Category Archive: Health care

Jul 22 2014

Two major conflicting rulings on Obamacare

In April, I wrote about a legal challenge to Obamacare in which opponents had argued that the text of the ACA law only allowed state health exchanges to provide subsidies for the health insurance premiums and that the federal government should not have been allowed to provide subsidies through its own exchanges in those states …

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Jul 22 2014

The Streisand Effect and Obamacare


Despite the debacle of the Obamacare website at its unveiling and the earnest efforts of the Republican party to derail it (anti-Obamacare groups outspent those in favor by a ratio of 15 to 1), the New England Journal of Medicine reports that 20 million people have enrolled in the plan. (The full report can be …

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Jul 21 2014

Medicaid expansion rejection bites back

The expansion of Medicaid health benefits to people who were too poor to be eligible for the health insurance subsidies was supposed to be an integral part of the Affordable Care Act. But the US Supreme Court ruled that it was an option that states could choose to accept or reject. And of course two-dozen …

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May 12 2014

How many will die due to rejecting Medicaid expansion?

We know that some Republican controlled states have refused the Medicaid expansion portion of Affordable Care Act even though the federal government will fully fund it for the first three years and then after that will pay for at least 95% of the cost. By any measure, accepting the expansion should have been a no-brainer …

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Apr 28 2014

Measuring cost-effectiveness of health care

There is always some rationing involved in providing any service and health care is no exception. In the US, rationing is largely determined by the ability to pay because the limitations are largely set by the for-profit health insurance companies. If you are rich and/or have good employer based health insurance coverage, you get more …

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Apr 10 2014

People who die due to lack of insurance

charlene dill

I have written about the unbelievable cruelty shown by those states that refused to expand Medicaid so that those people who are too poor to be covered by the subsidies offered by the Affordable Care Act could obtain health insurance anyway. As a result, we have the predicable result that some people are now dying …

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Apr 05 2014

How getting money from the government can be injurious

In order to bring suit against someone in court, the plaintiff has to show that they have ‘standing’, which means that they have suffered a fairly direct injury of some sort that the court can redress. In response to my post on the cases bought against Obamacare because of its use of federal subsidies in …

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Apr 04 2014

Another legal challenge to Obamacare

One of the key features of the highly complicated Affordable Care Act is the subsidy that is given to lower income people to enable them to afford to purchase health insurance. These subsidies are provided through both the state exchanges for those states that set them up and through the federal exchanges in those states …

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Apr 01 2014

Obamacare enrollment seem to exceed expectations

Despite a major effort at deception that involved outright lying by opponents of the Affordable Care Act that actively sought to dissuade people from getting health insurance that would save them from some catastrophic expenses due to illness, and despite the disastrous rollout that seemed to confirm people’s worst fears, it looks like the enrollment …

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Mar 31 2014

Affordable Care Act update

Today is the deadline to begin signing up for health insurance under the Affordable Care Act. Not unexpectedly, there has been a surge in enrollments in the days leading up to it and it seems possible that the enrollment target of 7 million, that had been seen as unreachable after the disastrous rollout, may actually …

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