Friday, December 13, 2013

Promises To Fix Mental Health System Still Unfulfilled

More From Shots - Health News HealthFDA Warns Against Test Touted As Mammogram AlternativeHealthIf You Drank Like James Bond, You'd Be Shaken, TooHealthA Nasty Fever Called Chikungunya Hits Close To HomeHealthPromises To Fix Mental Health System Still Unfulfilled

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Promises To Fix Mental Health System Still Unfulfilled

More From Shots - Health News HealthFDA Warns Against Test Touted As Mammogram AlternativeHealthIf You Drank Like James Bond, You'd Be Shaken, TooHealthA Nasty Fever Called Chikungunya Hits Close To HomeHealthPromises To Fix Mental Health System Still Unfulfilled

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Thursday, December 12, 2013

A Rush To Reconcile Health Enrollment Data, By Hand

More From All Tech Considered Digital LifeWireless Companies, FCC Reach Deal On 'Unlocking' CellphonesDigital LifeTake A Look At The Top Tweeted Moments Of The YearTechnologyA Rush To Reconcile Health Enrollment Data, By HandBusinessAmid Cuts And Tax Hikes, Tech Companies Get Love in Ireland

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Wednesday, December 11, 2013

Enrollment Jumps At HealthCare.gov, Though Totals Still Lag

More From Shots - Health News HealthSome Young Athletes May Be More Vulnerable To Hits To The HeadHealthGlobal Malaria Deaths Hit A New LowHealthStaph Germs Hide Out In The Hidden Recesses Of Your NoseHealthHealth Exchange Enrollment By State, In 2 Charts

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Single Payer Is Getting a Second Life as Obamacare Frustration Peaks

From the Daily Beast –

Could anger at the Obamacare rollout make Americans more receptive to a kind of Medicare-for-all system? That�s what activists are hoping�and they�re plotting a state-by-state fight.

As the rollout of Obamacare clunks forward, activists who opposed the law from the beginning say it is time to seize the moment, to tear down the current health-care edifice and start anew, especially now as frustration with the law�s implementation is reaching a peak.

These are not Tea Party activists but advocates for a single-payer health-care system who say some of the problems with the launch of the Affordable Care Act�in addition to built-in problems with the law itself�have made the American public more receptive than ever to a Medicare-for-all kind of coverage system.

On Monday, Sen. Bernie Sanders (I-VT) introduced the American Health Security Act, which would require each state to set up a single-payer health-care system and would undo the exchanges that have plagued Obamacare. Meanwhile, various state-led efforts are under way that advocates hope will sweep the country statehouse by statehouse, as soon as lawmakers see the advantage of a single-payer system. In Vermont, for example, lawmakers have set aside the financing and are already preparing to adopt a single-payer system when the federal government permits it, which according to provisions of the Affordable Care Act will be in 2015. In Massachusetts, Don Berwick, a former top Obama administration health official, is basing his campaign for governor on bringing a single-payer system to the commonwealth. And advocates in New York, Maryland, Oregon, and around the country say they see new energy around their cause.

�As the president fully understands, the rollout has been a disaster, the website has been a disaster,� said Sanders in an interview moments after his bill was introduced in the Senate. �But the truth is, even if all of those problems were corrected tomorrow and if the Affordable Care Act did all that it was supposed to do, it would be only a modest step forward to dealing with the dysfunction of the American health-care system. When you have a lot of complications, it is an opportunity for insurance companies and drug companies and medical equipment suppliers to make billions and billions of profits rather than to see our money go into health care and making people well.�

Democrats conceded that Republican efforts to sabotage Obamacare with endless lawsuits and by declining to set up state-run exchanges have damaged the law�s popularity, but they say the confusion will lead the public inevitably to conclude that a simple single-payer system, one that avoids malfunctioning websites and complicated gold/silver/bronze options, is preferable. Advocates pointed enthusiastically to a tweet last month from John Podesta, the former Clinton White House chief of staff who is joining President Obama to help with health care��Just applied online for Medicare. Took 5 minutes. Single payer anyone?��calling it proof that wild-eyed radicals are not the only ones supporting single payer. The notion is gradually becoming more mainstream among the Democratic establishment, advocates said.

�I think the thing that is most interesting about government is that populism gets its biggest support not from Democrats but from what Republicans do,� said former Pennsylvania governor Ed Rendell, who stressed that he did not count himself among the populist members of the Democratic Party. �They torpedo the Affordable Care Act, and I believe we will now have single payer in this country within the next 15 years.�

Opponents to single payer certainly have reasons to believe the momentum is on their side. Further meddling with the American health-care system, after not just the botched rollout of the Affordable Care Act but also the grueling five-year fight to get there, seems unlikely. But proponents of single payer pointed to polls that show a majority of Americans want some version of Medicare for all. It is up to Democratic pols to show leadership on the issue and risk defying the powerful health-care industry, advocates said.

�It is not possible to put together a good program unless you antagonize the powers that be,� said Dr. David Himmelstein, one of the leaders of Physicians for a National Health Program. The White House, he added, �largely played an inside-the-Beltway game in passing Obamacare. They refused to rally the American people for something truly radical which every poll shows that the American people really want.�

Sanders joked that he expected to have his bill passed by chambers of Congress and ready for President Obama�s signature by the time he returns from Nelson Mandela�s funeral in South Africa, but few proponents see much hope of gaining traction for single-payer health care in a Congress that has struggled to pass a routine budget.

Instead they are turning to a legislature-by-legislature fight in statehouses across the country. Advocates in New York and California said they were counting on labor unions� opposition to the Affordable Care Act�some labor leaders have feared that their members may pay higher premiums under the law and have pushed for exemptions. In Vermont, a single-payer bill passed in 2011, and Dr. Deb Richter, the president of Vermont Health Care for All, said that if anything, the passage of Obamcare slowed the group�s work there.

�We had all the momentum going on the single-payer side, and it was really slowed by the Affordable Care Act,� she said. A state measure similar to Obamacare faltered, she added, because it lacked the appropriate enforcement mechanisms. Now, with the law set to take effect in 2015, advocates are working to calm fears among Vermonters who have been scared off by talk of �socialized medicine.�

�We have all of the right ingredients, but there is a lot of room for mischief. You can confuse people, freak them about rationing and all of that stuff,� said Richter. She said she thought Obamacare�s failure to deal with the spiraling cost of health care would lead more and more people to see the logic of single payer.

�I think that eventually most states will recognize this,� she said. �We keep talking about how the health-care system is unsustainable. We haven�t reached that point yet, but when health care starts eating up 25 percent of GDP and you have hospitals failing, they will look for guaranteed financing, and the only way you get there is through a single-payer system. It is not a matter of if but of when.�

Tuesday, December 10, 2013

Despite Big Market In Florida, Obamacare Is A Hard Sell

More From Shots - Health News HealthPopular Antacids Increase The Risk Of B-12 DeficiencyHealthTo Fight Meningitis Outbreak, Princeton Tries European VaccineHealthDespite Big Market In Florida, Obamacare Is A Hard SellHealthDon't Count On Insurance To Pay For Genetic Tests

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To Fight Meningitis Outbreak, Princeton Tries European Vaccine

More From Shots - Health News HealthPopular Antacids Increase The Risk Of B-12 DeficiencyHealthTo Fight Meningitis Outbreak, Princeton Tries European VaccineHealthDespite Big Market In Florida, Obamacare Is A Hard SellHealthDon't Count On Insurance To Pay For Genetic Tests

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To Curb Costs, New California Health Plans Trim Care Choices

More From Shots - Health News HealthPopular Antacids Increase The Risk Of B-12 DeficiencyHealthTo Fight Meningitis Outbreak, Princeton Tries European VaccineHealthDespite Big Market In Florida, Obamacare Is A Hard SellHealthDon't Count On Insurance To Pay For Genetic Tests

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Saturday, December 7, 2013

Canceled In California: People Eye Health Plans Off Exchange

More From Shots - Health News Health23andMe Bows To FDA's Demands, Drops Health ClaimsHealthHoped-For AIDS Cures Fail In 2 Boston PatientsHealthCanceled In California: People Eye Health Plans Off ExchangeHealthMedical Journal Goes To The Dogs

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Friday, December 6, 2013

Medical Journal Goes To The Dogs

More From Shots - Health News HealthMedical Journal Goes To The DogsHealth CareWhite House Cites Pre-Existing Condition Case From Its Own RanksHealthFDA Expected To Approve New, Gentler Cure For Hepatitis CHealthHealthCare.gov Now Allows Window Shopping, And A Do-Over

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Wednesday, December 4, 2013

An Outsider on the Inside

Though battling terminal illness, Tim Carpenter is still busy moving Congress left.

Tim Carpenter is the national director of Progressive Democrats of America (PDA). Founded in 2004 in the aftermath of Rep. Dennis Kucinich�s (D-Ohio) presidential run, the group works what it calls an �inside-outside� strategy�aimed at translating the activism of outside social movements into progressive legislation in Congress. PDA works closely with progressive advocacy groups and about a dozen activist members of the Congressional Progressive Caucus, aiming to push the 72-member voting block to take more aggressive stances on issues as diverse as the welfare state, healthcare, trade and foreign policy. This year, PDA has lobbied Congress and helped organize rallies against reductions in Social Security and pushed for a so-called Robin Hood tax on financial transactions.

A native of Southern California, Carpenter is a longtime activist with history in the grassroots campaigns against anti-nuclear power, the Catholic Worker movement and Democratic Socialists of America. When he is not on the road organizing, he lives with his family in western Massachusetts.

Do progressives in Congress have anything to learn from the Tea Party?

Progressives can learn a lot from the Tea Party in regards to the inside-outside strategy of holding elected officials accountable. The Congressional Progressive Caucus took a number of missteps and miscues leading up to the Affordable Care Act. We should never have abandoned the fight on single payer. We should have never opted for a public option. We divided our forces much too early. What we can learn from the Tea Baggers is to hold elected officials accountable and not give up�certainly not before we�re deep into a fight.

You have been working with the Progressive Caucus since the founding of PDA in 2004. How effective is the caucus?

The Progressive Caucus has been a landing point for progressive activists who are working inside the Democratic Party. If you�re working an inside-outside strategy, you have to have a base to come home to, and the Progressive Caucus has offered us that. In reality, of those 72 members, only about 10 are what we would call leaders within the Progressive Caucus. Our work as Progressive Democrats of America is to strengthen those who are leading. To have a place where we as progressives can come together and work is important. Over the course of the last year or two under the leadership of Rep. Keith Ellison (D-Minn.) and Rau�l Grijalva (D-Ariz.), we�ve seen the more progressive wing of the caucus hold the line, particularly in regard to making sure that no missiles were tossed into Damascus.

Some critics of the Progressive Caucus suggest that it would be more effective to have a smaller, more aggressive caucus. What do you think?

I agree. I would rather be in a meeting with 10 people who want to make a difference, get out and lead than be in a room with 60 people who call themselves progressives. I would rather surround myself with those who are willing to roll up their sleeves and go out and risk defeat. An aggressive, focused, principled caucus that held the line on single payer would have served our movement much better through this fight over the Affordable Care Act.

Steve Cobble, a co-founder of PDA, makes this analogy of the horseshoe, saying there are issues in Congress where you can link the left of the Progressive Caucus with some Tea Party, libertarian-minded Republicans. Is that an effective strategy?

We have political opportunities in this Congress, whether it�s the horseshoe analogy or in bed with strange bedfellows�whatever you want to term it. There are libertarians and Tea Baggers out there who agree with us that it�s unconscionable to spend the resources we do on the military budget. And we find agreement on not going into Syria. So if you can find the votes and if you can put together a majority to prevent our president from taking us into an unnecessary, illegal war, you�re going to take those votes wherever you can get them.

What kind of small victories are achievable in this political landscape?

I�m a glass-half-full person, so it�s not that difficult for me to find those little victories, beginning with the food stamp program. We began that fight when the Democratic Party leadership was absolutely silent. We had a phone call with Rep. Jim McGovern (D-Mass.) when PDA activists were delivering letters every month to their members of Congress in defense of food stamps. McGovern told us the Democratic Party leadership was silent on this question and that it was important that we simply have a vote of conscience to save the food stamp program. By the time it went on to the floor, we thought we had 133 votes but ended up with 188 votes [out of a possible 218 needed to win]. That was a victory. A vote of conscience in which 188 folks stood up to save food stamps. At the same time as we were garnering those votes, we were doing street actions in front of the offices of the Democratic leadership, Chief Deputy Minority Whip Debbie Wasserman Schultz (Fla.), Minority Whip Rep. Ste- ny Hoyer (Md.) and Minority Leader Nancy Pelosi (Calif.). By the time the Farm Bill came back around again then for a vote, all of those members in the leadership were on the floor voting to kill that bill.

An example of a major victory would be Syria. Again, our Democratic leadership was silent. Our president was willing to risk another war. And again activists around the country, led by Rep. Barbara Lee (D-Calif.), pushed Congress not to use military force but to begin a course of diplomacy.

What do you say to the critics on the Left who would claim that the PDA mission is ultimately hopeless, that the Democratic Party is not going to be reformed, and that if you really want to build progressive political power, it necessarily has to take place outside of that framework?

We live in a two-party system. Until we change the political realities of our two-party system, whether it be until we can get real public financing or until we can get real proportional representation, the playing field will be skewed. Before we have a third party, we need a strong second party. We�re the insurgency inside the Democratic Party fighting to return it to its progressive roots. We are hopeful that, through the work we do, we can begin to engage on the inside with those who are now on the outside and encourage them to do what they can to level the playing field.

A lot of PDA folks were part of Dennis Kucinich�s 2004 campaign for president. How important do you think it is in 2016 to have a progressive presidential candidate?

That�s a big debate. We need to be realistic. We are not going to elect a progressive president in 2016, just as we weren�t going to elect a progressive president in 2004, though Kucinich certainly didn�t want to hear it at the time. But if we�re going to transform the Democratic Party it�s important that we put in place a vision of what the Democratic Party can look like under a progressive presidency. So for that reason alone we need to have a horse in the race in 2016 who will challenge Hillary Clinton, the presumptive nominee. We need to re- mind folks that Hillary was wrong on the war in Iraq and she was wrong on trade. There are a lot of issues that as progressive Democrats we would want to challenge her on.

The Democratic Party, at its roots, is a progressive party. So my hope is that we would have a candidate who will be the standard-bearer for the progressive Democrats. I see the tide turning. It�s imperative that the progressive movement run a strong, articulate progressive candidate and campaign in 2016.

Given that you are waging an uphill battle against cancer, have you been preparing for what�s going to happen with PDA?

You�re definitely putting the elephant in the room in talking about the fact that I�ve got a terminal illness. It�s a question we�re wrestling with. The short answer is we honestly don�t know. We�re not a card-carrying organization; we�re a community of people. We�re going to meet in February as a community and we�ll talk about it. The work�s going to continue and I hope to be as productive, or even more productive, as we move on to the 2014 election season.

Friday, November 29, 2013

HealthCare.gov Team Working Through Holiday To Meet Deadline

More From All Tech Considered TechnologyHard-Core And Casual Gamers Play In Different Worlds TechnologyFor Advocacy Groups, Video Games Are The Next FrontierTechnologyBusinesses Woo Customers With Free Phone-Charging StationsTechnologyHealthCare.gov Team Working Through Holiday To Meet Deadline

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Thursday, November 28, 2013

Breaking Up With HealthCare.gov Is Hard To Do

More From Shots - Health News Health CareBreaking Up With HealthCare.gov Is Hard To DoHealthBrain Cells 'Geotag' Memories To Cache What Happened � And WhereHealthAfter The Cranberries And Pie, Let's Talk About DeathScience'The Coolest Thing Ever': How A Robotic Arm Changed 4 Lives

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Wednesday, November 27, 2013

In Rural Iowa, Distance Makes Health Care Sign-Ups A Challenge

More From Shots - Health News HealthSmall-Business Access To Online Health Exchanges Delayed AgainHealthBooming Demand For Donated Breast Milk Raises Safety IssuesHealthIn Rural Iowa, Distance Makes Health Care Sign-Ups A ChallengeHealthEstrogen May Not Help Prevent Fuzzy Thinking After Menopause

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Wednesday, November 20, 2013

Medicaid Enrollment Is Brisk Despite HealthCare.gov Troubles

More From Shots - Health News HealthHow A Vitamin D Test Misdiagnosed African-AmericansHealth CareMedicaid Enrollment Is Brisk Despite HealthCare.gov TroublesHealthKids Are Less Fit Today Than You Were Back ThenHealthWhy College Campuses Get Hit By Meningitis Outbreaks

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Medicaid Enrollment Is Brisk Despite HealthCare.gov Troubles

More From Shots - Health News HealthHow A Vitamin D Test Misdiagnosed African-AmericansHealth CareMedicaid Enrollment Is Brisk Despite HealthCare.gov TroublesHealthKids Are Less Fit Today Than You Were Back ThenHealthWhy College Campuses Get Hit By Meningitis Outbreaks

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Tuesday, November 19, 2013

Wisconsin Chooses Its Own Path To Overhaul Medicaid

More From Shots - Health News HealthWhy College Campuses Get Hit By Meningitis OutbreaksHealthSpiritual Healers Keep Watch For Plague In UgandaHealth CareWisconsin Chooses Its Own Path To Overhaul MedicaidHealthUsing Birth Control Pills May Increase Women's Glaucoma Risk

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Saturday, November 16, 2013

Making Moves In Food Delivery, Chess And Health Care

Listen to the Story 3 min 55 sec Playlist Download Transcript  

The online magazine Ozy covers people, places and trends on the horizon. Co-founder Carlos Watson joins All Things Considered regularly to tell us about the site's latest discoveries.

This week, Watson tells host Arun Rath about a delivery service that allows you to track your food in real time, a chess master who is making the board game sexy and his recent interview with President Bill Clinton.

The New And The Next Shaking Up The Food Delivery Model Enlarge image i Radius Images/Corbis Radius Images/Corbis

"A couple of young guys who were UC Berkeley grads � food obsessed � were finding that they couldn't get their favorite foods delivered. So, they starteda new service called Caviar, that for a flat fee is creating quite the Uber-like stir around San Francisco and now in Seattle and New York. ...

"They've got a lot of your basics, whether it's fish tacos or pulled pork sandwiches, but they also have some of the higher-end restaurants who in the past have been a little hesitant about delivery who have agreed to do it."

Read 'Caviar: Like Uber For Eaters' At Ozy.com

Sexy Moves In The World Of Chess Enlarge image i Courtesy of Ozy.com Courtesy of Ozy.com

"Chess is not always the sexiest sport. But the No. 1 chess player in the world is a young guy from Norway named Magnus Carlsen, who is becoming quite the sensation. He is not only a champion chess player but he is also a male model and that's a very different look from Bobby Fischer or Garry Kasparov, who were two other famous chess champions of the past. ... Guys like Kasparov and others are saying, 'I hope he does really well and puts chess back into the larger mainstream conversation.' "

Read 'Meet the New Ambassador of Chess' At Ozy.com

President Bill Clinton Talks Health Care With Ozy Youtube/YouTube

"He reminded us that when President George W. Bush rolled out the Medicare Part D plan that there also were a number of hiccups in the early days. So, that was his way of offering context to the current troubles with HealthCare.gov. And saying, be a little bit patient. While there may be a number of troubles in the first couple months with HealthCare.gov, they ultimately should be fixable and this won't have been the first time that we've had to smooth over some things in the early going."

Read 'Assessing the Healthcare Rollout' At Ozy.com

Share Facebook Twitter Google+ Email Comment More From The New And The Next Pop CultureMaking Moves In Food Delivery, Chess And Health CarePop CultureDigging Into The Truth About Messages, Images And Hard TimesPop CultureA Male Belly Dancer, Social Activism On Instagram, 'Thriller'Pop CultureA Teenage Music Phenom, Infographics, Motorcycles In Vietnam

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Friday, November 15, 2013

Medicare Penalizes Nearly 1,500 Hospitals For Poor Quality Scores

More From Shots - Health News HealthFor Many People, Lowering Blood Pressure Will Take A VillageHealthCan You Keep Your Old Health Plan? It May Depend On Where You Live HealthFederal Brain Science Project Aims To Restore Soldiers' MemoryHealthConsumer Guide To Obama's Plan For Canceled Health Policies

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Thursday, November 14, 2013

6 Ideas Being Floated To 'Fix' Obamacare Sign-Up Woes

More From It's All Politics PoliticsFacing Media Blitz, Obama Leans On Football MetaphorsPoliticsDemocrats Try To Stanch Political Bleeding From ObamacarePoliticsObamacare Fallout Hits Senate Democrats, But Not Equally PoliticsThursday Political Mix: Obamacare's Data Dump Fallout

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Friday, November 8, 2013

In Massachusetts, Health Care Prices Remain Hard To Get

More From Shots - Health News Health CareWhite House Releases Long-Awaited Rules On Mental HealthHealthIn Massachusetts, Health Care Prices Remain Hard To GetHealthPolio In The Middle East And Africa Could Threaten EuropeHealthPersistence Pays Off For Uninsured Alaskan

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Monday, November 4, 2013

Bariatric Surgery Can Keep Pounds Off For Years

More From Shots - Health News HealthBariatric Surgery Can Keep Pounds Off For YearsHealthChildhood Maltreatment Can Leave Scars In The BrainHealth CareOregon's State Exchange May Be Worse Than HealthCare.govHealthJohnson & Johnson To Pay $2.2 Billion In Marketing Settlement

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Sunday, November 3, 2013

Minnesota Reaches Out To Uninsured Latinos, Wherever They Are

More From Shots - Health News Health CareMinnesota Reaches Out To Uninsured Latinos, Wherever They AreHealth CareAdding To Insurance Confusion, Outside Groups Try To Cash InHealth CareSo You Found An Exchange Plan. But Can You Find A Provider?HealthFeds To Ease Restrictions On Flexible Spending Accounts

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Friday, November 1, 2013

Feds To Ease Restrictions On Flexible Spending Accounts

More From Shots - Health News HealthFeds To Ease Restrictions On Flexible Spending AccountsHealthSorry, Red Sox, Heavy Stubble Beats Beards For AttractivenessHealthSeeing In The Pitch-Dark Is All In Your HeadHealth CareWhich Plans Cover Abortion? No Answers On HealthCare.gov

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Appeals Court Gives Texas OK To Enforce Abortion Law

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Thursday, October 31, 2013

Add Security To The List Of HealthCare.gov Tech Issues

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Rep. Mike Rogers, R-Mich., asks about website security questions Wednesday at a House Energy and Commerce Committee hearing on problems with HealthCare.gov.

Chip Somodevilla/Getty Images

Rep. Mike Rogers, R-Mich., asks about website security questions Wednesday at a House Energy and Commerce Committee hearing on problems with HealthCare.gov.

Chip Somodevilla/Getty Images

To the long list of problems plaguing HealthCare.gov, add data security. The enrollment site for the new health insurance exchanges had a security flaw that didn't get patched up when the exchange marketplace went live.

An internal government memo obtained by The Washington Post and Associated Press is dated Sept. 27 � four days before the HealthCare.gov website went live. It shows the government decided to go forward with launching the site even though there were "inherent security risks."

The memo says that from a security perspective, aspects of the system that were not tested due to the ongoing development "exposed a level of uncertainty that can be deemed as a high risk for FFM [Federally Facilitated Marketplace]."

Under federal government cybersecurity protocol, someone has to sign off on temporary certifications to operate despite security risks, and in testimony before the House Energy and Commerce panel Wednesday, Health and Human Services Secretary Kathleen Sebelius said that temporary authority was granted because a security risk "mitigation plan" was in place.

All Tech Considered What's A 'Glitch,' Anyway? A Brief Linguistic History All Tech Considered A Diagram Of HealthCare.gov, Based On The People Who Built It Sebelius: Hold Me Accountable For HealthCare.gov Debacle 4 min 15 sec Add to Playlist Download  

"You accepted a risk of every user of this computer that put their personal financial information at risk," said Rep. Mike Rogers, R-Mich., while questioning Sebelius.

The personal information going into HealthCare.gov includes birth date, Social Security number and an estimated income range. Sebelius emphasized that the additional security controls gave the agency confidence in going ahead with the launch, despite the audit showing a security gap.

"They get to make those decisions and those tradeoffs," says Waylon Krush, CEO of LunarLine, a cybersecurity firm that does work with dozens of federal government agencies, including HHS. "[Agency systems] process, store, manage, review a lot more sensitive data than what your general citizen is gonna put on HealthCare.gov, so I would say, from a risk perspective, it's pretty low, actually."

But the agency's technological credibility is dwindling, as programmers rush to fix ongoing issues with the error-riddled system. Now, programmers have to make sure they don't introduce new security risks with each patch.

"I know they're doing simultaneous testing as new code is loaded," Sebelius said Wednesday. Krush says this attention on security presents a good reminder for all of us.

"Everyone should always ask those questions, whether it's commercial or government, 'How are you protecting my data?' " he says.

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Congressmen Berate Sebelius For Cancellations, Website Woes

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Wednesday, October 30, 2013

The Long List Of Health Apps Features Few Clear Winners

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Obama Vows HealthCare.gov Problems Will Be Fixed 'ASAP'

More From The Two-Way HealthNew York OKs Raising Age For Tobacco Purchases To 21TechnologyDell: 'Manufacturing Process' Made Laptops Smell Like Cat UrinePoliticsU.S. Budget Deficit Falls Under $1 Trillion; Lowest Since 2008Health CareObama Vows HealthCare.gov Problems Will Be Fixed 'ASAP'

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Tuesday, October 29, 2013

Insurance Cancellations Elbow Out Website Woes At Health Hearing

More From Shots - Health News HealthFor A Longer Life, You Might Try Mowing The LawnHealth CareInsurance Cancellations Elbow Out Website Woes At Health HearingHealthShort-Term Insurance Skirts Health Law To Cut CostsHealthHow A Wandering Brain Can Help People Cope With Pain

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Obamacare Enrollment Period Extended 6 Weeks

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Saturday, October 26, 2013

'Loyal Soldier' Sebelius Vows To Stay Put, Fix HealthCare.gov

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Health and Human Services Secretary Kathleen Sebelius speaks Thursday in Phoenix.

Laura Segall/Getty Images

Health and Human Services Secretary Kathleen Sebelius speaks Thursday in Phoenix.

Laura Segall/Getty Images

This has not been an easy month for Health and Human Services Secretary Kathleen Sebelius.

Republican Sen. Pat Roberts of Kansas � who learned the political ropes working for Sebelius' father-in-law, then a Kansas congressman � called for her to step down over the debut of HealthCare.gov, the problem-plagued website where people are supposed to apply for coverage under the Affordable Care Act.

Invited on the usually friendly-to-Democrats The Daily Show, Sebelius was lampooned by host Jon Stewart, who challenged her to a race of sorts: "I'm going to try and download every movie ever made, and you're going to try to sign up for Obamacare, and we'll see which happens first."

And while she was able to laugh off Stewart's opening gag, Sebelius had trouble clearly explaining why, if businesses have been given an extra year to implement Obamacare, individuals shouldn't have the same delay.

Sebelius served six years as the Democratic governor of largely Republican Kansas. She is the daughter of the late Ohio Gov. John Gilligan. University of Kansas political science professor Burdett Loomis says she remains popular at home, despite the hits she's been taking in Washington:

"This hasn't been an easy time for her. The Obamacare rollout has clearly been problematic; she pretty much got roasted on Jon Stewart; but she's been a loyal soldier to Barack Obama and I think she truly believes that Obamacare is in the best interest of the country."

Seven years ago the Bush administration unveiled Medicare Part D, which provides seniors with prescription drug benefits. The website for that program had a similarly rocky debut. The HHS secretary then was former Utah Gov. Mike Leavitt, who notes Sebelius did not make many of the key decisions regarding the rollout of Obamacare. Leavitt says he empathizes with Sebelius:

"It's much like being the pilot of an airplane full of passengers sitting on the tarmac with a series of complications you don't entirely control. It's better to say to the passengers, 'This is where we are. This is how much time we expect it'll take. ... Here's what we're doing to remedy it and here's how it's going to affect you. We're doing our best.' "

Before being elected governor, Sebelius was Kansas insurance commissioner. The Republican occupant of the job now, Sandy Praeger, says the glitches in the rollout of Obamacare are not Sebelius' fault.

"The complexity of what she's having to deal with is massive and in an environment that's been pretty politically charged, to say the least. So I have a great deal of sympathy for what she's having to work through," says Praeger. "I know she's probably very frustrated."

Praeger says calls for Sebelius to resign are totally inappropriate. And in an appearance in Phoenix, Sebelius rejected Republican demands she step down.

'The majority of people calling for me to resign I would say are people who I don't work for and who do not want this program to work in the first place," Sebelius said Thursday. "I have had frequent conversations with the president and I have committed to him that my role is to get the program up and running, and we will do just that."

Sebelius is expected to testify before a House committee investigating the Affordable Care Act's implementation as soon as Wednesday.

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Wednesday, October 23, 2013

White House Turns To 'Rock Star' Manager For Obamacare Fix

More From It's All Politics PoliticsWhite House Turns To 'Rock Star' Manager For Obamacare FixPoliticsGOP Pollster: What Went Wrong, And WhyPoliticsWednesday Morning Political Mix: Troll, Trial, TribulationPoliticsFor Democrats, Obamacare Web Woes Create 2014 Headache

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Why Postponing Insurance Mandate Is No Easy Fix For Obamacare

More From Shots - Health News HealthA Toddler Remains HIV-Free, Raising Hope For Babies WorldwideHealthWhy Postponing Insurance Mandate Is No Easy Fix For ObamacareHealthFDA Asks Dog Owners For Help With Illnesses Linked To JerkyHealth CareStates' Refusal To Expand Medicaid May Leave Millions Uninsured

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Tuesday, October 22, 2013

How Politics Set The Stage For The Obamacare Website Meltdown

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Enrollments For Health Care Exchanges Trickle In, Slowly

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Monday, October 21, 2013

Enrollments For Health Care Exchanges Trickle In, Slowly

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Friday, October 18, 2013

Why Scientists Are Trying Viruses To Beat Back Bacteria

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Why Scientists Are Trying Viruses To Beat Back Bacteria

More From Shots - Health News HealthWhy Scientists Are Trying Viruses To Beat Back BacteriaHealthTo Prevent HIV Infection, Couples Try Testing Together HealthPainkiller Overdose Deaths Strike New York City's Middle ClassHealthHow The GOP's Shutdown Over Obamacare Fell Short

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Friday, October 11, 2013

California Trains Helpers To Meet Demand For Health Insurance

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FAQ: How Obamacare Affects Employers And How They're Responding

This is one of several explainers to help consumers navigate their health insurance choices under the Affordable Care Act, or as some call it, Obamacare. Click here for answers to other common questions. Have a question we missed? Send it to health@npr.org. We may use it in a future on-air or online segment.

Do employers have to do anything different under the Affordable Care Act?

Not right away. The only thing required of employers at the start is that they notify workers that the new health insurance exchanges have opened. You may have received a letter from your employer to this effect � you probably don't need to do anything.

Starting in 2015, large employers with 50 or more workers have a responsibility � but no mandate � to offer employees health coverage. If they don't, they may face fines, but only if their workers go to health insurance exchanges and have earnings low enough to qualify for federal subsidies. Stores and restaurants � less likely to offer health insurance in the past � may be most affected. The coverage rule doesn't affect workers who put in less than 30 hours a week.

There are no responsibilities for small employers with fewer than 50 workers. If they want to buy coverage for their employees, the insurance exchanges represent a new option for them in terms of where to shop. Certain employers with fewer than 25 workers are eligible for federal tax credits. To qualify, the company has to cover at least half of the premium for all of its employees, and also have average wages of less than $50,000. For details on these tax credits, see this answer sheet from the IRS.

Will my employer cut back on my insurance coverage?

A number of employers have been overhauling the health benefits they offer employees, citing rising costs.

There are two themes to what they are doing. In trying to control their own spending, employers often are shifting health costs to employees. So the average annual deductible for an individual � what consumers pay before insurance kicks in � nearly doubled in the past seven years, from $584 in 2006 to $1,135 this year, according to the Kaiser Family Foundation.

But employers aren't just making workers pay more. They're trying to make them think more about health-related expenses and behavior.

Companies such as grocer Kroger Co. pay only a fixed amount for particular drugs or procedures, giving patients incentive to shop around for the best price. IBM started giving rebates to workers who adopt healthy lifestyles. Penalizing smokers with surcharges is one of the few discriminatory measures the health act allows.

What about part-time workers?

Nothing in the Affordable Care Act says that employers have to cover part-time workers. The law defines part time as someone who works less than 30 hours a week.

Some employers that have offered part-time workers minimal coverage, such as Trader Joe's and Home Depot, have dropped it on the grounds that those workers can now find coverage through the insurance exchanges. Most workers in this situation will be pleased with the outcome. They'll likely find better coverage than what they had for less money. Although depending on the situation, some people may see their premiums go up.

Are employers reducing their workforce as a result of the Affordable Care Act?

There have been reports of employers holding back on hiring in order to stay under the 50-employee threshold that triggers health insurance responsibilities. There also have been reports of employers cutting workers' hours to below 30 per week so that they don't count as full-time. While there is anecdotal evidence of both things happening, there's no evidence that those cases have added up to a broader drag on the economy as a whole.

Will my company stop offering coverage to my spouse and dependents?

Some companies, including UPS, have decided to stop covering working spouses if they have access to coverage at their own jobs. The health law does not require employers to cover spouses, but surveys show that only a minority of companies have implemented a "spousal exclusion."

However, employers increasingly offer incentives to get spouses off their plans. They may charge workers extra if a covered spouse has access to other insurance, or they may pay bonuses when spouses are not on the company policy.

The health law requires employers who offer coverage to employees to also offer coverage to dependent children, or pay a penalty.

See other Frequently Asked Questions on the Affordable Care Act:

Understanding The Health Insurance Mandate And Penalties For Going Uninsured All About Health Insurance Exchanges And How To Shop At Them A Young Adult's Guide To New Health Insurance Choices What Retirees And Seniors Need To Know About The Affordable Care Act Where Medicaid's Reach Has Expanded � And Where It Hasn't


Additional coverage from NPR Member Stations:

California (KQED, San Francisco) California (KPCC) California (KXJZ Capital Public Radio, Sacramento) Colorado (Colorado Public Radio) Massachusetts (WBUR, Boston) Minnesota (Minnesota Public Radio) Georgia (WABE, Atlanta) New York (WNYC) Oregon (Oregon Public Broadcasting) Pennsylvania (WHYY newsworks.org) Texas (KUHF) Texas (KUT, San Antonio)

This FAQ was produced through a collaboration between NPR and Kaiser Health News, an editorially independent program of the Henry J. Kaiser Family Foundation, a nonpartisan health-care policy research organization. The Kaiser Family Foundation is not affiliated with Kaiser Permanente.

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Thursday, October 10, 2013

Employers Trim Health Costs By Cutting Coverage For Spouses

More From Shots - Health News HealthWhy Scientists Held Back Details On A Unique Botulinum Toxin HealthEven Mild Strokes Take A Toll On Quality Of LifeHealthActivists Sue U.N. Over Cholera That Killed Thousands In HaitiHealthNobel Goes To Scientists Who Took Chemistry Into Cyberspace

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Tuesday, October 8, 2013

From Therapy Dogs To New Patients, Federal Shutdown Hits NIH

More From Shots - Health News HealthShifting Resources To Front Lines Could Protect Polio WorkersHealthMany Teens Admit To Coercing Others Into SexHealthDelaying Aging May Have A Bigger Payoff Than Fighting DiseaseHealthVeterinarians Say Health Law's Device Tax Is Unfair To Pets

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Small Businesses May Find Insurance Relief In Exchanges

More From Shots - Health News HealthShifting Resources To Front Lines Could Protect Polio WorkersHealthMany Teens Admit To Coercing Others Into SexHealthDelaying Aging May Have A Bigger Payoff Than Fighting DiseaseHealthVeterinarians Say Health Law's Device Tax Is Unfair To Pets

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Part-Time Workers Search New Exchanges For Health Insurance

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Back To Work After A Baby, But Without Health Insurance

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Monday, October 7, 2013

Back To Work After A Baby, But Without Health Insurance

More From Shots - Health News HealthDelaying Aging May Have A Bigger Payoff Than Fighting DiseaseHealthNobel Winners Decoded How Neurons And Cells Talk To Each OtherHealthFor Boys With Eating Disorders, Finding Treatment Can Be HardHealthIt's Time To Rediscover The IUD, Women's Health Advocates Say

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Exchange Shopping Starts Now, But No Need To Rush

More From Shots - Health News HealthDelaying Aging May Have A Bigger Payoff Than Fighting DiseaseHealthNobel Winners Decoded How Neurons And Cells Talk To Each OtherHealthFor Boys With Eating Disorders, Finding Treatment Can Be HardHealthIt's Time To Rediscover The IUD, Women's Health Advocates Say

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Part-Time Workers Search New Exchanges For Health Insurance

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Saturday, September 21, 2013

How Many Die From Medical Mistakes In U.S. Hospitals?

More From Shots - Health News ScienceIn Life, Man Immune To HIV Helped Scientists Fight VirusHealthHow Many Die From Medical Mistakes In U.S. Hospitals?HealthStudy Finds Mixed Results For Back Braces To Treat Scoliosis HealthEven As MERS Epidemic Grows, The Source Eludes Scientists

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Friday, September 20, 2013

Report: Cases Of Elderly Dementia To Nearly Triple By 2050

More From The Two-Way NewsMatch Fixing: El Salvador Bans 14 Soccer Players For LifeNewsDocument Sheds New Light On The Time The U.S. Almost Nuked ItselfBusinessBlackBerry To Slash Workforce Amid $1 Billion LossNews'On The Media' Presents: A Consumer's Guide To Breaking News

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House GOP Votes To Fund Government, Kill Obamacare

More From The Two-Way NewsMatch Fixing: El Salvador Bans 14 Soccer Players For LifeNewsDocument Sheds New Light On The Time The U.S. Almost Nuked ItselfBusinessBlackBerry To Slash Workforce Amid $1 Billion LossNews'On The Media' Presents: A Consumer's Guide To Breaking News

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Thursday, September 19, 2013

Americans' Upside-Down View Of Medicare's Problems

More From Shots - Health News HealthBoston Hospitals Share Lessons From Marathon BombingHealthA Hospital Tells Police Where Fights Happen, And Crime DropsHealth CareHealth Care Costs Are Projected To Outpace Economic GrowthHealthEmployers Trim Health Costs By Cutting Coverage For Spouses

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Friday, September 13, 2013

AFL-CIO Reaffirms Commitment to Single Payer–Demands Fixes to ACA

From All Unions for Single Payer –

The just concluded AFL-CIO convention reaffirmed its commitment to a single payer health care system while demanding that the Affordable Care Act (ACA) be fixed to protect Taft-Hartley (multiemployer) plans, to end the excise tax, to make employers cover workers who average 20 hours a week, to require construction companies with 5 or more employees to provide health care, to penalize companies who dump their workers onto Medicaid, plus more.

Some of the debate on the resolution can be seen here:

Full text of the resolution can be found here.

Proposed Alaska Road Pits Villagers Against Environmentalists

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Why Painting Tumors Could Make Brain Surgeons Better

More From Shots - Health News HealthTreating Kids' Cancer With Science And A Pocket Full Of HopeHealthHow A 'Breakfast at Tiffany's' Video Improved Asthma TreatmentHealthFlorida Officials Swat At Mosquitoes With Dengue FeverHealthConnecticut Takes Obamacare To The People

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Why Painting Tumors Could Make Brain Surgeons Better

More From Shots - Health News HealthTreating Kids' Cancer With Science And A Pocket Full Of HopeHealthHow A 'Breakfast at Tiffany's' Video Improved Asthma TreatmentHealthFlorida Officials Swat At Mosquitoes With Dengue FeverHealthConnecticut Takes Obamacare To The People

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Tuesday, September 10, 2013

Why More Expensive Insurance Can Pay Off

More From Shots - Health News HealthWhy More Expensive Insurance Can Pay OffHealthHow Expansion Will Change The Look Of MedicaidHealthWhy Younger Women Could Benefit From Mammograms After All HealthMicrobe Transplants Treat Some Diseases That Drugs Can't Fix

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Saturday, August 31, 2013

ObamaCare’s architects reap windfall as Washington lobbyists

ObamaCare has become big business for an elite network of Washington lobbyists and consultants who helped shape the law from the inside.

More than 30 former administration officials, lawmakers and congressional staffers who worked on the healthcare law have set up shop on K Street since 2010.

Major lobbying firms such as Fierce, Isakowitz & Blalock, The Glover Park Group, Alston & Bird, BGR Group and Akin Gump can all boast an Affordable Care Act insider on their lobbying roster � putting them in a prime position to land coveted clients.

�When [Vice President] Biden leaned over [during the signing of the healthcare law] and said to [President] Obama, �This is a big f’n deal,� � said Ivan Adler, a headhunter at the McCormick Group, �he was right.�

Veterans of the healthcare push are now lobbying for corporate giants such as Delta Air Lines, UPS, BP America and Coca-Cola, and for healthcare companies including GlaxoSmithKline, UnitedHealth Group and the Blue Cross Blue Shield Association.

Ultimately, the clients are after one thing: expert help in dealing with the most sweeping overhaul of the country�s healthcare system in decades.

“Healthcare lobbying on K Street is as strong as it ever was, and it’s due to the fact that the Affordable Care Act seems to be ever-changing,” Adler said. “What’s at stake is huge. … Whenever there’s a lot of money at stake, there’s a lot of lobbying going on.”

The voracious need for lobbying help in dealing with ObamaCare has created a price premium for lobbyists who had first-hand experience in crafting or debating the law.

Experts say that those able to fetch the highest salaries have come from the Department of Health and Human Services (HHS) or committees with oversight power over healthcare.

Demand for ObamaCare insiders is even higher now that major pieces of the law, including the healthcare exchanges and individual insurance mandate, are being set up through a slew of complicated federal regulations.

�Congress is easy to watch,� said Tim LaPira, a politics professor at James Madison University who researches the government affairs industry, �but agencies are harder to watch because their actions are often opaque. This leads to a greater demand on K Street� for people who understand the fine print, he said.

�K Street’s agenda follows the government’s agenda. It’s not typically the other way around,” he said.

Watchdogs say the rise of the ObamaCare lobbyist is another example of the �revolving door� that turns public service into private enrichment.

�After passage of major legislation, those who have networks on Capitol Hill take exceedingly lucrative jobs with the same industries subject to the legislation,� said Craig Holman, a lobbyist for Public Citizen. �It raises questions about the [bill's] integrity.�

For K Street, healthcare lobbying has been a bright spot in what has otherwise been a down business cycle.

While lobbying revenue at major firms has been flat or declining in recent years, the healthcare law has generated steady work � a trend that is likely to continue for years to come.

That�s because ObamaCare runs on a long timeline � well into the next administration. Unless the law is severely crippled, the reform’s rules and requirements will be rolling out through at least 2020.

That�s good news for lobbyists who want to sign up clients for the long haul.

The windfall from the healthcare overhaul is being reaped at firms large and small. Some veterans of the legislative push have landed at boutique firms that are increasingly specializing in lobbying niches.

The firm Avenue Solutions, for instance, recently hired Yvette Fontenot, a former staffer for both the Senate Finance Committee, which wrote ObamaCare�s tax-related provisions, and HHS’s Office of Health Reform, which is assisting the implementation.

Since her hire in April, the four-woman firm has picked up Health Care Service Corp. as a client, and Fontenot is now lobbying for the Blue Cross Blue Shield Association and the National Electrical Manufacturers Association as well.

The Democratic firm banks about $3 million in revenue per year, records show, but is on pace for growth in 2013, earning $1.8 million through the first half of the year.

It�s not just ex-staffers who are becoming trusted ObamaCare guides � former members of Congress are lobbying on the law as well.

Former Rep. Earl Pomeroy (D-N.D.) joined Alston & Bird in 2011 after dealing with healthcare and tax issues as a member of the House Ways and Means Committee.

Now Pomeroy and his one-time chief of staff, Bob Siggins, are lobbying on ObamaCare for clients such as clients such as Vision Service Plan, the National Coordinating Committee for Multiemployer Plans and Medicare � a health insurance provider.

Consulting is another avenue former staffers and officials can take to work for outside interests while they look to comply with and shape the impending regulations.

�This is not a do-it-yourself project; it’s complicated,� said Adler. �They need help from insiders to help navigate this thing correctly.�

Former senior counsel to HHS Secretary Kathleen Sebelius Dora Hughes became a senior policy adviser at the law firm Sidley Austin last year.

Hughes is not a registered lobbyist, and told The Hill she mainly provides �strategic policy advice� while abiding by the ethics pledge not to lobby the administration. She has no congressional contacts in her sights, either.

Even the president needs some lobbying know-how when it comes to advancing ObamaCare.

The White House brought on Clinton administration veteran and former lobbyist Chris Jennings last month to help navigate the implementation of the law.

During a call with several directors of the state healthcare exchanges on Wednesday, Jennings was seated in a plum position � right next to Obama.

Friday, August 30, 2013

Feds Say 'Unbanked' Can Buy Insurance With Prepaid Debit Cards

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Thursday, August 15, 2013

Obamacare: People With Disabilities Face Complex Choices

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Obamacare: People With Disabilities Face Complex Choices

More From Shots - Health News Health CareGetting People Out Of Nursing Homes Turns Out To Be ComplicatedHealthChronic Insomnia? Hitting The Treadmill Could Help ... EventuallyHealthA Safety Checklist To Save Teen Athletes' LivesHealthEvidence Supports Pill To Prevent Some Prostate Cancers

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Industry Ties Raise Questions About Expert Medical Panels

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Tuesday, August 13, 2013

Let’s Talk About Health Care and I Don’t Mean the ACA

Let’s talk about health care. I don’t mean debating the Affordable Care Act. I mean health care, as in: If everyone needs health care, guarantee that everybody gets it.

I know, when it comes to health care, it’s easy to get into a debate for or against Obamacare. But we nurses see the world through a different lens: our patients.

Share this video of nurses summing up why everyone in the U.S. needs & deserves healthcare:

Good health care is a fundamental resource that keeps America’s big engine running. Every day, as we do our best to care for our patients, nurses see people with chronic disease like asthma or diabetes who can’t afford insurance costs or medication. Maybe they’re absent from work, tired, and distracted from trying to manage their health on a shoestring. They run the risk of hospitalization. They struggle for a distant unreachable shore hoping something will help. They can’t get ahead because their health keeps dragging them down. 

And yet the answer isn’t on the horizon, the answer is in our pockets, in our hands. It’s our taxes. We pay them and we ought to benefit from them.

There’s one thing that every American does. Every working American (OK, except the Wall Street crowd) pays taxes. But what do we pay taxes for? Increasingly, we wonder where our money is going, how our money is serving our communities, and how our tax money is helping us and our families.

There are dozens of arguments about what our tax dollars should be doing. But what if we spent a portion of our tax dollars on the one thing that would position every American, young and old, on the road to success? That one thing is good health. You need it to go to school, get to your job, excel at what you do, and dream big dreams that will make our country great again.

We must do better and nurses have a solution. The United States ranks first in costs but 37th in health outcomes in the world. We do even worse for infant morality and life expectancy.
So nurses are proposing another way. We’re saying that our taxes should help pay for our healthcare. It works for seniors, it works for Congress members, and it will work for all of us.

This week, we launched an online campaign, asking voters to demand this from Congress. You can learn more about the online campaign here.


Ads appearing online this week.

We’re talking about something that already exists for some, right here in the United States of America, and what can easily exist for everyone. A tax-funded national healthcare system would negotiate prices for prescription drugs, medical devices and services, specialists and more, effectively lowering the cost of delivering care. Taxpayers don’t have to worry about paying for someone else’s care. You’ll be paying for your own care, your family’s care, without raising taxes at all.

Since the tax subsidies to buy insurance under the ACA mostly move money around to pay for private insurance for some that don’t have it, and which allows the insurers to take 20 cents off the dollar, it would be more efficient to uses taxes to pay for everybody’s healthcare directly, eliminating the middleman and the shell game.


International healthcare cost vs. quality chart.

We are reaching inside the box to think outside the box; we are charting a third way. It’s time to rediscover healthcare as care rather than insurance for the first time in a long time, and let the taxes we already pay deliver what every American needs.