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"content": "\u003cp>\u003cstrong>The Question: Is the individual mandate constitutional?\u003c/strong>\u003c/p>\n\u003cp>Of the four questions the Supreme Court is considering, this is the big one. The Affordable Care Act requires all Americans to purchase health insurance or pay a penalty. If your annual income is below a certain level–about $92,000 for a family of four– the government will provide subsidies or tax credits to help you. The primary legal question is this: does Congress have the authority under the \u003ca title=\"http://www.law.cornell.edu/wex/commerce_clause\" href=\"http://www.law.cornell.edu/wex/commerce_clause\" target=\"_blank\">Commerce Clause\u003c/a> of the U.S. Constitution to require Americans to purchase a product, in this case health insurance? Those in favor say yes–Congress can both regulate interstate commerce and legislate taxes. Those opposed say this is the first time Congress has required Americans to purchase a product and it’s unconstitutional.\u003c/p>\n\u003cp>As she left the hearings, NPR's Nina Totenberg tweeted, \"The government had a hard time. And if they win, they win narrowly. I don't think you can call this.\"\u003c/p>\n\u003cp>You can listen to the complete oral arguments here:\u003cbr>\n[audio:http://www.kqed.org/.stream/anon/radio/news/2012/healthcareTuesday.mp3]\u003c/p>\n\u003cp>Or read on for the complete transcript:\u003cbr>\n\u003c!--more-->\u003cbr>\n\u003ciframe src=\"http://www.scribd.com/embeds/86924212/content?start_page=1&view_mode=list&access_key=key-sv59vrmibwv59hxdlqq\" frameborder=\"0\" scrolling=\"no\" width=\"100%\" height=\"600\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The audio and transcript from yesterday's oral arguments can be found \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/26/supreme-court-transcripts-of-todays-health-law-oral-arguments/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/26/supreme-court-transcripts-of-todays-health-law-oral-arguments/\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cp>\u003cstrong>By: KQED News Staff and wires\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4353\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourt_RobertsPic_CourtesySupremeCourt_03272012.jpg\">\u003cimg class=\"size-medium wp-image-4353\" title=\"Chief Justice John Roberts is emerging as a potential swing vote. (Courtesy: U.S. Supreme Court)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourt_RobertsPic_CourtesySupremeCourt_03272012-300x262.jpg\" alt=\"Chief Justice John Roberts is emerging as a potential swing vote. (Courtesy: U.S. Supreme Court)\" width=\"300\" height=\"262\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chief Justice John Roberts is emerging as a potential swing vote regarding the individual mandate. (Courtesy: U.S. Supreme Court)\u003c/figcaption>\u003c/figure>\n\u003cp>Sharp questioning by the Supreme Court's conservative justices has cast serious doubt on the survival of the individual insurance requirement at the heart of President Barack Obama's historic health care overhaul.\u003c/p>\n\u003cp>Arguments at the high court Tuesday focused on whether the insurance requirement \"is a step beyond what our cases allow,\" in the words of Justice Anthony Kennedy.\u003c/p>\n\u003cp>He and Chief Justice John Roberts are emerging as the seemingly pivotal votes.\u003c/p>\n\u003cp>Justices Antonin Scalia and Samuel Alito appeared likely to join with Justice Clarence Thomas to vote to strike down the key provision. The four Democratic appointees seemed ready to vote to uphold it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The individual mandate requires those not covered by employer-based health insurance, Medicare or Medicaid to purchase coverage, with the help of government subsidies if they meet a certain income threshold.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>NPR's \"Shots\" blog also\u003ca title=\"http://www.npr.org/blogs/health/2012/03/26/149417437/high-court-justices-appear-split-on-insurance-mandate?ps=sh_sthdl\" href=\"http://www.npr.org/blogs/health/2012/03/26/149417437/high-court-justices-appear-split-on-insurance-mandate?ps=sh_sthdl\" target=\"_blank\"> reports\u003c/a> that the individual mandate appears to be in trouble.\u003c/p>\n\u003cblockquote>\u003cp>Those challenging the law say the federal government is going way too far with the mandate. This, they say, is the first time the government is making people buy a commercial product they may not want. That's a huge overreach, they contend.\u003c/p>\n\u003cp>Just take a look at the very start of the \u003ca href=\"http://www.kaiserhealthnews.org/~/media/Files/2012/11398bsStatesMinimumCoverageProvision.pdf\">brief\u003c/a> filed by \u003ca href=\"http://www.npr.org/2012/03/23/149218361/the-legal-wunderkind-challenging-the-health-law\">Paul Clement\u003c/a>, the legal wunderkind who is leading the challenge by 26 states to the overhaul law:\u003c/p>\n\u003cp>\"The individual mandate rests on a claim of federal power that is both unprecedented and unbounded: the power to compel individuals to engage in commerce in order more effectively to regulate commerce. This asserted power does not exist.\"\u003c/p>\n\u003cp>After Clement finished his arguments along those lines, SCOTUSblog's Tom Goldstein left the courtroom \u003ca href=\"http://www.scotusblog.com/2012/03/audio-update-from-tom/\">to file an update saying\u003c/a>, \"The individual mandate is in trouble — significant trouble. It's too early to tell whether it will be struck down.\"\u003c/p>\n\u003cp>Still, it's clear that the court's conservative justices are \"quite skeptical.\" And Goldstein said, \"Paul Clement gave the best argument of any kind that I've ever heard.\"\u003c/p>\u003c/blockquote>\n\u003cdiv>\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The individual mandate requires those not covered by employer-based health insurance, Medicare or Medicaid to purchase coverage, with the help of government subsidies if they meet a certain income threshold.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>NPR's \"Shots\" blog also\u003ca title=\"http://www.npr.org/blogs/health/2012/03/26/149417437/high-court-justices-appear-split-on-insurance-mandate?ps=sh_sthdl\" href=\"http://www.npr.org/blogs/health/2012/03/26/149417437/high-court-justices-appear-split-on-insurance-mandate?ps=sh_sthdl\" target=\"_blank\"> reports\u003c/a> that the individual mandate appears to be in trouble.\u003c/p>\n\u003cblockquote>\u003cp>Those challenging the law say the federal government is going way too far with the mandate. This, they say, is the first time the government is making people buy a commercial product they may not want. That's a huge overreach, they contend.\u003c/p>\n\u003cp>Just take a look at the very start of the \u003ca href=\"http://www.kaiserhealthnews.org/~/media/Files/2012/11398bsStatesMinimumCoverageProvision.pdf\">brief\u003c/a> filed by \u003ca href=\"http://www.npr.org/2012/03/23/149218361/the-legal-wunderkind-challenging-the-health-law\">Paul Clement\u003c/a>, the legal wunderkind who is leading the challenge by 26 states to the overhaul law:\u003c/p>\n\u003cp>\"The individual mandate rests on a claim of federal power that is both unprecedented and unbounded: the power to compel individuals to engage in commerce in order more effectively to regulate commerce. This asserted power does not exist.\"\u003c/p>\n\u003cp>After Clement finished his arguments along those lines, SCOTUSblog's Tom Goldstein left the courtroom \u003ca href=\"http://www.scotusblog.com/2012/03/audio-update-from-tom/\">to file an update saying\u003c/a>, \"The individual mandate is in trouble — significant trouble. It's too early to tell whether it will be struck down.\"\u003c/p>\n\u003cp>Still, it's clear that the court's conservative justices are \"quite skeptical.\" And Goldstein said, \"Paul Clement gave the best argument of any kind that I've ever heard.\"\u003c/p>\u003c/blockquote>\n\u003cdiv>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Justices Tackle The Big Question: Can Congress Force You To Buy Insurance?",
"title": "Justices Tackle The Big Question: Can Congress Force You To Buy Insurance?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_4341\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupCt_Day2_taken03272012_MarkWilson_Getty.jpg\">\u003cimg class=\"size-large wp-image-4341\" title=\"Protesters demonstrate in front of the Supreme Court on the second day of hearings about the constitutionality of the federal health care law. (Mark Wilson: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupCt_Day2_taken03272012_MarkWilson_Getty-620x413.jpg\" alt=\"Protesters demonstrate in front of the Supreme Court on the second day of hearings about the constitutionality of the federal health care law. (Mark Wilson: Getty Images)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Protesters demonstrate in front of the Supreme Court on the second day of hearings about the constitutionality of the federal health care law. (Mark Wilson: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>WASHINGTON (AP) — The Supreme Court is taking up the key question in the challenge to President Barack Obama's historic health care overhaul: Can the government force people to carry insurance or pay a penalty?\u003c/p>\n\u003cp>The justices hear extended arguments on that topic this morning. It's the linchpin of the law's aim to get medical insurance to an additional 30 million people, at a reasonable cost to private insurers and state governments.\u003c/p>\n\u003cp>Virtually every American will be affected by the outcome, due this summer in the heat of the presidential and congressional election campaigns.\u003c!--more-->\u003c/p>\n\u003cp>Demonstrators returned this morning to the sidewalk outside the Supreme Court, with more than 100 supporters of the law circling the sidewalk and chanting, \"A healthy America is a productive America,\" ''Protect the law,\" and, \"I love Obamacare.\"\u003c/p>\n\u003cp>More than a dozen opponents held a news conference criticizing the bill.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The administration says Congress has ample authority to impose the requirement that most people carry insurance or pay a penalty. Twenty-six states and a small business group trying to get the law struck down call the insurance requirement an unprecedented power grab by Congress.\u003c/p>\n\u003cp>They say that not even decades of high court rulings that endorsed an expansive view of congressional authority can support the health care law.\u003c/p>\n\u003cp>If upheld, the law will force dramatic changes in the way insurance companies do business, including forbidding them from denying coverage due to pre-existing medical conditions and limiting how much they can charge older people.\u003c/p>\n\u003cp>The law envisions that insurers will be able to accommodate older and sicker people without facing financial ruin because its most disputed element, the insurance requirement, will provide insurance companies with more premiums from healthy people to cover their increased costs of care.\u003c/p>\n\u003cp>White House press secretary Jay Carney, traveling Tuesday with Obama in South Korea, reiterated the administration's contention that the health care law is constitutional, noting that the individual mandate provision had support among Republicans. However, Carney said, \"The president feels that this is something for the court to decide, not for us to weigh in on directly.\"\u003c/p>\n\u003cp>The law also dramatically expands the state-federal Medicaid program for low-income Americans, with the federal government covering almost all the additional costs.\u003c/p>\n\u003cp>On Monday, the justices signaled they are ready to confront the big issues in the case, appearing to reject the contention that it was too soon for a decision. Audio of Monday's argument can be found at: http://bit.ly/GSXEpf.\u003c/p>\n\u003cp>A 19th century law bars tax disputes from being heard in the courts before the taxes have been paid. The law could apply to the health care case because the insurance requirement doesn't kick in until 2014 and any penalties will be paid along with federal income tax on returns due by April 2015.\u003c/p>\n\u003cp>Solicitor General Donald Verrilli Jr., defending the health law, urged the court to focus on what he called \"the issues of great moment\" at the heart of the case. The states and the National Federation of Independent Business also want the court to go ahead and decide on the law's constitutionality without delay.\u003c/p>\n\u003cp>Administration officials involved with the defense and implementation of the health care law, Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius, were in the courtroom Monday. Republican Sen. Jeff Sessions of Alabama and Florida Attorney General Pam Bondi also were in the crowd that filled the courtroom's 400 seats.\u003c/p>\n\u003cp>Outside the packed courtroom, marching and singing demonstrators on both sides — including doctors in white coats, a Republican presidential candidate and even a brass quartet — voiced their eagerness for the court to either uphold or throw out the largest expansion in the nation's social safety net since Medicare was enacted in 1965.\u003c/p>\n\u003cp>Republican presidential candidate Rick Santorum declared anew that GOP front-runner Mitt Romney has no standing to challenge Obama on the law since Massachusetts passed a somewhat similar version when Romney was governor. \"If you really want Obamacare repealed,\" Santorum said outside the court, \"there's only one person who can make that happen.\"\u003c/p>\n\u003cp>Later Monday, Romney said again he would repeal the law, calling it an unconstitutional power grab.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "The U.S. Supreme Court gets to the heart of the health care arguments Tuesday. Almost exactly two years after Congress passed the Obama health care overhaul, the justices are hearing legal arguments testing the constitutionality of the so-called health care mandate — so-called because those words actually do not appear in the law.\r\n\r\nThe mandate requires virtually all legal residents in this country to have health insurance — either through Medicare, Medicaid or employer-provided insurance, or if you are not covered by any of these, through individual insurance that you pay for.",
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"description": "The U.S. Supreme Court gets to the heart of the health care arguments Tuesday. Almost exactly two years after Congress passed the Obama health care overhaul, the justices are hearing legal arguments testing the constitutionality of the so-called health care mandate — so-called because those words actually do not appear in the law.\r\n\r\nThe mandate requires virtually all legal residents in this country to have health insurance — either through Medicare, Medicaid or employer-provided insurance, or if you are not covered by any of these, through individual insurance that you pay for.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_4341\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupCt_Day2_taken03272012_MarkWilson_Getty.jpg\">\u003cimg class=\"size-large wp-image-4341\" title=\"Protesters demonstrate in front of the Supreme Court on the second day of hearings about the constitutionality of the federal health care law. (Mark Wilson: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupCt_Day2_taken03272012_MarkWilson_Getty-620x413.jpg\" alt=\"Protesters demonstrate in front of the Supreme Court on the second day of hearings about the constitutionality of the federal health care law. (Mark Wilson: Getty Images)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Protesters demonstrate in front of the Supreme Court on the second day of hearings about the constitutionality of the federal health care law. (Mark Wilson: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>WASHINGTON (AP) — The Supreme Court is taking up the key question in the challenge to President Barack Obama's historic health care overhaul: Can the government force people to carry insurance or pay a penalty?\u003c/p>\n\u003cp>The justices hear extended arguments on that topic this morning. It's the linchpin of the law's aim to get medical insurance to an additional 30 million people, at a reasonable cost to private insurers and state governments.\u003c/p>\n\u003cp>Virtually every American will be affected by the outcome, due this summer in the heat of the presidential and congressional election campaigns.\u003c!--more-->\u003c/p>\n\u003cp>Demonstrators returned this morning to the sidewalk outside the Supreme Court, with more than 100 supporters of the law circling the sidewalk and chanting, \"A healthy America is a productive America,\" ''Protect the law,\" and, \"I love Obamacare.\"\u003c/p>\n\u003cp>More than a dozen opponents held a news conference criticizing the bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The administration says Congress has ample authority to impose the requirement that most people carry insurance or pay a penalty. Twenty-six states and a small business group trying to get the law struck down call the insurance requirement an unprecedented power grab by Congress.\u003c/p>\n\u003cp>They say that not even decades of high court rulings that endorsed an expansive view of congressional authority can support the health care law.\u003c/p>\n\u003cp>If upheld, the law will force dramatic changes in the way insurance companies do business, including forbidding them from denying coverage due to pre-existing medical conditions and limiting how much they can charge older people.\u003c/p>\n\u003cp>The law envisions that insurers will be able to accommodate older and sicker people without facing financial ruin because its most disputed element, the insurance requirement, will provide insurance companies with more premiums from healthy people to cover their increased costs of care.\u003c/p>\n\u003cp>White House press secretary Jay Carney, traveling Tuesday with Obama in South Korea, reiterated the administration's contention that the health care law is constitutional, noting that the individual mandate provision had support among Republicans. However, Carney said, \"The president feels that this is something for the court to decide, not for us to weigh in on directly.\"\u003c/p>\n\u003cp>The law also dramatically expands the state-federal Medicaid program for low-income Americans, with the federal government covering almost all the additional costs.\u003c/p>\n\u003cp>On Monday, the justices signaled they are ready to confront the big issues in the case, appearing to reject the contention that it was too soon for a decision. Audio of Monday's argument can be found at: http://bit.ly/GSXEpf.\u003c/p>\n\u003cp>A 19th century law bars tax disputes from being heard in the courts before the taxes have been paid. The law could apply to the health care case because the insurance requirement doesn't kick in until 2014 and any penalties will be paid along with federal income tax on returns due by April 2015.\u003c/p>\n\u003cp>Solicitor General Donald Verrilli Jr., defending the health law, urged the court to focus on what he called \"the issues of great moment\" at the heart of the case. The states and the National Federation of Independent Business also want the court to go ahead and decide on the law's constitutionality without delay.\u003c/p>\n\u003cp>Administration officials involved with the defense and implementation of the health care law, Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius, were in the courtroom Monday. Republican Sen. Jeff Sessions of Alabama and Florida Attorney General Pam Bondi also were in the crowd that filled the courtroom's 400 seats.\u003c/p>\n\u003cp>Outside the packed courtroom, marching and singing demonstrators on both sides — including doctors in white coats, a Republican presidential candidate and even a brass quartet — voiced their eagerness for the court to either uphold or throw out the largest expansion in the nation's social safety net since Medicare was enacted in 1965.\u003c/p>\n\u003cp>Republican presidential candidate Rick Santorum declared anew that GOP front-runner Mitt Romney has no standing to challenge Obama on the law since Massachusetts passed a somewhat similar version when Romney was governor. \"If you really want Obamacare repealed,\" Santorum said outside the court, \"there's only one person who can make that happen.\"\u003c/p>\n\u003cp>Later Monday, Romney said again he would repeal the law, calling it an unconstitutional power grab.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Health Insurance Executive Is Longtime Backer of Universal Coverage",
"title": "Health Insurance Executive Is Longtime Backer of Universal Coverage",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_4301\" class=\"wp-caption alignleft\" style=\"max-width: 272px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/BruceBodakenHeadShot_03262012_COurtesy_BlueShield.jpg\">\u003cimg class=\"size-medium wp-image-4301 \" title=\"Bruce Bodaken is CEO of Blue Shield of California. (Photo Courtesy of Blue Shield)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/BruceBodakenHeadShot_03262012_COurtesy_BlueShield-300x330.jpg\" alt=\"Bruce Bodaken is CEO of Blue Shield of California. (Photo Courtesy of Blue Shield)\" width=\"272\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bruce Bodaken is CEO of Blue Shield of California. (Photo: Cindy Charles)\u003c/figcaption>\u003c/figure>\n\u003cp>To those who haven't followed the health care debate closely until now, you might be surprised by one of California's leading proponents of universal coverage. It's \u003ca title=\"https://www.blueshieldca.com/bsca/about-blue-shield/corporate/leadership/ceo.sp\" href=\"https://www.blueshieldca.com/bsca/about-blue-shield/corporate/leadership/ceo.sp\" target=\"_blank\">Bruce Bodaken\u003c/a>, CEO of Blue Shield of California, one of California's largest health insurance companies. He first proposed a system of universal coverage for Californians ten years ago.\u003c/p>\n\u003cp>\"At that time, there was 20 percent of Californians without coverage,\" he said in an interview with KQED. \"We looked at that in one of the richest societies in the world and said, 'Simply unacceptable for people not to have at least basic health care.' So we proposed that all people in California have at least basic coverage. Those that can't afford it would be subsidized and all groups and individuals would be mandated to be covered.\"\u003c/p>\n\u003cp>It sounds a lot like the \u003ca title=\"http://www.healthcare.gov/law/full/index.html\" href=\"http://www.healthcare.gov/law/full/index.html\" target=\"_blank\">Affordable Care Act\u003c/a> (ACA) being considered by the Supreme Court this week. Tomorrow, the Court will hear oral arguments about the constitutionality of the individual mandate -- the requirement that all Americans have health insurance. Those opposed say that Congress has exceeded its authority in requiring Americans to purchase a product.\u003c!--more-->\u003c/p>\n\u003cp>Bodaken doesn't see it that way. \"I'm no lawyer and the Court will decide whatever they decide,\" he says. \"But I do know this -- we mandate many things in this society. ... I have to send my children to school, at least to a certain age. If you want to drive a car, you have to have auto insurance. I don't think this is all that different.\"\u003c/p>\n\u003cp>Tuesday, lawyers arguing in favor of the individual mandate are expected to make what -- at first glance -- looks like an odd request. They will ask the Court that if Justices decide to strike down the individual mandate, that they also strike down a very popular provision of the ACA, the \"guaranteed issue\" provision. You might know it as the requirement that insurers accept everyone, regardless of pre-existing medical conditions. Bodaken understands why the Obama Administration would ask the Court to strike down guaranteed issue if it declares the individual mandate unconstitutional.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"If we don't have everyone in, those that need care and those that don't need care,\" Bodaken says. \"There are not enough premium dollars going into the pool to make it affordable for everyone.\" Bodaken went on to give a hypothetical example: he's a runner and asked what could happen if he needed a knee replacement. If there were no mandate to be insured, he could remain uninsured until the last minute.\u003c/p>\n\u003cp>\"Then I would go in, have coverage for a couple months, have surgery that might cost $30-50,000, and then drop coverage. Obviously, that doesn't work.\"\u003c/p>\n\u003cp>Blue Shield of California, like other health insurers, has come under fire for rising premiums. Bodaken could not precisely predict prices, because the exact benefits under the ACA have not yet been set. But he does anticipate more affordable coverage if everyone in California has health insurance. \"The increases over the last few years to a great extent is that the market has gotten smaller with the recession. ... Only the people that are the sickest stay in and everyone else drops off.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In some ways, is it such a surprise that a health insurance executive would support a government mandate that would bring his company more customers? \"Our concern was not whether or not we would get additional enrollees,\" Bodaken countered. \"We will get our fair share and that's great. What's really important -- whether Blue Shield gets one more enrollee or none -- is that people in California, indeed in the United States, have access to good care, at least in terms of the basics of health care.\"\u003c/p>\n\n",
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"excerpt": "To those who haven't followed the health care debate closely until now, you might be surprised by one of California's leading proponents of universal coverage. It's Bruce Bodaken, CEO of Blue Shield, one of California's largest health insurance companies. He first proposed a system of universal coverage for Californians ten years ago.\r\n\r\n\"At that time, there was 20 percent of Californians without coverage,\" he said in an interview. \"We looked at that in one of the richest societies in the world and said, 'Simply unacceptable for people not to have at least basic health care.' So we proposed that all people in California have at least basic coverage. Those that can't afford it would be subsidized and all groups and individuals would be mandated to be covered.\"",
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"description": "To those who haven't followed the health care debate closely until now, you might be surprised by one of California's leading proponents of universal coverage. It's Bruce Bodaken, CEO of Blue Shield, one of California's largest health insurance companies. He first proposed a system of universal coverage for Californians ten years ago.\r\n\r\n"At that time, there was 20 percent of Californians without coverage," he said in an interview. "We looked at that in one of the richest societies in the world and said, 'Simply unacceptable for people not to have at least basic health care.' So we proposed that all people in California have at least basic coverage. Those that can't afford it would be subsidized and all groups and individuals would be mandated to be covered."",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_4301\" class=\"wp-caption alignleft\" style=\"max-width: 272px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/BruceBodakenHeadShot_03262012_COurtesy_BlueShield.jpg\">\u003cimg class=\"size-medium wp-image-4301 \" title=\"Bruce Bodaken is CEO of Blue Shield of California. (Photo Courtesy of Blue Shield)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/BruceBodakenHeadShot_03262012_COurtesy_BlueShield-300x330.jpg\" alt=\"Bruce Bodaken is CEO of Blue Shield of California. (Photo Courtesy of Blue Shield)\" width=\"272\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bruce Bodaken is CEO of Blue Shield of California. (Photo: Cindy Charles)\u003c/figcaption>\u003c/figure>\n\u003cp>To those who haven't followed the health care debate closely until now, you might be surprised by one of California's leading proponents of universal coverage. It's \u003ca title=\"https://www.blueshieldca.com/bsca/about-blue-shield/corporate/leadership/ceo.sp\" href=\"https://www.blueshieldca.com/bsca/about-blue-shield/corporate/leadership/ceo.sp\" target=\"_blank\">Bruce Bodaken\u003c/a>, CEO of Blue Shield of California, one of California's largest health insurance companies. He first proposed a system of universal coverage for Californians ten years ago.\u003c/p>\n\u003cp>\"At that time, there was 20 percent of Californians without coverage,\" he said in an interview with KQED. \"We looked at that in one of the richest societies in the world and said, 'Simply unacceptable for people not to have at least basic health care.' So we proposed that all people in California have at least basic coverage. Those that can't afford it would be subsidized and all groups and individuals would be mandated to be covered.\"\u003c/p>\n\u003cp>It sounds a lot like the \u003ca title=\"http://www.healthcare.gov/law/full/index.html\" href=\"http://www.healthcare.gov/law/full/index.html\" target=\"_blank\">Affordable Care Act\u003c/a> (ACA) being considered by the Supreme Court this week. Tomorrow, the Court will hear oral arguments about the constitutionality of the individual mandate -- the requirement that all Americans have health insurance. Those opposed say that Congress has exceeded its authority in requiring Americans to purchase a product.\u003c!--more-->\u003c/p>\n\u003cp>Bodaken doesn't see it that way. \"I'm no lawyer and the Court will decide whatever they decide,\" he says. \"But I do know this -- we mandate many things in this society. ... I have to send my children to school, at least to a certain age. If you want to drive a car, you have to have auto insurance. I don't think this is all that different.\"\u003c/p>\n\u003cp>Tuesday, lawyers arguing in favor of the individual mandate are expected to make what -- at first glance -- looks like an odd request. They will ask the Court that if Justices decide to strike down the individual mandate, that they also strike down a very popular provision of the ACA, the \"guaranteed issue\" provision. You might know it as the requirement that insurers accept everyone, regardless of pre-existing medical conditions. Bodaken understands why the Obama Administration would ask the Court to strike down guaranteed issue if it declares the individual mandate unconstitutional.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"If we don't have everyone in, those that need care and those that don't need care,\" Bodaken says. \"There are not enough premium dollars going into the pool to make it affordable for everyone.\" Bodaken went on to give a hypothetical example: he's a runner and asked what could happen if he needed a knee replacement. If there were no mandate to be insured, he could remain uninsured until the last minute.\u003c/p>\n\u003cp>\"Then I would go in, have coverage for a couple months, have surgery that might cost $30-50,000, and then drop coverage. Obviously, that doesn't work.\"\u003c/p>\n\u003cp>Blue Shield of California, like other health insurers, has come under fire for rising premiums. Bodaken could not precisely predict prices, because the exact benefits under the ACA have not yet been set. But he does anticipate more affordable coverage if everyone in California has health insurance. \"The increases over the last few years to a great extent is that the market has gotten smaller with the recession. ... Only the people that are the sickest stay in and everyone else drops off.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In some ways, is it such a surprise that a health insurance executive would support a government mandate that would bring his company more customers? \"Our concern was not whether or not we would get additional enrollees,\" Bodaken countered. \"We will get our fair share and that's great. What's really important -- whether Blue Shield gets one more enrollee or none -- is that people in California, indeed in the United States, have access to good care, at least in terms of the basics of health care.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>By Jessica Marcy, \u003ca title=\"http://www.kaiserhealthnews.org/Slide-Shows/2012/supreme-court-oral-arguments-day-1.aspx\" href=\"http://www.kaiserhealthnews.org/Slide-Shows/2012/supreme-court-oral-arguments-day-1.aspx\" target=\"_blank\" rel=\"noopener\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Inside the Supreme Court building this week, the nation’s highest court is hearing oral arguments in a case that seeks to overturn the 2010 health law. Outside the building, Americans gathered to express their support or opposition to the law — or just to see history being made.\u003c/p>\n\u003cp>(KQED Note: yes, that is a cat on a leash on the steps of the Supreme Court, and yes, \u003ca title=\"http://www.npr.org/blogs/health/2012/03/26/149406918/cat-and-dog-take-supreme-court-arguments-in-stride?ps=sh_sthdl\" href=\"http://www.npr.org/blogs/health/2012/03/26/149406918/cat-and-dog-take-supreme-court-arguments-in-stride?ps=sh_sthdl\" target=\"_blank\" rel=\"noopener\">NPR’s Scott Hensley\u003c/a> did blog about the now quasi-famous cat.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Jessica Marcy, \u003ca title=\"http://www.kaiserhealthnews.org/Slide-Shows/2012/supreme-court-oral-arguments-day-1.aspx\" href=\"http://www.kaiserhealthnews.org/Slide-Shows/2012/supreme-court-oral-arguments-day-1.aspx\" target=\"_blank\" rel=\"noopener\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Inside the Supreme Court building this week, the nation’s highest court is hearing oral arguments in a case that seeks to overturn the 2010 health law. Outside the building, Americans gathered to express their support or opposition to the law — or just to see history being made.\u003c/p>\n\u003cp>(KQED Note: yes, that is a cat on a leash on the steps of the Supreme Court, and yes, \u003ca title=\"http://www.npr.org/blogs/health/2012/03/26/149406918/cat-and-dog-take-supreme-court-arguments-in-stride?ps=sh_sthdl\" href=\"http://www.npr.org/blogs/health/2012/03/26/149406918/cat-and-dog-take-supreme-court-arguments-in-stride?ps=sh_sthdl\" target=\"_blank\" rel=\"noopener\">NPR’s Scott Hensley\u003c/a> did blog about the now quasi-famous cat.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>By Scott Hensley, \u003ca title=\"http://www.npr.org/blogs/health/2012/03/23/149217892/supreme-court-justices-hear-opening-arguments-over-health-care-law#more\" href=\"http://www.npr.org/blogs/health/2012/03/23/149217892/supreme-court-justices-hear-opening-arguments-over-health-care-law#more\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_4287\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtJustices_2012_03262012.jpg\">\u003cimg class=\"size-medium wp-image-4287\" title=\"(Courtesy: U.S. Supreme Court)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtJustices_2012_03262012-300x240.jpg\" alt=\"(Courtesy: U.S. Supreme Court)\" width=\"300\" height=\"240\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: U.S. Supreme Court)\u003c/figcaption>\u003c/figure>\n\u003cp>Does a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/19/the-supreme-courts-4-health-care-reform-questions/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/19/the-supreme-courts-4-health-care-reform-questions/\" target=\"_blank\">federal law\u003c/a> stretching back to 1867 bar the Supreme Court from deciding on the merits of the administration's health law right now?\u003c/p>\n\u003cp>The court on Monday heard the first arguments in a historic three-day session that could decide the fate of the Obama administration's signature domestic achievement.\u003c/p>\n\u003cp>The administration and the challengers to the overhaul law don't agree on much. But both sides agreed that the Anti-Injunction Act, which says people can't challenge a tax in court before they pay it, should not prevent the Supreme Court from deciding the constitutionality of the law.\u003c/p>\n\u003cp>After arguments ended shortly before noon, NPR's Nina Totenberg gave a brief recap outside the court. \"It was packed, and everybody was very excited to be there,\" she told Ari Shapiro. She said the arguments were dense and difficult to penetrate.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The justices asked an outside lawyer, \u003ca title=\"http://www.cov.com/rlong/\" href=\"http://www.cov.com/rlong/\" target=\"_blank\">Robert Long\u003c/a>, to make the case for why the mandate is a tax. His brief is \u003ca title=\"http://sblog.s3.amazonaws.com/wp-content/uploads/2012/01/Amicus-on-AIJ-Act-1-6-12.pdf\" href=\"http://sblog.s3.amazonaws.com/wp-content/uploads/2012/01/Amicus-on-AIJ-Act-1-6-12.pdf\" target=\"_blank\">here\u003c/a>. Long was the first lawyer to present an argument.\u003c/p>\n\u003cp>In the early going, the justices peppered Long with questions. But Totenberg said Solicitor General Donald B. Verrilli Jr. \"seemed pretty successful at batting back the balls\" on the question of whether the mandate was a tax.\u003c/p>\n\u003cp>Still, Totenberg said a brief filed by two former IRS commissioners that said the mandate should be considered a tax did make an impression on at least two justices. The brief, Totenberg said, warned that the federal government could expect a flood of lawsuits on other tax matters if the mandate is not found to be a tax.\u003c/p>\n\u003cp>Verrilli said the government disagreed and considered the insurance mandate to be a very special case, Totenberg said.\u003c/p>\n\u003cp>Overall, Totenberg said, the questioning suggested that the justices were \"groping to get to the merits of this case and get over this [Anti-Injunction Act] hurdle.\" As Justice Stephen Breyer noted, Congress specifically labeled the insurance mandate as a \"penalty,\" not a tax — and one reason was so that the law could be challenged in court.\u003c/p>\n\u003cp>Over at The Wall Street Journal's live blog of the proceedings (written by reporters shuttling in and out of the courtroom), Brent Kendall \u003ca title=\"http://blogs.wsj.com/washwire/2012/03/26/live-blog-obama-health-law-at-the-supreme-court/\" href=\"http://blogs.wsj.com/washwire/2012/03/26/live-blog-obama-health-law-at-the-supreme-court/\" target=\"_blank\">reported\u003c/a> a similar impression: \"Few of the justices' questions appear sympathetic to Mr. Long's argument that the high court doesn't have jurisdiction to consider the insurance mandate now.\"\u003c/p>\n\u003cp>After the individual mandate kicks in come 2014, people who can't show they have insurance coverage will have to pay the penalty as a levy on their individual tax returns. Those returns won't get filed until 2015.\u003c/p>\n\u003cp>Since nobody has faced the mandate yet, much less paid a penalty for not complying with it, there has been no harm.\u003c/p>\n\u003cp>And if the mandate is really a tax, as one line of argument goes, then the court has no business making a decision about the health law until 2015.\u003c/p>\n\u003cp>Previously, in a \u003ca title=\"http://dccircuitreview.files.wordpress.com/2011/11/seven-sky-v-holder-11-5047.pdf\" href=\"http://dccircuitreview.files.wordpress.com/2011/11/seven-sky-v-holder-11-5047.pdf\" target=\"_blank\">dissenting opinion\u003c/a> concerning an earlier challenge of the health law, Judge \u003ca title=\"http://www.cadc.uscourts.gov/internet/home.nsf/Content/VL+-+Judges+-+BMK\" href=\"http://www.cadc.uscourts.gov/internet/home.nsf/Content/VL+-+Judges+-+BMK\" target=\"_blank\">Brett Kavanaugh\u003c/a>, of the U.S. Court of Appeals for the District of Columbia, wrote:\u003c/p>\n\u003cp>\"The Tax Code is never a walk in the park. But the statutory analysis here leads to a firm conclusion that the Anti-Injunction Act bars this suit.\"\u003c/p>\n\u003cp>And the same logic could apply to the current argument.\u003c/p>\n\u003cp>Early on, the Obama administration invoked the idea that the Anti-Injunction Act would shield the health law from challenges that claimed the mandate was a tax. But the administration \u003ca title=\"http://www.scotusblog.com/2011/11/analysis-health-cares-sleeper-issue/\" href=\"http://www.scotusblog.com/2011/11/analysis-health-cares-sleeper-issue/\" target=\"_blank\">dropped that defense\u003c/a> when it didn't get much traction.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM.png\">\u003cimg class=\"aligncenter size-full wp-image-4253\" title=\"Screen Shot 2012-03-26 at 1.25.35 PM\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM.png\" alt=\"\" width=\"569\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM.png 569w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM-400x151.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM-320x121.png 320w\" sizes=\"(max-width: 569px) 100vw, 569px\">\u003c/a>\u003c/p>\n\u003cp>Outside the court this morning, demonstrators for and against the health law tried to outdo each other. NPR's Ari Shapiro reported that they could use some new material.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>They'll have two more days to work on their chants.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Scott Hensley, \u003ca title=\"http://www.npr.org/blogs/health/2012/03/23/149217892/supreme-court-justices-hear-opening-arguments-over-health-care-law#more\" href=\"http://www.npr.org/blogs/health/2012/03/23/149217892/supreme-court-justices-hear-opening-arguments-over-health-care-law#more\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_4287\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtJustices_2012_03262012.jpg\">\u003cimg class=\"size-medium wp-image-4287\" title=\"(Courtesy: U.S. Supreme Court)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtJustices_2012_03262012-300x240.jpg\" alt=\"(Courtesy: U.S. Supreme Court)\" width=\"300\" height=\"240\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: U.S. Supreme Court)\u003c/figcaption>\u003c/figure>\n\u003cp>Does a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/19/the-supreme-courts-4-health-care-reform-questions/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/19/the-supreme-courts-4-health-care-reform-questions/\" target=\"_blank\">federal law\u003c/a> stretching back to 1867 bar the Supreme Court from deciding on the merits of the administration's health law right now?\u003c/p>\n\u003cp>The court on Monday heard the first arguments in a historic three-day session that could decide the fate of the Obama administration's signature domestic achievement.\u003c/p>\n\u003cp>The administration and the challengers to the overhaul law don't agree on much. But both sides agreed that the Anti-Injunction Act, which says people can't challenge a tax in court before they pay it, should not prevent the Supreme Court from deciding the constitutionality of the law.\u003c/p>\n\u003cp>After arguments ended shortly before noon, NPR's Nina Totenberg gave a brief recap outside the court. \"It was packed, and everybody was very excited to be there,\" she told Ari Shapiro. She said the arguments were dense and difficult to penetrate.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The justices asked an outside lawyer, \u003ca title=\"http://www.cov.com/rlong/\" href=\"http://www.cov.com/rlong/\" target=\"_blank\">Robert Long\u003c/a>, to make the case for why the mandate is a tax. His brief is \u003ca title=\"http://sblog.s3.amazonaws.com/wp-content/uploads/2012/01/Amicus-on-AIJ-Act-1-6-12.pdf\" href=\"http://sblog.s3.amazonaws.com/wp-content/uploads/2012/01/Amicus-on-AIJ-Act-1-6-12.pdf\" target=\"_blank\">here\u003c/a>. Long was the first lawyer to present an argument.\u003c/p>\n\u003cp>In the early going, the justices peppered Long with questions. But Totenberg said Solicitor General Donald B. Verrilli Jr. \"seemed pretty successful at batting back the balls\" on the question of whether the mandate was a tax.\u003c/p>\n\u003cp>Still, Totenberg said a brief filed by two former IRS commissioners that said the mandate should be considered a tax did make an impression on at least two justices. The brief, Totenberg said, warned that the federal government could expect a flood of lawsuits on other tax matters if the mandate is not found to be a tax.\u003c/p>\n\u003cp>Verrilli said the government disagreed and considered the insurance mandate to be a very special case, Totenberg said.\u003c/p>\n\u003cp>Overall, Totenberg said, the questioning suggested that the justices were \"groping to get to the merits of this case and get over this [Anti-Injunction Act] hurdle.\" As Justice Stephen Breyer noted, Congress specifically labeled the insurance mandate as a \"penalty,\" not a tax — and one reason was so that the law could be challenged in court.\u003c/p>\n\u003cp>Over at The Wall Street Journal's live blog of the proceedings (written by reporters shuttling in and out of the courtroom), Brent Kendall \u003ca title=\"http://blogs.wsj.com/washwire/2012/03/26/live-blog-obama-health-law-at-the-supreme-court/\" href=\"http://blogs.wsj.com/washwire/2012/03/26/live-blog-obama-health-law-at-the-supreme-court/\" target=\"_blank\">reported\u003c/a> a similar impression: \"Few of the justices' questions appear sympathetic to Mr. Long's argument that the high court doesn't have jurisdiction to consider the insurance mandate now.\"\u003c/p>\n\u003cp>After the individual mandate kicks in come 2014, people who can't show they have insurance coverage will have to pay the penalty as a levy on their individual tax returns. Those returns won't get filed until 2015.\u003c/p>\n\u003cp>Since nobody has faced the mandate yet, much less paid a penalty for not complying with it, there has been no harm.\u003c/p>\n\u003cp>And if the mandate is really a tax, as one line of argument goes, then the court has no business making a decision about the health law until 2015.\u003c/p>\n\u003cp>Previously, in a \u003ca title=\"http://dccircuitreview.files.wordpress.com/2011/11/seven-sky-v-holder-11-5047.pdf\" href=\"http://dccircuitreview.files.wordpress.com/2011/11/seven-sky-v-holder-11-5047.pdf\" target=\"_blank\">dissenting opinion\u003c/a> concerning an earlier challenge of the health law, Judge \u003ca title=\"http://www.cadc.uscourts.gov/internet/home.nsf/Content/VL+-+Judges+-+BMK\" href=\"http://www.cadc.uscourts.gov/internet/home.nsf/Content/VL+-+Judges+-+BMK\" target=\"_blank\">Brett Kavanaugh\u003c/a>, of the U.S. Court of Appeals for the District of Columbia, wrote:\u003c/p>\n\u003cp>\"The Tax Code is never a walk in the park. But the statutory analysis here leads to a firm conclusion that the Anti-Injunction Act bars this suit.\"\u003c/p>\n\u003cp>And the same logic could apply to the current argument.\u003c/p>\n\u003cp>Early on, the Obama administration invoked the idea that the Anti-Injunction Act would shield the health law from challenges that claimed the mandate was a tax. But the administration \u003ca title=\"http://www.scotusblog.com/2011/11/analysis-health-cares-sleeper-issue/\" href=\"http://www.scotusblog.com/2011/11/analysis-health-cares-sleeper-issue/\" target=\"_blank\">dropped that defense\u003c/a> when it didn't get much traction.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM.png\">\u003cimg class=\"aligncenter size-full wp-image-4253\" title=\"Screen Shot 2012-03-26 at 1.25.35 PM\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM.png\" alt=\"\" width=\"569\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM.png 569w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM-400x151.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-1.25.35-PM-320x121.png 320w\" sizes=\"(max-width: 569px) 100vw, 569px\">\u003c/a>\u003c/p>\n\u003cp>Outside the court this morning, demonstrators for and against the health law tried to outdo each other. 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"content": "\u003cp>\u003cstrong>The Question: Can the Supreme Court Even Consider the Case Right Now?\u003c/strong>\u003c/p>\n\u003cp>Today the Supreme Court heard arguments about whether it needs to wait until 2015 to decide the constitutionality of the federal health care law. The question stems from the arcane \u003ca title=\"http://www.law.cornell.edu/uscode/text/26/7421\" href=\"http://www.law.cornell.edu/uscode/text/26/7421\" target=\"_blank\">1867 Tax Anti-Junction Act\u003c/a>.\u003c/p>\n\u003cp>The Affordable Care Act (ACA) requires that people purchase health insurance or pay a penalty. Many people say this “penalty” is a tax in disguise. The Tax Anti-Injunction Act bars people from suing over a tax \u003cem>until they actually pay the tax.\u003c/em> Since the ACA goes into full effect in 2014, no penalties will be paid until 2015 -- which would be the soonest someone who paid the tax could challenge the constitutionality of the ACA.\u003c/p>\n\u003cp>The Court seemed skeptical of this argument in today's hearings.\u003c/p>\n\u003cp>You can listen for yourself here:\u003cbr>\n[audio:http://www.kqed.org/.stream/anon/radio/news/2012/healthcareMonday.mp3]\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Or read on for the complete transcript:\u003cbr>\n\u003c!--more--> \u003ciframe src=\"http://www.scribd.com/embeds/86777772/content?start_page=1&view_mode=list&access_key=key-1dvv0hqbctlk8d3esne7\" frameborder=\"0\" scrolling=\"no\" width=\"100%\" height=\"600\">\u003c/iframe>\u003c/p>\n\n",
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"content": "\u003cp>\u003cstrong>Justices react skeptically to delaying ruling due to arcane \"\u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/19/the-supreme-courts-4-health-care-reform-questions/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/19/the-supreme-courts-4-health-care-reform-questions/\" target=\"_blank\">Tax Anti-Injunction Act\u003c/a>\"\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4175\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourt_Tight_MikeRenlund_Flickr_03262012.jpg\">\u003cimg class=\"size-medium wp-image-4175\" title=\"(Mike Renlund: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourt_Tight_MikeRenlund_Flickr_03262012-300x200.jpg\" alt=\"(Mike Renlund: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Mike Renlund: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>WASHINGTON (AP) — The Supreme Court plunged into debate Monday on the fate of the Obama administration's overhaul of the nation's health care system, starting with pointed questions about a legal issue that could derail the case.\u003c/p>\n\u003cdiv>\n\u003cp>Eight of the nine justices fired two dozen questions in less than half hour at Washington attorney Robert Long. He had been appointed by the justices to argue that the case has been brought prematurely because a law bars tax disputes from being heard in the courts before the taxes have been paid.\u003c/p>\n\u003cp>Under the new law, taxpayers who don't purchase health insurance will have to report that omission on tax returns for 2014 and will pay a penalty along with federal income tax. At issue is whether that penalty is a tax.\u003c!--more-->\u003c/p>\n\u003cp>Some of the justices reacted skeptically to the idea that the penalties encapsulated in the Patient Protection and Affordable Care Act were actually a tax.\u003c/p>\n\u003cp>\"What is the parade of horribles?\" asked Justice Sonia Sotomayor, if the court decides that penalties are not a tax and the health care case goes forward? Long suggested it could encourage more challenges to the long-standing system in which the general rule is that taxpayers must pay a disputed tax before they can go to court.\u003c/p>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cp>From: \u003ca title=\"http://www.npr.org/2012/03/26/148776882/supreme-court-word-search-health-care\" href=\"http://www.npr.org/2012/03/26/148776882/supreme-court-word-search-health-care\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_4164\" class=\"wp-caption alignleft\" style=\"max-width: 145px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-8.36.05-AM.png\">\u003cimg class=\"size-full wp-image-4164\" title=\"(Image: NPR)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-8.36.05-AM.png\" alt=\"(Image: NPR)\" width=\"145\" height=\"113\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>When the U.S. Supreme Court hears challenges to the Obama administration's health care law this week, the arguments will be complex, with questions about states' rights, mandatory insurance, and Medicaid. To introduce some of those concepts — and to offer a way to occupy your time while the court deliberates — our friends at NPR offer a word search built around terms that will be in the news this week.\u003c/p>\n\u003cp>The court has set aside six hours to hear arguments about health care, the most time allotted for a single issue in decades. In that time, the justices will consider the government's effort to lower the number of uninsured Americans. And at least one member of the high court will likely do it while wearing a jabot — a lace collar favored by female judges.\u003c/p>\n\u003cdiv id=\"con148780215\">\n\u003cdiv id=\"res148780207\">\n\u003cp>\u003ca href=\"http://media.npr.org/news/graphics/2012/03/toten-puzzles/supreme-court-word-search.pdf\">Download the word search PDF\u003c/a>\u003c/p>\n\u003c/div>\n\u003cdiv id=\"res148778464\">\n\u003cdiv>\n\u003cdiv>\u003cimg src=\"http://www.npr.org/news/graphics/2012/03/toten-puzzles/gr-toten-word-search-624.gif\" alt=\"Supreme Court Word Scramble\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>From: \u003ca title=\"http://www.npr.org/2012/03/26/148776882/supreme-court-word-search-health-care\" href=\"http://www.npr.org/2012/03/26/148776882/supreme-court-word-search-health-care\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_4164\" class=\"wp-caption alignleft\" style=\"max-width: 145px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-8.36.05-AM.png\">\u003cimg class=\"size-full wp-image-4164\" title=\"(Image: NPR)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/Screen-Shot-2012-03-26-at-8.36.05-AM.png\" alt=\"(Image: NPR)\" width=\"145\" height=\"113\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>When the U.S. Supreme Court hears challenges to the Obama administration's health care law this week, the arguments will be complex, with questions about states' rights, mandatory insurance, and Medicaid. To introduce some of those concepts — and to offer a way to occupy your time while the court deliberates — our friends at NPR offer a word search built around terms that will be in the news this week.\u003c/p>\n\u003cp>The court has set aside six hours to hear arguments about health care, the most time allotted for a single issue in decades. In that time, the justices will consider the government's effort to lower the number of uninsured Americans. And at least one member of the high court will likely do it while wearing a jabot — a lace collar favored by female judges.\u003c/p>\n\u003cdiv id=\"con148780215\">\n\u003cdiv id=\"res148780207\">\n\u003cp>\u003ca href=\"http://media.npr.org/news/graphics/2012/03/toten-puzzles/supreme-court-word-search.pdf\">Download the word search PDF\u003c/a>\u003c/p>\n\u003c/div>\n\u003cdiv id=\"res148778464\">\n\u003cdiv>\n\u003cdiv>\u003cimg src=\"http://www.npr.org/news/graphics/2012/03/toten-puzzles/gr-toten-word-search-624.gif\" alt=\"Supreme Court Word Scramble\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_4149\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtwTree_OZinOH_03262012.jpg\">\u003cimg class=\"size-medium wp-image-4149\" title=\"(OZinOH: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtwTree_OZinOH_03262012-300x276.jpg\" alt=\"(OZinOH: Flickr)\" width=\"300\" height=\"276\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(OZinOH: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>WASHINGTON (AP) — With demonstrators chanting outside, the Supreme Court began hearing arguments Monday on the fate of President Barack Obama's historic health care overhaul, no less controversial two years after Democrats pushed it to passage in Congress. Twenty-six states are leading the legal challenge, while Republican presidential candidates are vowing to repeal it after throwing Obama out of office.\u003c/p>\n\u003cdiv>\n\u003cp>The law, much of which has still to take effect, would require almost all Americans to obtain health insurance and would extend coverage to more than 30 million people who now lack it. The law would be the largest expansion in the nation's social safety net in more than four decades.\u003c/p>\n\u003cp>The nine justices began hearing arguments a little after 7 a.m. PT.\u003c!--more-->\u003c/p>\n\u003cp>Outside the court building, about 100 supporters of the law walked in a circle holding signs that read, \"Protect my healthcare,\" and chanting, \"Care for you, care for me, care for every family.\" A half-dozen opponents shouted, \"We love the Constitution!\"\u003c/p>\n\u003cp>A four-person student band from Howard University was part of the group favoring the law, playing New Orleans-style jazz tunes.\u003c/p>\n\u003cp>A decision is expected by late June, in the midst of a presidential election campaign in which all of Obama's Republican challengers oppose the law and promise its repeal, if the high court doesn't strike it down first.\u003c/p>\n\u003cp>People hoping for a glimpse of the action have waited in line all weekend for the relatively few seats open to the public. The justices allotted the case six hours of argument time, the most since the mid-1960s.\u003c/p>\n\u003cp>Nurses Lauri Lineweaver and Laura Brennaman, who are completing doctoral degrees, had been waiting since noon Sunday and got tickets to see arguments. \"It's an honor to be in the court,\" said Lineweaver, 35.\u003c/p>\n\u003cp>The court will release audio recordings of the arguments on the same day they take place. The first time that happened was when the court heard argument in the Bush v. Gore case that settled the 2000 presidential election. The last occasion was the argument in the Citizens United case that wound up freeing businesses from longstanding limits on political spending.\u003c/p>\n\u003cp>Outside groups filed a record 136 briefs on various aspects of the court case.\u003c/p>\n\u003cp>The first arguments Monday concern whether the challenge is premature under a 19th century tax law because the insurance requirement doesn't kick in until 2014 and people who remain uninsured wouldn't have to pay a penalty until they file their 2014 income taxes in early 2015.\u003c/p>\n\u003cp>Taking this way out of the case would relieve the justices of rendering a decision in political high season, just months before the presidential election.\u003c/p>\n\u003cp>The biggest issue before the court is Tuesday's argument over the constitutionality of the individual insurance requirement. The states and the National Federation of Independent Business say Congress lacked authority under the Constitution for its unprecedented step of forcing Americans to buy insurance whether they want it or not.\u003c/p>\n\u003cp>The administration argues Congress has ample authority to do what it did. If its action was rare, it is only because Congress was dealing with a problem that has stymied Democratic and Republican administrations for many decades: How to get adequate health care to as many people as possible, and at a reasonable cost.\u003c/p>\n\u003cp>The justices also will take up whether the rest of the law can remain in place if the insurance mandate falls and, separately, whether Congress lacked the power to expand the Medicaid program to cover 15 million low-income people who currently earn too much to qualify.\u003c/p>\n\u003cp>If upheld, the law will force dramatic changes in the way insurance companies do business, including forbidding them from denying coverage due to pre-existing medical conditions and limiting how much they can charge older people.\u003c/p>\n\u003cp>The law envisions that insurers will be able to accommodate older and sicker people without facing financial ruin because of its most disputed element, the requirement that Americans have insurance or pay a penalty.\u003c/p>\n\u003cp>By 2019, about 95 percent of the country will have health insurance if the law is allowed to take full effect, the Congressional Budget Office estimates.\u003c/p>\n\u003cp>Reams of court filings attest that the changes are being counted on by people with chronic diseases, touted by women who have been denied coverage for their pregnancies, and backed by Americans over 50 but not yet old enough to qualify for Medicare, who face age-inflated insurance premiums.\u003c/p>\n\u003cp>Republicans are leading the fight to kill the law either by the court or through congressional repeal. They say the worst fears about what they derisively call \"Obamacare\" already have come to pass in the form of higher costs and regulations, claims that the law's supporters dispute.\u003c/p>\n\u003cp>The White House says it has little doubt the high court will uphold the law, and that even its opponents will eventually change their tune.\u003c/p>\n\u003cp>\"One thing I'm confident of is, by the end of this decade, we're going to be very glad the Republicans termed this 'Obamacare,' because when the reality of health care is in place, it's going to be nothing like the kind of fear-mongering that was done,\" said David Plouffe, a senior adviser to the president, said Sunday in an interview with ABC's \"This Week.\"\u003c/p>\n\u003cp>Polls have consistently shown the public is at best ambivalent about the benefits of the health care law, and that a majority of Americans believe the insurance requirement is unconstitutional.\u003c/p>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "(OZinOH: Flickr)\r\nWASHINGTON (AP) — With demonstrators chanting outside, the Supreme Court began hearing arguments Monday on the fate of President Barack Obama's historic health care overhaul, no less controversial two years after Democrats pushed it to passage in Congress. Twenty-six states are leading the legal challenge, while Republican presidential candidates are vowing to repeal it after throwing Obama out of office.\r\n\r\nThe law, much of which has still to take effect, would require almost all Americans to obtain health insurance and would extend coverage to more than 30 million people who now lack it. The law would be the largest expansion in the nation's social safety net in more than four decades.",
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"description": "(OZinOH: Flickr)\r\nWASHINGTON (AP) — With demonstrators chanting outside, the Supreme Court began hearing arguments Monday on the fate of President Barack Obama's historic health care overhaul, no less controversial two years after Democrats pushed it to passage in Congress. Twenty-six states are leading the legal challenge, while Republican presidential candidates are vowing to repeal it after throwing Obama out of office.\r\n\r\nThe law, much of which has still to take effect, would require almost all Americans to obtain health insurance and would extend coverage to more than 30 million people who now lack it. The law would be the largest expansion in the nation's social safety net in more than four decades.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_4149\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtwTree_OZinOH_03262012.jpg\">\u003cimg class=\"size-medium wp-image-4149\" title=\"(OZinOH: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourtwTree_OZinOH_03262012-300x276.jpg\" alt=\"(OZinOH: Flickr)\" width=\"300\" height=\"276\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(OZinOH: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>WASHINGTON (AP) — With demonstrators chanting outside, the Supreme Court began hearing arguments Monday on the fate of President Barack Obama's historic health care overhaul, no less controversial two years after Democrats pushed it to passage in Congress. Twenty-six states are leading the legal challenge, while Republican presidential candidates are vowing to repeal it after throwing Obama out of office.\u003c/p>\n\u003cdiv>\n\u003cp>The law, much of which has still to take effect, would require almost all Americans to obtain health insurance and would extend coverage to more than 30 million people who now lack it. The law would be the largest expansion in the nation's social safety net in more than four decades.\u003c/p>\n\u003cp>The nine justices began hearing arguments a little after 7 a.m. PT.\u003c!--more-->\u003c/p>\n\u003cp>Outside the court building, about 100 supporters of the law walked in a circle holding signs that read, \"Protect my healthcare,\" and chanting, \"Care for you, care for me, care for every family.\" A half-dozen opponents shouted, \"We love the Constitution!\"\u003c/p>\n\u003cp>A four-person student band from Howard University was part of the group favoring the law, playing New Orleans-style jazz tunes.\u003c/p>\n\u003cp>A decision is expected by late June, in the midst of a presidential election campaign in which all of Obama's Republican challengers oppose the law and promise its repeal, if the high court doesn't strike it down first.\u003c/p>\n\u003cp>People hoping for a glimpse of the action have waited in line all weekend for the relatively few seats open to the public. The justices allotted the case six hours of argument time, the most since the mid-1960s.\u003c/p>\n\u003cp>Nurses Lauri Lineweaver and Laura Brennaman, who are completing doctoral degrees, had been waiting since noon Sunday and got tickets to see arguments. \"It's an honor to be in the court,\" said Lineweaver, 35.\u003c/p>\n\u003cp>The court will release audio recordings of the arguments on the same day they take place. The first time that happened was when the court heard argument in the Bush v. Gore case that settled the 2000 presidential election. The last occasion was the argument in the Citizens United case that wound up freeing businesses from longstanding limits on political spending.\u003c/p>\n\u003cp>Outside groups filed a record 136 briefs on various aspects of the court case.\u003c/p>\n\u003cp>The first arguments Monday concern whether the challenge is premature under a 19th century tax law because the insurance requirement doesn't kick in until 2014 and people who remain uninsured wouldn't have to pay a penalty until they file their 2014 income taxes in early 2015.\u003c/p>\n\u003cp>Taking this way out of the case would relieve the justices of rendering a decision in political high season, just months before the presidential election.\u003c/p>\n\u003cp>The biggest issue before the court is Tuesday's argument over the constitutionality of the individual insurance requirement. The states and the National Federation of Independent Business say Congress lacked authority under the Constitution for its unprecedented step of forcing Americans to buy insurance whether they want it or not.\u003c/p>\n\u003cp>The administration argues Congress has ample authority to do what it did. If its action was rare, it is only because Congress was dealing with a problem that has stymied Democratic and Republican administrations for many decades: How to get adequate health care to as many people as possible, and at a reasonable cost.\u003c/p>\n\u003cp>The justices also will take up whether the rest of the law can remain in place if the insurance mandate falls and, separately, whether Congress lacked the power to expand the Medicaid program to cover 15 million low-income people who currently earn too much to qualify.\u003c/p>\n\u003cp>If upheld, the law will force dramatic changes in the way insurance companies do business, including forbidding them from denying coverage due to pre-existing medical conditions and limiting how much they can charge older people.\u003c/p>\n\u003cp>The law envisions that insurers will be able to accommodate older and sicker people without facing financial ruin because of its most disputed element, the requirement that Americans have insurance or pay a penalty.\u003c/p>\n\u003cp>By 2019, about 95 percent of the country will have health insurance if the law is allowed to take full effect, the Congressional Budget Office estimates.\u003c/p>\n\u003cp>Reams of court filings attest that the changes are being counted on by people with chronic diseases, touted by women who have been denied coverage for their pregnancies, and backed by Americans over 50 but not yet old enough to qualify for Medicare, who face age-inflated insurance premiums.\u003c/p>\n\u003cp>Republicans are leading the fight to kill the law either by the court or through congressional repeal. They say the worst fears about what they derisively call \"Obamacare\" already have come to pass in the form of higher costs and regulations, claims that the law's supporters dispute.\u003c/p>\n\u003cp>The White House says it has little doubt the high court will uphold the law, and that even its opponents will eventually change their tune.\u003c/p>\n\u003cp>\"One thing I'm confident of is, by the end of this decade, we're going to be very glad the Republicans termed this 'Obamacare,' because when the reality of health care is in place, it's going to be nothing like the kind of fear-mongering that was done,\" said David Plouffe, a senior adviser to the president, said Sunday in an interview with ABC's \"This Week.\"\u003c/p>\n\u003cp>Polls have consistently shown the public is at best ambivalent about the benefits of the health care law, and that a majority of Americans believe the insurance requirement is unconstitutional.\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Uninsured--and Still Against the Health Law",
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"content": "\u003cfigure id=\"attachment_4081\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/UninsuredVarney1.jpg\">\u003cimg class=\"size-medium wp-image-4081\" title=\"Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/UninsuredVarney1-300x169.jpg\" alt=\"Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions. \" width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions. (Photo: Sarah Varney)\u003c/figcaption>\u003c/figure>\n\u003cp>Today marks the second anniversary of the federal health care law, and, unless you've been depriving yourself of news for the last several weeks, that same law will be front and center before the Supreme Court starting Monday. Here in California, uninsured Californians have a particular stake in the Court's actions.\u003c/p>\n\u003cp>Madera County is a largely conservative and agricultural area where one in every three people lacks coverage. While many people say they want the Supreme Court to throw out the federal health law, I found that many there are struggling to reconcile their political views with the basic need for health insurance.\u003c/p>\n\u003cp>I started off in Oakhurst. Here, just a few miles from the entrance to Yosemite National Park, is the Sweetwater Steakhouse, a local watering hole where no one is shy about their opinions of President Obama’s signature initiative, including people like Joe Stern. \"ObamaCare is absolutely horrible, horrible, horrible. It should struck down immediately.\"\u003c!--more-->\u003c/p>\n\u003cp>Stern sips on a glass of pinot noir. He’s 66 years old, a registered Republican and owns a small water conditioning company. He is covered by Medicare, and he says he’s thankful for the program. Before he turned 65, Stern paid mightily for his health insurance.\u003c/p>\n\u003cp>\"I, a single person, was paying $670 a month,\" he told me. \"I thought it was pretty brutal but I was still against ObamaCare by far, ‘cause I saw how they did it in the middle of the night. It was just totally, it’s not how you do a radical change like that. You do it slowly.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If at all. Like many conservative voters I interviewed in Madera County, Stern despises the individual mandate included in the law, the requirement that all Americans have health coverage.\u003c/p>\n\u003cp>There is a lot of suspicion here about whether the health insurance system is really all that broken. Stern thinks many people choose to be uninsured, and in a sentiment I heard from nearly everyone I interviewed, Stern says no one is denied medical care.\u003c/p>\n\u003cp>\"I don’t know of anyone that was left on the street to bleed to death,\" he says. \"I don’t know anyone that is really left out.\"\u003c/p>\n\u003cp>I asked Stern if he knew anyone at the bar who is uninsured. He turned cheerfully to his friend Mary Westover sitting next to him. Westover was coy about her age. She’s maybe 50-ish. She’s a registered Republican and self-employed artist and businesswoman. She’s been uninsured for 17 years.\u003c/p>\n\u003cp>\"When I was married I had insurance through my husband. Since we got divorced, I was self employed. I just couldn’t afford it. I couldn’t afford the premiums. I was flying by the seat of my pants every inch of the way,\" Westover said.\u003c/p>\n\u003cp>It’s been nearly two decades since Westover has had a pap smear or a mammogram. She says she just tries to take care of herself. She’s opposed to the individual mandate but says she wasn’t aware the federal government would give subsidies to people like her to buy a policy.\u003c/p>\n\u003cp>\"If it were subsidized, if it were made, you know, manageable, I would want that,\" Westover told me. \"And I don’t know how people who can afford it, can sit there and say that we shouldn’t have that. Because there are a lot more of us, than them.\"\u003c/p>\n\u003cp>The ranks of the uninsured in Oakhurst, like everywhere else in California, are indeed growing. Employers continue to shed health insurance benefits or pass on rising health care costs to their employees.\u003c/p>\n\u003cp>Doug Macaulay, a Republican, has sold insurance to the residents of Oakhurst for nearly three decades, and, in that role, has heard just about everyone’s opinion of the federal health law.\u003c/p>\n\u003cp>\"I think there’s just a certain lack of knowledge of how health care works,\" he said.\u003c/p>\n\u003cp>Macaulay says people get mad at the insurance companies, but they don’t see ‘ObamaCare’, as they derisively call it, as the answer.\u003c/p>\n\u003cp>\"I get this all the time,\" Macaulay says, \"where there’s not really a connection between, 'Ok, here’s what the government is trying to do for you. You’re complaining over here that you don’t have health insurance and you can’t buy it. And over here they’re trying to provide you with it but that’s the worst thing… ever.' So there seems to be a disconnect in the thinking there because it gets in the way of what I want to think about my government.\u003c/p>\n\u003cp>Down the road from Doug Macaulay’s office, meanwhile, Paul Ruffino is preparing to welcome guests to Chateau du Sureau, a five-star, luxury inn that looks over the mountains of Yosemite.\u003c/p>\n\u003cp>Inside, there’s a fire burning in the grand salon and painted frescoes on the ceiling. Ruffino, the inn’s manager, is 55 years old. He’s a Libertarian. He finds the Republican party too liberal.\u003c/p>\n\u003cp>\"I’m uninsured! It’s the first time in my life and it’s probably when I need it the most,\" he said.\u003c/p>\n\u003cp>Ruffino says the plans he’s looked at are expensive and won’t cover his pre-existing conditions. Still, he says it was his decision to leave a previous job in Southern California that came with insurance and move to Oakhurst.\u003c/p>\n\u003cp>\"Do I make the government responsible for my choices,\" he asked rhetorically. \"I made the choice. I knew beforehand. I knew beforehand what was going on.\"\u003c/p>\n\u003cp>Ruffino seems torn between his unsparing self-reliance and a sense that the insurance industry is unfair. \"Would I like it to be better? There’s a greedy part of me that says that it would.\"\u003c/p>\n\u003cp>He thinks the insurance companies should NOT be allowed to pick out only the healthy and leave guys like him behind.\u003c/p>\n\u003cp>\"And that’s where I have to then ask: Does there come a time when government has to get involved and at what levels? But when you are distrustful of the system in whole it makes it difficult. I go back and forth. I ping pong on this issue all the time.\u003c/p>\n\u003cp>These conflicts - both personal and political - will be amplified next week when the Supreme Court considers just what role the government should play in re-making the country’s health insurance system.\u003c/p>\n\u003cp>\u003cem>Listen to the story:\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201203230850a.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201203230850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "Today marks the second anniversary of the federal health care law, and, unless you've been depriving yourself of news for the last several weeks, that same law will be front and center before the Supreme Court starting Monday. Here in California, uninsured Californians have a particular stake in the Court's actions. \r\n\r\nMadera County is a largely conservative and agricultural area where one in every three people lacks coverage. While many people say they want the Supreme Court to throw out the federal health law, I found that many there are struggling to reconcile their political views with the basic need for health insurance.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_4081\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/UninsuredVarney1.jpg\">\u003cimg class=\"size-medium wp-image-4081\" title=\"Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/UninsuredVarney1-300x169.jpg\" alt=\"Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions. \" width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Libertarian Paul Ruffino, 55, has been looking for an insurance plan since leaving his previous job. Several insurance companies refuse to cover him because he has pre-existing conditions. (Photo: Sarah Varney)\u003c/figcaption>\u003c/figure>\n\u003cp>Today marks the second anniversary of the federal health care law, and, unless you've been depriving yourself of news for the last several weeks, that same law will be front and center before the Supreme Court starting Monday. Here in California, uninsured Californians have a particular stake in the Court's actions.\u003c/p>\n\u003cp>Madera County is a largely conservative and agricultural area where one in every three people lacks coverage. While many people say they want the Supreme Court to throw out the federal health law, I found that many there are struggling to reconcile their political views with the basic need for health insurance.\u003c/p>\n\u003cp>I started off in Oakhurst. Here, just a few miles from the entrance to Yosemite National Park, is the Sweetwater Steakhouse, a local watering hole where no one is shy about their opinions of President Obama’s signature initiative, including people like Joe Stern. \"ObamaCare is absolutely horrible, horrible, horrible. It should struck down immediately.\"\u003c!--more-->\u003c/p>\n\u003cp>Stern sips on a glass of pinot noir. He’s 66 years old, a registered Republican and owns a small water conditioning company. He is covered by Medicare, and he says he’s thankful for the program. Before he turned 65, Stern paid mightily for his health insurance.\u003c/p>\n\u003cp>\"I, a single person, was paying $670 a month,\" he told me. \"I thought it was pretty brutal but I was still against ObamaCare by far, ‘cause I saw how they did it in the middle of the night. It was just totally, it’s not how you do a radical change like that. You do it slowly.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If at all. Like many conservative voters I interviewed in Madera County, Stern despises the individual mandate included in the law, the requirement that all Americans have health coverage.\u003c/p>\n\u003cp>There is a lot of suspicion here about whether the health insurance system is really all that broken. Stern thinks many people choose to be uninsured, and in a sentiment I heard from nearly everyone I interviewed, Stern says no one is denied medical care.\u003c/p>\n\u003cp>\"I don’t know of anyone that was left on the street to bleed to death,\" he says. \"I don’t know anyone that is really left out.\"\u003c/p>\n\u003cp>I asked Stern if he knew anyone at the bar who is uninsured. He turned cheerfully to his friend Mary Westover sitting next to him. Westover was coy about her age. She’s maybe 50-ish. She’s a registered Republican and self-employed artist and businesswoman. She’s been uninsured for 17 years.\u003c/p>\n\u003cp>\"When I was married I had insurance through my husband. Since we got divorced, I was self employed. I just couldn’t afford it. I couldn’t afford the premiums. I was flying by the seat of my pants every inch of the way,\" Westover said.\u003c/p>\n\u003cp>It’s been nearly two decades since Westover has had a pap smear or a mammogram. She says she just tries to take care of herself. She’s opposed to the individual mandate but says she wasn’t aware the federal government would give subsidies to people like her to buy a policy.\u003c/p>\n\u003cp>\"If it were subsidized, if it were made, you know, manageable, I would want that,\" Westover told me. \"And I don’t know how people who can afford it, can sit there and say that we shouldn’t have that. Because there are a lot more of us, than them.\"\u003c/p>\n\u003cp>The ranks of the uninsured in Oakhurst, like everywhere else in California, are indeed growing. Employers continue to shed health insurance benefits or pass on rising health care costs to their employees.\u003c/p>\n\u003cp>Doug Macaulay, a Republican, has sold insurance to the residents of Oakhurst for nearly three decades, and, in that role, has heard just about everyone’s opinion of the federal health law.\u003c/p>\n\u003cp>\"I think there’s just a certain lack of knowledge of how health care works,\" he said.\u003c/p>\n\u003cp>Macaulay says people get mad at the insurance companies, but they don’t see ‘ObamaCare’, as they derisively call it, as the answer.\u003c/p>\n\u003cp>\"I get this all the time,\" Macaulay says, \"where there’s not really a connection between, 'Ok, here’s what the government is trying to do for you. You’re complaining over here that you don’t have health insurance and you can’t buy it. And over here they’re trying to provide you with it but that’s the worst thing… ever.' So there seems to be a disconnect in the thinking there because it gets in the way of what I want to think about my government.\u003c/p>\n\u003cp>Down the road from Doug Macaulay’s office, meanwhile, Paul Ruffino is preparing to welcome guests to Chateau du Sureau, a five-star, luxury inn that looks over the mountains of Yosemite.\u003c/p>\n\u003cp>Inside, there’s a fire burning in the grand salon and painted frescoes on the ceiling. Ruffino, the inn’s manager, is 55 years old. He’s a Libertarian. He finds the Republican party too liberal.\u003c/p>\n\u003cp>\"I’m uninsured! It’s the first time in my life and it’s probably when I need it the most,\" he said.\u003c/p>\n\u003cp>Ruffino says the plans he’s looked at are expensive and won’t cover his pre-existing conditions. Still, he says it was his decision to leave a previous job in Southern California that came with insurance and move to Oakhurst.\u003c/p>\n\u003cp>\"Do I make the government responsible for my choices,\" he asked rhetorically. \"I made the choice. I knew beforehand. I knew beforehand what was going on.\"\u003c/p>\n\u003cp>Ruffino seems torn between his unsparing self-reliance and a sense that the insurance industry is unfair. \"Would I like it to be better? There’s a greedy part of me that says that it would.\"\u003c/p>\n\u003cp>He thinks the insurance companies should NOT be allowed to pick out only the healthy and leave guys like him behind.\u003c/p>\n\u003cp>\"And that’s where I have to then ask: Does there come a time when government has to get involved and at what levels? But when you are distrustful of the system in whole it makes it difficult. I go back and forth. I ping pong on this issue all the time.\u003c/p>\n\u003cp>These conflicts - both personal and political - will be amplified next week when the Supreme Court considers just what role the government should play in re-making the country’s health insurance system.\u003c/p>\n\u003cp>\u003cem>Listen to the story:\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv>\n\u003cp>By Christina Jewett, \u003ca title=\"http://californiawatch.org/dailyreport/health-reform-enters-2nd-year-amid-broad-changes-challenges-15404\" href=\"http://californiawatch.org/dailyreport/health-reform-enters-2nd-year-amid-broad-changes-challenges-15404\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_3992\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/ChildrenHealthCare_USCensusBureau_03212012.jpg\">\u003cimg class=\"size-medium wp-image-3992\" title=\"ChildrenHealthCare_USCensusBureau_03212012\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/ChildrenHealthCare_USCensusBureau_03212012-300x200.jpg\" alt=\"(Photo: U.S. Census Bureau)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: U.S. Census Bureau)\u003c/figcaption>\u003c/figure>\n\u003cp>As the second anniversary of the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">health care reform law\u003c/a> approaches, California health advocates hailed the changes that have been made and those on the horizon. They also noted the difficulties for California, which is emerging as one of the most aggressive states in implementing reform.\u003c/p>\n\u003cp>While the Affordable Care Act has been a political hot potato in many states, it has been a catalyst for a dizzying array of reforms in California.\u003c/p>\n\u003cp>Changes include the creation of a \u003ca href=\"http://www.healthexchange.ca.gov/Pages/Default.aspx\" target=\"_blank\">health benefit “exchange”\u003c/a> that will offer low-cost plans to millions who might be required to buy policies. Lawmakers also are busy selecting \"\u003ca href=\"http://www.leginfo.ca.gov/cgi-bin/postquery?bill_number=sb_951&sess=CUR&house=B&author=hernandez\" target=\"_blank\">essential benefits\u003c/a>\" that must be covered. Groups of doctors and hospitals are banding together to form accountable care organizations that are meant to cut costs and promote wellness. The Medi-Cal program has shipped cards to millions in anticipation of a massive expansion in 2014.\u003c!--more-->\u003c/p>\n\u003cp>Road bumps to reform have included bureaucratic tangles as Medi-Cal patients are moved into managed care plans to hold down costs as the program’s coverage expands. And questions are cropping up over whether there are enough doctors, nurses and technicians to provide care to millions more who will gain coverage under the law.\u003c/p>\n\u003cp>During a State Capitol press briefing yesterday, health advocates and the Assembly and Senate health committee chairmen hailed benefits the law has brought to California.\u003c/p>\n\u003cp>“The passage of this law has been transformative. And for many, I hazard to say, it’s been lifesaving,” said Assemblyman Bill Monning, D-Monterey, chairman of the Assembly Health Committee.\u003c/p>\n\u003cp>According to a \u003ca href=\"http://www.health-access.org/files/advocating/HA%20ACA%20Two-Year%20Report%203-20-12.pdf\" target=\"_blank\">report [PDF]\u003c/a> compiled by Health Access, a consumer advocacy group that convened the briefing, changes under the law in California include:\u003c/p>\n\u003cul>\n\u003cli>About 8,600 Californians with pre-existing medical conditions \u003ca href=\"http://www.pcip.ca.gov/Home/default.aspx\" target=\"_blank\">have gained access\u003c/a> to affordable health insurance. Patients who have illnesses such as cancer or multiple sclerosis – who face high costs or denials on the open market – can buy insurance through the program.\u003c/li>\n\u003cli>More than 350,000 young adults have been able to stay on their parents’ health insurance plans until they are 26.\u003c/li>\n\u003cli>More than 370,000 low-income people have been covered by an expansion of Medi-Cal, the health insurer for low-income Californians, that is part of the state’s “bridge to reform” waiver to alter the state-federal program.\u003c/li>\n\u003c/ul>\n\u003cp>The report says consumers saved more than $100 million when health insurance rate increases were rolled back or withdrawn as a result of increased regulatory power to review those increases. Also, seniors saved $171 million in prescription drug costs in a plan to close the Medicare limits in coverage. And 12 million people who currently have health insurance no longer face a cap on coverage in case of a catastrophic illness.\u003c/p>\n\u003cp>Health industry and advocacy staff are debating what types of care will be considered “essential benefits” that small group and individual health plans must offer in 2014. They include maternity care, mental health, emergency and prescription drug care. California lawmakers are expected to \u003ca href=\"http://www.healthcare.gov/glossary/e/essential.html\" target=\"_blank\">define benefits\u003c/a> in legislation that is now pending.\u003c/p>\n\u003cp>Health leaders also are determining how the \u003ca href=\"http://www.healthcare.ca.gov/Priorities/HealthBenefitExchange.aspx\" target=\"_blank\">state’s health exchange\u003c/a> will operate, conduct outreach and broker deals with insurers. The exchange is expected to operate in 2014, ideally offering affordable and valuable health insurance plans to people who will be mandated to buy coverage. That “individual mandate” stands to be \u003ca href=\"http://www.nytimes.com/interactive/2012/03/19/us/guide-to-supreme-court-challenges-to-obama-health-care-law.html\" target=\"_blank\">upheld or struck down\u003c/a> by the Supreme Court after oral arguments scheduled for Monday.\u003c/p>\n\u003cp>Under the Affordable Care Act, six California \u003ca href=\"http://www.californiahealthline.org/articles/2011/12/20/six-calif-entities-are-pioneer-accountable-care-organizations.aspx\" target=\"_blank\">“pioneer” accountable care organizations\u003c/a> have been named. They consist of groups of doctors and hospitals that will accept per-patient payments and be rewarded or penalized based on the health status of their clientele. The program is meant to transform health incentives so providers can cut costs even as they seek to fend off chronic illness.\u003c/p>\n\u003cp>California’s vigor in upending the way health care is delivered has, however, met with the criticism that it’s moving too fast. That concern was the centerpiece of a recent \u003ca href=\"http://californiawatch.org/dailyreport/patients-suffer-state-overhauls-medi-cal-advocates-say-15231\" target=\"_blank\">legislative hearing\u003c/a> that examined the challenges of Medi-Cal recipients who are being moved into managed care programs. Some of those patients were unable to keep scheduled surgeries or access previously covered services.\u003c/p>\n\u003cp>Gary Passmore, a vice president of the Congress of California Seniors, said state budget cuts imposing co-pays and slashing 10 percent of many Medi-Cal providers' payments also have posed problems for the program, which is expected to cover 3 million more people under health reform.\u003c/p>\n\u003cp>“What we’re seeing is the diminution of the value of a Medi-Cal card,” he said, noting that California's Medicaid program is among the lowest-paying in the U.S.\u003c/p>\n\u003cp>And Sen. Ed Hernandez, D-West Covina, said he’s \u003ca href=\"http://citynews.cityofhope.org/index.php?/20-02/news/californias_other_health_care_crisis/\" target=\"_blank\">held hearings\u003c/a> over the issue of having a workforce adequate to care for 6 million people who are likely to be newly insured in 2014.\u003c/p>\n\u003cp>“We are going to have a huge access problem,” he said, especially in rural and inner-city areas. “We need to make sure that there is going to be a workforce that is going to see these patients.\u003c/p>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "As the second anniversary of the health care reform law approaches, California health advocates hailed the changes that have been made and those on the horizon. They also noted the difficulties for California, which is emerging as one of the most aggressive states in implementing reform.\r\n\r\nWhile the Affordable Care Act has been a political hot potato in many states, it has been a catalyst for a dizzying array of reforms in California.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv>\n\u003cp>By Christina Jewett, \u003ca title=\"http://californiawatch.org/dailyreport/health-reform-enters-2nd-year-amid-broad-changes-challenges-15404\" href=\"http://californiawatch.org/dailyreport/health-reform-enters-2nd-year-amid-broad-changes-challenges-15404\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_3992\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/ChildrenHealthCare_USCensusBureau_03212012.jpg\">\u003cimg class=\"size-medium wp-image-3992\" title=\"ChildrenHealthCare_USCensusBureau_03212012\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/ChildrenHealthCare_USCensusBureau_03212012-300x200.jpg\" alt=\"(Photo: U.S. Census Bureau)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: U.S. Census Bureau)\u003c/figcaption>\u003c/figure>\n\u003cp>As the second anniversary of the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">health care reform law\u003c/a> approaches, California health advocates hailed the changes that have been made and those on the horizon. They also noted the difficulties for California, which is emerging as one of the most aggressive states in implementing reform.\u003c/p>\n\u003cp>While the Affordable Care Act has been a political hot potato in many states, it has been a catalyst for a dizzying array of reforms in California.\u003c/p>\n\u003cp>Changes include the creation of a \u003ca href=\"http://www.healthexchange.ca.gov/Pages/Default.aspx\" target=\"_blank\">health benefit “exchange”\u003c/a> that will offer low-cost plans to millions who might be required to buy policies. Lawmakers also are busy selecting \"\u003ca href=\"http://www.leginfo.ca.gov/cgi-bin/postquery?bill_number=sb_951&sess=CUR&house=B&author=hernandez\" target=\"_blank\">essential benefits\u003c/a>\" that must be covered. Groups of doctors and hospitals are banding together to form accountable care organizations that are meant to cut costs and promote wellness. The Medi-Cal program has shipped cards to millions in anticipation of a massive expansion in 2014.\u003c!--more-->\u003c/p>\n\u003cp>Road bumps to reform have included bureaucratic tangles as Medi-Cal patients are moved into managed care plans to hold down costs as the program’s coverage expands. And questions are cropping up over whether there are enough doctors, nurses and technicians to provide care to millions more who will gain coverage under the law.\u003c/p>\n\u003cp>During a State Capitol press briefing yesterday, health advocates and the Assembly and Senate health committee chairmen hailed benefits the law has brought to California.\u003c/p>\n\u003cp>“The passage of this law has been transformative. And for many, I hazard to say, it’s been lifesaving,” said Assemblyman Bill Monning, D-Monterey, chairman of the Assembly Health Committee.\u003c/p>\n\u003cp>According to a \u003ca href=\"http://www.health-access.org/files/advocating/HA%20ACA%20Two-Year%20Report%203-20-12.pdf\" target=\"_blank\">report [PDF]\u003c/a> compiled by Health Access, a consumer advocacy group that convened the briefing, changes under the law in California include:\u003c/p>\n\u003cul>\n\u003cli>About 8,600 Californians with pre-existing medical conditions \u003ca href=\"http://www.pcip.ca.gov/Home/default.aspx\" target=\"_blank\">have gained access\u003c/a> to affordable health insurance. Patients who have illnesses such as cancer or multiple sclerosis – who face high costs or denials on the open market – can buy insurance through the program.\u003c/li>\n\u003cli>More than 350,000 young adults have been able to stay on their parents’ health insurance plans until they are 26.\u003c/li>\n\u003cli>More than 370,000 low-income people have been covered by an expansion of Medi-Cal, the health insurer for low-income Californians, that is part of the state’s “bridge to reform” waiver to alter the state-federal program.\u003c/li>\n\u003c/ul>\n\u003cp>The report says consumers saved more than $100 million when health insurance rate increases were rolled back or withdrawn as a result of increased regulatory power to review those increases. Also, seniors saved $171 million in prescription drug costs in a plan to close the Medicare limits in coverage. And 12 million people who currently have health insurance no longer face a cap on coverage in case of a catastrophic illness.\u003c/p>\n\u003cp>Health industry and advocacy staff are debating what types of care will be considered “essential benefits” that small group and individual health plans must offer in 2014. They include maternity care, mental health, emergency and prescription drug care. California lawmakers are expected to \u003ca href=\"http://www.healthcare.gov/glossary/e/essential.html\" target=\"_blank\">define benefits\u003c/a> in legislation that is now pending.\u003c/p>\n\u003cp>Health leaders also are determining how the \u003ca href=\"http://www.healthcare.ca.gov/Priorities/HealthBenefitExchange.aspx\" target=\"_blank\">state’s health exchange\u003c/a> will operate, conduct outreach and broker deals with insurers. The exchange is expected to operate in 2014, ideally offering affordable and valuable health insurance plans to people who will be mandated to buy coverage. That “individual mandate” stands to be \u003ca href=\"http://www.nytimes.com/interactive/2012/03/19/us/guide-to-supreme-court-challenges-to-obama-health-care-law.html\" target=\"_blank\">upheld or struck down\u003c/a> by the Supreme Court after oral arguments scheduled for Monday.\u003c/p>\n\u003cp>Under the Affordable Care Act, six California \u003ca href=\"http://www.californiahealthline.org/articles/2011/12/20/six-calif-entities-are-pioneer-accountable-care-organizations.aspx\" target=\"_blank\">“pioneer” accountable care organizations\u003c/a> have been named. They consist of groups of doctors and hospitals that will accept per-patient payments and be rewarded or penalized based on the health status of their clientele. The program is meant to transform health incentives so providers can cut costs even as they seek to fend off chronic illness.\u003c/p>\n\u003cp>California’s vigor in upending the way health care is delivered has, however, met with the criticism that it’s moving too fast. That concern was the centerpiece of a recent \u003ca href=\"http://californiawatch.org/dailyreport/patients-suffer-state-overhauls-medi-cal-advocates-say-15231\" target=\"_blank\">legislative hearing\u003c/a> that examined the challenges of Medi-Cal recipients who are being moved into managed care programs. Some of those patients were unable to keep scheduled surgeries or access previously covered services.\u003c/p>\n\u003cp>Gary Passmore, a vice president of the Congress of California Seniors, said state budget cuts imposing co-pays and slashing 10 percent of many Medi-Cal providers' payments also have posed problems for the program, which is expected to cover 3 million more people under health reform.\u003c/p>\n\u003cp>“What we’re seeing is the diminution of the value of a Medi-Cal card,” he said, noting that California's Medicaid program is among the lowest-paying in the U.S.\u003c/p>\n\u003cp>And Sen. Ed Hernandez, D-West Covina, said he’s \u003ca href=\"http://citynews.cityofhope.org/index.php?/20-02/news/californias_other_health_care_crisis/\" target=\"_blank\">held hearings\u003c/a> over the issue of having a workforce adequate to care for 6 million people who are likely to be newly insured in 2014.\u003c/p>\n\u003cp>“We are going to have a huge access problem,” he said, especially in rural and inner-city areas. “We need to make sure that there is going to be a workforce that is going to see these patients.\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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