Tuesday, December 2, 2014

Despite conservative efforts Obamacare is successful on every front

Republicans continue their war on the Affordable Care Act, which passed in 2010. They know, however, their efforts will fail without right wing judicial activism. And they do have faith that a right wing Supreme Court will do what conservatives know they don't have the ability to do legislatively. Mitch McConnell admitted to the Wall Street Journal the aim of pending legal action was to take Obamacare down:

Who may ultimately take it down is the Supreme Court of the United States. I mean there's a very significant case that will be decided before June on the question of whether the language of the law means what the language of the law says, which is that subsidies are only available for states that set up state exchanges. Many states have not. If that were to be the case, I would assume that you could have a mulligan here, a major do-over of the whole thing—that opportunity presented to us by the Supreme Court, as opposed to actually getting the president to sign a full repeal, which is not likely to happen.

So, the Repeal Obamacare Circus continues. And that's a shame, because by every metric, the law is working. Surveys repeatedly find that the uninsured rate has plummeted since the ACA healthcare exchanges opened a year ago. And the numbers are impressive: more than 27 million Americans are covered by the new law. But expanding coverage wasn't the only goal of the new law.

Supporters of the law also hoped the law would cut the growth of healthcare spending. While pundits argue as to whether the law is the cause, the fact is, healthcare spending has slowed, and even declined in the first quarter of 2014. Another aim of the law was to reduce the number of hospital-related accidents and deaths. A new report by the Department of Health and Human Services shows that, indeed, hospitals are getting safer:

Going to a hospital is getting safer: The chances that U.S. patients would pick up infections, get the wrong drug or dose, or be hurt in other ways, ranging from falls to bed sores, fell 17% between 2010 and 2013, government health officials report today.
The progress report from the Department of Health and Human Services shows such mistakes happened 121 times for every 1,000 people discharged from a hospital in 2013, down from 145 per 1,000 in 2010.
That improvement saved 50,000 lives in 2013. The report notes that there is still much work to be done in this area. Nonetheless, it is a dramatic improvement.

What you will notice in just about all of these reports is the hesitancy on the part of pundits and beltway journalists to credit the law for these changes. Sure enough, correlation, in itself, does not equal causation. But every one of these achievements were an aim of the law. Every one of them occur after relevant portions of the law kick-in. And the law was designed to achieve each of these ends.

Pundits and journalists don't like giving credit to the law, sometimes for good reason, but also because that would diffuse the fun-to-cover Repeal Obamacare Circus. Sooner or later, however, you have to ask if it makes any sense to suggest that all these things are happening randomly for no coherrent reason at all?

There is only one thing that has happened in the last four years that all of these things are tied to: the passing and signing of the Patient Protection and Affordable Care Act, or Obamacare.


1 comment:

  1. 0bamacare, the law even it's namesake doesn't want enforced.
    Implement 0bamacare in it's entirety without waivers or delays and do it NOW!

    ReplyDelete