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Since 2008 – Progress Through Politics

President Obama speaks to that “cancelling your insurance” thing …

Surprise!! The media has found some people who paid less for inferior health insurance policies than they will pay for policies that actually cover their accidents and illnesses!!!

The media calls this a “shocking development” and evidence that the Affordable Care Act is a ginormous failure.

This guy (along with most thinking humans) has a different take on it.


Before the Affordable Care Act, the worst of these plans routinely dropped thousands of Americans every single year.  And on average, premiums for folks who stayed in their plans for more than a year shot up about 15 percent a year.  This wasn’t just bad for those folks who had these policies, it was bad for all of us — because, again, when tragedy strikes and folks can’t pay their medical bills, everybody else picks up the tab.

So anyone peddling the notion that insurers are cancelling people’s plan without mentioning that almost all the insurers are encouraging people to join better plans with the same carrier, and stronger benefits and stronger protections, while others will be able to get better plans with new carriers through the marketplace, and that many will get new help to pay for these better plans and make them actually cheaper — if you leave that stuff out, you’re being grossly misleading, to say the least.  (Applause.)  

Transcript: Remarks by the President and Governor Deval Patrick on the Affordable Care Act, Faneuil Hall Boston, Massachusetts 3:50 P.M. EDT. Selected quotes.

(The event opens with remarks from Gov. Deval Patrick (D-MA))

THE PRESIDENT: The reason I’m here, though, is because this is the hall where, seven years ago, Democrats and Republicans came together to make health reform a reality for the people of Massachusetts. It’s where then-Governor Mitt Romney, Democratic legislators, Senator Ted Kennedy, many of the folks who are here today joined forces to connect the progressive vision of health care for all with some ideas about markets and competition that had long been championed by conservatives.

And as Deval just said, it worked.  (Applause.)  It worked.

So health care reform in this state was a success.  That doesn’t mean it was perfect right away.  There were early problems to solve.  There were changes that had to be made.  Anybody here who was involved in it can tell you that.  As Deval just said, enrollment was extremely slow.  Within a month, only about a hundred people had signed up — a hundred.  But then 2,000 had signed up, and then a few more thousand after that.  And by the end of the year, 36,000 people had signed up.

And the community all came together.  You even had the Red Sox help enlist people to get them covered.  And pretty soon, the number of young uninsured people had plummeted.  When recession struck, the financial security of health care sheltered families from deeper hardship.  And today, there is nearly universal coverage in Massachusetts, and the vast majority of its citizens are happy with their coverage.  (Applause.)

And by the way, all the parade of horribles, the worst predictions about health care reform in Massachusetts never came true.  They’re the same arguments that you’re hearing now.  Businesses didn’t stop covering workers; the share of employers who offered insurance increased.  People didn’t get left behind; racial disparities decreased.  Care didn’t become unaffordable; costs tracked what was happening in other places that wasn’t covering everybody.

Today, the Affordable Care Act requires insurance companies to abide by some of the strongest consumer protections this country has ever known — a true Patient’s Bill of Rights.  (Applause.)  No more discriminating against kids with preexisting conditions.  (Applause.)  No more dropping your policy when you get sick and need it most.  (Applause.)  No more lifetime limits or restrictive annual limits.  (Applause.)  Most plans now have to cover free preventive care like mammograms and birth control.  (Applause.)  Young people can stay on their parents’ plans until they turn 26.  All of this is in place right now.  It is working right now.  (Applause.)

Now, the last element of this began on October 1st.  It’s when the Affordable Care Act created a new marketplace for quality, private insurance plans for the 15 percent or so of Americans who don’t have health care, and for the 5 percent of Americans who have to buy it on their own and they’re not part of a group, which means they don’t get as good a deal.

Now, ultimately, this website, healthcare.gov, will be the easiest way to shop for and buy these new plans, because you can see all these plans right next to each other and compare prices and see what kind of coverage it provides.  But, look, there’s no denying it, right now, the website is too slow, too many people have gotten stuck.  And I am not happy about it.  And neither are a lot of Americans who need health care, and they’re trying to figure out how they can sign up as quickly as possible.  So there’s no excuse for it.  And I take full responsibility for making sure it gets fixed ASAP.  We are working overtime to improve it every day.  (Applause.)  Every day.

Now, unfortunately, there are others that are so locked in to the politics of this thing that they won’t lift a finger to help their own people, and that’s leaving millions of Americans uninsured unnecessarily.  That’s a shame.  Because if they put as much energy into making this law work as they do in attacking the law, Americans would be better off.  (Applause.)  Americans would be better off.  

Just like in Massachusetts, most people who can afford health insurance have to take responsibility to buy health insurance, or pay a penalty.  And employers with more than 50 employees are required to either provide health insurance to their workers or pay a penalty — again, because they shouldn’t just dump off those costs onto the rest of us.  Everybody has got some responsibilities.  

One of the things health reform was designed to do was to help not only the uninsured, but also the underinsured.  And there are a number of Americans — fewer than 5 percent of Americans — who’ve got cut-rate plans that don’t offer real financial protection in the event of a serious illness or an accident.  Remember, before the Affordable Care Act, these bad-apple insurers had free rein every single year to limit the care that you received, or use minor preexisting conditions to jack up your premiums or bill you into bankruptcy.  So a lot of people thought they were buying coverage, and it turned out not to be so good.

Before the Affordable Care Act, the worst of these plans routinely dropped thousands of Americans every single year.  And on average, premiums for folks who stayed in their plans for more than a year shot up about 15 percent a year.  This wasn’t just bad for those folks who had these policies, it was bad for all of us — because, again, when tragedy strikes and folks can’t pay their medical bills, everybody else picks up the tab.

Now, if you had one of these substandard plans before the Affordable Care Act became law and you really liked that plan, you’re able to keep it.  That’s what I said when I was running for office.  That was part of the promise we made.  But ever since the law was passed, if insurers decided to downgrade or cancel these substandard plans, what we said under the law is you’ve got to replace them with quality, comprehensive coverage  — because that, too, was a central premise of the Affordable Care Act from the very beginning.

So anyone peddling the notion that insurers are cancelling people’s plan without mentioning that almost all the insurers are encouraging people to join better plans with the same carrier, and stronger benefits and stronger protections, while others will be able to get better plans with new carriers through the marketplace, and that many will get new help to pay for these better plans and make them actually cheaper — if you leave that stuff out, you’re being grossly misleading, to say the least.  (Applause.)  

So, yes, this is hard, because the health care system is a big system, and it’s complicated.  And if it was hard doing it just in one state, it’s harder to do it in all 50 states — especially when the governors of a bunch of states and half of the Congress aren’t trying to help.  Yes, it’s hard.  But it’s worth it.  (Applause.)  It is the right thing to do, and we’re going to keep moving forward.  (Applause.)  We are going to keep working to improve the law, just like you did here in Massachusetts.  (Applause.)

We are just going to keep on working at it.  We’re going to grind it out, just like you did here in Massachusetts — and, by the way, just like we did when the prescription drug program for seniors known as Medicare Part D was passed by a Republican President a decade ago.  That health care law had some early challenges as well.  There were even problems with the website.  (Laughter.)  And Democrats weren’t happy with a lot of the aspects of the law because, in part, it added hundreds of billions of dollars to the deficit, it wasn’t paid for — unlike the Affordable Care Act, which will actually help lower the deficit.  (Applause.)

But, you know what, once it was the law, everybody pitched in to try to make it work.  Democrats weren’t about to punish millions of seniors just to try to make a point or settle a score.  So Democrats worked with Republicans to make it work.  And I’m proud of Democrats for having done that.  It was the right thing to do.  (Applause.)  Because now, about 90 percent of seniors like what they have.  They’ve gotten a better deal.

So the point is, we may have political disagreements — we do, deep ones.  In some cases, we’ve got fundamentally different visions about where we should take the country.  But the people who elect us to serve, they shouldn’t pay the price for those disagreements.  Most Americans don’t see things through a political lens or an ideological lens.  This debate has never been about right or left.  It’s been about the helplessness that a parent feels when she can’t cover a sick child, or the impossible choices a small business faces between covering his employees or keeping his doors open.


I want to give you just — I want to close with an example. A person named Alan Schaeffer, from Prattsburgh, New York, and he’s got a story to tell about sacrifice, about giving up his own health care to save the woman he loves.  So Alan wrote to me last week, and he told me his story.

Four years ago, his wife, Jan, who happens to be a nurse, was struck with cancer, and she had to stop working.  And then halfway through her chemo, her employer dropped coverage for both of them.  And Alan is self-employed; he’s got an antique business.  So he had to make sure his wife had coverage, obviously, in the middle of cancer treatments, so he went without insurance.

Now, the great news is, today, Jan is cancer-free.  She’s on Medicare, but Alan’s been uninsured ever since.  Until last week — (applause) — when he sat down at a computer and — I’m sure after multiple tries — (laughter) — signed up for a new plan under the Affordable Care Act, coverage that can never be taken away if he gets sick.  (Applause.)

So I just want to read you what he said in this letter.  He says, “I’ve got to tell you I’ve never been so happy to pay a bill in my entire life.”  (Laughter.)  “When you don’t have insurance at my age, [it can] really feel like a time bomb waiting to go off.  The sense of relief from knowing I can live out my days longer and healthier, that’s just a tremendous weight off my shoulders.”

So two days later, Alan goes over to his buddy Bill’s house. He sits Bill down, and his wife, Diana, at their computer.  And after several tries — (laughter) — Alan helped lift that weight from their shoulders by helping them to sign up for a new plan also.  And compared to their current plan, it costs less than half as much and covers more.

See, that’s why we committed ourselves to this cause — for Alan, and Jan; for Bill, Diana.

We are in this together, and we are going to see it through.


36 comments

  1. From Mediaite.com about that $54 a month health care “coverage” …

    Greta [Van Sustern] teed up the interview using the same setup as Crawford’s piece, that Barrette is “finding out she will have to pay 10 times as much for health insurance” because “she is losing her current plan to Obamacare.”

    “I have a copy of your Florida Blue insurance and it’s about $54 a month,” Greta continued, “and now I understand that under Obamacare, it’s going to go up, at least they said that the policy they would offer you under Florida Blue, would be $591; is that correct?”

    Actually, the plan BCBSFL was only one of many plans Dianne has to choose from, 10 of which are cheaper than that $591, and based on her income, she’d only pay around $209 a month, but Greta did cut right to the chase about the quality of her old plan.

    “Your $54 a month policy is a pretty, you know, bare bones policy, “Greta said. “Why do you want to keep that one, except for the price? Maybe you can get something better with a subsidy?”

    “Well, I know it doesn’t cover lengthy hospital stays,” Barrette replied, adding “It’s perfect for what I want. I get co-pays for doctor visits and prescriptions. So it suffices what I need. Also, the price isn’t too bad either.”

    It actually pays for NO hospital stays. Which means that if Ms. Barrette is injured and shows up at the emergency room and needs to be hospitalized, we pay the bills. Her “insurance” is being underwritten by everyone who uses health care in the form of higher health care costs.

    And the $54 per month that Ms.  Barrette is paying? That sounds more like a swindle than health care coverage. BCBSFL should be ashamed of themselves for even offering such a policy.

  2. Confused About Health Insurance? Take Our Quiz!

    …  millions of people will [soon] start shopping for health insurance.

    Will those shoppers know what they’re doing? More to the point, if you’re one of those shoppers, will you know what you’re doing?

    … 65 percent of the time, people choose plans that are more expensive than other options but don’t provide more benefits.

  3. Appearing before the House Committee on Invented Outrage and its resident clowns:

       … down in Washington, Sebelius ran through the now-ritual apologies for Glitchghazigate, but that wasn’t enough. She was there as a tree from which people could proudly fly their stupid flags. Marsha Blackburn argued for people who wish to exercise their freedom to be cheated by insurance companies. John Shimkus blathered about abortion as Democrats on the panel tried to determine who won the pool on the first mention of abortion. Cory Gardner and Billy Long both ask the customary “If you love Obamacare so much, why don’t you marry it?” question, perhaps believing that the committee’s hearings were being piped into middle-school lunchrooms all over America. At one point, apparently, Sebelius commented, “Whatever,” which seemed to sum things up admirably. I have never seen an oversight committee the primary function of which is the demolition of that which it is tasked to oversee. My plan does not cover nearly enough whiskey for this.

  4. Group’s Lawsuit Seeks To Void Health Care Law

    The Association of American Physicians and Surgeons is a politically active group that favors having patients pay directly for medical services without the intervention of health insurance companies.

    It sued on behalf of Robert T. McQueeney, a psychiatrist from northeastern Wisconsin who doesn’t accept most forms of insurance and whose clients often pay in cash. If people are paying more for insurance premiums, the association argued, they’ll have less cash to spend on medical services such as McQueeney’s.

    Soooo. They want to limit their practice to the .0001% of people who could pay directly for any medical treatment? Okey dokey.

  5. Cheryl Kopec

    A more worrying problem could be that we don’t have enough providers to meet the needs of all the new people entering the system. This article from Idaho (no real surprise there, but that’s a different point) talks about how they are already struggling to attract and retain enough qualified personnel to meet their current needs.

    Not that that’s any reason to continue denying millions of people access to health care. No, we have to find out why we’re short on doctors. Is it the cost of education? The legal system? Or, in places like Idaho, simply the culture and climate of the place? I don’t imagine too many doctors relish living somewhere that is often thought of mainly as a haven for crazy survivalists.

  6. DTOzone

    the media’s piling on this and trying to turn this into a political disaster.

    I guess the government shutdown set everyone’s fangs on the Democrats. Can’t let them win, must pile on.

    Such is life in America.  

  7. 3% “potential losers” … people who don’t want to buy a better policy but have to because their junk insurance is not up to ACA standards. “Potential losers” in quotes because if they need health care, they will be a winner. If they never need medical care, they will “lose” by ending up paying more. Except that having a healthier country benefits everyone.

    (More here)

  8. creamer

    in finding fault with Obama and ACA. As mentioned above, the media is playing to this by highlighting every little flaw, while ignoring the benefits.

  9. princesspat

    Last night’s show had an interesting segment on the overshadowed good news for President Obama. The new MSNBC site looks to be  good news source with written articles as well as video clips. The embed info is in the iframe format though, so here’s the link   http://www.msnbc.com/the-last-

  10. princesspat

    Obamacare’s Losers, Ctd


    It’s worth remembering that Cadillac plans create serious cost problems for our healthcare system.  If they are tax-deductive, then it’s a huge tax expenditure, but even when not, they encourage over-utilization.  There should be cost sharing mechanisms that put a slight disincentive on healthcare spending, especially utilization all over the place, where there are no shared medical records, tests are likely to be duplicated and there is more defensive medicine due to this.

    As a physician, I see a lot of patients with disabling neuromuscular conditions.  Many are forced to stop working, and thereby lose their insurance.  I see this over and over again.  There is just no comparison the gain these patients are getting by being able to get insurance, compared to this guy who has to either pay more for a Cadillac plan, or get a more regular plan.

    I’m seeing more readers comments counter the popular press meme of the day re the ACA. Now more journalists need to do educated in depth reporting.

  11. The GOP push for repeal is dead


    No one is ever going to kick young adults off their parents’ insurance (or change the law so that insurance companies are allowed to do it). No one is going to bring back the various limitations in pre-ACA insurance policies. Some trimming of the new Medicaid rolls might be possible. But no one – no politician who has to face reelection, at least – is going to just toss all those people off their insurance with nothing to replace it.

    I don’t know. I would prefer that they repeal it a few more times so that their constituents can vote them out of office. One thing that the bad PR for the website did was it generated a lot of news buzz, something that has been missing for the last 3 years. People who did not know about the provisions of the law do now with all this talk of coverages and cancellations.  It is easy to say “I hate Obamacare” … not as easy to say “I love being cancelled for being sick!”.

  12. GlenThePlumber

    most who want or already have coverage will save money…I’m not a fan of how we currently pay for healthcare…but I don’t feel bad for those that can afford yet don’t buy insurance.

    I just got this years rates in the mail…first time I can remember…no increase in cost.

    Another Obamacare horror story debunked

    She says she’s angry at President Obama for having promised that people who like their health plans could keep them, when hers is getting canceled for not meeting Obamacare’s standards.

    “Please explain to me,” she told Maria Bartiromo on CNBC Wednesday, “how my plan is a ‘substandard’ plan when … I’d be paying more for the exchange plans than I am currently paying by a wide margin.”

    At her age, she’s eligible for a good “silver” plan for $333 a month after the subsidy — $40 a month more than she’s paying now. But the plan is much better than her current plan — the deductible is $2,000, not $5,000. The maximum out-of-pocket expense is $6,350, not $8,500. Her co-pays would be $45 for a primary care visit and $65 for a specialty visit — but all visits would be covered, not just two.

    Is that better than her current plan? Yes, by a mile.

    http://www.latimes.com/busines

  13. mainsailset

    I’m thinking that we need to look in another direction as well as pointing fingers to the junk policies.

    I was one of those who got a cancellation letter but didn’t have a junk policy. Interestingly, my policy anniversary was October and generally I receive a notice of what to expect for an increase in August. For the last 5 years it’s been an increase of 23% each year. Sucks.

    This year no August notice. Instead, here came the policy cancellation (which I’ve received 2 in past 5 years as they cancel one policy and re issue another) and I notice that the increase is 22% over this year’s policy.

    So can it also be that the providers held off on their annual rate increases until the rollout and then tacked on their standard increase but ducked under the cover of the ACA to cover themselves? Of course this is the first time that I can actually shop around vs previous years where I had to let them cut into my budget without a peep?

  14. mainsailset

    I’m thinking that we need to look in another direction as well as pointing fingers to the junk policies.

    I was one of those who got a cancellation letter but didn’t have a junk policy. Interestingly, my policy anniversary was October and generally I receive a notice of what to expect for an increase in August. For the last 5 years it’s been an increase of 23% each year. Sucks.

    This year no August notice. Instead, here came the policy cancellation (which I’ve received 2 in past 5 years as they cancel one policy and re issue another) and I notice that the increase is 22% over this year’s policy.

    So can it also be that the providers held off on their annual rate increases until the rollout and then tacked on their standard increase but ducked under the cover of the ACA to cover themselves? Of course this is the first time that I can actually shop around vs previous years where I had to let them cut into my budget without a peep?

  15. DTOzone

    can probably be explained by the administration arguing those who got their plans cancelled probably didn’t like them anyway.

    And most didn’t or wouldn’t if they knew what their policies really were.

    In my last job I had a cheap policy- $186 a month, which was the cheapest our company offered (I made $22k a year btw).

    Only three doctors in all of Brooklyn accepted the plan and I was limited to what specialists I can use. I couldn’t get an appointment with a knee specialist for 9 months (and people complain about single payer British/Canadian systems because why again?) when I got on, I had to go to Staten Island for a MRI, which took 2 months to get to my doctor, who then sent me for physical therapy where I couldn’t get an appointment for several months.

    Eventually I left the job, got a new one, got a much better policy (at $300 per month, I make more than $35K now) and was able to see the same knee specialist again, get an MRI at a hospital, get it sent to the doctor a few days later and get a physical therapist the next week to deal with my bursitis.

    If it’s my old plan they’re canceling, well thank God, because I would have been thrilled to see it go and allow me to shop for a new, better plan and get the subsidies I would probably qualify for to pay for it.  

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