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State That Supports Obamacare Will Delay Access To Some

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By Sharon Begley
NEW YORK, Aug 9 (Reuters) - The online insurance exchange that Oregon established under President Barack Obama's healthcare law will not allow residents to sign up for coverage on their own when enrollment begins nationwide on Oct. 1, state officials say.
The state is the first to say it won't be open for all comers by that date, raising concerns that other states running their own "Obamacare" exchanges might also be struggling.
The decision by Oregon, an enthusiastic supporter of the Affordable Care Act, gives ammunition to opponents who have warned of an Obamacare "train wreck."
Instead of enrolling in health insurance online themselves, at least through mid-October Oregonians will need the help of an insurance broker or an aide trained by the state to log on, Cover Oregon spokeswoman Lisa Morawski said on Friday.
They also will need assistance to see what policies are available, and to determine which federal subsidies they might be eligible for.
"This approach will give Cover Oregon the ability to iron out the technology, customer service and other internal processes during the first few weeks of October before consumers begin applying on their own," Morawski said. "It also will prevent the system from being overloaded in its first weeks."
Experts working with the state exchanges, as well as the Government Accountability Office and the inspector general of the U.S. Department of Health and Human Services (HHS), have warned that the massive effort to build new online insurance marketplaces in all 50 states may not be ready by Oct. 1.
Efforts to get people without health insurance to buy a policy through their state exchange, as required under the Affordable Care Act, have emphasized that the process would be fast and easy: log on, enter personal information such as address and income, and in real time the system would show you a list of available policies and tell you what they would cost after federal subsidies.
HHS spokeswoman Joanne Peters said, "There will be a marketplace open in every state on October 1, where families can comparison shop for quality, affordable health coverage."
The delay, Cover Oregon chief information officer Aaron Karjala told Reuters, reflects "concerns about the capacity of the exchange as a whole, not just the technology but also the people."
"We're not worried about IT capacity," he said. "We have enough to run the stock exchange."
Instead, officials worry that too many people trying to enroll in coverage will phone the state's Obamacare call center, which has about 50 full-time employees and plans for up to 100 more.
About 550,000 state residents are uninsured.
"The largest choke point and the biggest constraint is the limited number of people in the call center," Karjala said. "People might need a lot of help" when they try to enroll, "which could mean fairly long calls."
Oregon has trained about 1,000 agents and about 800 community partners, Morawski said. Each will be given a secured account allowing them to log on to Cover Oregon and help someone buy insurance.
"This strikes me as something that most states probably would want to do, because they don't want bad stories in the press about how the exchange didn't work and people were disappointed - which is virtually inevitable in the early weeks," said Joe Antos of the conservative American Enterprise Institute.
"So this seems to be a pretty prudent move on Oregon's part. They can say they did everything in their power to avoid leaving Joe Public baffled by an admittedly complicated system." Reported by Huffington Post 17 hours ago.

Obama: Republicans' 'Unifying Principle' Is Denying Health Care To 30 Million People

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WASHINGTON -- President Barack Obama on Friday slammed Republicans for their continuing push to repeal his signature health care law, asking why the primary issue uniting the GOP involves kicking tens of tens of millions of people off of health insurance with no alternative plan for providing them coverage.

During a White House press conference, Obama at times appeared incredulous as he described the years-long effort by Republicans to nix the Affordable Care Act, or Obamacare, which has been law since March 2010. House Republicans have voted to repeal the law 40 times.

"The one unifying principle in the Republican Party at the moment is making sure that 30 million people don't have health care," Obama said, referring to the number of people who will have health insurance as a direct result of the law. "Why is it that my friends in the other party have made the idea of preventing these people from getting health care their holy grail? Their number one priority?"

The president chuckled as he said Republicans at least used to say they would replace the law with a better health care proposal. Not anymore, he said.

"There's not even a pretense now that they're going to replace it with something better," Obama said. "The notion is simply that those 30 million people, or the 150 million who are benefiting from other aspects of affordable care, will be better off without it. That's their assertion. Not backed by fact. Not backed by any evidence. It's just become an ideological fixation."

A key part of the law begins on Oct. 1, when insurance exchanges start. Under that provision, the 15 percent of Americans still without health insurance will, for the first time, be able to sign up for coverage at a significantly cheaper rate than what they can buy on the individual market. Those who still can't afford insurance at those reduced rates can get a tax credit under Obamacare.

The Oct. 1 start date for the exchanges coincides with the date that Congress needs to pass a temporary spending bill to keep the government running. Tea party Republicans have vowed not to pass that spending measure -- and shut down the government in the process -- if the bill includes any funds for Obamacare.

Obama suggested that Republicans who are making those threats are missing the point that what they're doing is hurting the bulk of the country.

"The idea that you would shut down the government unless you prevent 30 million people from getting health care is a bad idea," he said. "You should be thinking about how you can advance and improve ways for middle-class families to have some security so if they work hard, they can get ahead, and their kids can get ahead." Reported by Huffington Post 16 hours ago.

Will Obamacare Spark Mass Retirements On Capitol Hill? Here's Hoping, Anyway!

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Are a bunch of Capitol Hill critters about to announce retirements over Obamacare? That's the claim in this piece Friday in Newsmax, which states that "several members of Congress will announce their retirements and congressional staffers will be making retirement plans when Congress returns from summer recess next month." This is according to "observers" who are "seasoned." It's all a tad overheated, but it's not completely detached from reality. Just somewhat.

If we're keeping score on that, let's begin by throwing shade on the whole notion that a bunch of (presumably Republican) congresspersons are about to take their leave. The article accounts for precisely zero people in this situation. There is mention that Rep. Rodney Alexander (R-La.) has recently opted to retire and take a job in Louisiana Gov. Bobby Jindal's administration, and Rep. Jo Bonner (R-Ala.) has decided to leave and go to work for the University of Alabama. But as the article states, "neither Bonner nor Alexander cited Obamacare among reasons for quitting Congress."

Still it asserts: "No one would be surprised if other members of Congress follow the path of Bonner and Alexander by "cutting and running" before Jan. 1. Well, I for one would be surprised, because why wouldn't these people stay and remain connected to the special interests/K Street gravy train and get filthy, stinking rich forever?

But I digress. Let's examine the situation of Capitol Hill staffers, who are rumored to also be poised to quit en masse. Per Newsmax:

The Office of Personnel Management has approved a rule allowing current congressional healthcare subsidies to continue. Members of Congress and their personal office staffs, however, still must start buying their insurance on their individual states' Obamacare exchanges rather than choose from among the plans available to other federal employees.

"I'm going to have to get my health insurance through the Virginia exchange now," a veteran U.S. House staffer told Newsmax last week, "and I don't know the first thing about it."

Another Hill staffer who has worked for a House member for nearly 20 years -- and who has a pre-existing condition -- told Newsmax he planned to retire on Jan. 1 and seek another job.

"I just can't afford the change in [health benefits]," he said, pointing out there will be a bigger bite from his paycheck because of Obamacare.



Let's unwind this a bit. The reason we are in this situation stems from all the political nonsense that went on during the construction of the Affordable Care Act, specifically an amendment that was offered by Sen. Chuck Grassley (R-Iowa). Ezra Klein and Jonathan Chait offer up all you need to know about the gory details, but here's the short version.

Back during Affordable Care Act negotiations, Grassley put forth an amendment that was intended to be a silly sort of dare, that would force "all members of Congress and all of their staffs to enter the [Obamacare] exchanges." As Chait points out:

It was a message amendment -- that is, an amendment designed not to actually change the law in a way Grassley wanted, but to provide the grist for a talking point for opponents of the law. The talking point would be that those fat cats in Washington are forcing their laws down yer throat but won’t live by the same laws.

It was, to be precise, some silliness. But the Democrats, perhaps unaware of the law of unintended consequences, gleefully called Grassley's bluff and supported the amendment.

The problem, though, is that as it turns out, if everyone in Congress opts to pass a joke law because they want to play a bipartisan game of chicken, that law still goes into effect. And so the Obama administration has been forced to untangle all the damage from that time the Senate decided to indulge in a grand game of meta-theatrical satire.

Per Chait:

Obama’s solution to the dilemma was to administratively decide that those congressional employees would get their health care through the exchanges but that the federal government would keep up its same level of premium contributions. The law didn’t say the government could keep contributing to their health care, but it didn’t say it couldn’t either. (Law professor Nicholas Bagley explains why this move is legal.) Basically, Obama has patched up the ambiguously worded Grassley amendment and turned it into something performing the function it was supposed to serve. It puts Congress and its staff on the Obamacare health-insurance exchanges.

Now, what's happened most recently is that the Office of Personnel Management has offered a rule that's intended to undo this mess. Here is a summary:

Under the proposed rule, lawmakers and their staffers still would have to move from the FEHBP to the exchanges in January (Lawder, Reuters, 8/7). OPM said that while the government would continue to contribute to their premiums, the contributions likely would not exceed what they would have received under their current benefits plan (Hattem, "RegWatch," The Hill, 8/7). OPM reiterated that lawmakers and staffers would not qualify for the ACA subsidies available to other U.S. residents (Reuters, 8/7).

The proposed rule also clarifies several other issues related to the coverage requirement, including retiree coverage, definitions of residency and identifying staffers who would be required to move into the exchanges, The New York Times reports.

OPM said lawmakers are best equipped to determine which staffers work in their "official office" and should be moved into the exchanges. Further, lawmakers and staffers who receive coverage through an exchange would do so through the marketplace where the lawmaker or aide resides. For example, a caseworker in the home district office of a House member from Chicago could enroll in a health plan offered through the Illinois exchange, but a scheduler in the Washington office could sign up for a plan in Maryland or Virginia (Pear, New York Times, 8/7).



So basically, lawmakers will have to specify who remains covered by what, and where. And depending on those specifications, staffers may end up having to get insurance on their state's exchange. Those who do will be subsidized up to the level they had formerly been subsidized, but they will be ineligible for other subsidies that some state residents may claim (presumably because they do not qualify).

Now there is one definite nagging problem that these staffers face. If they end up on their state's exchange, there is no guarantee that their state exchange has any health care providers in the Washington area, where they work. The good news here is that their lawmakers are responsible for making this determination, so in theory there's nothing stopping them from ruling that their staff should remain associated with plans with providers in the D.C. area. The OPM has stated that it "will not review or overturn these determinations.”

As for the issue of having to pay more for insurance -- well, that's a murkier matter. Chait says that the people who find themselves in this situation are "not getting a big pay cut along with it." That doesn't mean that their new premium won't constitute a small pay cut, though! And what constitutes a big or a small pay cut is relative to the person holding the check. (The New York Times reports that older insurance recipients and smokers, in fact, would likely be paying higher premiums.)

Staffers should, by the way, recognize that one huge fringe benefit of their low-paying job is the opportunity to be an obsequious kiss-ass and parlay your connections to more money and more power. I'd say that if your boss dumps you on the state exchange, that's as clear a sign as any that you are failing in your suck-up duties, and should perhaps rethink a lot of things. Maybe tell your lawmaker what an honor it is work for him today, or volunteer to wash their car? It can't hurt!

Nevertheless, it would be very puzzling for people to quit Congress over this issue. Once you go from "Capitol Hill staffer with a residency in Arkansas" to being "unemployed person with a residency in Arkansas," it gets even harder to pay for health insurance. That's in addition to having an even harder time obtaining food, clothes, shelter, and other stuff. So quitting your job in a fit of partisan pique is really not that smart an idea! (Especially since becoming an unemployed person over the fact that you are going to end up on a state health care exchange only increases the likelihood that you will have to turn to those exchanges for your health care.)

Of course, the best thing that could be done here is to just go in and repeal this dumb amendment. The reason that won't happen is that currently you have one group of people on Capitol Hill who are happy to make targeted, sensible improvements in the health care law, and then you have the "Repeal or Bust" crowd that is afraid of anything that might make the law more effective. (See also: the whole kerfuffle over the employer mandate.) So we're stuck with the OPM's admittedly sub-optimal fix.

Basically, here's your bottom line.

This Newsmax piece is a bit overheated, but likely correct in noting that there's going to be an administrative burden on a whole lot of people as a result of this, and quite possibly some cuts in take-home pay for staffers. I think staffers should be paid more and have their health insurance comped, but I think that for most people. I don't think this is a good reason to quit your job, but people have to follow their bliss. Finally, this whole matter is dumb and confusing and unfortunate, but it's all basically Chuck Grassley's fault. So blame him.

[Would you like to follow me on Twitter? Because why not?] Reported by Huffington Post 16 hours ago.

Court stalls NYC plan to get health insurance bids

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A court has put a hold on New York City's plans to solicit bids for health insurance for nearly 300,000 workers, retirees and their families. Reported by Miami Herald 15 hours ago.

Chris Weigant: Friday Talking Points -- PBS, Citizen Koch, And Obama's Press Conference

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The big political news today, of course, was President Obama's press conference. While the subject matter largely revolved around the National Security Agency reforms Obama is belatedly proposing, I found the rest of the presser to be more interesting, personally -- mostly because the excerpt we're going to provide will in all likelihood be virtually ignored in most media reports. But we'll get to all that in the remainder of the column.

Sometimes, come Friday, I give in to the urge to just unleash a rant. Usually, this is provided at the end of the column, in lieu of the talking points. Today, we're switching things around a bit, and instead are leading off with a little mini-rant (mostly because it's so off-subject). So we'll get to Obama's comments in a bit, but first, my advice for anyone who donates regularly to the Public Broadcasting System (I've been meaning to rant on this for a while, but it's now pledge season once again, so it's definitely time to speak up).

If you haven't heard this story already and are a supporter of public television, I heartily encourage you to read up on what has been going on there. And then I also heartily encourage you to phone up your local PBS station during pledge-break hours and say to them something similar to the following:

"I'm calling you up because you are begging for donations once again -- seems like you do pledge drives every month, these days. I'm calling up today to explain why I will not be donating any money to your PBS station. You should write this down and provide it to the bigwigs at your station, in fact.

"I used to think PBS was worthy of donating to for the sole reason that you are one of the most-trusted media entities in America. Through thick and thin, I thought it was a bedrock tenet of PBS that you were independent and would not be influenced by commercials, advertisers, or anyone else who offered you money to change your editorial policies in any way. Sadly, I no longer think this.

"When I heard the story of how PBS greenlighted the documentary Citizen Koch -- only to pull out of the deal right after one of the Koch brothers reportedly threatened to stop a multimillion-dollar donation to one of PBS's flagship stations, I have to tell you, I was downright disgusted.

"To hear that PBS's editorial policies could be so crassly influenced by a big donor was disheartening and disillusioning, to say the least. Thankfully, these days, there is social media to spread this story, since I certainly didn't hear about it on any of your news shows. Also, thankfully, there are online ways to donate directly to the producers of this documentary, so that their work will not die after PBS cut off the funding for it due to pressure from a donor.

"Since you have shown that this is what motivates you these days -- pressure from donors -- I just had to call to let you know that while I might have otherwise considered donating some money to you, I will instead be donating to the financing for Citizen Koch. While my donation is a whole lot smaller than millions of dollars, there are many who feel exactly as I do. And we're taking our money elsewhere, until you have regained our trust.

"So please make sure you write this down and pass it along to the PBS executives. I will not be donating one thin dime to your station until I see you have scheduled Citizen Koch to play on your station. Because you've shown that money talks at PBS, I'm hoping that when enough people call in and tell you exactly the same thing, you will see the error of your ways and return to being a truly independent source of information. So you can hold all the pledge drives you want, but my money will be going elsewhere until I see Citizen Koch aired on your station."

 

Moving on to the political news of the week, President Obama pretty much trumped all other news with today's afternoon press conference. Obama, like many second-term presidents, hasn't been giving as many of these pressers as he used to, of late. Even though it's been months since the last one, there was a clear focus today to both Obama's initial announcement and most of the questions from the press.

Obama began by stating that he's now going to get behind four reforms of how the federal government conducts surveillance. This is what most of the news leads have focused on as well, from the few we've yet seen. As we stated, though, we were much more interested in the other subjects brought up at the end.

We'll have plenty of time to hash over the N.S.A., surveillance, the Foreign Intelligence Surveillance Court, proposed reforms, and all the rest of it in the coming weeks. So forgive us if we largely ignore them today.

But when contemplating awards this week, we came to the conclusion that the most impressive person this week (if not a "Democrat" -- we've never heard party affiliation even discussed) is none other than Edward Snowden.

Now, love Snowden or hate him, the measure of the effectiveness of any leaker is what gets done after the leak. Does the media and the public yawn and ignore it? Is there a public outcry, but no political action? Or does the leaked information become so important that it not only spurs a public outcry but also leads to politicians actually reforming the problem?

By this measure, Snowden has been not just effective, but outstandingly effective. Within a few weeks (which is light speed in Washington), the House almost passed a bill scrapping the entire N.S.A. program and President Obama was forced not only to just give a press conference which centered around the problems Snowden exposed, but also to actually support several important reforms to the program, some of which have already been introduced as Senate bills. That is not only effective, that is impressive.

Of course, we could give a *Most Impressive Democrat Of The Week* to the senators behind the reform bills, but we already did that last week. We imagine that Senators Richard Blumenthal, Tom Udall, and Ron Wyden were as surprised as the rest of us at how quickly the White House jumped on their bandwagon, in fact. But, like we said, we already gave them all *MIDOTW* awards last week.

We could give the award to President Obama for belatedly getting on the reform bandwagon, but if we did, we'd have to also give him the *Most Disappointing Democrat Of The Week* as well, for his strong insistence during the press conference that all of this would have happened anyway, since he had suggested some more-timid reviews and reforms in a speech a few months ago. We simply don't find that believable. Does anyone really think this all would have played out in anywhere near as effective a fashion if it hadn't been for Snowden? Obama even admitted this directly, today:



And there's no doubt that Mr. Snowden's leaks triggered a much more rapid and passionate response than would have been the case if I had simply appointed this review board to go through -- and I'd sat down with Congress and we had worked this thing through -- it would have been less exciting and it would not have generated as much press -- I actually think we would have gotten to the same place, and we would have done so without putting at risk our national security and some very vital ways that we are able to get intelligence that we need to secure the country.



This is disingenuous not only because he's right about the fact that it wouldn't have been exciting, but also because if some commission had looked at it and issued some report at some point far in the future, this report likely would have been a one-day story in the press, and would have been absolutely ignored by Congress. We simply would not have "gotten to the same place." True reform of both the N.S.A.'s programs as well as the fundamental ways the F.I.S.C. operates are now politically possible. That just would not have been true if nobody now knew the name Edward Snowden.

So we're going to forego both the *MIDOTW* and the *MDDOTW* awards this week, and instead award a custom-designed *Most Impressive And Effective Leaker* award to none other than Edward Snowden.

As we said -- love him or hate him, call him "patriot" or "traitor" -- it is now absolutely impossible to argue that his leaks weren't effective, meaningful, and will actually cause the federal government to have a national conversation with its citizens about what it feels it is legally able to do. And that, to us, is impressive indeed.

[We have no contact information for Edward Snowden, of course.]

 

*Volume 268* (8/9/13)

Today, we're going to pre-empt our usual amateurish attempts to provide Democrats with talking points they can use. Instead, we're going to provide the portion of Obama's press conference which other news organizations may ignore completely (what with all the N.S.A. news and all).

We're providing the following extended excerpt from the transcript of the press conference for a reason. While the N.S.A. dominated the press conference (and will likely dominate the coverage), Barack Obama, toward the end, responded to a question by a Fox News reporter (and a followup by a different reporter) on the subject of "Obamacare." This is going to be the number one issue when Congress returns in September, especially since the hotheads in the Republican Party are threatening to shut down the federal government in a final, ineffective tantrum over the law's implementation. Obama also had a good answer on immigration reform at the very end, but since immigration reform doesn't have a deadline built into it, the first big fracas Congress will face is going to be the last stand of the anti-Obamacare absolutists. Meaning that the most important (or most immediately relevant) part of the press conference politically was actually the excerpt below.

Obama's response is the best full-throated defense of the law I think I've ever heard, which is why it's worth reading in full. He not only laid out what the law actually is, he "framed" the issue better than I've ever heard it presented before by just about anyone. Again, this is going to be the big overarching battle when Congress returns, so the entire answer was a shot across the bow of the Republicans in Congress. Obama is presenting his position before the fight even begins. And he did so extraordinarily well, which could bode well for what happens in September.

The first part of the question is provided. There was a second question from the Fox guy, but it was nothing more than the obligatory Benghazi question you'd expect, so we've edited both the question and Obama's response out. This excerpt was taken from the official White House transcript of the press conference. The emphasis (bold text) in the transcript is our own, to highlight the best "talking points" which came out of Obama's answer. Democrats should learn these well and start repeating them often, to lay the groundwork for the upcoming fight in Congress.



*Q:* Okay, thank you. I want to ask you about two important dates that are coming up. October 1st, you've got to implement your signature health care law. You recently decided on your own to delay a key part of that. And I wonder, if you pick and choose what parts of the law to implement, couldn't your successor down the road pick and choose whether they'll implement your law and keep it in place?

[Benghazi question and response cut]

*PRESIDENT OBAMA:* With respect to health care, I didn't simply choose to delay this on my own. This was in consultation with businesses all across the country, many of whom are supportive of the Affordable Care Act, but -- and many of whom, by the way, are already providing health insurance to their employees but were concerned about the operational details of changing their HR operations if they've got a lot of employees, which could be costly for them, and them suggesting that there may be easier ways to do this.

Now what's true, Ed, is that in a normal political environment, it would have been easier for me to simply call up the Speaker and say: "You know what, this is a tweak that doesn't go to the essence of the law -- it has to do with, for example, are we able to simplify the attestation of employers as to whether they're already providing health insurance or not -- it looks like there may be some better ways to do this; let's make a technical change to the law." That would be the normal thing that I would prefer to do.

But we're not in a normal atmosphere around here when it comes to, quote-unquote, Obamacare. We did have the executive authority to do so, and we did so. But this doesn't go to the core of implementation. Let me tell you what is the core of implementation that's already taken place. As we speak, right now, for the 85 percent of Americans who already have health insurance, they are benefiting from being able to keep their kid on their plan if their kid is 26 or younger. That's benefiting millions of young people around the country, which is why lack of insurance among young people has actually gone down. That's in large part attributable to the steps that we've taken.

You've got millions of people who've received rebates, because part of the Affordable Care Act was to say that if an insurance company isn't spending 80 percent of your premium on your health care, you get some money back. And, lo and behold, people have been getting their money back. It means that folks who've been bumping up with lifetime limits on their insurance, that it leaves them vulnerable. That doesn't exist.

*Seniors have been getting discounts on their prescription drugs. That's happening right now. Free preventive care -- mammograms, contraception. That's happening right now.* I met a young man today on a bill-signing I was doing with the student loan bill who came up to me and said "Thank you" -- he couldn't have been more than 25, 26 years old -- "Thank you; I have cancer; thanks to the Affordable Care Act, working with the California program, I was able to get health care, and I'm now in remission." And so *right now people are already benefiting.*

Now, what happens on October 1st, in 53 days, is for the remaining 15 percent of the population that doesn't have health insurance, they're going to be able to go on a website or call up a call center and sign up for affordable quality health insurance at a significantly cheaper rate than what they can get right now on the individual market. And if, even with lower premiums, they still can't afford it, we're going to be able to provide them with a tax credit to help them buy it. And between October 1st into March, there will be an open enrollment period in which millions of Americans for the first time are going to be able to get affordable health care.

Now, *I think the really interesting question is why it is that my friends in the other party have made the idea of preventing these people from getting health care their holy grail, their number-one priority. The one unifying principle in the Republican Party at the moment is making sure that 30 million people don't have health care and, presumably, repealing all those benefits I just mentioned -- kids staying on their parents' plan; seniors getting discounts on their prescription drugs; I guess a return to lifetime limits on insurance; people with pre-existing conditions continuing to be blocked from being able to get health insurance.*

*That's hard to understand as an agenda that is going to strengthen our middle class. At least they used to say: "Well, we're going to replace it with something better." There's not even a pretense now that they're going to replace it with something better.*

*The notion is simply that those 30 million people, or the 150 million who are benefiting from the other aspects of Affordable Care, will be better off without it. That's their assertion -- not backed by fact, not backed by any evidence. It's just become an ideological fixation.*

*Well, I'll tell you what, they're wrong about that.* There is no doubt that in implementing the Affordable Care Act, a program of this significance, there are going to be some glitches. No doubt about it. There are going to be things where we say: "You know what? We should have thought of that earlier. Or this would work a little bit better. Or this needs an adjustment." That was true of Social Security. That was true of Medicare. That was true of the Children's Health Insurance Program. That was true of the prescription drug program, Part D, that was rolled out by a Republican president and supported by Republicans who are still in the House of Representatives. That's true, by the way, of a car company rolling out a new car. It's true of Apple rolling out the new iPad.

So you will be able to, whenever you want during the course of the next six months and probably the next year, find occasions where you say: "Ah-ha! You know what? That could have been done a little bit better. Or that thing -- they're kind of making an administrative change; that's not how it was originally thought this thing was going to work." Yes, exactly. Because our goal is to actually deliver high-quality, affordable health care for people and to reform the system so costs start going down and people start getting a better bang for the buck. And I make no apologies for that.

And let me just make one last point about this. *The idea that you would shut down the government unless you prevent 30 million people from getting health care is a bad idea.* What you should be thinking about is: how can we advance and improve ways for middle class families to have some security so that if they work hard they can get ahead and their kids can get ahead.

Jessica Yellin.

*Q:* Thank you, Mr. President. And following on what you just said, Republicans in the House might give you that choice soon to either allow the government to shut down, or see Obamacare defunded. Would you choose to let the government shut down to ensure that Obamacare remains funded?

*PRESIDENT OBAMA:* Well, I'm not going to engage in hypotheticals. *I can tell you that the American people would have difficulty understanding why we would weaken our economy, shut down our government, shut down vital services, have people who are not getting paid* who then can't go to restaurants or shop for clothes, or all the other things that we're doing here*, because Republicans have determined that they don't want to see these folks get health care.*

Again, *they used to say they had a replacement. That never actually arrived, right? I mean, I've been hearing about this whole replacement thing for two years. Now I just don't hear about it, because basically they don't have an agenda to provide health insurance to people at affordable rates.* And the idea that you would shut down the government at a time when the recovery is getting some traction; where we're growing, although not as fast as we need to; where the housing market is recovering, although not as fast as we would like; *that we would precipitate another crisis here in Washington that no economist thinks is a good idea* -- I'm assuming that they will not take path. I have confidence that common sense, in the end, will prevail.



 

Chris Weigant blogs at:


Follow Chris on Twitter: @ChrisWeigant
Become a fan of Chris on Huffington Post
Full archives of FTP columns: FridayTalkingPoints.com
All-time award winners leaderboard, by rank

  Reported by Huffington Post 14 hours ago.

Oregon to Debug Insurance Exchange

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Oregon's health-insurance exchange—the marketplace created by federal law to let consumers shop online for coverage—will open for business on Oct. 1, but with a glitch: Consumers won't be able to access it online. Reported by Wall Street Journal 12 hours ago.

New Evidence of Health-Insurance Confusion

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A new paper suggests that even those who have health insurance have a poor understanding of their coverage. This has ramifications for Obamacare. Reported by Wall Street Journal 11 hours ago.

Health insurance ratings to be dropped from state website

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Health insurance ratings won't appear on Covered California because the rankings are from 2011 and don't reflect new health plans. Critics will press officials to reconsider. Reported by L.A. Times 12 hours ago.

Uninsured will see differing levels of help for Obamacare in Maryland, Virginia, D.C.

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Maryland consumers who want to buy health insurance under Obamacare in the fall will be able to read glossy fact sheets that spell out the law in simple language. Or talk to one of 325 specially trained workers who will explain the intricacies and help them enroll. Or get information via Facebook, Twitter and YouTube.

Read full article >>



 
 
 
  Reported by Washington Post 5 hours ago.

HIPEC surgery: The future of cancer treatment

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For cancer patients, getting a tumor removed is just one part of the battle.

After that, you're dealing with months of long, grueling chemotherapy.

But now, there's a groundbreaking treatment in Central Florida that patients say is saving their lives and cutting their recovery time in half.

"It's just a scary thing to think about," says Paige Leffler, who was diagnosed with cancer of the appendix at just 28 years old. "Had I waited any longer, there's a very good chance that I wouldn't be here."

But today, Leffler is here -- and, more importantly, cancer-free.

"Every doctor that came in, they were just in awe of how young I was," says Leffler. "It was just kind of like a whirlwind. My stomach hurt a lot, I thought I had heartburn."

But it turned out to be something much worse. Leffler had a pair of tumors in her appendix that led to intense pain and swelling.

"It did shock me, but you just got to move on and you just got to think positive," says Leffler.

For help, she turned to Dr. Rajesh Nair at the MD Anderson Cancer Center in Orlando.

His solution for Paige wasn't a cocktail of weekly chemo. Instead, he offered her a groundbreaking surgery called HIPEC.

"This is the future of chemotherapy to some extent," says Leffler. "The treatment is typically a one-time treatment."

That's what makes HIPEC so appealing. You can kill the cancer in one shot.

First, your tumor is removed. Then, doctors pump a powerful, heated chemical into your affected organ for almost two hours. Dr. Nair says the temperature of the fluid is what makes this so effective.

"We know that cancer cells in general are more susceptible to damage from heat than our normal cells," says Dr. Nair.

In the end, the treatment is more targeted on one area. That means there are fewer side effects to the rest of your body.

"If you think of the typical effects that you hear about with chemotherapy -- the nausea, the vomiting, hair loss -- we don't see that with this therapy," says Dr. Nair. "We don't need to do this again and again like traditional I.V. chemotherapy."

That was the case for Paige Leffler, who had her surgery last November, and was back to work less than three months later.

"Had it been traditional chemotherapy, I'd probably still be getting treatments right now," says Leffler. "Instead, I don't have to see a doctor on a regular basis. I can just live my life the way that I wanted to and the way that I lived before. I really do think that this treatment saved my life."

Right now, the HIPEC surgery is only being used on patients with abdominal tumors -- like stomach, colon, appendix, even ovarian cancer.

But, Dr. Nair says it could soon go after lung cancer, and severe skin cancer that's confined to your leg or arm.

As for the cost -- Dr. Nair says that most health insurance plans cover this.

Keep in mind -- this procedure comes with its own side effects.

Paige Leffler says her stomach was sore for a couple months, and she lost her appetite and a lot of weight.

But, in the end, she thinks that HIPEC beats the grind of weekly chemo treatments.

For more information about the HIPEC treatment, visit the website for MD Anderson Cancer Center in Orlando by clicking here. Reported by Click Orlando 10 hours ago.

More Than 25,000 Households Now Share Health Care Needs Through Samaritan Ministries International

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Health care sharing ministry Samaritan Ministries International surpassed the 25,000-household mark in July 2013. Leaders talk about why the growth has occurred and how the ministry is committed to continuing to serve its members with quality and personal service.

Peoria, IL (PRWEB) August 10, 2013

Samaritan Ministries International’s health care sharing ministry has surpassed 25,000 households.

Ministry leaders attribute the continued growth of this health care sharing ministry, founded in 1994, in part to the increasing desire among Christians for a stable and Biblical way to help one another with health care needs in the uncertain health care environment.

“The health insurance industry is constantly in flux due to the implementation of the Accountable Care Act, so by comparison our model is looking more and more stable to people,” said James Lansberry, executive vice president of Samaritan. “I also think the growth has been related to health care costs continuing to go up.”

He said Samaritan’s affordability could be another factor in the growth.

Samaritan’s recent growth is all the more remarkable when compared to its early history, when it took nearly three years to reach 1,000 households, founder and President Ted Pittenger said. Membership was just less than 11,000 families at the end of 2004, and growth remained modest through 2009, when it stood near 14,000. But the debate in Congress on the health care law in late 2009, triggered a growth spurt that is continuing. Since then, membership has grown by more than 3,000 households per year.

The 25,000 mark was passed during July 2013, with more than 82,000 individuals now taking part in Samaritan Ministries.

The rapid growth is a sign that “more and more people are considering us to be something that works,” Lansberry said.

He cited numbers that show Samaritan members routinely share more than $6 million in needs each month. More than 117,000 needs have been shared among members since SMI began sharing needs, operating in a renovated chicken coop on Pittenger’s property.

Pittenger said that Samaritan is working hard to keep pace with the growth so member service doesn’t suffer. The ministry has already had to move three times to increasingly larger facilities.

“We’ve been working to shore up our infrastructure, increase and reorganize our staff, and develop our information technology to support the kind of growth that we’re seeing,” Pittenger said. “We want to continue to offer quality service. We still have a commitment to personal service.”

Asked how he would encourage more Christians to join, Lansberry urged them to consider the need to “trust God, share in the burdens of His people, and be part of something that’s consistent with their religious views” when addressing their health care needs.

Not only does health care sharing enable Christians to live out the principles of their faith, but it is also “more affordable, more stable and allows believers to have that extra benefit of prayers and encouragement should they have a large medical need.”

Samaritan Ministries International seeks to help members of the Body of Christ carry out His Great Commission through ministries that enable Christians to better obey Jesus' commands. This is currently done through the Christian Health Care Newsletter health care sharing ministry and the Morning Center full-service maternity care ministry. For more information, contact James Lansberry, 877-764-2426, Ext. 186, jlansberry(at)smchcn(dot)net; or Mike Miller, 877-764-2426, Ext. 142, or 309-642-9529, mikemiller(at)smchcn(dot)net. Reported by PRWeb 7 hours ago.

Breaking a leg in Spain could cost holidaymakers an arm and a leg

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British holiday makers are risking bills in excess of £25,000 by travelling to Spain without proper travel insurance warns Alan Spiers, Senior Partner of Delta Travel Insurance. Here are some tips to avoid problems with your travel insurance cover.

Deal, Kent (PRWEB UK) 10 August 2013

Recent advice from the British Foreign & Commonwealth Office warns travellers about the specific problems associated with medical treatment costs in Spain. They state on their website "As a general rule, if you need hospital treatment in Spain you’re more likely to receive appropriate care in a public healthcare facility (although in some tourist areas there may be no public healthcare facility nearby)."

According to recent claims paid out by leading travel insurers, the cost for a broken leg in Spain can be in excess of £6,000, while holidaymakers unlucky enough to need medical repatriation could face bills in excess of £25,000.

Travelling without adequate travel insurance can prove to be a very expensive gamble.

Alan Spiers, Senior Partner of http://www.deltainsurance.co.uk Delta Travel Insurance warns about the dangers of travelling to Spain without adequate travel insurance cover and provides some tips to ensure that policies taken out will provide adequate cover.

The soaring cost of travel insurance is tempting more and more British holiday makers to travel to Spain without holiday insurance. For example, the number of travel insurance policies being taken out for the Costa's is down around 25% compared to last year. Many wrongly believe that their EHIC card (European Health Insurance Card) will cover all their medical bills.

The ABI (Association of British insurers) confirm that the EHIC does not apply to private clinics, where you are most likely to be treated in Spain.

The ABI state that the EHIC does NOT cover: "all your medical costs, depending on which country is visited, as the healthcare systems are different in each country; dental treatment in some countries; private medical treatment; getting you back to the UK (repatriation).

Remember that the EHIC is not an alternative to travel insurance, so it is important to have both an EHIC and a valid travel insurance policy."

A lack of emergency cover from the Spanish equivalent of the NHS is causing an increasing dependency on private medical clinics to fill the gap. Many private clinics do not accept the EHIC card, leaving unprepared travellers with eye watering bills.

As Delta Travel Insurance explains, private provision for emergency health care results in much higher costs for the travel insurers and leads to higher premiums for customers.

Even those with travel insurance can find that cover is invalid where they have failed to check the policy details carefully before travelling.

Things to check when buying travel insurance.

1) Have all material medical facts been disclosed to the insurers? This includes pre-existing medical conditions such as Diabetes, Strokes, High Blood Pressure, Heart attack history and heart disease.

2) Will the policy cover medical expenses in the country you are visiting? Policyholders should check the excesses on the policy and any exclusions that apply.

3) Obtain a full "policy wording" before a policy is started and read it carefully. Any restrictions or exclusions will be outlined in this document. The summary of policy cover will not tell the whole story and should only ever be used as a guide.

4) Disclosure of activities - any potentially dangerous activities from kite surfing, to mountain climbing and most sporting activities are not automatically covered on most policies. The "policy wording" will advise you of this and any other restrictions that apply.

5) Other members of the travelling party may also affect the premium. If one person travelling with in the party fell sick would the holiday need to be cancelled? Will the policy taken out cover you in this instance.

6) Keep receipts and documentation for all medical treatment paid for, and use the emergency help line number provided by your insurer before incurring any costs to ensure that it is covered.

For travellers over the age of 65 or those with pre-existing medical conditions, simply obtaining travel insurance cover can be a challenge. Many insurers limit the ages of policyholders or apply restrictions to senior citizens.

Delta Travel Insurance has access to a wide range of specialist travel insurance companies that can match the cover to the individual traveller. Such personalised premiums can result in big savings.

Delta Travel Insurance is a partnership, authorised and regulated by the Financial Conduct Authority No: 440600.

Partners: Alan Spiers and Christine Spiers

Delta Insurance has been established since 1971, based in Deal, Kent.

As a small, family run business, Delta Travel Insurance prides itself on the quality of service it offers.

Contact Details
Delta Travel Insurance
The Heathers
3A Gilham Grove,
Deal, Kent
CT14 9AX
Tel: 01304 361609

Website: http://www.deltainsurance.co.uk Reported by PRWeb 7 hours ago.

Merchant Data Systems Now Offering New Services to Fast Food Industry

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Mom and pop fast food restaurants, excluding large, national fast food chains, are getting much more than card processing from Merchant Data Systems, or MDS. MDS serves as a merchant services provider for merchants providing new and expanding services.

Austin, TX (PRWEB) August 10, 2013

Mom and pop fast food restaurants, excluding large, national fast food chains, are getting much more than card processing from Merchant Data Systems, or MDS. MDS serves as a merchant services provider for merchants providing new and expanding services. MDS provides merchant services, such as credit card processing and mobile credit card processing, and online merchant services to commercial outfits throughout the world, from main street boutiques and fast food restaurants to the online merchant.

Merchant Data Systems applies its credit card processing industry knowledge to enrich and enhance commercial outfits' capabilities while increasing client profitability. In its early days, MDS services allowed companies big and small, online and offline, to accept credit cards, plain and simple. MDS is expanding across industries and states to provide services for bricks and mortar and virtual businesses alike.

In today's competitive marketplace, customers want service from anywhere, and that translates into ordering from anywhere. Drew Freeman, President at Merchant Data Systems, mentions, "Technology for business changes quickly and Merchant Data Systems is on the very edge of those trends." Customers can order food online, or pay at the time they receive goods thanks to the mobile payment processing capabilities. These services can extend to accepting debit cards and even checks, if the fast food company wants to go that route.

Shopping cart and credit card machines are available from many sources. Most do not offer front of the house, back of the house services, including payroll, online ordering capabilities, and in-person mobile credit card processing. MDS offers those services with an eye on increasing efficiency, accuracy, and affordability for its fast food customers.

Fast food eateries are hungry for more than just a hand with payroll services. Many on-the-go vendors may take to the road, and need the capabilities of their credit card terminals to follow them. For a restaurant who provides food truck services at local concerts and festivals, merchant processing with a mobile payment option provides opportunity to boost a healthy bottom line.

This is all possible because local fast food eateries have access to online merchant capabilities, mobile payment, and applications, and a full host of e-commerce and POS Integration tools. The services and products that MDS offers small shops goes well beyond the ability to accept credit cards, though -- online or offline.

Merchant processing is definitely a necessity, and certainly enhanced with merchant solutions such as merchant cash advance, invoicing solutions, and payroll solutions. MDS has the capital to extend merchant cash advance opportunities to its clients, including fast food eateries.

Through its payroll solution, eateries are afforded streamlined, secure, and efficient payroll data administration. This is all made possible because of the established relationships that MDS has with industry giants in the payroll solution arena. In addition to streamlined payroll administration, MDS relationship includes access to employee benefits administration, which include the payment of insurance and retirement benefits. This means that restaurants big and small may order up benefits processing that often coincides with payroll, such as health insurance, life insurance, disability and IRA plans.

MDS services extend beyond merchant processing that includes mobile processing, financing, merchant cash advance, credit card terminals and credit card machines rentals. Invoicing solutions provides another layer of service that guides the restaurant owners to efficient and reliable vendor services.

The professionals at MDS are a unique breed because of their dedication to improving their clients' bottom lines. They actually share the secret recipe of success from their own company and apply it to fast food companies who may only believe they need credit card terminals and just the ability to accept credit cards in-house.

The sky is the limit and the chance to do basic credit card processing is just the beginning. Travelers who enjoy a fast food restaurant item may want to order them online, and an online shopping cart via e-commerce services will let shoppers do just that. Reported by PRWeb 1 hour ago.

Zane Benefits Publishes New Information on the New Health Insurance Subsidies

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Health Insurance Subsidies Will Be Available to the Majority of Employees

Park City, Utah (PRWEB) August 10, 2013

Today, Zane Benefits, the number one online small business health benefits solution, published new information on free health insurance subsidies for employees.

According to Zane Benefits’ website, the best kept secret of the Affordable Care Act (aka Health Reform or ObamaCare) is the availability of the individual health insurance subsidies which will be available to the majority of employees starting January 1, 2014.

Employers can design employee health benefits to allow employees to access the subsidies through a defined contribution plan, rather than a traditional group health plan. With this arrangement, both the company and employees can save money for the same or better health insurance coverage.

According to Zane Benefits’ website, there are four key things employers should understand about the individual health insurance subsidies.

#1) How the subsidies work

#2) Which employees are eligible

#3) How much the subsidies will help

#4) Offer health benefits via a defined contribution health plan

Click here to read the full article.

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About Zane Benefits
Zane Benefits was founded in 2006 to provide a revolutionized SaaS (Software-as-a-Service) administration platform ("ZaneHRA") for Health Reimbursement Arrangements (HRAs) and defined contribution health care. The flagship software provides a 100% paperless administration experience to small businesses and insurance professionals that want to offer better health benefits without a traditional group health insurance plan at lower costs. For more information about ZaneHRA, visit http://www.zanebenefits.com. Reported by PRWeb 1 hour ago.

Grieving Mother Confronts GOP Rep About Obamacare

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Several North Carolinians attended a town hall held by Rep. Patrick McHenry (R-N.C.) in Swannanoa to confront McHenry about Obamacare on Wednesday, including a mother grieving the death of her son.

During a live interview with WLOS-TV reporter Kimberly King before the event, Leslie Boyd, of Asheville, said her son might still be alive had the health care law's protections for people with pre-existing medical conditions been in place sooner.

"My son had a pre-existing condition, a birth defect," Boyd said, holding a framed photo of her dead son. "And without that birth defect he probably would have been able to get insurance. But that birth defect prevented him from getting insurance and without it he could not get the care he needed. And so he got colon cancer and they caught it after it had already spread, so he died."

The Affordable Care Act prohibits the health insurance industry from discriminating against the sick starting in 2014.

The Asheville Citizen-Times reported that health care dominated the town hall, attended by roughly 270 people. The paper noted that while McHenry said he agreed with Obamacare's ban on denying coverage to people with pre-existing conditions, he has joined House Republicans in numerous votes to stymie the law.

"It's always a healthy thing when people come out to voice their concerns, even if I don't agree with them on every issue," McHenry told King in a separate interview after King noted Asheville is a liberal area.

Americans United for Change, an Obama-allied liberal advocacy group, blasted the Boyd clip to reporters on Thursday. Reported by Huffington Post 3 days ago.

Georgia Officials to Pass New Abortion Restrictions that Legislators Rejected

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Georgia Officials to Pass New Abortion Restrictions that Legislators Rejected Politics

Georgia’s Department of Community Health is forcing through new abortion restrictions on the state health insurance plan that failed to pass in the Legislature.

The department vote 5-3 on Thursday to ban abortion coverage from the public employees’ health plan. The State Health Benefit Plan (SHBP) covers more than 650,000 teachers, state employees, and other school personnel, dependents, and retirees.

Republican Gov. Nathan Deal said that he was determined to use executive power to remove abortion coverage from the SHBP. During the 2013 meeting of the Georgia General Assembly, Deal backed an identical measure that failed to pass.

Deal congratulated the Community Health board for making sure “that state taxpayers aren’t paying for a procedure that many find morally objectionable.”

The anti-abortion group behind the legislation, Georgia Right to Life, said the governor would work with the Department of Community Health.

“Governor Deal has offered an executive solution, by using his regulatory powers, to assure that taxpayer funds will not be used for elective abortions,” Mike Griffin of Georgia Right to Life told the Atlanta Journal-Constitution. “We hope that he’ll be able to work with the Department of Community Health and be able to apply an executive solution where a legislative solution is not going to be found.”

The abortion exclusion was mired in further controversy as United Healthcare is protesting a decision by the Department of Community Health to award two contracts to Blue Cross and Blue Shield (BCBS). United wants the opportunity to compete with BCBS to provide state employees with health coverage. Losing out on the bid is a major blow to United’s presence in Georgia.

“In what has to be one of the most egregious examples of a state entity acting outside the boundaries of Georgia procurement law, the Department of Community Health ... is conducting a secret, hidden procurement for one or more 2014 health insurance plan,’’ said United in a statement.

Sources: ThinkProgress, Augusta Chronicle, Atlanta Journal-Constitution

1 Reported by Opposing Views 3 days ago.

Obamacare Indecision Leaves College Instructors In Limbo

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Adjunct college instructors are caught in purgatory as their employers, which have increasingly relied on them as a cheap source of labor, decide if they will restrict the hours the instructors are allowed to work to avoid providing them with health insurance.

Only about one-fourth of colleges have decided on criteria for determining whether a part-time faculty member is working 30 hours or more a week, and thus will be entitled under Obamacare to health insurance coverage from the school, according to a survey released this week by the College and University Professional Association for Human Resources. But a wave of colleges have announced new restrictions this year on the hours that adjunct, or part-time, faculty members are allowed to work.

No survey respondents said they believe the Affordable Care Act will cause their insurance costs to go down, but 40 percent said they expect those costs to stay the same. The survey looked at 626 institutions, almost equally split between private and public schools if the multiple institutions covered by public college systems are added up.

The good news is that close to half of the institutions do not plan to alter their use of part-time faculty due to Obamacare, the survey found, although two-thirds are still laboring over the criteria they will use to determine if those instructors are indeed working 30 hours or more.

Most adjuncts work without benefits, at an average of $2,900 per course, according to the Service Employees International Union. That's one-fourth of what tenure-track professors earn. Adjunct faculty make up a majority of the higher education workforce -- a reversal from 1969, when tenure-track professors constituted 78 percent of colleges' instructional staff.

Despite a one-year delay in the employer mandate recently announced by the Obama administration, colleges that did announce restrictions on adjunct work hours have not similarly delayed the new limits.

"We were kind of happy that there was this moratorium imposed," said Maria Maisto, president of the adjunct advocacy group New Faculty Majority, "but it's only going to be useful if the colleges engage with adjunct faculty and talk to them and understand the nature of adjunct faculty work."

Among the colleges taking steps to ensure adjunct instructors and other part-time employees will stay below the 30-hour-per-week level is St. Petersburg College, a public institution in Florida.

Providing benefits for part-time employees and instructors would amount to about $8,100 each, for a total cost of millions, said Doug Duncan, senior vice president for administrative and business services at St. Petersburg. The school said it had to enact the limit now because of the one-year "look back" period that employers use to track average hours worked by their employees.

"We hated to take that step for many reasons, but we simply do not have the funding to take on that additional expense," Duncan said.

Many of the colleges cutting hours for adjunct faculty are public institutions, which are by and large underfunded despite enrollment growth over the past decade. That's no excuse though, Maisto said, because "one of the responsibilities is for [college] leaders to make the case to legislators for funding higher education."

Colleges also complain they haven't received any guidance from the Internal Revenue Service on how to figure adjunct work hours, only the warning to calculate them using a "reasonable" method.

The University of Akron, for instance, has not made any final decisions and is consulting with its legal counsel while awaiting IRS advice, said spokeswoman Laura Martinez Massie. But for now the Ohio public institution is scheduling part-time faculty to teach only up to eight credit hours per semester.

The University of Akron employs about 1,000 part-time faculty, representing 56 percent of its teaching faculty, according to Massie. The school determined it would cost $4 million to cover insurance for 400 of those instructors who currently work 30 or more hours a week.

Philadelphia University, a private school, will restrict adjunct faculty to working fewer than 30 hours per week, effective Jan. 1, 2015. However, spokeswoman Debbie Goldberg said this will affect only a few instructors since the majority already work below that limit.

Adjunct faculty, who often don't have a union or tenure to protect their employment, haven't taken the threat or reality of cuts sitting down. The lack of health insurance has helped fuel a movement, with SEIU help, to unionize adjuncts in Boston. In New Hampshire, faculty have protested against limiting the workload of adjuncts to roughly 27 hours a week at community colleges.

Maisto said being vocal with demands for better compensation is necessary because "we don't have any illusion they'll do it without any pushing." Reported by Huffington Post 3 days ago.

TAT Invites Media to Experience Health & Wellness Specialties

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Journalists from around the world received a special treat recently when they took part in an event showcasing Thailand’s thriving health and wellness industry.

Bangkok, Thailand (PRWEB) August 09, 2013

Dubbed the “Media & Online Celebrities FAM Trip 2013,” the Tourism Authority of Thailand (TAT) rolled out the red carpet for medical-travel writers and bloggers who were given an intimate look at an exhilarating array of health and beauty services in Bangkok.

The participants from select ASEAN countries and the US experienced first-hand a range of holistic procedures, skincare sessions, and spa treatments from leading healthcare providers during their 3-day stay in the City of Angels.

The familiarization outing was part of TAT’s “Find Your Fabulous” project which is an international campaign aimed at reminding people to step back from their everyday lives and rediscover their beauty, wellness and health.

“The treatments are all in high quality with high technology, so you can get the results within a day. The facial really left my skin brighter and smoother, while the massage and spa provides maximum relaxing for the whole body, the place is also comfortable and cozy,” said Hestianingsih, a representative from wolipop.detik.com.

A total of six excursions for wellness treatments were available to the media, with visits to facilities preferred by both local and international patients. They included stops at leading Holistic/Anti-aging centers (Absolute Health Integrative Medical Center, the “Life Center” by Samitivej, and Holistic Medical Centre); two acclaimed Wellness Spas (The Oasis Spa and Divana Virtue Spa & Medical); and an expert dermatology clinic (APEX Profound Beauty).

“The treatment at the Divana spa was for sure a must-go for Singaporeans. It's such a relaxing escape and getaway as if you're going back to a home in the countryside. The massage was done really well and the products and services available were world standard,” said Roseanne Tang, one of Singapore’s Top Beauty Bloggers, roseannetangrs.com.

Media were also treated to a “Fabulous Night Exclusive Party” at the hotel on July 19th which brought together key players from the Find Your Fabulous campaign, including TAT Governor Mr. Suraphon Svetasreni, representatives from Thai Airways and online booking engine Asia Web Direct, local news outlets, a fashion show featuring Thai celebrities over age 40 - but still looking fabulous, and other health & beauty gurus.

“The TAT made the trip a showcase and I was impressed, I think we all were. The accommodations, the dining and shopping, and the “Find Your Fabulous” party were all great, but the facilities and the treatments stole the show. I can definitely understand why so many people come to Thailand from overseas for health & wellness therapies,” said Donald Gorr, a representative from leading medical tourism portal and blog, myMEDholiday.com.

Sponsoring the proceedings was the modern and elegant Sofitel So Bangkok, who provided the guest accommodations, and the celebrated Blue Elephant Restaurant nearby, which opened its doors to the fam-trip participants with a welcome dinner and cocktails to kick-off the function. Blue Spice at Grande Centre Point Hotel & Residence Sukhumvit - Terminal 21 and Conrad Bangkok Hotel supplied lunchtime meals throughout the event.

Additional sponsors included Thai Rent-a-Car, who arranged transportation for the media’s sojourn in Bangkok, and BUPA Health Insurance, which provided accident and travel health insurance for the overseas guests.

To learn more, visit http://www.FindYourFabulousThailand.com .

For media information, contact Ms. Chompu Marusachot: Tel 02- 250 5500 Ext. 2831-2840 or email tourism(at)tat(dot)or(dot)th. Reported by PRWeb 2 days ago.

Weight Watchers Sets Its Eyes On Employers

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(Corrects CEO's surname in paragraph 12 to Chambers from Chamber)
By Madeline Will
NEW YORK, Aug 9 (Reuters) - Facing increased competition from free calorie-counting apps, Weight Watchers International Inc is targeting a steadily growing market - employers looking for a leaner workforce.
U.S. companies are eager to trim rising health care costs and more are implementing employee wellness programs, some involving weight loss. Those programs are expected to expand next year when provisions of the Affordable Care Act that encourage obesity prevention kick in.
Weight Watchers has seen its revenue dip in the first half of the year as it struggles to convince cost-conscious dieters to pay $18.95 a month for an online subscription when they have access to free or inexpensive weight loss apps on their phones.
"It's been an ongoing struggle to try and differentiate themselves from those apps," said Wedbush Securities analyst Kurt Frederick.
Some of the apps even rival Weight Watchers' edge in providing a supportive community to help with weight loss. The free, calorie-counting app My Fitness Pal, for example, has an active forum online.
Weight Watchers Chief Financial Officer Nicholas Hotchkin told analysts the calorie-counting apps can't compare to the company's holistic approach to weight loss, which advocates for lifestyle and behavioral changes. But it certainly has shed some revenue. Last week, it reported second-quarter revenue down 4 percent to $465.1 million. Shares plunged. They closed on Thursday at $37.57, almost 21 percent lower than a month ago.
But Weight Watchers' partnership with companies eager to slim down their employees was a bright spot. Experts say employee weight-loss programs are good for worker productivity and employee retention.
Weight Watchers' workforce division might be a small piece of the diet pie for now, but revenue for its partnership with large employers grew about 30 percent this quarter. Regional partnerships, with small employers, saw a 1 percent decline in sales. The company has remained tight-lipped on exact details of the division's results and declined to make an executive available to discuss them.
Called Health Solutions, the division partners with corporations to create incentive programs that range from partially subsidizing Weight Watchers program fees for employees to giving employees a discount on health insurance if they attend a certain amount of meetings, said Susan Craig, a spokeswoman for Weight Watchers.
She added employees can also attend Weight Watchers meetings in their office, or use online tools customizable to the company.
American Express and the New York Stock Exchange Euronext are among the companies using Weight Watchers.
Newly appointed CEO James Chambers, who replaced David Kirchhoff, said on a recent conference call with analysts that he has seen strong interest in the marketplace. The company, he said, plans to commit more resources to the workforce division.
But for now, Health Solutions remains small and cannot yet offset any losses inflicted by mobile competitors. Frederick estimated the workplace wellness programs likely make up less than 5 percent of sales, compared to the meetings and the online business.
The potential market is growing. Some 86 percent of the 120 U.S. companies surveyed offer wellness-based incentive programs, according to a survey by Fidelity Investments and the National Business Group on Health, a nonprofit representing large employers' perspective on health policy. That's up from 57 percent in 2009.
But employers are not required to report their participation in these programs, so it is hard to gather exact data, said Harald Schmidt, a research associate at the University of Pennsylvania's Center for Health Incentives and Behavioral Economics. Weight loss programs are still a minority of those programs, he said.
LuAnn Heinen, vice president of the National Business Group on Health, said the healthcare reform could create buzz and spur further implementation of employee wellness programs. The programs have been growing in popularity for at least five years.
"Large employers are already really interested in doing this," she said. "For smaller and midsize employers, this could drive them into doing this."
The Affordable Care Act, also known as Obamacare, will raise the incentive level caps to 30 percent to allow employers to reward healthy employees with lower insurance premiums, or penalize unhealthy workers with higher premiums.
Most employers are still far from the current cap of offering incentives at 20 percent, and it is more common for employers to raise premiums on smokers than overweight workers, Heinen said.
Weight Watchers will have little competition in the workforce sphere, Frederick said, adding it is more attractive to employers than weight loss programs like Jenny Craig, which offers participants frozen healthy meals.
Food delivery would be more expensive for employers to subsidize, he said. A Jenny Craig year-long membership can cost $359, plus the cost of the food, which averages about $18 a day.
Another advantage: employers want to use weight loss programs that are clinically tested and proven, Heinen said. "Weight Watchers is the most significant stand-alone brand, and the most requested by employees by miles." (Reporting By Madeline Will; Editing by Jilian Mincer and Leslie Gevirtz) Reported by Huffington Post 2 days ago.

House Conservatives Plan ObamaCare Alternative

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With just seven weeks until the implementation of ObamaCare on October 1st, the Republican Study Committee is readying legislation that would repeal ObamaCare and replace it with a new package health care reforms. The RSC is the GOP's internal caucus of House conservatives. It plans to unveil its new set of reforms when Congress returns from recess in September. 

"Chairman Scalise and the RSC Health Care Working Group are drafting legislation to repeal ObamaCare and replace it with a conservative alternative that fixes the problems in our healthcare system without the harmful taxes and mandates in the President's law," RSC spokesman Stephen Bell told The Hill. "The timetable for rollout is slated for this fall." 

Details of the RSC proposal haven't been released, but the organization has generally favored policies that give individual consumers greater latitude over their insurance and health care decisions. News reports on the RSC plan, however, did glimpse one provision that raises possible concerns. The Hill reported:



The forthcoming measure from Scalise and his peers will include protections for people with pre-existing conditions, a key feature of President Obama's law. Bell did not provide more details. 



Preventing insurance companies from denying coverage to people with pre-existing conditions is very popular, for a number of good reasons. For an insurance company, a relatively minor condition like arthritis or carpal tunnel syndrome can be considered grounds for denying coverage. Almost 20 years ago, Congress passed a law, HIPAA that provided protections for people with pre-existing conditions.

But, pre-existing conditions can also be described as "waiting until you are very sick to buy health insurance." One could go years without health insurance, get diagnosed with cancer and then purchase coverage. This erodes the very idea of insurance and would be financially ruinous for the system. 

Like all insurance, the health insurance industry uses premium payments from the overwhelming number of healthy people who aren't at any given time consuming health care to cover the costs of those few who are. In other words, the premiums you pay when you aren't sick cover your health care costs when you are. 

ObamaCare is able to mandate coverage for pre-existing conditions because it mandates that everyone has coverage. Premiums from healthy, currently uninsured people will cover the costs of sick, currently uninsured people. 

It will be interesting to see how the RSC threads this needle. 




 
 
 
  Reported by Breitbart 18 hours ago.
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