Monday, May 6, 2013

Obamacare Is Raising Healthcare Costs, Not Lowering Them

No one really knows how much Obamacare is going to cost the American government or the American people. All we really know for certain, something that a number of public and private econometric studies have backed up, is that it will be more expensive than the president led us to believe it would be.

There are efforts underway to establish the true costs, or at least to help the American people understand what the out-of-pockets expense will be for them. In early February the House Ways and Means Committee started a website, Obamacare Burden Tracker  as a real-time resource to "help the public keep track of all of the new government mandates, rules, and red tape" resulting from the new healthcare law.

They're not the only ones. A group called SHOUTAmerica, a nonprofit group founded to "educate young Americans about healthcare and serve as a resource so that all are better equipped to navigate the system and the challenges it faces" has created Young Americans for Affordable Healthcare, a web-based group intended to help younger workers understand what the costs of Obamacare are to them.

[See a collection of political cartoons on healthcare.]

The principle feature of the Young Americans site is a calculator allowing users to plug in a few simple numbers like age and zip code and come up with an estimated change in their health insurance costs for 2014. The data it uses comes from the well-respected firm Oliver Wyman, a leading international management consulting firm that is part of Marsh and McLennan.

The numbers take into into account the federal subsidies available to purchase health insurance coverage based upon income, Medicaid eligibility, taxes and fees, new age rating rules and other insurance market reforms, essential health benefits, the transitional reinsurance program, and other factors that will have an impact on premiums under the terms of the Patient Protection and Affordable Care Act.

While the calculator uses national averages, meaning actual results may be slightly different from those shown, it nonetheless is a useful tool for developing a clear understanding of just what Obamacare will do to the costs of insurance for those, especially young workers, who are not part of a group plan and are buying insurance individually. And the picture is not a pretty one.

[Read the U.S. News Debate: Should Congress Repeal the Affordable Care Act?]

The idea behind Obamacare was that it was supposed to bend the healthcare cost curve downward while allowing people to keep the doctors and insurance they already had. It was sold to the American people as a salve for rising costs that would help those who did not have insurance while inconveniencing hardly at all those who did. The reality as we already know it to be is starkly different. Costs are projected to go up, the number of people who have already lost their insurance has risen precipitously, and states are already beginning to warn they are facing a shortage of qualified doctors and other medical personnel and may not be able to keep up with future demand.

To put it simply, the American people were sold a pig in a poke. If "repeal and replace" is no longer an option—and let us hope that is not at all the case—then Congress must take the lead on reforming the mess as it considers how to fund the implementation of the new law over the next two years.


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Fed Chairman: Unemployment To Remain Above 6 Percent For Three More Years

Unemployment is likely to remain above 6 percent for at least three more years, Federal Reserve Chairman Ben Bernanke said during testimony in front of the House Financial Services Committee today. Responding to questions from Rep. Michael Fitzpatrick (R-PA), Bernanke said a “reasonable guess” for when unemployment will finally come down to 6 percent is 2016:

FITZPATRICK: The Fed has indicated it believes long-term unemployment rates will settle at around 5.2 percent or 6 percent.

BERNANKE: That’s our best guess.

FITZPATRICK: An understanding I heard your testimony earlier about predicting the future. When would you say we might get to around 6 percent? And also, the American people, they believe natural unemployment is actually much lower than that given what we experienced in the 1990s. Maybe your suggestion as to how we address that expectation.

BERNANKE: Again, it’s hard to predict. But a reasonable guess for 6 percent would be around 2016.

Watch it:

That unemployment remains high and will continue to do so for at least three more years would seem yet another argument against sequestration, the automatic budget cuts that will begin taking effect Friday. Indeed, Bernanke was outspoken in his opposition to further fiscal contraction during his testimony, repeatedly saying the budget cuts could damage the economic recovery and that the Federal Reserve, which has been acting to stimulate the economy through monetary means for months, could use help from Congress.

Instead of offering that help, Congress remains focused on deficit reduction, even as evidence mounts that the only spending problem America has right now is that the government isn’t spending enough. But Republicans have repeatedly blocked efforts to further stimulate the economy, choosing instead to push spending cuts that have held back the recovery. The looming round of cuts will only make that worse: the Congressional Budget Office projects that sequestration will knock 0.6 percentage point off economic growth while resulting in the loss of more than 700,000 jobs.


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Indiana GOP Moves Closer To Mandating Invasive Ultrasounds For Women Taking The Abortion Pill

The Indiana senate advanced a measure on Tuesday to require all women to undergo an unnecessary, and potentially invasive, ultrasound procedure before taking the RU-486 abortion pill.

The original version of the bill actually mandated two tranvaginal ultrasounds — before and after women took the pill. Yesterday, before the Senate vote, GOP lawmakers agreed to remove the second ultrasound requirement to ensure the legislation’s passage. Their efforts were successful. Despite bipartisan opposition as four Republican state senators broke from the rest of their party to oppose SB 371, the measure will now advance to the GOP-controlled House:

The bill passed on a 33-16 vote despite a chorus of complaints from opponents who said it’s a step too far into doctors’’offices without improving their patients’ health.

“This bill is not about patient safety. It’s about patient harassment,” said Sen. Vaneta Becker of Evansville, who was one of only four of the Senate’s 37 Republicans to join the 12 Democrats who opposed the bill.

Now, Senate Bill 371 heads to the House, where Republican Speaker Brian Bosma of Indianapolis said he expects it to win passage as well — perhaps after some changes.

And this legislation has another anti-choice provision tucked into it, too. SB 371 also seeks to over-regulate abortion providers — requiring health clinics that prescribe the abortion pill to adhere to all of the same standards as surgical clinics, even though medication abortions are not surgical procedures — which threatens to shut down a Planned Parenthood clinic in the state.

“This bill is directly targeted to Planned Parenthood in Lafayette,” state Sen. Becker (R) pointed out in the debate on the floor. “When you do this, you’re not doing anything that will improve the health and safety of low-income women in the state of Indiana. All you’re doing is forcing them to go other ways — in particular, to the Internet — to get this same particular drug that you’re talking about regulating.”


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President Obama Announces More Key Administration Posts

The White House

Office of the Press Secretary

WASHINGTON, DC – Today, President Barack Obama announced his intent to nominate the following individuals to key Administration posts:

• Jannette L. Dates – Member, Board of Directors of the Corporation for Public Broadcasting
• Geoffrey R. Pyatt - Ambassador to Ukraine, Department of State

President Obama also announced his intent to appoint the following individuals to key Administration posts:

• Teresa Isabel Leger – Member, Advisory Council on Historic Preservation
• Stephen L. Mayo – Member, National Science Board, National Science Foundation

President Obama said, “These dedicated and accomplished individuals will be valued additions to my Administration as we tackle the important challenges facing America. I look forward to working with them in the months and years ahead.”

President Obama announced his intent to nominate the following individuals to key Administration posts:

Dr. Jannette L. Dates, Nominee for Member, Board of Directors of the Corporation for Public Broadcasting
Dr. Jannette L. Dates was Dean of the Howard University School of Communications from 1993 to 2012.  Previously, she served as Associate Dean from 1987 to 1993, having first joined the University as an Assistant Professor in 1981.  From 1993 to 1998, she was a guest speaker on the National Public Radio shows, All Things Considered and On the Media.  From 1992 to 1993, she was a Freedom Forum Media Studies Center Fellow at Columbia University, and from 1979 to 1989, she was a panelist on Square Off.  Dr. Dates was an anchor and executive producer for the series The Negro in U.S. History from 1973 to 1974, and co-anchor on the weekly radio program North Star from 1972 to 1973.  She served as a member of the Baltimore Mayor’s Cable Communication Commission from 1988 to 1994. Dr. Dates received a B.S. from Coppin State College, an M.Ed. from the Johns Hopkins University, and a Ph.D. from the University of Maryland, College Park.

Geoffrey R. Pyatt, Nominee for Ambassador to Ukraine, Department of State
Geoffrey R. Pyatt, a career member of the Senior Foreign Service, serves as Principal Deputy Assistant Secretary of State for the Bureau of South and Central Asian Affairs.  From 2007 to 2010, he was Deputy Chief of Mission at the U.S. Mission to the International Atomic Energy Agency and International Organizations in Vienna.  Prior to that, from 2002 to 2007, Mr. Pyatt served at the U.S. Embassy in New Delhi, first as Minister Counselor for Political Affairs and then as Deputy Chief of Mission.  Before his assignment in New Delhi, Mr. Pyatt was an Economic Officer at the U.S. Consulate General in Hong Kong from 1999 to 2002 and a Principal Officer of the U.S. Consulate in Lahore, Pakistan from 1997 to 1999.  In Washington, his assignments included Director for Latin America on the National Security Council staff (1996-1997) and Special Assistant to the Deputy Secretary of State (1995-1996).  Mr. Pyatt received a B.A. from the University of California, Irvine and an M.A. from Yale University.

President Obama announced his intent to appoint the following individuals to key Administration posts:

Teresa Isabel Leger, Appointee for Member, Advisory Council on Historic Preservation
Teresa Isabel Leger is a partner at Nordhaus Law Firm in Santa Fe, New Mexico, where she has worked since 1989. Ms. Leger also serves as General Counsel to several Native American Tribes, including the Pueblos of Laguna, Santa Ana, and Santo Domingo.  Previously, she clerked for the U.S. District Court for the Northern District of California from 1987 to 1989.  She is a member of the Historic Marker Selection Committee of the New Mexico International Women’s Forum Chapter, and is President of Homewise.  Ms. Leger has served on the American Bar Association Commission on Women in the Profession, Vice Chair of the Mexican American Legal Defense and Education Fund, and was a White House Fellow in 1995.  She received a B.A. from Yale University and a J.D. from Stanford Law School.

Dr. Stephen L. Mayo, Appointee for Member, National Science Board, National Science Foundation
Dr. Stephen L. Mayo is Chair of the Division of Biology and Bren Professor of Biology and Chemistry at the California Institute of Technology (Caltech).  He has been a member of the Caltech faculty since 1992, and in 2012, he was named the William K. Bowes Jr. Foundation Division Chair.  He served as Caltech’s Vice Provost for Research from 2007 to 2010.  He has served on the Board of Directors for the American Association for the Advancement of Science since 2010.  He was elected a member of the National Academy of Sciences in 2004 and awarded the Johnson Foundation Prize for Innovative Research in Structural Biology in 1997.  Dr. Mayo received a B.S. from Pennsylvania State University and a Ph.D. from Caltech.

Extending Middle Class Tax Cuts

Rosa Parks has a Permanent Place in the U.S. Capitol

President Obama is on hand for the unveiling of the new Rosa Parks statue in the U.S. Capitol

February 27, 2013 12:00 PM EST

To mark African American History Month, as well as the 150th anniversary of the year the Emancipation Proclamation, we talked with White House Curator Bill Allman about a painting called Watch Meeting--Dec. 31st 1862--Waiting for the Hour that hangs near the Oval Office in the West Wing.

President Obama Calls for a Responsible Approach to Deficit Reduction

President Obama strongly believes we need to replace the arbitrary cuts known as the sequester with balanced deficit reduction, and today he was at a shipyard in Newport News, VA to talk about what failing to do so will mean for middle class families.

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UPDATE 1-FDA halts trials of Amgen drug in children, cites death

* FDA does not know if Sensipar had role in patient death

* Drug approved for adults to remove calcium from blood

Feb 26 (Reuters) - The U.S. Food and Drug Administration said on Tuesday it has stopped all pediatric clinical trials of Amgen Inc's Sensipar after the death of a 14-year-old patient taking part in a study of the drug.

Sensipar, which is approved for adults, is used to lower dangerously high calcium levels in the blood.

The agency said it was collecting information on the circumstances of the teenager's death. It said it does not know if the Amgen drug had any role in the death.

"This communication is intended to inform health care professionals that we are evaluating the information and will communicate our final conclusions and recommendations when our review is complete," the FDA said in a statement posted on its website.

Amgen, the world's largest biotechnology company, said it had sent a letter last week to healthcare providers alerting them to the trials' halt and the patient death.

"Amgen is working as rapidly as possible to understand the circumstances of what happened. This analysis is ongoing and will be concluded as quickly as possible," the company said in a statement.

Sensipar works by decreasing the release of parathyroid hormone from the parathyroid gland to lower calcium levels in the blood. High levels of calcium in the blood can lead to serious health problems.

Sensipar, which had worldwide sales of $950 million in 2012, is approved to treat adults 18 and over. The trials were being conducted to determine the safety and efficacy of the drug in younger patients.

Drugmakers also often conduct pediatric trials because they are rewarded with an additional six months of patent protection for testing medicines in children.


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STUDY: Same-Sex Parents Are Prevalent, Ethnically Diverse, And Struggling Economically

A new report from the Williams Institute paints a compelling picture of the nation’s same-sex couples, as well as the LGBT people in general who have had children. Not only are they particular prevalent, but they are also ethnically diverse. Unfortunately, many are struggling economically, contrary to stereotype.

Here are some of the compelling new data points:

Over a third (37 percent) of LGBT-identified adults have had a child at some time in their lives.An estimated 3 million LGBT Americans have had a child and as many as 6 million Americans have an LGBT parent.Nearly half (48 percent) of all LGBT female couples and 20 percent of LGBT male couples under the age of 50 are raising children.More than 125,000 same-sex couple households (19 percent) are raising over 220,000 children under the age of 18.Same-sex couples who consider themselves to be spouses are twice as likely (31 percent) to be raising children compared to unmarried same-sex partners (14 percent).Same-sex couples are four times more likely to be raising adopted children compared to opposite-sex couples, raising more than 22,000 adopted children.About 39 percent of individuals in same-sex couples raising children are people of color (compared to 36 percent among opposite-sex couples).Half of all children living with same-sex couples are non-White (compared to 41 percent among opposite-sex couples.)Single LGBT adults raising children are three times more likely than similar non-LGBT people to report household incomes near the poverty threshold.Same-sex couples living in two-adult households with children are twice as likely to report household incomes near the poverty threshold compared to similar non-LGBT people.The median annual household income of same-sex couples with children is significantly lower than that of similar opposite-sex couples ($63,900 versus $74,000, respectively).

These results actually confirm that what conservatives claim about marriage applies to same-sex couples equally. Marriage is an important framework with key economic benefits that specifically support children. With helpful research like this made available, it’s becoming increasingly difficult for opponents of LGBT equality to claim that same-sex families are not already a significant reality.


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BRIEF-Aveo says FDA to review tivozanib for treatment of advanced renal cell carcinoma

Feb 27 (Reuters) - Aveo Pharmaceuticals Inc :

* Aveo and Astellas announce FDA advisory committee to review tivozanib for the treatment of advanced renal cell carcinoma

* Says FDA review of tivozanib NDA is expected to be complete by July 28, 2013

* U.S. FDA's oncologic drugs advisory committee will review NDA for tivozanib on may 2, 2013

* Source text * Further company coverage

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