Showing posts with label pre-existing conditions. Show all posts
Showing posts with label pre-existing conditions. Show all posts

Wednesday, September 20, 2017

Jimmy Kimmel Goes Off on Bill Cassidy Over Health Bill

Late night host Jimmy Kimmel veered off into leftist politics again last night when he ripped into Senator Bill Cassidy (R-La.). In a seven-minute monologue on Jimmy Kimmel live, Kimmel charged that Cassidy “lied right to my face” about promises that he made to Kimmel regarding Obamacare reform in an appearance on the show in May.

The controversy centers over Cassidy’s promise that a healthcare reform bill would meet the “Jimmy Kimmel test,” a term that Kimmel says was coined by the senator. “In a nutshell,” Kimmel said, the test holds that “no family should be denied medical care — emergency or otherwise — because they can't afford it.”

“He said he would only support a healthcare bill that made sure a child like mine would get the health coverage he needs," Kimmel continued, "no matter how much money his parents make, and that did not have annual or lifetime caps.”

Cassidy appeared on Kimmel’s show in response to another monologue in which Kimmel described how his infant son required heart surgery that could be considered a pre-existing condition.

Dr. James Madara, president of the American Medical Association, wrote in Fortune that the bill could possibly allow states to opt out of affordable coverage for pre-existing conditions. “While insurers are still required to offer coverage to patients with pre-existing conditions,” Madara wrote, “allowing states to get waivers to vary premiums based on health status would allow insurers to charge unaffordable premiums based on those pre-existing conditions.”

Kimmel said that the Graham-Cassidy bill passed a different Jimmy Kimmel test. “Your child with the pre-existing condition will get the care he needs if – and only if – his father is Jimmy Kimmel. Otherwise, you might be screwed,” he joked.

While the bill does not eliminated coverage for pre-existing conditions or allow insurance companies to establish caps for lifetime benefits, the bill does return the power to regulate insurance to the states. Politico notes, “States would be allowed to apply for waivers that could change what qualifies as an essential health benefit,” a term originally defined by the Affordable Care Act. The waivers could “impact people with pre-existing conditions and undermine prohibitions on annual and lifetime limits for insurance coverage.”

Kimmel thanked Senators Lisa Murkowski (R-Alaska), Susan Collins (R-Maine) and John McCain (R-Ariz.) for voting to kill the previous Republican healthcare bill. He urged the trio to vote against Graham-Cassidy as well.

In a part shot, Kimmel invited Cassidy to work for a health care bill that met with Kimmel’s approval, “and if not, stop using my name, because I don’t want my name on it.”

“There’s a new Jimmy Kimmel test for you,” Kimmel scolded Cassidy. “It’s called a lie detector test. You’re welcome to stop by the studio and take it anytime.”


Originally published on The Resurgent

Tuesday, May 2, 2017

Red state Republican deserts GOP on Obamacare



In a surprise announcement that underscores the difficulty that Republicans are having in assembling a majority to replace Obamacare, a Republican congressman from the red state of Missouri has announced that he will not support the current health care reform bill. After supporting earlier versions, Rep. Billy Long (R-Mo.) has become the latest conservative to jump ship and oppose the Republican effort to scuttle Obamacare.

Long represents Missouri’s seventh congressional district, a deep red district in the southwest corner of the state that includes Branson and Springfield. The district has been represented by a Republican since 1961. Voters there supported Donald Trump by a 70-25 percent margin over Hillary Clinton. Trump’s margin there was larger than that of any Republican presidential candidate this century. Long won both the 2016 primary and general election with more than 60 percent of the vote.

The conservative nature of Long’s district makes it all the more surprising that he would not be on board the Obamacare replacement effort. According to a statement by Long in Politico, it came down to how the Republican bill dealt with pre-existing conditions.

“I have always stated that one of the few good things about Obamacare is that people with pre-existing conditions would be covered,” Long said. “The MacArthur amendment strips away any guarantee that pre-existing conditions would be covered and affordable.”

The MacArthur amendment is a compromise reached between Rep. Tom MacArthur (R-N.J.) and Freedom Caucus Chairman Mark Meadows (R-N.C.). The amendment would allow states to seek waivers for several provisions of Obamacare such as benefits that are required to be covered under the law and the ban on allowing companies to charge more based on a person’s health history.

MacArthur told CNN that the plan would protect people with pre-existing conditions while giving states more flexibility. “We need to protect the most vulnerable people in the current plan. These are people with pre-existing conditions,” he said. “We want to make sure they are protected. Secondly, we have to give the states flexibility to bring premiums down for everyone else.”

Long’s opposition to the amendment underscores the difficulty that Republican leaders have in finding a balance between moderate and conservative viewpoints on healthcare. Like Long, even many Republican voters who have favor repeal of Obamacare find parts of the law attractive.

One of the most popular aspects of the health law is the provision that requires insurance companies to cover people with pre-existing conditions. A CNN/ORC poll from March found that 87 percent of voters favor “maintaining the protections offered to people with pre-existing conditions under Obamacare.” The numbers are unchanged across the political spectrum with 87 percent of Republicans and 85 percent of conservatives agreeing with the statement.

Such overwhelming opposition explains why so many Republican congressmen are reluctant to get on board with conservative plans to eliminate the requirement to cover pre-existing conditions. With a lifetime American Conservative Union rating of 91 percent, Long is no moderate or squish. A member of the House of Representatives since 2011, Long has undoubtedly learned to listen to constituents and is most likely hearing from many of them that they want pre-existing conditions covered.

The economic difficulty is that there is no free lunch. If pre-existing conditions are covered, many people won’t buy health insurance until they get sick. If people only buy insurance when they are sick, the cost of coverage goes up.

The Republican difficulty is that the free market position held by many conservatives is that the government should not mandate that insurance companies cover pre-existing conditions. This conflicts with the popular opinion of voters that people with pre-existing conditions should not be denied health insurance. The conflict has caused a schism in the party between those, often from safe Republican districts, who favor free market policies and those who are listening to the majority of voters.

There is also a time factor. Republicans lack the 60-vote majority in the Senate to avoid a filibuster so they are relying on the budget reconciliation process to pass their health care reform. If they cannot get agreement on health care, the budget reconciliation opportunity will vanish for another year.

The conundrum is similar to the one that Democrats faced in 2010 when they passed the Affordable Care Act. Poll after poll showed that voters opposed the Democrat version of health care reform. A CNN/Opinion Research poll taken just before the bill’s passage found that 59 percent opposed Obamacare. Democrats forged ahead against public opinion and paid for their arrogance with the loss of the House, the Senate and ultimately the White House.


The lesson is one that Republicans should take to heart. An election victory is not a blank check from the voters. If Republicans force an unpopular policy on the country, they may well find themselves punished by voters in 2018 and beyond. The defection of conservatives like Billy Long may be a bellwether of a rising public anger that could endanger the Republican majority.

Originally published by The Resurgent