","disqusTitle":"Great Subject for a Graphic Novel: Health Reform","path":"/stateofhealth/1858/great-subject-for-a-graphic-novel-health-reform","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1867\" class=\"wp-caption alignleft\" style=\"max-width: 210px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/GruberBookCover_FullRes.jpg\">\u003cimg class=\"size-medium wp-image-1867\" title=\"(Courtesy: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/GruberBookCover_FullRes-300x427.jpg\" alt=\"(Courtesy: Kaiser Health News)\" width=\"210\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Michelle Andrews at \u003ca title=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/health-law-graphic-comic-book-Michelle-Andrews-Gruber.aspx\" href=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/health-law-graphic-comic-book-Michelle-Andrews-Gruber.aspx\" target=\"_blank\">Kaiser Health News\u003c/a> features a Q&A today with MIT economist \u003ca title=\"http://econ-www.mit.edu/faculty/gruberj/shortbio\" href=\"http://econ-www.mit.edu/faculty/gruberj/shortbio\" target=\"_blank\">Jonathan Gruber,\u003c/a> who hatched the idea to inform people about health care reform via a graphic novel.\u003c/p>\n\u003cp>Key Takeaway? After health reform passed in Massachusetts, Gruber says, \"Premiums for individual market plans fell by 50 percent relative to national trends. The biggest surprise to me is that employer-sponsored health insurance actually went up after reform when it was falling everywhere else in the country.\"\u003c/p>\n\u003cdiv>\n\u003cp>No kidding. In California, employers offering health insurance fell from 73 percent to 63 percent in the last two years, according to a \u003ca title=\"http://www.chcf.org/publications/2011/12/employer-health-benefits\" href=\"http://www.chcf.org/publications/2011/12/employer-health-benefits\" target=\"_blank\">study\u003c/a> released just last week.\u003c/p>\n\u003cp>Here's Andrews complete story:\u003c/p>\n\u003cp>Nearly two years after the passage of the federal health law, more than 40 percent of people say they know little or nothing about how the law will affect them, according to the Kaiser Family Foundation's latest \u003ca title=\"http://www.kff.org/kaiserpolls/upload/8265-F.pdf\" href=\"http://www.kff.org/kaiserpolls/upload/8265-F.pdf\" target=\"_blank\">poll\u003c/a>. That figure hasn't budged since April 2010, just after the law was signed.\u003c!--more-->Jonathan Gruber, an economist at the Massachusetts Institute of Technology, aims to change that with a book, \u003ca title=\"http://us.macmillan.com/healthcarereform/JonathanGruber\" href=\"http://us.macmillan.com/healthcarereform/JonathanGruber\" target=\"_blank\">\"Health Care Reform: What It Is, Why It's Necessary, How It Works\u003c/a>.\" It explains the ins and outs of the law in an innovative way: an adult comic-strip form similar to graphic novels.\u003c/p>\n\u003cdiv>\n\u003cp>Gruber was one of the architects of the Massachusetts' health care overhaul, which included many features that appear in the federal law, and he advised the Obama administration and Congress on the Affordable Care Act. I spoke with him about his new book, which he co-authored with HP Newquist. The book is illustrated by Nathan Schreiber.\u003c/p>\n\u003cp>\u003cstrong>Q. What made you decide to write a book for consumers about health reform?\u003c/strong>\u003c/p>\n\u003cp>A. I think what really inspired me was hearing that when you polled consumers about the Affordable Care Act they were split in their support. But when you polled them about individual pieces of the law, they liked it. As an educator, you didn't have to do any more than explain what the law did [to gain support]. It needed to be explained in a way that people understood.\u003c/p>\n\u003cp>\u003cstrong>Q. Why did you choose a graphic novel format?\u003c/strong>\u003c/p>\n\u003cp>A. The publisher approached me about doing it that way. At first I wasn't that enthusiastic. I didn’t think it would be that effective. But the publisher said they had done a graphic novel about the \u003ca title=\"http://us.macmillan.com/the911report-1/SidJacobson\" href=\"http://us.macmillan.com/the911report-1/SidJacobson\" target=\"_blank\">9/11 Report\u003c/a>. My son likes graphic novels, he's 17. He said it's a great opportunity, it's a great medium. When you're on a plane and they want to teach you what to do in case of accident, they hand you a graphic. I think it was the right call.\u003c/p>\n\u003cp>\u003cstrong>Q. Who's the primary audience for this book?\u003c/strong>\u003c/p>\n\u003cp>A. I wrote it for the person who is confused and open-minded about this bill. The person who doesn't understand it. The two groups I really hope will read it and benefit from it are the independent voter who was inclined to like Obama and knows it's a big, transformative bill and wants to learn more, and the disaffected Democratic voter. I'm stunned that many don't support it.\u003c/p>\n\u003cp>\u003cstrong>Q. Do you think it will change any minds? Turn opponents into supporters?\u003c/strong>\u003c/p>\n\u003cp>A. I don't think it's going to change the minds of anyone who's convinced it's a bad piece of legislation. But it could change the minds of those who are wary and concerned.\u003c/p>\n\u003cp>\u003cstrong>Q. You showcase Massachusetts as an example of how health reform can work, noting that it employs some of the same elements that appear in the federal law, like the individual mandate that requires people to have insurance. What should readers be aware of about Massachusetts' experience with health reform? Has anything surprised you?\u003c/strong>\u003c/p>\n\u003cp>A. I would say the point the book tries to make is that Massachusetts was successful in what it tried to do. It reduced the number of uninsured and lowered non-group insurance premiums. Premiums for individual market plans fell by 50 percent relative to national trends. The biggest surprise to me is that employer-sponsored health insurance actually went up after reform when it was falling everywhere else in the country. It speaks to the power of the [individual] mandate. People said, \"Give me health insurance,\" and they did.\u003c/p>\n\u003cp>\u003cstrong>Q. You talk about how health care reform will help Anthony, Betty, Carlos and Dinah, all of whom have different health insurance situations. But you don’t discuss what will happen to Emilio the undocumented worker, who won't get coverage under the new law. Did you consider talking about who loses out under health reform, including the roughly \u003ca title=\"http://www.pewhispanic.org/2011/02/01/unauthorized-immigrant-population-brnational-and-state-trends-2010/\" href=\"http://www.pewhispanic.org/2011/02/01/unauthorized-immigrant-population-brnational-and-state-trends-2010/\" target=\"_blank\">11 million\u003c/a> illegal immigrants?\u003c/strong>\u003c/p>\n\u003cp>A. You hit on a great issue: Who loses out under the law. People don't lose out. Emilio doesn't lose out, he just doesn't gain. A lot of people don't gain. By design, the bill leaves a lot of people alone, including those with employer-sponsored insurance. They don't lose but they don't gain either. As for undocumented immigrants, there was no support to help them. Unfortunately, the law leaves them out in the cold. That was just a political reality.\u003c/p>\n\u003cp>\u003cstrong>Q. I know it's a big piece of legislation and you were trying to cover a lot of ground, but I couldn’t help thinking as I read the book that in some places you oversimplified in such a way that it made the law look better than it is. Can you talk a bit about concerns some may have that you may confuse readers by making sweeping statements about the benefits of this law?\u003c/strong>\u003c/p>\n\u003cp>A. Certainly I wrestled a lot with where to simplify and where not to. I think I tried my best to never be misleading. At the end of the book there's a set of references where people can go to learn more about the law. I think the truth is that most people don't want that level of detail. It's for people who just want to know what the heck is this bill.\u003c/p>\n\u003cp>\u003cstrong>Q. In the book you discuss the long-term care program created under the law, the CLASS Act, which the administration has decided not to implement, at least not at this time. Obviously, this law is changing and evolving. Depending on what happens in the next election, it could change a lot. What do you think is going to happen? Do you have any plans to update the book?\u003c/strong>\u003c/p>\n\u003cp>A. I am fairly confident, I think there's a better than 50 percent chance, for the Supreme Court not to turn down the mandate, and voters not to kick Obama out of office. If both those things go that way, I think it will be an incredibly positive thing for the Democrats in 2016. It will be good for them because the law will be doing good things by then. States need to move more quickly if we're going to implement the law smoothly. I can see it starting out roughly and being in great shape in a year or two.\u003c/p>\n\u003cp>My guess is I wouldn't want to update [the book]. I haven't really thought about that.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/1858/great-subject-for-a-graphic-novel-health-reform","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_41","stateofhealth_119"],"label":"stateofhealth"},"stateofhealth_1433":{"type":"posts","id":"stateofhealth_1433","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"1433","score":null,"sort":[1323992156000]},"guestAuthors":[],"slug":"the-health-care-reform-interactive-cartoon","title":"The Health Care Reform Interactive Cartoon","publishDate":1323992156,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>You've heard the partisan back and forth on health care reform for months. But if that still hasn't helped you figure out how health care reform will affect you, maybe these cartoon characters from the non-partisan Kaiser Family Foundation can.\u003c/p>\n\u003cfigure id=\"attachment_1435\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://healthreform.kff.org/profiles.aspx\">\u003cimg class=\"size-large wp-image-1435\" title=\"(Courtesy: Kaiser Family Foundation)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/KFF_HealthReformInteractive-620x480.jpg\" alt=\"(Courtesy: Kaiser Family Foundation)\" width=\"620\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Kaiser Family Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>What you see above is a jpeg, because I can't capture the interactivity in this blog, but if you click on the graphic \u003ca title=\"http://healthreform.kff.org/profiles.aspx\" href=\"http://healthreform.kff.org/profiles.aspx\" target=\"_blank\">or right here \u003c/a>you can pick one of these \"YouToon\" characters or businesses that comes closest to matching your life. Are you Cat Clark, 33, single? Or Sue and Stu Santos, married with a baby? Or maybe you're a small employer that can't afford to provide health insurance to your employees? The interactive graphic (again,\u003ca title=\"http://healthreform.kff.org/profiles.aspx\" href=\"http://healthreform.kff.org/profiles.aspx\" target=\"_blank\"> click here\u003c/a>) provides clear, concise information about what health care reform will do in each of these situations.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Oh, and if you've been meaning to read the 1,000 page \u003ca title=\"http://docs.house.gov/energycommerce/ppacacon.pdf\" href=\"http://docs.house.gov/energycommerce/ppacacon.pdf\" target=\"_blank\">Patient Protection and Affordable Care Act \u003c/a>[PDF] and, um, just haven't quite gotten around to it, then you can try watching this animated video. It's about nine minutes, which may seem long, but it features lots of these YouToon characters and is pretty snappy. Plus, it's narrated by longtime NPR reporter Cokie Roberts.\u003c/p>\n\u003cp>http://youtu.be/3-Ilc5xK2_E\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"You've heard the partisan back and forth on health care reform for months. But if that still hasn't helped you figure out how health care reform will affect you, maybe these cartoon characters from the non-partisan Kaiser Family Foundation can.\r\n","status":"publish","parent":0,"modified":1332537550,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":6,"wordCount":225},"headData":{"title":"The Health Care Reform Interactive Cartoon | KQED","description":"You've heard the partisan back and forth on health care reform for months. But if that still hasn't helped you figure out how health care reform will affect you, maybe these cartoon characters from the non-partisan Kaiser Family Foundation can.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"The Health Care Reform Interactive Cartoon","datePublished":"2011-12-15T23:35:56.000Z","dateModified":"2012-03-23T21:19:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"1433 http://blogs.kqed.org/stateofhealth/?p=1433","disqusUrl":"https://ww2.kqed.org/stateofhealth/2011/12/15/the-health-care-reform-interactive-cartoon/","disqusTitle":"The Health Care Reform Interactive Cartoon","path":"/stateofhealth/1433/the-health-care-reform-interactive-cartoon","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>You've heard the partisan back and forth on health care reform for months. But if that still hasn't helped you figure out how health care reform will affect you, maybe these cartoon characters from the non-partisan Kaiser Family Foundation can.\u003c/p>\n\u003cfigure id=\"attachment_1435\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://healthreform.kff.org/profiles.aspx\">\u003cimg class=\"size-large wp-image-1435\" title=\"(Courtesy: Kaiser Family Foundation)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/KFF_HealthReformInteractive-620x480.jpg\" alt=\"(Courtesy: Kaiser Family Foundation)\" width=\"620\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Kaiser Family Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>What you see above is a jpeg, because I can't capture the interactivity in this blog, but if you click on the graphic \u003ca title=\"http://healthreform.kff.org/profiles.aspx\" href=\"http://healthreform.kff.org/profiles.aspx\" target=\"_blank\">or right here \u003c/a>you can pick one of these \"YouToon\" characters or businesses that comes closest to matching your life. Are you Cat Clark, 33, single? Or Sue and Stu Santos, married with a baby? Or maybe you're a small employer that can't afford to provide health insurance to your employees? The interactive graphic (again,\u003ca title=\"http://healthreform.kff.org/profiles.aspx\" href=\"http://healthreform.kff.org/profiles.aspx\" target=\"_blank\"> click here\u003c/a>) provides clear, concise information about what health care reform will do in each of these situations.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Oh, and if you've been meaning to read the 1,000 page \u003ca title=\"http://docs.house.gov/energycommerce/ppacacon.pdf\" href=\"http://docs.house.gov/energycommerce/ppacacon.pdf\" target=\"_blank\">Patient Protection and Affordable Care Act \u003c/a>[PDF] and, um, just haven't quite gotten around to it, then you can try watching this animated video. It's about nine minutes, which may seem long, but it features lots of these YouToon characters and is pretty snappy. Plus, it's narrated by longtime NPR reporter Cokie Roberts.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/3-Ilc5xK2_E'\n title='//www.youtube.com/embed/3-Ilc5xK2_E'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/1433/the-health-care-reform-interactive-cartoon","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_222","stateofhealth_41"],"label":"stateofhealth"},"stateofhealth_1118":{"type":"posts","id":"stateofhealth_1118","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"1118","score":null,"sort":[1323476841000]},"guestAuthors":[],"slug":"one-womans-apology-to-president-obama","title":"One Woman's Apology to President Obama","publishDate":1323476841,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_1175\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/230136_President-Obama-signs-Health-Reform-Law3.jpg\">\u003cimg class=\"size-medium wp-image-1175\" title=\"President Obama signs health care reform law. (Photo: White House)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/230136_President-Obama-signs-Health-Reform-Law3-300x200.jpg\" alt=\"President Obama signs health care reform law. (Photo: White House)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">President Obama signs health care reform law. (Photo: White House)\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this week, the \u003cem>Los Angeles Times\u003c/em> published an opinion piece from Spike Dolomite Ward, a San Fernando Valley woman who ended up uninsured.\u003c/p>\n\u003cp>Her story sparked heated debate on the Times' discussion board -- 1,190 comments so far. It's worth reading her \u003ca title=\"http://www.latimes.com/news/opinion/commentary/la-oe-ward-in-praise-of-obamacare-20111206,0,6794828.story\" href=\"http://www.latimes.com/news/opinion/commentary/la-oe-ward-in-praise-of-obamacare-20111206,0,6794828.story\" target=\"_blank\">entire essay\u003c/a>, but I excerpt it here and include some of the more pointed reader comments at the end.\u003c/p>\n\u003cblockquote>\u003cp>I want to apologize to President Obama. But first, some background.\u003c/p>\n\u003cp>I found out three weeks ago I have cancer. I'm 49 years old, have been married for almost 20 years and have two kids. My husband has his own small computer business, and I run a small nonprofit in the San Fernando Valley. I am also an artist. Money is tight, and we don't spend it frivolously. ...\u003c/p>\n\u003cp>\u003c!--more-->We're good people, and we work hard. But we haven't been able to afford health insurance for more than two years. And now I have third-stage breast cancer and am facing months of expensive treatment.\u003c/p>\n\u003cp>To understand how such a thing could happen to a family like ours, I need to take you back nine years to when my husband got laid off from the entertainment company where he'd worked for 10 years. Until then, we had been insured through his work, with a first-rate plan. After he got laid off, we got to keep that health insurance for 18 months through COBRA, by paying $1,300 a month, which was a huge burden on an unemployed father and his family.\u003c/p>\n\u003cp>By the time the COBRA ran out, my husband had decided to go into business for himself, so we had to purchase our own insurance. That was fine for a while. Every year his business grew. But insurance premiums were steadily rising too. ...\u003c/p>\n\u003cp>With the recession, both of our businesses took a huge hit. ... We had to start using a home equity line of credit to pay for our health insurance premiums (which by that point cost as much as our monthly mortgage). When the bank capped our home equity line, we were forced to cash in my husband's IRA. The time finally came when we had to make a choice between paying our mortgage or paying for health insurance. We chose to keep our house. We made a nerve-racking gamble, and we lost.\u003c/p>\n\u003cp>Not having insurance amplifies cancer stress. After the diagnosis, instead of focusing all of my energy on getting well, I was panicked about how we were going to pay for everything. I felt guilty and embarrassed about not being insured.\u003c/p>\u003c/blockquote>\n\u003cp>Despite the embarrassment, she decided to \"out\" herself in the \u003cem>Times\u003c/em>. \"What I want people to understand,\" she writes, \"is that, if this could happen to us, it could happen to anybody.\"\u003c/p>\n\u003cblockquote>\u003cp>Fortunately for me, I've been saved by the federal government's Pre-existing Condition Insurance Plan, something I had never heard of before needing it. It's part of President Obama's healthcare plan, one of the things that has already kicked in, and it guarantees access to insurance for U.S. citizens with preexisting conditions who have been uninsured for at least six months. The application was short, the premiums are affordable, and I have found the people who work in the administration office to be quite compassionate ...\u003c/p>\n\u003cp>Which brings me to my apology. I was pretty mad at Obama before I learned about this new insurance plan. I had changed my registration from Democrat to Independent, and I had blacked out the top of the \"h\" on my Obama bumper sticker, so that it read, \"Got nope\" instead of \"got hope.\" I felt like he had let down the struggling middle class. My son and I had campaigned for him, but since he took office, we felt he had let us down.\u003c/p>\n\u003cp>So this is my public apology. I'm sorry I didn't do enough of my own research to find out what promises the president has made good on. I'm sorry I didn't realize that he really has stood up for me and my family, and for so many others like us. I'm getting a new bumper sticker to cover the one that says \"Got nope.\" It will say \"ObamaCares.\"\u003c/p>\u003c/blockquote>\n\u003cp>Her essay ends there, but the story does not. As noted above, this piece sparked an intense debate. Here are just a few of the comments:\u003c/p>\n\u003cblockquote>\u003cp>\u003cstrong>llyKerwin\u003c/strong> at 10:31 PM December 8, 2011\u003c/p>\n\u003cp>You're a good person because you have a house? No, you are not. You chose owning real estate over insuring yourself. I have no idea if that makes you a bad person, but it is absolutely not a virtue.\u003c/p>\n\u003cp>If you make money on that house, are you willing to share it with the taxpayers who are forced to subsidize your health care because you chose to keep a potentially appreciating asset?\u003c/p>\n\u003cp>\u003cstrong>WordsMatter\u003c/strong> at 6:12 PM December 8, 2011\u003c/p>\n\u003cp>Dear Spike Dolomite Ward, Let me get this straight. Because you were irresponsible and didn't plan for your health needs, I am paying for your irresponsibility. Right? Right! Your on the healthcare welfare roll because you made bad decisions that we're all having to pay for now.\u003c/p>\n\u003cp>\u003cstrong>Computer Forensics Expert\u003c/strong> at 2:53 PM December 8, 2011\u003c/p>\n\u003cp>... Compassion? As a working slob, why should I have to go out, work my butt off and then have my tax money spent on someone who chooses to be a \"free spirit\" artist and working for a non-profit, instead of assuming some personal responsibilty and getting a REAL job?\u003c/p>\n\u003cp>Now, Spike Dolomite Ward gets a government handout at our expense. Well, Spike, guess what? You are no different than the bum on the street or the person living in Bel-Air. People make choices, and you are a victim of your own devices.\u003c/p>\n\u003cp>Nobama in 2012. NO MORE TAKERS!!!!\u003c/p>\u003c/blockquote>\n\u003cp>Yesterday, the \u003cem>Times\u003c/em> ran a response from Ward:\u003c/p>\n\u003cblockquote>\u003cp>My husband and I both knew that by doing this, we would invite hatred into our lives, and that indeed has happened. To those of you who don’t want to see the commonalities between me and my family, let me pose it to you this way: If your sister or mother lost her job and health insurance, and then turned up with breast cancer, what would you do? Would you let her die? Would you pick up the cancer tab yourself?, or would you tell her about PCIP?\u003c/p>\u003c/blockquote>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Earlier this week, the Los Angeles Times published an opinion piece from Spike Dolomite Ward, a San Fernando Valley resident who ended up uninsured.\r\n\r\nHer story sparked heated debate on the Times' discussion board -- 1,190 comments so far. It's worth reading her entire essay, but I excerpt it here and include some of the more pointed reader comments at the end.","status":"publish","parent":0,"modified":1323476903,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1114},"headData":{"title":"One Woman's Apology to President Obama | KQED","description":"Earlier this week, the Los Angeles Times published an opinion piece from Spike Dolomite Ward, a San Fernando Valley resident who ended up uninsured.\r\n\r\nHer story sparked heated debate on the Times' discussion board -- 1,190 comments so far. It's worth reading her entire essay, but I excerpt it here and include some of the more pointed reader comments at the end.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"One Woman's Apology to President Obama","datePublished":"2011-12-10T00:27:21.000Z","dateModified":"2011-12-10T00:28:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"1118 http://blogs.kqed.org/stateofhealth/?p=1118","disqusUrl":"https://ww2.kqed.org/stateofhealth/2011/12/09/one-womans-apology-to-president-obama/","disqusTitle":"One Woman's Apology to President Obama","path":"/stateofhealth/1118/one-womans-apology-to-president-obama","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1175\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/230136_President-Obama-signs-Health-Reform-Law3.jpg\">\u003cimg class=\"size-medium wp-image-1175\" title=\"President Obama signs health care reform law. (Photo: White House)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/230136_President-Obama-signs-Health-Reform-Law3-300x200.jpg\" alt=\"President Obama signs health care reform law. (Photo: White House)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">President Obama signs health care reform law. (Photo: White House)\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this week, the \u003cem>Los Angeles Times\u003c/em> published an opinion piece from Spike Dolomite Ward, a San Fernando Valley woman who ended up uninsured.\u003c/p>\n\u003cp>Her story sparked heated debate on the Times' discussion board -- 1,190 comments so far. It's worth reading her \u003ca title=\"http://www.latimes.com/news/opinion/commentary/la-oe-ward-in-praise-of-obamacare-20111206,0,6794828.story\" href=\"http://www.latimes.com/news/opinion/commentary/la-oe-ward-in-praise-of-obamacare-20111206,0,6794828.story\" target=\"_blank\">entire essay\u003c/a>, but I excerpt it here and include some of the more pointed reader comments at the end.\u003c/p>\n\u003cblockquote>\u003cp>I want to apologize to President Obama. But first, some background.\u003c/p>\n\u003cp>I found out three weeks ago I have cancer. I'm 49 years old, have been married for almost 20 years and have two kids. My husband has his own small computer business, and I run a small nonprofit in the San Fernando Valley. I am also an artist. Money is tight, and we don't spend it frivolously. ...\u003c/p>\n\u003cp>\u003c!--more-->We're good people, and we work hard. But we haven't been able to afford health insurance for more than two years. And now I have third-stage breast cancer and am facing months of expensive treatment.\u003c/p>\n\u003cp>To understand how such a thing could happen to a family like ours, I need to take you back nine years to when my husband got laid off from the entertainment company where he'd worked for 10 years. Until then, we had been insured through his work, with a first-rate plan. After he got laid off, we got to keep that health insurance for 18 months through COBRA, by paying $1,300 a month, which was a huge burden on an unemployed father and his family.\u003c/p>\n\u003cp>By the time the COBRA ran out, my husband had decided to go into business for himself, so we had to purchase our own insurance. That was fine for a while. Every year his business grew. But insurance premiums were steadily rising too. ...\u003c/p>\n\u003cp>With the recession, both of our businesses took a huge hit. ... We had to start using a home equity line of credit to pay for our health insurance premiums (which by that point cost as much as our monthly mortgage). When the bank capped our home equity line, we were forced to cash in my husband's IRA. The time finally came when we had to make a choice between paying our mortgage or paying for health insurance. We chose to keep our house. We made a nerve-racking gamble, and we lost.\u003c/p>\n\u003cp>Not having insurance amplifies cancer stress. After the diagnosis, instead of focusing all of my energy on getting well, I was panicked about how we were going to pay for everything. I felt guilty and embarrassed about not being insured.\u003c/p>\u003c/blockquote>\n\u003cp>Despite the embarrassment, she decided to \"out\" herself in the \u003cem>Times\u003c/em>. \"What I want people to understand,\" she writes, \"is that, if this could happen to us, it could happen to anybody.\"\u003c/p>\n\u003cblockquote>\u003cp>Fortunately for me, I've been saved by the federal government's Pre-existing Condition Insurance Plan, something I had never heard of before needing it. It's part of President Obama's healthcare plan, one of the things that has already kicked in, and it guarantees access to insurance for U.S. citizens with preexisting conditions who have been uninsured for at least six months. The application was short, the premiums are affordable, and I have found the people who work in the administration office to be quite compassionate ...\u003c/p>\n\u003cp>Which brings me to my apology. I was pretty mad at Obama before I learned about this new insurance plan. I had changed my registration from Democrat to Independent, and I had blacked out the top of the \"h\" on my Obama bumper sticker, so that it read, \"Got nope\" instead of \"got hope.\" I felt like he had let down the struggling middle class. My son and I had campaigned for him, but since he took office, we felt he had let us down.\u003c/p>\n\u003cp>So this is my public apology. I'm sorry I didn't do enough of my own research to find out what promises the president has made good on. I'm sorry I didn't realize that he really has stood up for me and my family, and for so many others like us. I'm getting a new bumper sticker to cover the one that says \"Got nope.\" It will say \"ObamaCares.\"\u003c/p>\u003c/blockquote>\n\u003cp>Her essay ends there, but the story does not. As noted above, this piece sparked an intense debate. Here are just a few of the comments:\u003c/p>\n\u003cblockquote>\u003cp>\u003cstrong>llyKerwin\u003c/strong> at 10:31 PM December 8, 2011\u003c/p>\n\u003cp>You're a good person because you have a house? No, you are not. You chose owning real estate over insuring yourself. I have no idea if that makes you a bad person, but it is absolutely not a virtue.\u003c/p>\n\u003cp>If you make money on that house, are you willing to share it with the taxpayers who are forced to subsidize your health care because you chose to keep a potentially appreciating asset?\u003c/p>\n\u003cp>\u003cstrong>WordsMatter\u003c/strong> at 6:12 PM December 8, 2011\u003c/p>\n\u003cp>Dear Spike Dolomite Ward, Let me get this straight. Because you were irresponsible and didn't plan for your health needs, I am paying for your irresponsibility. Right? Right! Your on the healthcare welfare roll because you made bad decisions that we're all having to pay for now.\u003c/p>\n\u003cp>\u003cstrong>Computer Forensics Expert\u003c/strong> at 2:53 PM December 8, 2011\u003c/p>\n\u003cp>... Compassion? As a working slob, why should I have to go out, work my butt off and then have my tax money spent on someone who chooses to be a \"free spirit\" artist and working for a non-profit, instead of assuming some personal responsibilty and getting a REAL job?\u003c/p>\n\u003cp>Now, Spike Dolomite Ward gets a government handout at our expense. Well, Spike, guess what? You are no different than the bum on the street or the person living in Bel-Air. People make choices, and you are a victim of your own devices.\u003c/p>\n\u003cp>Nobama in 2012. NO MORE TAKERS!!!!\u003c/p>\u003c/blockquote>\n\u003cp>Yesterday, the \u003cem>Times\u003c/em> ran a response from Ward:\u003c/p>\n\u003cblockquote>\u003cp>My husband and I both knew that by doing this, we would invite hatred into our lives, and that indeed has happened. To those of you who don’t want to see the commonalities between me and my family, let me pose it to you this way: If your sister or mother lost her job and health insurance, and then turned up with breast cancer, what would you do? Would you let her die? Would you pick up the cancer tab yourself?, or would you tell her about PCIP?\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/1118/one-womans-apology-to-president-obama","authors":["240"],"categories":["stateofhealth_15","stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_41","stateofhealth_79"],"label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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