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Obamacare’s Killer Burden on Nurses

Photo Credit: Getty Images

Photo Credit: Getty Images

The Affordable Care Act means more and sicker patients are entering hospitals, and less comprehensive and timely health care.

As the first enrollees in the Affordable Care Act begin seeking care at my hospital, I wonder how my practice as a Registered Nurse will change. We’re told the goal of the new law is to remodel healthcare in the United States into a system that promotes wellness and prevention, rather than just providing care to sick people. This seems like a great objective, but I worry that the switch may compromise the quality of the care our patients receive.

As a bedside RN working at an acute care hospital in Oakland, California, I care for an incredibly diverse patient population. Most of my patients have had health insurance through employer-based programs, private purchase, or Medi-Cal. Most have interacted with the health care system prior to being admitted to my hospital.

Now, I will take care of patients who are new to health care. Some haven’t had care in a long time (or ever). Some may have pre-existing conditions that enabled insurance companies to refuse them coverage. As they enter my care, their needs may be more complicated.

Last year, I cared for a patient who—like many patients covered through the ACA—hadn’t been to the doctor in years. She didn’t seek care until she was quite debilitated by Type 2 Diabetes.

Read more from this story HERE.

Own a Small Business? Brace for Obamacare Pain

Photo Credit: Thinkstock

Photo Credit: Thinkstock

Local business owners might be hoping the Affordable Care Act’s insurance mandates cover sticker shock.

The law’s employer coverage mandate doesn’t take effect until 2015, but early plan renewals are starting to roll in. And for some businesses, the premium jumps are positively painful.

Local insurance brokers are reporting spikes ranging from 35 percent to 120 percent on policies that renew from July to December. The increases are especially acute among employers with workforces made up of younger, healthier men. That’s because Obamacare prohibits offering lower rates to healthier groups. It also narrows the allowed premium gap between older and younger enrollees.

“It’s like if there were no more safe-driver discounts with State Farm,” said local insurance broker Frank Nolimal of Assurance Ltd. “Everybody has the same rate, whether you have three DUIs, or you’re a (nondrinking) churchgoing Mormon.”

The changes put as many as 90,000 policies across Nevada at risk of cancellation or nonrenewal this fall, said Las Vegas insurance broker William Wright, president of Chamber Insurance and Benefits. That’s more than three times the 25,000 enrollees affected in October, when Obamacare-compliant plans first hit the market.

Read more from this story HERE.

Obamacare’s Individual Mandate Effectively Delayed Another Month

Photo Credit: Brian Snyder, Reuters

Photo Credit: Brian Snyder, Reuters

In a classic Friday news dump, the Department for Health and Human Services has just effectively delayed the individual mandate in President Obama’s health care law for another month, until May 1.

This shift is the latest in a dizzying set of changes that have been made to the enforcement of a policy that the administration defended all the way to the U.S. Supreme Court.

Starting in 2014, individuals who did not purchase government approved insurance were supposed to be subject to a penalty of $95 or 1 percent of taxable income. Under the original sequence of events, individuals would have had until Feb. 15 to purchase insurance without being fined. Last October, HHS created a “hardship exemption” that pushed the deadline to March 31 to coincide with the end of the open enrollment period for individuals seeking insurance through the federal exchange.

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Contraception Mandate Turning into Abortion Mandate?

Photo Credit: Evan Vucci, AP

Photo Credit: Evan Vucci, AP

During a recent Supreme Court argument over the Affordable Care Act’s contraceptives mandate, Justice Anthony Kennedy cut to the heart of the government’s argument. “Under your view,” he told Solicitor General Donald Verrilli, “a for-profit corporation could be forced to pay for abortions.” After some verbal fumbling, Verrilli conceded: “you’re right.” But, he quickly added, there is nothing to fear because there “is no law like that on the books.”

Not yet.

Earlier this year, Washington State tried to be the first. HB 2148, Washington’s Reproductive Parity Act, would require any health plan that covers maternity care to cover elective, surgical abortions also. The bill is supported by a majority of the Washington legislature and the governor. It is stalled — for now — in the Senate Health Care Committee.

The reach of this abortion mandate would be extensive, because current federal laws require almost all insurance plans to cover maternity services. Washington State stands ready to require almost every business in the state to cover elective abortions.

Although HB 2148 cites an existing conscience clause in Washington law, it is immediately followed by another clause that seems to nullify it. How the two can be reconciled is unclear.

What is clear is that the federal government believes no for-profit corporation has an enforceable – or even cognizable – conscience objection to such a law. In his argument, Solicitor General Verrilli made it clear, repeatedly, that the government believes for-profit corporations do not have constitutional or statutory rights to protection of their religious exercise. The government seems to believe the same regarding religious nonprofit corporations. While grudgingly recognizing that churches are entitled to an “exemption” from the contraceptives mandate, HHS granted religious nonprofit corporations an “accommodation” instead.

Read more from this story HERE.

Rhetoric vs. Reality on Obamacare

Photo Credit: AFP / Nicholas KAMM

Photo Credit: AFP / Nicholas KAMM

President Barack Obama once again came out swinging in defense of his signature healthcare law.

Countless times since the rollout, and again last week, he proclaimed that Obamacare is working, called on Democrats to defend it, and chastised conservatives for their opposition that he believes is entirely political. But people should look beyond Obama’s rhetoric and consider reality – Obamacare is bad medicine for America.

The president’s definition of success is a curious one. More than six million cancelled plans, lost doctors, and higher costs aside, Obama is in essence celebrating the expansion of the welfare state. In order to get more people insured, it was not necessary to raise taxes, restrict choice, drive the debt up to $27 trillion, and make millions more people dependent on the government.

But that is precisely what Obamacare is doing. And President Obama insists that it is working as he intended.

But even beyond the negative consequences on the nation’s well-being, claiming victory from a practical sense is a stretch, to say the least. Obama “spiked the football” as he touted seven million enrollees, but there is still no clear estimate of how many of those seven million were previously uninsured and have actually paid a premium signifying they are covered. The president’s vague claim that “a sizeable part of the U.S. population” is enjoying health insurance for the first time remains completely unquantifiable.

Read more from this story HERE.

ObamaCare and Common Core – Both are Bad to the Bone

Photo Credit: Weekly Standard

Photo Credit: Weekly Standard

By Bruce Deitrick Price.

Medical insurance and public education might seem to be two different worlds with different problems. But the proposed solutions by the left were essentially the same. Here are ten descriptions that apply equally to ObamaCare and Common Core:

1) Huge federal power grab: The obvious result from both ObamaCare and Common Core is that Obama and his Czars get a bigger government to administer, more money to play with, more jobs for their loyal troops, and more control over people’s lives.

2) Unresponsive to popular demand.:ObamaCare and Common Core were massive, top-down interventions demanded by leftwing politics and ideology, not something the public asked for. Alleged problems were used as an excuse for adopting solutions that would grow government. The big question was, what can they get away with? (We see the same dynamics playing out in climate change.)

3) Incomprehensible by design: A sentence was not used if a paragraph could be concocted. Thousands of new requirements, regulations, laws, and standards were contained in dense verbiage that neither Congress nor the public would ever read and couldn’t understand if they did. Almost every paragraph includes expanded powers and hidden consequences. Citizens would be further reduced to a childlike dependence on bureaucrats.

4) Public excluded from legislative process. The complexity of the political process, plus the density of jargon and propaganda, ensured that John Q Citizen was ignored. These programs were passed by stealth, chicanery, arm-twisting, and bribes. The Cornhusker Kickback put ObamaCare over the top. Similarly, so-called stimulus money earmarked for shovel-ready jobs was used as grants (i.e. bribes) to persuade the states to embrace Race to the Top, a precursor of Common Core. The fix was in.

Read more from this story HERE.

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Photo Credit: Sara Caldwell / The Augusta Chronicle / ZUMAPRESS.com

Photo Credit: Sara Caldwell / The Augusta Chronicle / ZUMAPRESS.com

Pushback Continues: States Grow Increasingly Wary of Common Core

By Brittany Corona.

Common Core is on the ropes. More and more states are pulling back from the national standards as the 2014–15 school year implementation deadline looms near.

In Louisiana, Governor Bobby Jindal (R)—formerly a Common Core supporter—is now encouraging the legislature to remove the state from the Common Core aligned Partnership for Assessment of Readiness for Colleges and Careers (PARCC) test. And if they don’t act, he will.

Jindal’s new stance comes after eight members of the Louisiana State House of Representatives sent him a letter, informing him of his prerogative to opt out of the standards and encouraging him to do so. As The New Orleans Advocate reported:

Gov. Bobby Jindal said Monday that a gubernatorial order for the state to drop controversial Common Core tests is a ‘very viable option’ if state lawmakers fail to act. Jindal made the comment in response to a letter from eight House members who said the governor can opt the state out of the exams and should do that… ‘We believe you have the authority, as governor, under the 2010 PARCC memorandum of understanding, to opt out of the consortium,’ state Rep. Brett Geymann, (R–Lake Charles), and seven other legislators wrote.

Read more from this story HERE.

How Obamacare Could Kill Your Kids, and Their Kids Too

Photo Credit: Andrew Aliferis

Photo Credit: Andrew Aliferis

Success in the biotech industry is measured incrementally, not in big steps. It’s a cash-and-time intensive industry where success is painstaking, rare and, because of Obamacare and other regulatory burdens from the administration, likely to become even rarer, as the Valeant, Allergan battle shows.

According to Plunkett Research, Ltd in 2010 it cost $1.2 billion to develop each and every biologic drug. That’s because while the government currently tracks 124,932 trials for new drug application in 179 foreign countries, only a tiny fraction of those drugs will ever see the marketplace.

In the United States, for example, there were only about 114 FDA approvals for new drugs last year.That’s a success rate of 0.091256. If that were a batting average for a baseball player, it would belong to a player who would never see the minor leagues, yet alone the Biggies.

“That means that enormous fortunes are going to be made in the sector,” Jonathon Lach, CEO of BlueStar Capital Management, a biotech hedge fund headquartered in Westport, Connecticut told me in 2006. He pointed out, however, that the industry’s staggering failure rate makes some other long-odds stock market sectors look like safe bets in comparison. “Conversely, that means that enormous fortunes will also be lost in the sector.”

Read more from this story HERE.

John Cornyn Calls for Broad Probe into Obamacare Spending, Fundraising

Photo Credit: AP

Photo Credit: AP

Sen. John Cornyn, R-Texas, is calling for a broad investigation into spending and fundraising to help promote Obamacare after a report released Monday raised new questions about the White House’s involvement in persuading private entities to donate to the effort.

The Government Accountability Office, Congress’ investigative arm, released a report Monday on Health and Human Services Secretary Kathleen Sebelius’ fundraising on behalf of Enroll America, a nonprofit founded by former Obama campaign and White House staffers, to help boost enrollment in the federal exchanges.

When looking into the fundraising issue, the GAO interviewed a representative from the Robert Wood Johnson Foundation who said a White House aide during a discussion in 2012 sought a “significant contribution” for Enroll America and said other similar enrollment nonprofits would likely need $30 million to finance a national Obamacare promotional effort.

The White House stresses that the aide, identified only as the deputy assistant to the president for health policy, did not ask for a specific dollar donation and denies the mention of the need for $30 million to finance a private national Obamacare public-relations campaign.

Jeanne Lambrew has been serving in that position since March 2011, according to a report in the Washington Post.

Read more from this story HERE.

George Will: Yes, Obamacare Can Be Repealed

Photo Credit: Weekly Standard

Photo Credit: Weekly Standard

George Will: ‘The president says lots of debates are over because he is losing them’

By Jamie Weinstein.

Though President Obama declared last week that the debate on Obamacare is over, legendary conservative commentator George Will says otherwise.

The Daily Caller recently conducted an extensive interview with the Washington Post columnist on politics, culture and his new book, “A Nice Little Place on the North Side: Wrigley Field at One Hundred,” which TheDC will be featuring over the next several weeks.

“Of course [Obamacare] can be repealed,” Will explained in this segment of the interview. “Or it can be repealed piecemeal…

Read more from this story HERE.

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Photo Credit: Washington Examiner

Photo Credit: Washington Examiner

Obamacare’s healthcare.gov flagged in Heartbleed review

By Associated Press.

People who have accounts on the enrollment website for President Obama’s signature health care law are being told to change their passwords following an administration-wide review of the government’s vulnerability to the confounding Heartbleed Internet security flaw.

Senior administration officials said there is no indication that the healthcare.gov site has been compromised and the action is being taken out of an abundance of caution. The government’s Heartbleed review is ongoing, the officials said, and users of other websites may also be told to change their passwords in the coming days, including those with accounts on the popular WhiteHouse.gov petitions page.

The Heartbleed programming flaw has caused major security concerns across the Internet and affected a widely used encryption technology that was designed to protect online accounts. Major Internet services have been working to insulate themselves against the problem and are also recommending that users change their website passwords.

Officials said the administration was prioritizing its analysis of websites with heavy traffic and the most sensitive user information. A message that will be posted on the health care website starting Saturday reads: “While there’s no indication that any personal information has ever been at risk, we have taken steps to address Heartbleed issues and reset consumers’ passwords out of an abundance of caution.”

The health care website became a prime target for critics of the Obamacare law last fall when the opening of the insurance enrollment period revealed widespread flaws in the online system. Critics have also raised concerns about potential security vulnerabilities on a site where users input large amounts of personal data.

Read more from this story HERE.

Dem Congressman on Obamacare: The Worst Is Yet to Come (+video)

Photo Credit: YouTube

Photo Credit: YouTube

Massachusetts representative Stephen Lynch isn’t just worried about the negative impact Obamacare will have on his party’s performance this fall — he also thinks its worst effects on our health-care system are still to come. Lynch, who voted against the Affordable Care Act in 2010, warned that the situation is “going to hit the fan” when the law’s delayed provisions go into effect down the road.

“There are parts of Obamacare, or the Affordable Care Act, that were postponed because they are unpalatable,” he told the Boston Herald. The “Cadillac tax” that goes into effect in a few years and taxes employer health plans over a certain value, he said, will be “the first time in this country’s history that we have actually taxed health care.”

Read more from this story HERE.