The Health-care Debate Hasn’t Changed In 20 Years, New Clinton Documents Show

(William J. Clinton Presidential Library)

(AP) The Clinton Library on Friday released thousands of pages of new documents from the Clinton White House, including about 850 pages on its failed effort to pass health reform. The documents are especially interesting for how they seemingly parallel the debate around Obamacare. The Clinton White House, in a 1993 memo, spells out perceived messaging attacks on the bill from conservative Democrats and moderate Republicans they had hoped to win over. These points should sound familiar (and we apologize for the White House’s use of caps): (William J. Clinton Presidential Library) The White House also pointed out where it thought its messaging strategy was especially vulnerable. These points, too, should sound familiar. (William J. Clinton Presidential Library) There’s also plenty of discussion in the documents about the sensitivity of the employer mandate, a main feature of the failed Clinton plan. Of course, the Affordable Care Act does include a mandate for businesses with at least 50 employees, but its implementation is as politically tough as ever. That provision has already been delayed twice. My colleagues, who hot yoga wear have a comprehensive look at the new documents, also point out that Clinton , before a 1994 interview, knew the public would worry about being able to keep their health plans. A lot of them want to know they can keep their own plan if they like it,” Clinton said. Jason Millman covers all things health policy, with a focus on Obamacare implementation. He previously covered health policy for Politico. He is an unapologetic fan of the New York Yankees and Giants, though the Nationals and Teddy Roosevelt hold a small place in his heart. Hes on Twitter .
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John Florez: Our economy is a matter of health | Deseret News

A healthy workforce is a healthy economy. I dont offer free breakfast out of kindness to my employees, I do so because I know they are more productive when I do. Its a business investment, said the CEO of a large insurance company as we toured his Nebraska facility. Successful employers know that, just as they understand in todays digital economy they have to have an educated workforce. They also know an educated workforce is only half the solution; the other half is a healthy workforce. So, why is it that many of our lawmakers fail to see the importance of a healthy population and a healthy economy?
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Toronto medical health officer proposes ways to improve air quality | Toronto Star

The enrollment figure, revised upward from the 7.5 million signups that the administration had announced earlier this month, renewed hopes at the White House that Democrats will be able to overcome the initial rocky rollout of the health law in the fall as they battle to maintain control of the Senate ideal weight loss center in the midterms this fall. “This thing is working,” Obama said at an afternoon news conference. Of the GOP, he added: “They said no one would sign up. They were wrong about that. They are wrong to try to Oceanside bariatric surgery repeal a law that is working.” The final figure is well above the White House’s initial target of 7 million signups. Republicans, who have fought the law since it was passed by a sharply divided Congress in 2010, escalated their call for the law to be repealed after the problems with the enrollment Web site, which repeatedly broke down in its first few months. Obama’s job approval ratings dropped, and Democrats worried that the bad headlines would harm the party at the ballot box. But a buoyant Obama said the better-than-expected enrollment news should convince Democrats to not shy away from embracing his signature domestic achievement. “I don’t think we should apologize for it, and I don’t think we should be defensive about it,” he said. “I think it is a strong, good, right story to tell. I think what the other side is doing and what the other side is offering would strip away protections for those families.” Twenty-eight percent of those who enrolled are between 18 and 34, according to a White House fact sheet, below the target of 38 percent. But the administration has said that premiums are expected to cost 15 percent less than originally projected. Despite the revised figures, the GOP is likely to continue to attack the law, which is unpopular among conservatives after years of political fighting over the administration’s bid to expand health coverage for the uninsured. Reacting to Obama’s announcement, House Speaker John A. Boehner’s office said the White House “continues to obscure the full impact” of the law, pointing to hundreds of thousands of people who had their insurance plans canceled and were forced to re-enroll in a new plan. “The president ignores the havoc that this law has wreaked on private plans that people already had and liked,” said Brendan Buck, spokesman for Boehner (R-Ohio). During his remarks, Obama said he was “still puzzled why they’ve made this their sole agenda item when it comes to politics. It’s curious.” Kathleen Sebelius resigned last week as secretary of Health and Human Services, the agency responsible for the rollout.
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Obama: 8 million have signed up for health care

Its having less of an impact on our health. Healthy public policy can make a difference in saving lives. But the bad news is even though air quality has improved and human health has improved there is still a large burden of illness associated with air pollution. Theres still a substantial impact. The drop in deaths and hospitalizations can be attributed to government policies and programs, including phasing out coal-fired power generation and the citys purchase of low-sulfur fuel, McKeown said. But even more work must be done to reduce emissions and health risks, he said. The largest local source of air pollution comes from motor vehicle traffic (both personal and freight vehicles) which accounts for an estimated 280 premature deaths and 1,090 hospitalizations, the study found. When we look at circumstances today, half of our air pollution comes from outside of Toronto, said McKeown. basic yoga positions pictures However, of the air pollution generated here inside of the city limits about half is coming from cars and trucks on our roads. If we want to tackle the burden of illness we have to tackle the emissions from vehicles. McKeown is recommending a number of initiatives to the Board of Health on April 28 that will reduce emissions and improve air quality. If approved, the recommendations will go to city council on May 6. The proposals include investing in public transit; investing in active transportation infrastructure for cycling and walking; developing an urban freight strategy to reduce the amount of time polluting heavy-duty trucks spend on Toronto roadways; and protecting neighbourhoods built near major roadways from air pollution exposure. Theres a strong health reason to invest in public transit, cycling infrastructure and pedestrian infrastructure investments that will move us around the city in a less polluting way, McKeown said. Were in the middle of a debate about how people are getting around the city. The debate on transportation is also about our health.
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Obama Says 8 Million Signed Up for Health-Law’s Insurance – Bloomberg

They still cant bring themselves to admit that the Affordable Care Act is working. Republican Repeal Mitch McConnell of Kentucky , the Senate Republican leader who is seeking to take control of the chamber after the November congressional elections, immediately reiterated his partys intent to repeal the law. Countless Americans have unexpectedly been forced out of the plans they had and liked, are now shouldering dramatically higher premiums, and can no longer use the doctors and hospitals they choose, he said in an e-mail from a spokesman. While Republicans who control the House of Representatives have voted 50 times since 2011 to repeal all or part of Obamacare, they have never voted on alternative legislation to expand U.S. insurance coverage. Obama said he would welcome discussion with Republicans on things that need to be improved, that need to be tweaked. Republicans, though, are going through the stages of grief, he said. Were not at acceptance yet. Premium Increases The rise in the percentage of younger enrollees may help ameliorate large premium increases in 2015, said Larry Levitt, a senior vice president at the nonprofit Kaiser Family Foundation of Menlo Park , California . Its good news for insurer finances, particularly if lots of healthy people signed up along with younger folks, Levitt wrote in an e-mail. The increase in under-35 enrollment was reported earlier by state insurance commissioners after they met with Obama. The commissioners met with Obama and aides that included outgoing health secretary Kathleen Sebelius for more than an hour. North Dakota insurance commissioner Adam Hamm, a Republican, cautioned that higher youth enrollment doesnt guarantee insurers wont try to raise rates. If its folks under the age of 35 who are still sick or are incurring a lot of claims, thats going to add to the mix in terms of what the rates need to be for those products, Hamm said. The more important demographic is whats the health of folks enrolling in these products. States Criticized Obama concluded his remarks by criticizing states that have refused to expand their Medicaid programs under the health law because of ideological reasons. Youve got 5 million people who could be having health insurance right now at no cost to these states, zero cost to these states, Obama said, holding up his fingers in the shape of a zero.
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Health Secretary Resigns After Obamacare Controversy

But Sebelius’ relationship with the White House frayed during the fall rollout of the insurance exchanges that are at the center of the sweeping overhaul. The president and his top advisers appeared caught off guard by the extent of the website problems. In nominating the 48-year-old Burwell, Obama is tapping a Washington veteran with a low profile and the respect of some Republicans lawmakers. Though she only joined the Obama administration last year, Burwell held several White House and Treasury posts during President Bill Clinton’s administration. Between her stints in the executive branch, Burwell served as president of Wal-Mart’s charitable arm and led the global development program at the Bill and Melinda Gates Foundation.
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How children’s health coverage is changing, in seven charts

(Robert Wood Johnson Foundation)

(The map diet mountain dew lana del rey shows a handful of states with increases, but none were statistically significant.) Oregon was most improved, thanks to a 6.4 percentage point drop in its uninsured rate to 6.0 percent.With private coverage declining generally, public coverage rose in all but three states. (Robert Wood Johnson Foundation) Theres an income gap for childrens health coverage While children at the bottom of the income distribution saw uninsurance rates drop the most, their rates remained much higher than high- or even middle-income children. (Robert Wood Johnson Foundation) and it exists in every state The gap in coverage by income is widest in Minnesota, where a low-income child is 11.6 times more likely to lack health coverage than a high-income child. (In fairness, the high-income uninsurance rate there is very low, while the rate among low-income children is close to the national average.) In Arkansas, that gap is much smaller: a low-income kid is just 1.6 times more likely to lack coverage than their high-income peers.
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Mental health problems in teachers rise by ‘over a third’ – ITV News

Picture posed by model. Credit: PA Some 38% of teachers told the Association of Teachers and Lecturers (ATL) there had been bariatric surgery testimonials a rise in mental health problems among their colleagues over the last two years. And over half (55%) of the 925 education staff quizzed said their job has had a negative effect on their mental health. ATL general secretary Dr Mary Bousted said she was shocked at the results, but felt the data spoke for itself. “Teachers, lecturers, support staff and heads are now so over-worked that it comes as no surprise that so many in the education profession suffer from stress, depression and other mental health issues,” she said.
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U.S. Health Secretary Kathleen Sebelius resigning –

Obama announces Sebelius’ resignation Her time as head of the federal health agency coincided with the passage and implementation of the Affordable Care Act, the bill often referred to as Obamacare. Sebelius came under fire last fall for the rocky rollout of , the website central to the new law’s implementation. That included being subject of a “Saturday Night Live” parody and talk show one-liners panning her. Republicans in Congress were especially critical of what they saw as her lack of leadership shepherding through what they saw as an ill-conceived, ill-advised law. Wyoming Sen. John Barrasso went so far as to characterize her last October as the “laughingstock of America .” But Sebelius, 65, held on to her job, insisting America shouldn’t abandon the legislation and all that it hopes to achieve. In an interview with CNN’s Sanjay Gupta , she admitted that Obama didn’t know of the website’s many technical problems until “the first couple of days” after it went live October 1. “There are people in this country who have waited for decades for affordable health coverage for themselves and their families,” Sebelius said, explaining why the website’s launch wasn’t pushed back despite anticipated problems. “…So waiting is not really an option.” The website’s performance did improve significantly, prompting the calls for her job to die down as well. Earlier this month, in a letter to department employees, Sebelius reflected on Obamacare enrollment exceeding its target of 7 million as evidence of “the progress we’ve made, together,” while stating “our work is far from over.” “I know that this law has been at the center of much debate and discourse in Washington, but what this enrollment demonstrates is that the Affordable Care Act is working and much needed,” she said weight loss monitor in the note. Obamacare hits 7.5 million sign-ups, Sebelius says According to senior Obama administration officials, Sebelius told the President in early March that she thought the enrollment period would end well and, after that, she planned to step down.
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