Bernie Sanders Answers Questions And NBC Advises Not To Count Him Out

Bernie Sanders facebook

Bernie Sanders will be holding a rally in Vermont to kick off his campaign tonight. Sanders answered ten questions from MSNBC–almost as many questions Hillary Clinton has answered in her entire campaign to date. Some excerpts, which show that while on the left of our political spectrum, he is still not out to destroy our market system as conservatives are bound to claim.

HARWOOD: In the latter part of the 20th century, Ronald Reagan came along and there was a big pivot in our politics. It revolves around the idea that we need less government and more market forces. Do you think that basic pivot was wrong?

SANDERS: Let me answer it this way, John. I think there is obviously an enormously important role for the free market and for entrepreneurial activity. I worry how free the free market is. In sector after sector, you have a small number of companies controlling a large part of the sector.

Certainly, in my view, the major banks should be broken up. We want entrepreneurs and private businesses to create wealth. No problem. But what we’re living in now is what I would call—what Pope Francis calls—a casino-type capitalism, which is out of control, where the people on top have lost any sense of responsibility for the rest of the society. Where it’s just “It’s all me. It’s all me. And to heck with anybody else.” I want to see the result of that wealth go to the broad middle class of this country and not just to a handful of people.

HARWOOD: If the changes that you envision in tax policy, in finance, breaking up the banks, were to result in a more equitable distribution of income, but less economic growth, is that trade-off worth making?

SANDERS: Yes. If 99 percent of all the new income goes to the top 1 percent, you could triple it, it wouldn’t matter much to the average middle class person. The whole size of the economy and the GDP doesn’t matter if people continue to work longer hours for low wages and you have 45 million people living in poverty. You can’t just continue growth for the sake of growth in a world in which we are struggling with climate change and all kinds of environmental problems. All right? You don’t necessarily need a choice of 23 underarm spray deodorants or of 18 different pairs of sneakers when children are hungry in this country. I don’t think the media appreciates the kind of stress that ordinary Americans are working on. People scared to death about what happens tomorrow. Half the people in America have less than $10,000 in savings. How do you like that? That means you have an automobile accident, you have an illness, you’re broke. How do you retire if you have less than $10,000, and you don’t have much in the way of Social Security?

HARWOOD: It came out in disclosure forms the other day that Hillary Clinton and Bill Clinton, in the last 16 months, have made $30 million. [More on their disclosure here.] .What does that kind of money do to a politician’s perspective on the struggles you were just talking about? Does it make it difficult for recipients of that kind of income to take on the system?

SANDERS: Well, theoretically, you could be a multibillionaire and, in fact, be very concerned about the issues of working people. Theoretically, that’s true.

I think sometimes what can happen is that—it’s not just the Clintons—when you hustle money like that, you don’t sit in restaurants like this. You sit in restaurants where you’re spending—I don’t know what they spend—hundreds of dollars for dinner and so forth. That’s the world that you’re accustomed to, and that’s the world view that you adopt. You’re not worrying about a kid three blocks away from here whose mom can’t afford to feed him. So yes, I think that can isolate you—that type of wealth has the potential to isolate you from the reality of the world.

HARWOOD: I read an interview that you did about the corporate media. And you said the corporate media was reluctant to call out people for lying in public debates. You’re on corporate media right now. Who’s lying in our politics?

SANDERS: I’m the ranking member of the Budget Committee, OK? Leader of the opposition. The Republican budget does the following: It throws 27 million people off of health care by ending the Affordable Care Act and cutting Medicaid by $440 billion. Have you seen that in print? Have you seen that statement? There is a reality that goes on here. And you have many people who try to be, “Oh, I’ve got to be even-handed here and even-handed there. You got the Koch Brothers there, Bernie Sanders there.” That’s nonsense. And I think a lot of right-wing people get away with murder because the media doesn’t call them out on it.

Elsewhere at NBC, Steve Kornacki advised not to count Bernie Sanders out, although he was writing more in terms of Sanders winning enough delegates to shape the platform. That is hardly a satisfactory outcome if it still means Clinton wins the nomination. It is not as if a more liberal platform has any real bearing on what she will do if elected.

First Read has a slightly different, and more desirable, take:

For political historians out there, think of Sanders as a potential Eugene McCarthy. McCarthy’s ability to gain traction against LBJ drove LBJ out in 1968 and sparked more Dems to run. If Sanders gets enough traction to actually knock off Clinton in an early state, then Katie bar the door.

The closest political analogy would be the sitting Vice President winning on to win the nomination as Hubert Humphrey did in 1968. While Joe Biden is not my first choice, he would be far preferable to Clinton. He spent four years opposing Clinton’s more interventionist views when she was Secretary of State, and it was Biden who pushed Obama into announcing support for same-sex marriage. Knocking out Clinton could also result in other more liberal Democrats entering the race. Martin O’Malley, who will be announcing his candidacy later this week, is certainly seeing such a scenario as opening the way for him to win the nomination. I also wouldn’t rule out the chances of Sanders himself winning.

Update: Text of Sander’s speech here.

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What Bernie Sanders Believes

Bernie Sanders

Bernie Sanders has become the first to officially announce his plans to run against Hillary Clinton for the Democratic nomination. The conventional wisdom is that he has no chance to win (a type of prediction which I fear the media helps become true) but will move the conversation to the left. Unlike most politicians, Sanders’ views have remained quite consistent, making it a good bet that looking at his past statements will give a good idea of what he will be talking about while campaigning.

Common Dreams has a lengthy article on Sanders. This includes, “In December of last year, Sanders put forth what he called an Economic Agenda for America, a 12-point plan”

  1. Invest in our crumbling infrastructure with a major program to create jobs by rebuilding roads, bridges, water systems, waste water plants, airports, railroads and schools.
  2. Transform energy systems away from fossil fuels to create jobs while beginning to reverse global warming and make the planet habitable for future generations.
  3. Develop new economic models to support workers in the United States instead of giving tax breaks to corporations which ship jobs to low-wage countries overseas.
  4. Make it easier for workers to join unions and bargain for higher wages and benefits.
  5. Raise the federal minimum wage from $7.25 an hour so no one who works 40 hours a week will live in poverty.
  6. Provide equal pay for women workers who now make 78 percent of what male counterparts make.
  7. Reform trade policies that have shuttered more than 60,000 factories and cost more than 4.9 million decent-paying manufacturing jobs.
  8. Make college affordable and provide affordable child care to restore America’s competitive edge compared to other nations.
  9. Break up big banks. The six largest banks now have assets equivalent to 61 percent of our gross domestic product, over $9.8 trillion. They underwrite more than half the mortgages in the country and issue more than two-thirds of all credit cards.
  10. Join the rest of the industrialized world with a Medicare-for-all health care system that provides better care at less cost.
  11. Expand Social Security, Medicare, Medicaid and nutrition programs.
  12. Reform the tax code based on wage earners’ ability to pay and eliminate loopholes that let profitable corporations stash profits overseas and pay no U.S. federal income taxes.

PBS Newshour has this information on his views, including additional links:

Campaign finance: Limit corporate and interest-group spending in campaigns.

Sanders proposes a Constitutional amendment that would effectively reverse the Supreme Court’s Citizen United ruling and ban corporations and nonprofits from unlimited campaign expenditures. The independent senator would also require disclosure of any organizations spending $10,000 or more on an election-related campaign.

Climate change: Charge companies for carbon emissions

Considered to be a “climate change hawk” and use some of the money raised to boost renewable energy technology.

Education: Two years free tuition at state colleges. Reform student loans.

Sanders would provide $18 billion to state governments to allow them to cut tuition at state colleges by 55 percent. And he would allow anyone paying off a student loan currently to refinance at a lower rate.

Federal Reserve and banks: Break up big banks. Open up the Fed.

Sanders would divide large banks into smaller entities and charge a new fee for high-risk investment practices, including credit default swaps. In addition, he believes the Federal Reserve is an opaque organization which gives too much support to large corporations. His pushed for a 2011 audit of the Fed and he would use the Fed to force banks into loaning more money to small businesses. Finally, he would ban financial industry executives from serving on the 12 regional boards of directors.

Guns: A mixed approach. No federal handgun waiting period. Some protection for gun manufacturers. Ban assault weapons.

In the House of Representatives, Sanders voted against the pro-gun-control Brady Bill, writing that he believes states, not the federal government, can handle waiting periods for handguns. Soon after, he voted yes for the 1994 Violent Crime Control and Law Enforcement Act that included an assault weapons ban. He has voted to ban some lawsuits against gun manufacturers and for the Manchin-Toomey legislation expanding federal background checks.

Health care: Change to single-payer government-provided health care

Sanders voted for the Affordable Care Act, but believes that the new health care law did not go far enough. Instead, he espouses a single-payer system in which the federal and state governments would provide health care to all Americans. Participating states would be required to set up their own single-payer system and a national oversight board would establish an overall budget.

Immigration: Offer path to citizenship. Waive some deportations now.

Sanders generally agrees with President Obama that most of the undocumented immigrants in the country now should be given a path to citizenship. He voted for the senate immigration bill in 2013, which would have increased border security and issued a provisional immigrant status to millions of undocumented residents once some significant security metrics had been met. In addition, Sanders has supported President Obama’s use of executive orders to waive deportation for some groups of immigrants, including those who were brought to the United States as children.

Taxes: Raise some taxes on the wealthy. Cut taxes for middle class.

The current ranking minority member on the Senate Budget Committee, Sanders would nearly double taxes on capital gains and dividends for the wealthiest two percent of Americans. In addition, this year Sanders asked President Obama to use executive action to close six tax deductions benefitting corporations and hedge funds. The Vermont senator would use some of the revenue gained from higher taxes on the rich to lower taxes for middle and lower class Americans.

Iraq, Islamic State and Afghanistan: Opposed the Iraq war. Calls for troop withdrawal as soon as possible.

A longtime anti-war activist, Sanders voted against the Iraq war resolution in 2002. He has regularly called for the U.S. to withdraw troops from Afghanistan and Iraq as soon as possible. Regarding the Islamic State, Sanders has said the U.S. should not lead the fight. In general, he believes the U.S. should focus less on international conflict and more on the domestic needs of the middle class.

Iran and Israel: Supports current talks with Iran. Critical of Israeli Prime Minister Benjamin Netanyahu.

In an interview with ABC News Sanders called the Clinton Foundation money, along with money from conservative sources, a very serious problem:

Sen. Bernie Sanders, I-Vermont, said he is concerned by the millions of dollars flowing into the Clinton Foundation at a time when he thinks money plays too strong a role in politics.

“It tells me what is a very serious problem,” Sanders said in an interview with ABC News’ Chief White House Correspondent Jonathan Karl. “It’s not just about Hillary Clinton or Bill Clinton. It is about a political system today that is dominated by big money. It’s about the Koch brothers being prepared to spend $900 million dollars in the coming election.

“So do I have concerns about the Clinton Foundation and that money? I do,” he added. “But I am concerned about Sheldon Adelson and his billions. I’m concerned about the Koch Brothers and their billions. We’re looking at a system where our democracy is being owned by a handful of billionaires.”

The issues in the above lists are primarily, but not exclusively, based on economic views. Sanders, as opposed to Clinton, also has a strong record of support for liberal positions on foreign policy and social issues. While it is inevitable that economic issues will dominate the campaign this year, I hope that during the course of the campaign more is said about both Clinton’s hawkish foreign policy views, along with her conservative cultural views.

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Good News In Polls On Obamacare, Obama, And The Economy

Kaiser Health Tracking Poll April 2015

There is some favorable news in a couple polls out today. A Kaiser Health Tracking Poll shows that the number who view the Affordable Care Act favorably or unfavorably is now evenly split, with 43 percent having a favorable view and 42 percent unfavorable. This remains within the margin of error and, while still lower than it should be considering how well the law has worked, is an improvement over previous polls. Last month 43 percent viewed the law unfavorably and 41 percent favorably. A year ag0 46 percent viewed Obamacare unfavorably compared to 38 percent favorably. As expected, there was a large partisan difference in these findings. The poll also showed that few people realize that implementation of the Affordable Care Act has cost less than originally estimated.

A CNN/ORC poll shows an improved approval rating for President Obama, along with increased optimism about the economy:

For the first time since May of 2013, more Americans polled say they have a positive impression of how Obama is handling the presidency than a negative one: 48% approve of the way Obama is handling his job, while 47% disapprove…

Obama’s numbers are on the rise at the same time the public gives the economy the highest ratings of his presidency.

The poll finds 52% describe the U.S. economy as very or somewhat good, while 48% call it very or somewhat poor. That marks the first time since Obama took office that significantly more people describe the economy as “good” than “poor,” and only the second time since then that a majority has described the nation’s economy as “good.”

…Likewise, the public’s outlook for the country’s economic future is remarkably positive. Sixty percent say they expect the economy to be in good shape a year from now, while just 38% say they think it will be in poor shape. That’s the most positive outlook since the height of the 2012 election campaign. Such campaigns typically boost optimism about the economy as people on both sides of the ideological divide believe their candidate will win and ultimately turn things around.

But outside of that campaign, the last time optimism about the economy reached 60% was in April 2009, about three months into Obama’s time in office.

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Marijuana, Needle Exchange Programs, And Clinton’s Cultural Conservatism

Clinton Marijuana

Following recent posts about Lincoln Chafee talking about running for the Democratic nomination I began looking to see if there are any other issues where the two have major differences besides Clinton’s support for the Iraq war, which he has been attacking Hillary Clinton on. which he has been attacking Hillary Clinton on. I was pleased to see that back in 2011 Chaffee called for a reclassification of medical marijuana from a Schedule I controlled substances, which puts states which have legalized medical marijuana at odds with federal laws.

Three years later, Martin O’Malley took this a step even further, signing a bill decriminalizing marijuana, while opposing outright legalization. Hillary Clinton, as would be expected from her overall cultural conservatism, has lagged behind the country, and the Democratic Party, on both legalization of marijuana and medical marijuana.

On a related issue, Clinton’s opposition to needle exchange programs, while certainly not a major issue, was also an early issue in the 2008 nomination battle which differentiated the political philosophies of Clinton from the more liberal Barack Obama. Martin O’Malley, who is also moving well to the left on economic issues, signed a bill allowing needle exchange in Maryland. Clinton and Obama also differed in 2008 on reforming sentencing for violation of drug laws. While Obama’s record on the drug war has certainly been mixed, I would hate to see a move further to the right under Clinton.

Clinton’s cultural conservatism and promotion of conservative causes has often been traced to her membership in The Fellowship while in the Senate. From Mother Jones in 2007:

Through all of her years in Washington, Clinton has been an active participant in conservative Bible study and prayer circles that are part of a secretive Capitol Hill group known as the Fellowship. Her collaborations with right-wingers such as Senator Sam Brownback (R-Kan.) and former Senator Rick Santorum (R-Pa.) grow in part from that connection…

That’s how it works: The Fellowship isn’t out to turn liberals into conservatives; rather, it convinces politicians they can transcend left and right with an ecumenical faith that rises above politics. Only the faith is always evangelical, and the politics always move rightward…These days, Clinton has graduated from the political wives’ group into what may be Coe’s most elite cell, the weekly Senate Prayer Breakfast. Though weighted Republican, the breakfast—regularly attended by about 40 members—is a bipartisan opportunity for politicians to burnish their reputations, giving Clinton the chance to profess her faith with men such as Brownback as well as the twin terrors of Oklahoma, James Inhofe and Tom Coburn, and, until recently, former Senator George Allen (R-Va.). Democrats in the group include Arkansas Senator Mark Pryor, who told us that the separation of church and state has gone too far; Joe Lieberman (I-Conn.) is also a regular.

Unlikely partnerships have become a Clinton trademark. Some are symbolic, such as her support for a ban on flag burning with Senator Bob Bennett (R-Utah) and funding for research on the dangers of video games with Brownback and Santorum. But Clinton has also joined the gop on legislation that redefines social justice issues in terms of conservative morality, such as an anti-human-trafficking law that withheld funding from groups working on the sex trade if they didn’t condemn prostitution in the proper terms. With Santorum, Clinton co-sponsored the Workplace Religious Freedom Act; she didn’t back off even after Republican senators such as Pennsylvania’s Arlen Specter pulled their names from the bill citing concerns that the measure would protect those refusing to perform key aspects of their jobs—say, pharmacists who won’t fill birth control prescriptions, or police officers who won’t guard abortion clinics.

Clinton has championed federal funding of faith-based social services, which she embraced years before George W. Bush did; Marci Hamilton, author of God vs. the Gavel, says that the Clintons’ approach to faith-based initiatives “set the stage for Bush.” Clinton has also long supported the Defense of Marriage Act, a measure that has become a purity test for any candidate wishing to avoid war with the Christian right…

The libertarian Cato Institute recently observed that Clinton is “adding the paternalistic agenda of the religious right to her old-fashioned liberal paternalism.” Clinton suggests as much herself in her 1996 book, It Takes a Village, where she writes approvingly of religious groups’ access to schools, lessons in Scripture, and “virtue” making a return to the classroom.

As noted in the above excerpt, Clinton’s affiliation with the religious right was seen in her support for the Workplace Religious Freedom Act , a bill introduced by Rick Santorum and opposed by the American Civil Liberties Union for promoting discrimination and reducing access to health care, along with her promotion of restrictions on video games and her introduction of a bill making flag burning a felony. Her social conservatism is also seen in her weak record on abortion rights, such as supporting parental notification laws and stigmatizing women who have abortions with the manner in which she calls for abortion to be “safe, legal and rare.”

(Links to additional material added on April 19)

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Hillary Clinton Begins Campaign Hiding From Press & Marco Rubio Jumps In

Clinton Announcement Video Screen Grab

Hillary Clinton has started her campaign, and is already hiding from the press. From The Los Angeles Times:

Hillary Rodham Clinton shocked nobody in the media when she announced that she was running for president on Sunday – but her next move took reporters by surprise.

Clinton didn’t get on a campaign plane and head to Iowa. Instead, she and a small group of staff piled into what the candidate calls the Scooby van. They are road-tripping it to Iowa. The press was not invited.

Peter Beinart at The Atlantic was far more impressed with Clinton’s video announcing her campaign than I was, but his article might not be doing her any favors. Beinart reminded readers of all the conservative imagery in previous Clinton announcements and her long history of cultural conservatism:

Here are some of the phrases that appeared in Hillary’s 2000 senate announcement: “voluntary uniform rating system for movies and films,” “welfare,” “more police on the streets,” “teacher testing in the face of boycotts,” “I don’t believe government is the solution to all our problems” and “parents, all parents, must be responsible.” The message was pure Clintonism, as developed when Bill ran the Democratic Leadership Council in the early 1990s: To deserve government help, people must be morally responsible. And it came naturally to a senate candidate who, although caricatured as a sixties radical, was better described, by a former White House aide, as “a very judgmental Methodist from the Midwest.”

In 1993, Hillary had declared herself “not comfortable” with distributing condoms in schools. In 1994, she had endorsed “three strikes and you’re out” laws that expanded prison sentences.

In 1996, she had backed Bill’s decision to sign the anti-gay Defense of Marriage Act. And in the 2000 senate campaign, she supported parental notification laws for children seeking abortions, a position that placed her to the right of her initial Republican challenger, Rudy Giuliani.

I agree with Beinart that this year’s video displayed more liberal imagery, but it was just imagery. Nothing was said about actual political positions or plans upon taking office. Until she shows evidence otherwise, and there is a long way to go, this video is not enough to believe that she has really changed. In many ways Hillary Clinton has remained the same Goldwater Girl she was in the 1960’s (except that Barry Goldwater was more socially liberal than Clinton, and not much more hawkish).

At Salon, (better known in the blogosphere as just Digby) warned about the Dangers of a Hillary Clinton campaign: The disastrous centrism she desperately needs to avoid.

Barack Obama says that he and Hillary are friends (she is likable enough after all) but he won’t automatically endorse her. After all, “there are other people who are friends of of the president” who still might run. This must make the Draft Biden movement happy. Joe Biden has never been my top choice for president, but I sure wouldn’t mind seeing him get into the race against Clinton. Biden spent the first four years of the Obama administration opposing Clinton’s hawkish views, and I would like to see this explored during the campaign. Plus Biden gets points for the manner in which he pushed Obama to “evolve” on gay marriage, and for coming to the rescue in the vice presidential debate in 2012 after Obama bombed in the first debate.

In addition to the conservatives already in the race from both major parties, another has joined them. The best thing about Marco Rubio entering the race is that he cannot run for reelection in Florida, increasing the chances the Democrats can pick up the seat. He is gambling everything on winning the presidency, and he might be optimistic over only trailing Clinton by three points in the latest Public Policy Polling survey.

Brian Beutler says that Marco Rubio Is the Most Disingenuous Republican Running for President. Considering who he is up against, that is quite an accomplishment. Rubio claims Hillary Clinton’s Ideas ‘Will Not Help Everyday Americans’. That can be debated, once Clinton says what her positions are, but it is a safe bet that at least Clinton’s ideas won’t screw everyday Americans as Rubio’s ideas would.

If the Republicans plan to continue to run against Obamacare, they got more bad news. Gallup has found that the uninsured rate has continued to drop since the Affordable Care Act was passed, now down to 11.9 percent. If you got insurance thanks to Obamacare, don’t forget to turn out to vote for whoever wins the Democratic nomination.

Many more candidates will still be entering the race. Bill Kristol asks, If They Get To Nominate Hillary Clinton, Why Don’t We Get To Nominate Dick Cheney? Ok Bill, go ahead and nominate Dick Cheney, and see how the Republicans do with that.

There are many more elections besides the presidential elections in 2016. A group of liberal donors is stepping up to counter all the money the Koch Brothers and other conservatives have been spending to help Republicans win in statehouses.

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Affordable Care Act Contributed To Saving Around 50,000 Lives

Washington Post Fact Checker Glenn Kessler is often very quick to give out those Pinocchios, often hitting Obama when statements have exceptions which go beyond what would be expected to be included in a political speech. Therefore I was pleased to see that he gave a rare Geppetto Checkmark for Obama’s statement on the 5th anniversary of The Affordable Care Act that the ACE is “a major reason why we’ve seen 50,000 fewer preventable patient deaths in hospitals.”

I agree with Kessler’s overall view that The Affordable Care act has contributed to a decrease in preventable deaths from factors such as drug reactions and pressure ulcers and that other factors, some pre-dating the ACA, were also important. As Kessler wrote:

But officials say there is also little question that the half-billion dollars in ACA funding sparked significantly greater cooperation among thousands of hospitals. On pressure ulcers and adverse drug reactions, “we already had practices that we knew had worked,” another official said, but the Partnership for Patients took it to the next level by involving thousands of hospitals in a concerted effort to promote those practices. The law also created the CMS Innovation Center, which tests new ideas at participating hospitals for delivering better service without increasing costs.

HHS reports say more than 70 percent of general acute care hospitals in the United States, representing over 80 percent of admissions, were part of the networks in 2012-2013. The study showed year after year gains in preventing patient deaths, with 35,000 coming in 2013 alone. (One caveat: The figure for 2013 is considered an “interim number,” with the final figure not available until June, 2015.)

The upward trajectory suggests tens of thousands in additional patient lives may have been saved since 2013.

The president’s statement could have been a bit more precisely worded to reflect some of the uncertainty in the estimate: “likely a major reason why we’ve seen an estimated 50,000 fewer preventable patient deaths in hospitals.”

But that’s a relatively minor quibble. The numbers might seem large, but the research seems solid, according to experts we consulted, and it is based on a review of an extensive database. The results likely reflect work that predated the ACA but at the same time the ACA has spurred even greater cooperation among hospitals. Since the president is using a figure more than a year old, it is likely understated — unless, of course, the interim number for 2013 turns out to be overstated. We will keep a watch on that.

But in the meantime, the president’s claim appears worthy of the elusive Geppetto Checkmark.

Plus these numbers don’t include lives saved due to people who would otherwise be uninsured now receiving insurance.

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Affordable Care Act Helping To Create Jobs

Among the benefits of the Affordable Care, beyond expanding health care coverage and lowering costs, has been to create more jobs. Bloomberg News reports:

More than 90 new health-care companies employing as many as 6,200 people have been created in the U.S. since Obamacare became law, a level of entrepreneurial activity that participants say may be unprecedented for the industry.

Zenefits, which provides human-resources software and acts as a health-insurance broker for small employers, wouldn’t exist without the law, said Parker Conrad, the firm’s chief executive officer. Since the Affordable Care Act’s inception in April 2013, the San Francisco-based company has grown to more than 900 employees. That makes it the largest firm among dozens that have sprouted in the law’s wake, according to PricewaterhouseCoopers, which issued a report on the trend this week.

The health law, which took full effect in 2014, represents the most dramatic change to the U.S. health system in 50 years. Entrepreneurs, including some from within President Barack Obama’s administration, have founded companies that target employers, health insurers, hospitals, doctors and consumers looking to navigate new requirements and possibilities.

The article discussed this further. It also debunked the Republican claims that the law would be a jobs killer, as PolitiFact also did recently.

The Affordable Care Act can also increase jobs another way. By freeing people to leave their current jobs with large companies without fear of losing insurance coverage, more people can leave to create new companies.

Despite the many benefits of the Affordable Care Act, large numbers of people remain misinformed. Sara Kliff reviewed this at Vox, noting common misconceptions persisting about the cost of the law,many incorrectly believing that illegial immigrants can obtain coverage, and many still believing that there are death panels.

Update: The latest to benefit from Obamacare–Ted Cruz

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PolitiFact Shows Facts On Health Care Reform, Debunking Republican Claims

PolitiFact has looked at the data available so far on the Affordable Care Act. They confirm what I’ve said in many posts on health care reform. ObamaCare is leading to more people being insured, lower costs, and a reduction in the deficit. The various Republican predictions of doom have failed to come about. The one area in which the law failed to meet expectations was the number of people covered due to Republican-controlled states which do not participate in the expanded Medicaid program. Thank-you Republicans for once again showing that you are the anti-life party.

Here is a summary of what PolitiFact has reported:

In 2010 it was projected that by 2019 32 million people would gain insurance, leaving 23 million uninsured (with the uninsured including illegal immigrants who, despite that email from your crazy Republican uncle, are not covered under ObamaCare.) It is now projected that by 2019 27 million will gain insurance, leaving 26 million uninsured. This is largely due to those not receiving access to the expanded Medicaid program in Republican-controlled states.

In 2010 it was predicted that the Affordable Care Act would decrease the deficit by $143 billion between 2010-19. In 2014 the projection was updated to reducing the deficit by $152 billion between 2015-24.

In 2010 the cost was projected to be $710 billion between 2015-19. The updated projection is $571 billion. The lower estimate is due to both reductions in health care costs and decreased spending on the expanded Medicaid program.

PolitiFact debunked that Republican claims that the Affordable Care Act is a jobs-killer.

PolitiFact debunked the Republican predictions of a death spiral in which premiums would become more expensive and younger, healthier people would not purchase insurance: “About 28 percent of customers during the 2014 enrollment period were ages 18 to 34. And there were 70 more insurance companies participating in the 2015 marketplaces than the previous year…”

PolitiFact debunked Republican predictions of increasing premiums, noting a decrease in health care spending. It is not clear to what degree this can be attributed to the Affordable Care Act versus other factors. One aspect that is not measurable is the way in which the culture in health care has changed since Obama began speaking about health care reform, leading health care professionals to utilize resources more economically.

The Affordable Care Act was introduced as incremental legislation which would both increase access to care and reduce costs. It was never expected to lead to universal coverage without further expansion of the plan. PoltiFact looked at those projected to remain uninsured:

Who makes up this group of persistently uninsured? About 30 percent are illegal immigrants, which the law specifically does not apply to. But about 40 to 45 percent are people who will choose not to purchase insurance offered to them either through the marketplaces or through an employer, in many cases because they still can’t afford it. The law exempts people from paying a penalty who have incomes so low they don’t file tax returns.

There is also a coverage gap unintended by those who wrote the law: People who live in states that didn’t accept Medicaid expansion. The law essentially required states to expand eligibility and agreed to pay 100 percent of the expansion for the first three years, declining to 90 percent in 2020 and beyond.

One goal for the future is to provide assistance for those denied care due to living in Republican-controlled states. Further review of the law is needed regarding the 40 to 45 percent who are projected to remain uninsured due to choosing not to purchase insurance offered through the exchanges or employers. Some people are not obtaining coverage due to believing false information spread by Republicans and this problem will hopefully decline as more people see the success of the law. Some were unaware of the tax penalties as they will not experience them until paying taxes due this April 15. This might provide further motivation to obtain insurance.

The biggest concern are those who remain unable to purchase insurance due to the cost. As I previously noted, eighty-three percent of enrollees qualified for subsidies in 2013. Those who qualified payed an average of $82 per month in premiums. Those obtaining Silver plans paid an average of $69 per month. Those not obtaining coverage due to the cost are probably people at the upper income range for receiving subsidies and not receiving sufficient subsidies to afford insurance, or those who just miss out on qualifying. This situation might be improved with further reductions in costs but expansion of the subsidies might be needed to get closer to universal coverage.

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CMS Announces Special Enrollment Period To Help Those Who Were Unaware Of Penalty

I recently discussed a flaw in the implementation of the Affordable Care Act in which people who were unaware of the penalties for failing to obtain health insurance might not become aware of this until April, after the closing of the open enrollment period. It would then have been too late for them to purchase insurance. Some Democratic members of Congress were urging the Obama administration to extend open enrollment. Today they have announced a special enrollment period from March 15 until April 30. There are also a number of events, such as loss of coverage, which allow individuals to purchase insurance outside of the usual open enrollment period. Following is the release from CMS:

The Centers for Medicare & Medicaid Services (CMS) announced today a special enrollment period (SEP) for individuals and families who did not have health coverage in 2014 and are subject to the fee or “shared responsibility payment” when they file their 2014 taxes in states which use the Federally-facilitated Marketplaces (FFM). This special enrollment period will allow those individuals and families who were unaware or didn’t understand the implications of this new requirement to enroll in 2015 health insurance coverage through the FFM.

For those who were unaware or didn’t understand the implications of the fee for not enrolling in coverage, CMS will provide consumers with an opportunity to purchase health insurance coverage from March 15 to April 30. If consumers do not purchase coverage for 2015 during this special enrollment period, they may have to pay a fee when they file their 2015 income taxes.

Those eligible for this special enrollment period live in states with a Federally-facilitated Marketplace and:

 Currently are not enrolled in coverage through the FFM for 2015,

  • Attest that when they filed their 2014 tax return they paid the fee for not having health coverage in 2014, and
  • Attest that they first became aware of, or understood the implications of, the Shared Responsibility Payment after the end of open enrollment (February 15, 2015) in connection with preparing their 2014 taxes.

The special enrollment period announced today will begin on March 15, 2015 and end at 11:59 pm E.S.T. on April 30, 2015. If a consumer enrolls in coverage before the 15th of the month, coverage will be effective on the first day of the following month.

This year’s tax season is the first time individuals and families will be asked to provide basic information regarding their health coverage on their tax returns. Individuals who could not afford coverage or met other conditions may be eligible to receive an exemption for 2014. To help consumers who did not have insurance last year determine if they qualify for an exemption, CMS also launched a health coverage tax exemption tool today on HealthCare.gov and CuidadodeSalud.gov.

“We recognize that this is the first tax filing season where consumers may have to pay a fee or claim an exemption for not having health insurance coverage,” said CMS Administrator Marilyn Tavenner. “Our priority is to make sure consumers understand the new requirement to enroll in health coverage and to provide those who were not aware or did not understand the requirement with an opportunity to enroll in affordable coverage this year.”

Most taxpayers, about three quarters, will only need to check a box when they file their taxes to indicate that they had health coverage in 2014 through their employer, Medicare, Medicaid, veterans care or other qualified health coverage that qualifies as “minimum essential coverage.” The remaining taxpayers – about one-quarter – will take different steps. It is expected that 10 to 20 percent of taxpayers who were uninsured for all or part of 2014 will qualify for an exemption from the requirement to have coverage. A much smaller fraction of taxpayers, an estimated 2 to 4 percent, will pay a fee because they made a choice to not obtain coverage and are not eligible for an exemption.

Americans who do not qualify for an exemption and went without health coverage in 2014 will have to pay a fee – $95 per adult or 1 percent of their income, whichever is greater – when they file their taxes this year. The fee increases to $325 per adult or 2% of income for 2015. Individuals taking advantage of this special enrollment period will still owe a fee for the months they were uninsured and did not receive an exemption in 2014 and 2015. This special enrollment period is designed to allow such individuals the opportunity to get covered for the remainder of the year and avoid additional fees for 2015.

 The Administration is committed to providing the information and tools tax filers need to understand the new requirements. Part of this outreach effort involves coordinating efforts with nonprofit organizations and tax preparers who provide resources to consumers and offer on the ground support. If consumers have questions about their taxes, need to download forms, or want to learn more about the fee for not having insurance, they can find information and resources at www.HealthCare.gov/Taxes or www.IRS.gov. Consumers can also call the Marketplace Call Center at 1-800-318-2596. Consumers who need assistance filing their taxes can visit IRS.gov/VITA or IRS.gov/freefile

Consumers seeking to take advantage of the special enrollment period can find out if they are eligible by visiting https://www.healthcare.gov/get-coverage Consumers can find local help at: Localhelp.healthcare.gov or call the Federally-facilitated Marketplace Call Center at 1-800-318-2596. TTY users should call 1-855-889-4325. Assistance is available in 150 languages. The call is free.

 

For more information about Health Insurance Marketplaces, visit: www.healthcare.gov/marketplace

CMS Blog: http://blog.cms.gov/2015/02/20/what-consumers-need-to-know-about-corrected-form-1095-as/

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Bloomberg News Shows That Obamacare Is Not A Job-Killer As Republicans Claim

I’ve discussed many times, most recently yesterday, how the conservative arguments against the Affordable Care Act don’t hold up. Their predictions of doom have also consistently failed to come about. Bloomberg News looked at the effect of Obamacare on corporate profits, finding only a small effect, debunking the conservative claims that Obamacare is a job killer. It also helps that one of the benefits of the Affordable Care Act has a lower increase in premiums than has been seen in the past:

The biggest entitlement legislation in a generation is causing barely a ripple in corporate America.

The Patient Protection and Affordable Care Act — otherwise known as Obamacare — is putting such a small dent in the profits of U.S. companies that many refer to its impact as “not material” or “not significant,” according to a Bloomberg review of conference-call transcripts and interviews with major U.S. employers.

That’s even after a provision went into effect this year requiring companies with 50 or more full-time workers to provide coverage, and after more workers are choosing to enroll in existing company coverage because of another requirement that all Americans get insured.

“It’s just part of doing business,” said Bob Shearer, chief financial officer of VF Corp., which owns the North Face and Vans apparel brands. “Obamacare has added costs, but not so much that we felt we had to talk about it specifically.”

The collective shrug from the nation’s biggest employers undermines the arguments of Republicans, who call the law a job-killer as they seek its repeal.

While U.S. health-care costs continued to rise faster than inflation in the five years since the law was passed, their rate of growth has slowed. Employers spent an average of $11,204 per worker for health benefits in 2014, up 4.6 percent from a year earlier, according to Mercer LLC. That growth rate was 6.1 percent or more each year from 1998 to 2011.

Enrollment in insurance policies purchased on the exchanges has also beaten expectations. The Hill reports, “The administration announced on Tuesday that 11.4 million people had signed up ahead of Sunday’s deadline, a figure that puts the administration on track to beat its goal of 9.1 million enrollees. Republicans have been largely silent on the numbers.”

Taken together, these two reports are further evidence that the Affordable Care Act is helping to both increase the number of people insured and restrain health care costs.

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