A Cleared Bill of Health

Flickr/Robert F. W. Whitlock

There have been few more consequential years in the history of health care in America than 2012. This year saw disasters averted, new problems identified, and hope triumphing over despair. The biggest health-care news in 2012 was the dramatic and surprising decision by the Supreme Court in late June to uphold (for the most part) the Affordable Care Act (ACA). Chief Justice John Roberts shocked his Republican admirers by siding with the liberals on the Court to affirm the constitutionality of the law's individual mandate as a tax, though he also gave Republicans a way to fight back by saying the federal government couldn't force states to accept what is arguably the law's most significant feature: its dramatic expansion of Medicaid.

So, as the ACA began moving toward full implementation in January 2014, governors and legislators in Republican-dominated states did whatever they could to undermine its future success, or at the very least not contaminate themselves by contact with a law that has repulsive Obamaness all over it. One Republican state after another refused to set up a health-insurance exchange, leaving the task to the federal government. Most were probably doing their citizens a favor—if you lived in Mississippi, would you trust your Republican state government over Obama's Department of Health and Human Services to create an exchange that actually works?—but they were after the symbolism of the refusal, and at least their action won't limit anyone's access to an insurance exchange. The consequences will be more severe when it comes to the expansion of Medicaid, which many Republican states are also refusing. These states are already the stingiest with Medicaid benefits, and would rather leave their poor citizens with no health insurance than allow them to get that insurance (and all the benefits that the state would gain from an insured population) through Obamacare.

Speaking of which, Barack Obama himself finally embraced the term "Obamacare," though the public continued to be unaware of just how much they like the component parts of the law. Meanwhile, Republicans gave up on the "repeal and replace" strategy, probably because they didn't care enough about the issue to think of something to replace it with.

And of course, 2012 was a presidential election year, which guaranteed that the discussion around health care would be sober and substantive. Or perhaps not. Instead, the campaign revealed nothing so much as Republicans' conflicted relationship with government health care. After a primary campaign in which every Republican candidate pledged to repeal the ACA, the Obama campaign predictably attacked Mitt Romney and Paul Ryan for wanting to end Medicare as we know it. So Romney responded by hitting Obama for allegedly cutting $716 billion from Medicare, promising that he and Paul Ryan would be the true guardians of that single-payer insurance system. Their alleged commitment to the program didn't stop them from proposing to turn it into a voucher system, and, today, Republicans are hoping that Medicare cuts will be part of a deal to avert a fiscal disaster.

The campaign also brought us the revealing spectacle of candidates like Todd Akin and Richard Mourdock drawing on their deep knowledge of female anatomy to offer insights on rape and contraception. Though Akin and Mourdock both lost, reproductive rights are still under profound threat. This year also saw the revealing Sandra Fluke controversy, in which a woman who suggested that contraception coverage ought to be part of the health insurance women pay for was attacked by a mob of enraged conservative men appalled at the idea that women might control their sex lives. And that was only the most visible episode in a conservative campaign against contraception that finally came out of the closet in 2012.

Next year will be an important one for health care, as we see whether those Republican states come around on Medicaid, and the Department of Health and Human Services feverishly fills in the details on the implementation of Obamacare. But for now, the biggest battles—at the Supreme Court and the ballot box—are behind us.

Comments

Today the Federal Government is a third larger than it was during the Clinton Administration and growing by the day. Any fool who can count knows that kind of statism can't continue to exist. But then, there are a lot of fools who can't count as proven by the last election.

if you had any ideas yet about sound how you are going to increase opportunities interdisciplinary training well I am as you can tell mama among believer in interdisciplinary training and it's not so much I think that if people come together around tackling a really difficult but many exciting important problem that if you don't there's there that can be a very wouldn’t feel sometimes interdisciplinary efforts were it you know one department will have meetings with another partner and the start-up it can be very would whereas I’ve seen it in other settings where if it's about a particular problem two people excited about people come together and clearly bring their dismay trade with them you need that but un the boundaries sort of the battery very quickly.
GARCINIA CAMBOGIA SUPREME

so you know I think that that that’s the question this is that you can we take on some of these major problems together and then be very inviting entrance fee from all the other disciplines that's when I seen a protest let's putt that way what kind of artificially encourage things to happen to my friend Mexican my name is Lisa treat on I’m also recent Cambridge transplants and I put stock for Bryant park into a slim on imprinted first but other people arrested w two thirty five pm freshman seminar for next spring hotpot parties for global health un bustling as you can you relax president Dartmouth college on how do you envision your continued collaboration with partners in health and on the river towns hospital social medicine two great question you know the thing is I do then with partners in health for so longhand I was with partners enough when I was a de veto some might connection housing health will never.
http://garciniacambogiasupremeadvice.com/

What happened to " if you like your insurance you can keep it" "if you like your doctor you can keep them" and my favorite "this bill will cost less than a trillion dollars". These were little white lies told by some of the best liers in the whole wide world. Well we passed Obamacare now lets see whats in it....

Well, Brian, anyone who's been paying the slightest bit of attention knows what's in it -- and what's in it is no restriction whatsoever about what insurance you can have or what doctor you can have. You need to get you information from some source other than the right-wing feedback loop.

This was a really outstanding post. In theory I'd like to compose like this too - taking time and real effort to make a solid article...

Unless you're flush enough to jaunt the North American country to avoid the wait and pay, if you lived within the North American country, the probabilities area unit high, over one-in-ten, you'll not be ready to afford health care insurance or pay of pocket, associated therefore be denied access to doctors or hospitals till {you area unit|you're} thus sick hospitals are needed to envision you and treat you if they need an ER despite your ability to pay. http://www.muskelnaufbauen.org/

Hi Dax. Thanks for your comments. you have hit the nail on the top. It's regarding turning into additional aware and not beating ourselves up wherever we've to create compromises. We're not suggesting eco-fascism as a way of life choice! Our guides stay simply that: guides and not punishable offences. we have a tendency to had an honest laugh regarding "crying into a bucket" as we have a tendency to've had some angstful moments once obtaining home and reading the labels and beating ourselves up regarding what we obtain. the nice issue is that there's currently rather more awareness and a larger product vary than simply many years past.
About these problems being enclosed within the faculty information - completely agree. Some progress towards this is often being created by the likes of seed and Earthchild project. it might even be cool to possess organic town farms for youths to go to and learn from. http://www.musclezx90fr.org/

Hi. I did not receive emails when i used to be presupposed to, when I visited transfer my pic for week a combine of, it already had the week 3 update offered...is there the only manner i'll update week a combine of then week threes pic? Muscle zx90 will it build a distinction if I merely transfer week three and miss week 2s pic? will my entry still be valid? http://www.solpriadk.com/ http://mightyraspberryketonedanish.com/

Hi Dax. Thanks for your comments. you've got hit the nail on the highest. It's concerning turning into further aware and not beating ourselves up where we've to make compromises. We're not suggesting eco-fascism as how of life choice! Our guides keep merely that: guides and not punishable offences. we've got a bent to had associate honest laugh concerning "crying into a bucket" as we've got a bent to've had some angstful moments once getting home and reading the labels and beating ourselves up concerning what we have a tendency to acquire. the good issue is that there is presently rather additional awareness and a bigger product vary than merely a few years past. http://agceau.org/
http://www.usmuscleking.com/

This post has helped me to have another perspective. I am researching this topic for a paper I am writing. Your article provided me great insight of my topic.
ibiza rent villa

This post has helped me to have another perspective. I am researching this topic for a paper I am writing. Your article provided me great insight of my topic.
https://www.facebook.com/textyourexbackreview

You need to be logged in to comment.
(If there's one thing we know about comment trolls, it's that they're lazy)

Connect
, after login or registration your account will be connected.