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Health Insurance Rates Are Going Up Next Year, But It’s Nothing to Panic Over

by LazaroWorley Posted on March 30, 2014

Mother Jones

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The LA Times has a piece today about the next battleground for Obamacare: rate increases for 2015. The warnings are already coming thick and fast:

WellPoint Inc., parent of California’s leading health insurer in the exchange, Anthem Blue Cross, has already predicted “double-digit-plus” rate increases on Obamacare policies across much of the country.

…. Health insurers aren’t wasting any time sizing up what patients are costing them now and what that will mean for 2015 rates. Hunkered down in conference rooms, insurance actuaries are parsing prescriptions, doctor visits and hospital stays for clues about how expensive these new patients may be. By May, insurance companies must file next year’s rates with California’s state-run exchange so negotiations can begin.

I hope everyone manages to restrain their Obamacare hysteria over this. Here in California, we’ve played this game annually for years. Health insurers in the individual market propose wild increases in their premiums—10 percent, 20 percent, sometimes even 30 percent—and then dial them back a bit after consumer outrage blankets the media and the Department of Insurance pushes back. But even then, we routinely end up with double-digit increases. Just for background, here are the average annual rate increases requested by a few of California’s biggest insurers over the last three years:

Anthem Blue Cross: 10.7%
Aetna: 12.1%
Blue Shield: 15.4%
HealthNet: 12.0%

And this doesn’t include changes in deductibles or out-of-pocket maximums. Add those in, and the annual proposed increases are probably in the range of 15-20 percent. Obamacare, of course, limits both those things, which means that in the future insurance companies will have to put everything into rate hikes instead of spreading the increases around to make them harder to add up.

Bottom line: if we end up seeing double-digit rate increases, it will be business as usual. Insurance companies will all blame it on Obamacare because that’s a convenient thing to do, but the truth is that we probably would have seen exactly the same thing even if Barack Obama had never been born. So let’s all keep our feet on the ground when the inevitable huge rate increase requests start flowing in. It’s mostly an insurance company thing and a healthcare thing, not an Obamacare thing.

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Health Insurance Rates Are Going Up Next Year, But It’s Nothing to Panic Over

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Friday Cat Blogging – 28 March 2014

by HildredRudd Posted on March 28, 2014

Mother Jones

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This week, in a feat of breathtaking middle-aged athleticism, Domino leaped into the empty laundry hamper and then leaped out a few minutes later. All by herself. I honestly didn’t think she still had it in her. But she seemed to enjoy herself for the few minutes she was in there, and then followed me around to find out what happened to all the clothes that had been taken out. Later on, of course, she curled up and took a nap on the fresh laundry. Quite a life, isn’t it?

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Friday Cat Blogging – 28 March 2014

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Raw Data: By 2017, Obamacare Will Be Covering 36 Million People

by BufordLindley Posted on March 28, 2014

Mother Jones

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Megan McArdle asks, “Is Obamacare now beyond repeal?” Good question! McArdle goes through the various estimates of enrollment figures, concluding that something in the neighborhood of 5.5-6.5 million people are likely to sign up this year, depending on how much enrollment accelerates in the last few days of March and how many people drop out because they fail to pay their premiums. That sounds reasonable to me. Then this:

Does that mean that Obamacare will basically be beyond repeal, as its supporters hope? It certainly makes things harder. But we still don’t know how many of these people are newly insured, or how many of the previously insured like these policies better than their old policies — nor how much pressure it is going to end up putting on the budget. Those are things we won’t know for quite a while. But if it were impossible to ever cut off an expensive entitlement that goes to the middle class, TennCare would never have been cut.

But there’s something missing here. It’s something that nearly everyone has neglected in the frenzy to figure out what’s happening right now. Here it is: the world doesn’t stop in 2014. Enrollment of around 6 million makes Obamacare hard to repeal, but for now that’s not really what’s holding it in place. What’s holding it in place is the fact that Democrats control the Senate and Barack Obama occupies the White House. And even if the Senate switches parties next year, I think we can all agree that Obamacare is going nowhere as long as Obama stays president. So 2017 is the earliest it could even plausibly be repealed.

But what do things look like in 2017? The chart on the right shows the latest CBO estimates. By 2017, a total of 36 million Americans will be covered by Obamacare. Of that, 24 million will have private coverage via the exchanges and 12 million will be covered by Medicaid. Those are very big numbers. Even if Republicans improbably manage to get complete control of the government in the 2016 election and eliminate the filibuster so Democrats can’t object, they’ll still have to contend with this.

Does this make Obamacare invulnerable? Of course not. Nothing makes it invulnerable. It’s always possible, though it seems vanishingly unlikely at this point, that it will fail so badly that even Democrats sour on it in a couple of years. It’s also possible that Republican hostility will remain so furious that they just flatly don’t care about 36 million constituents. And maybe they won’t care that the health care industry is fully invested in Obamacare and will fight efforts to get rid of it.

Anything is possible. But when you talk about the chances of repealing Obamacare, you should be talking about 2017. And if you’re talking about 2017, then the number that matters isn’t 6 million, it’s 36 million. That’s a mighty big nut to crack.

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Raw Data: By 2017, Obamacare Will Be Covering 36 Million People

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Quote of the Day: "I Have to Thank Obamacare for Saving My Life"

by Kelle08Lrfcb Posted on March 28, 2014

Mother Jones

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From Kathy Bentzoni of Slatington, Pennsylvania, who signed up for Obamacare after giving up her “useless” old coverage because it was too expensive and denied all her claims. A few weeks ago, knowing she could afford it, she went to the ER complaining about numbness in her fingers:

Where would I be without Obamacare? ER, 3 units of blood, multiple tests in the hospital and a 5-day inpatient stay without insurance? Probably dead.

I have to thank Obamacare for saving my life.

Bentzoni would have been treated in the ER regardless of her insurance status. Without insurance, though, she might not have gone. Or she might have waited too long. But on March 1, knowing that it wouldn’t bankrupt her, she went in time to avoid the worst. And thanks to Obamacare, she can afford the ongoing care she’ll need to treat her rare blood disorder.

This is from a piece at CNN highlighting five Obamacare success stories. More like this, please.

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Quote of the Day: "I Have to Thank Obamacare for Saving My Life"

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Pre-K Can Make You Healthier and More Talkative

by RNZEarnest Posted on March 28, 2014

Mother Jones

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I’m a fan of pre-K and early childhood interventions in general. For the most part, this isn’t because these programs boost IQ or increase academic performance. They may do a bit of that, but the evidence so far suggests that direct academic effects are modest. Rather, the benefits are mostly indirect: fewer behavioral problems; less teenage drug use; better impulse control; lower arrest rates; and so forth. Today, Aaron Carroll suggests yet another benefit: these programs produce healthier adults. That’s the conclusion of a long-term follow-up in the Carolina Abecedarian Project (ABC):

Males who were randomized to the ABC program had significantly lower blood pressure (systolic 143 vs 126). That’s a massive difference. They had significantly lower levels of hypertension. They had lower levels of metabolic syndrome and lower Framingham risk scores. To get a sense of the magnitude of the difference, one in 4 males in the control group had metabolic syndrome; none in the ABC group did. Women also had improvements, although not as dramatic.

Males in the intervention group were significantly more likely to have health insurance at age 30, and to have bought it. They were more likely to get care when they were sick at age 30, too. They were at lower risk for overweight throughout their childhood. Women in the intervention group were less likely to start drinking alcohol before age 17. They were more likely to be active and to eat more healthily.

The cost of this program was about $16,000 per child in 2010 dollars.

This isn’t a smoking gun. The sample size is small and the program was run a long time ago. But as Carroll says, that’s inevitable in long-term longitudinal studies: “Anytime you do a follow-up of 30+ years, by definition the intervention will be old by the time you get results. There’s no other way to do it. It’s such a silly attack.”

Along similar lines, Bob Somerby lavishes rare praise on a New York Times report by Motoko Rich about a program in Providence, RI, that intervenes with kids even before pre-K. The goal is a simple one. Researchers just want to get parents to talk to their children:

Recent research shows that brain development is buoyed by continuous interaction with parents and caregivers from birth, and that even before age 2, the children of the wealthy know more words than do those of the poor….Educators say that many parents, especially among the poor and immigrants, do not know that talking, as well as reading, singing and playing with their young children, is important. “I’ve had young moms say, ‘I didn’t know I was supposed to talk to my baby until they could say words and talk to me,’ ” said Susan Landry, director of the Children’s Learning Institute at the University of Texas in Houston, which has developed a home visiting program similar to the one here in Providence.

….As in Providence, several groups around the country — some of longstanding tenure — are building home visiting programs and workshops to help parents learn not only that they should talk, but how to do so.

“Every parent can talk,” said Dr. Dana Suskind, a pediatric surgeon at the University of Chicago who founded the Thirty Million Words Initiative, which oversees home visiting programs and public information campaigns. “It’s the most empowering thing,” said Dr. Suskind, who is securing funding for a randomized trial of a home-based curriculum intended to teach parents how they should talk with their children and why.

One of the most frustrating things about the education gap between rich and poor is that it shows up so early, and vocabulary appears to be one of the reasons. Even by the time they’re two or three, children of middle-class parents have vocabularies that are substantially larger than those of poor children. Even if poor kids get into a good-quality pre-K program, they’re behind from the beginning and they never catch up.

And plonking kids in front of the TV doesn’t do the trick. Vocabulary isn’t built by listening, but by interacting. It requires parents who talk to their children continuously. It barely even matters what they’re talking about.

The goal of programs like the one in Providence is to make sure that low-income parents know this. They may not have the time or money to do all the things for their kids that better-off parents can do, but they can talk to them. Doing that on a regular basis, starting very early in life, may turn out to be a critical component of any pre-K intervention program. Hopefully Suskind’s RCT will get funded and we’ll have firmer knowledge about this in the future.

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Pre-K Can Make You Healthier and More Talkative

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Condi Rice In Running For 2014 Chutzpah Award

by EmanuelLashbroo Posted on March 28, 2014

Mother Jones

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Condi Rice has joined the tut tutting brigade against Americans who aren’t crazy about fighting yet another war:

“I fully understand the sense of weariness,” she told a GOP fundraiser Wednesday, according to reports. “I fully understand that we must think: ‘Us, again?’ I know that we’ve been through two wars. I know that we’ve been vigilant against terrorism. I know that it’s hard. But leaders can’t afford to get tired. Leaders can’t afford to be weary.”

….Rice said the United States has taken a step back in conflicts including Syria, Ukraine and others. “When America steps back and there is a vacuum, trouble will fill that vacuum,” Rice said.

That’s precious, isn’t it? Maybe Rice should give some thought to the possibility that Americans aren’t weary of war, but weary of dumb, poorly fought wars. Maybe if the administration she served for eight years hadn’t launched two of the dumbest, most mismanaged wars in American history, we wouldn’t all be so weary.

As an aside, I’d point out that her administration took no military action against Iran and mounted no serious international sanctions against the regime. Her administration also did nothing when Russia invaded South Ossetia. Obama, by contrast, has doubled down in Afghanistan to try and clean up the mess left over from the Bush administration; he’s forced Iran to the negotiating table by crippling its economy; he’s participated in an invasion and regime change in Libya; he’s crippled al-Qaeda via massive drone attacks; and he’s spearheaded a growing backlash against Russia’s invasion of Crimea. And when he tried to mount an attack against Syria in retalition for its use of chemical weapons, he was shot down not just by members of his own party, but by members of Rice’s Republican Party too.

Whatever else you can say about Obama, he’s hardly a peacemonger. His foreign policy might not be quite as blindly bellicose and unfocused as George Bush’s, but he sure isn’t shy about using or threatening military force when he thinks it’s in America’s interest. Rice should pay more attention. She might learn something.

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Condi Rice In Running For 2014 Chutzpah Award

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Christie Lawyers Engage in Special Pleading For Their Client

by BradlyYates Posted on March 27, 2014

Mother Jones

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A couple of months ago, Chris Christie hired a legal firm to investigate whether Chris Christie knew about the September 9-12 lane closures on the George Washington Bridge. So they went off and investigated. Among other things, they investigated the charge from David Wildstein that he had mentioned the lane closures to Christie during a September 11 memorial ceremony. Check out the way Christie’s legal firm dealt with this:

There is, however, no evidence we have seen that the Governor and Wildstein actually had any substantive discussion of the Fort Lee lane realignment at that public event.

To begin with, it seems incredible that, in a public setting leading up to a 9/11 Memorial event, surrounded by other government officials and scores of constituents seeking photographs and handshakes, anything substantive or inculpatory would have been discussed.

Moreover, the context of Wildstein’s counsel’s claim that “evidence exists” of the Governor’s alleged knowledge of the lane realignment is critically important….Wildstein’s counsel’s letter was a not-too-subtle attempt to press the Port Authority into granting Wildstein indemnification while, at the same time, to induce federal authorities to grant Wildstein immunity in exchange for Wildstein’s information here.

….In any event, even if credited, any passing reference by Wildstein—made in a social, public setting at the time of a public 9/11 Memorial event—to a traffic issue in Fort Lee would not have been meaningful or memorable to the Governor. Indeed, it seems highly unlikely such a brief mention, even if made by Wildstein to the Governor, would have registered with the Governor at all. Only a more substantive conversation about the ulterior motive behind the Port Authority’s traffic study would have registered, and in that public setting, any claim that such a conversation occurred would lack credibility. In any event, the Governor recalls no such exchange.

Tell me: does this sound like a dispassionate review of the evidence? Or does it sound like the closing arguments to a jury on behalf of a client accused of corruption?

I have no real opinion about whether Christie knew about the lane closures. My guess is that he didn’t, though that’s mainly because I credit him with not being a complete moron. At this point, my guess remains that Christie set up a nakedly political operation in his office; made it clear what he expected of them; and then let them freewheel without much supervision. The result was a bunch of eager beavers who eventually decided they were invulnerable and started doing really stupid things.

But those are just guesses. My real interest in this passage is the tone of voice. And that tone is plain: these guys are going out of their way to spin the evidence to exonerate Christie. I suspect the entire report should be read with that in mind.

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Christie Lawyers Engage in Special Pleading For Their Client

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Was Crimea Mainly a Diversion From Putin’s Burgeoning Olympic Scandal?

by jex34c67 Posted on March 27, 2014

Mother Jones

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Kimberly Marten suggests that the main reason for Vladimir Putin’s invasion of Crimea was entirely domestic. He needed something to divert public attention from a huge unfolding scandal:

Putin’s scandal was the corruption surrounding the Sochi Olympics. As we all know by now, the construction costs associated with Sochi facilities and infrastructure exceeded $50 billion.

….Putin has stayed in power for so long because he has been able to control the snake-pit of competing informal political networks that surround the halls of power in Russia….Members of that network told some Americans privately in 2013 that they believed some kind of reckoning over corruption in Sochi would happen this spring, perhaps when it became clear that tens of billions of dollars in state loans could not be repaid….The public might never have known or understood what was happening, but Putin would have lost face where it matters most—inside Kremlin walls, where he is supposed to be the great informal network balancer. Putin’s Crimean adventure neatly shifted the conversation to other topics, and no one is likely to bring it up again anytime soon.

….Diversion could not have been Putin’s only motive. There are certainly deep nationalist, historical, and triumphalist reasons for Putin’s actions, as Joshua Tucker wrote about here in The Monkey Cage last week. But it is striking how little Putin gained in Crimea. The region was subsidized by the rest of Ukraine, and he will now have to fund those subsidies out of the Russian state budget. Russian generators are now keeping the Crimean capital of Simferopol lit, as Ukraine turns off the electricity flowing in from the mainland. Crimea does have a crucial Russian naval base, but Putin already controlled that base without needing to occupy Crimea, because of a treaty that lasted through 2042.

The only thing that surprises me about this is that it’s presented as a novel thesis. I thought this was widely taken for granted. Obviously there were international triggers for Putin’s actions—the EU association agreement, the downfall of Yanukovich, the expansion of NATO, etc.—but it’s still striking that Putin was willing to give up so much on the international stage for something that, as Marten says, gets him almost nothing in return. By nearly any measure, Crimea simply isn’t much of a plum. If this was his idea of reasserting the Russian empire, Putin has a mighty cramped view of empire.

But it was massively popular domestically. Whatever else you can say about it, it’s certainly gotten the Russian public firmly on Putin’s side for the time being. I don’t know if anyone can say for sure that this was his primary motive—frankly, I’m not sure Putin himself even knows what his primary motive was—but it seems almost certain that it was a significant one. After all, Putin would hardly be the first world leader to shore up his public standing with a lovely little war abroad.

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Was Crimea Mainly a Diversion From Putin’s Burgeoning Olympic Scandal?

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Obama Should Have Personally Announced the Latest Obamacare Deadline Extension

by JosephineCandel Posted on March 27, 2014

Mother Jones

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Chris Hayes used his program tonight to highlight a deadline extension for a health care program—one that happened back in 2006. Here’s how Knight Ridder reported it at the time:

With pressure mounting to extend next Monday’s enrollment deadline for the Medicare prescription-drug benefit, the Bush administration took another small step in that direction Tuesday, waiving penalty fees for very low-income seniors and people with disabilities who sign up late….The move follows a recent administration decision to allow the same impoverished beneficiaries to sign up for Medicare drug coverage until Dec. 31.

“In other words, you can apply after May 15th without penalty. And that’s important for low-income seniors to understand,” President Bush told a group of older Americans in Sun City Center, Fla., on Tuesday.

This is mostly being used to show Republican hypocrisy. They’re all yelling and screaming about President Obama’s “lawlessness” in extending the deadline for Obamacare signups, but none of them uttered a peep of protest when President Bush did the same thing. What a bunch of partisan hacks.

And fair enough. But I have a different lesson to take from this: You’ll notice that Bush treated his extension like something worth taking credit for. He personally announced it. In a speech. That showed up on television. And people heard about it because the press pays more attention to things when the president says them.

Obama’s deadline extension, by contrast, was passively conveyed to the media via anonymous “administration officials.” Granted, Obama is in Europe at the moment, and maybe he’ll say something personally when he gets back. But even if he does, it’ll be old news by then and nobody will bother with it.

That’s a missed opportunity. And it’s especially unfortunate given today’s news that 61 percent of the currently uninsured are unaware of the March 31 deadline. It sure seems like the deadline extension would have been a handy excuse to put the president in front of the cameras to tell everyone that they had only a few days left to start the signup process.

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Obama Should Have Personally Announced the Latest Obamacare Deadline Extension

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The Brothers Koch quietly become largest tar-sands lease holders in Alberta (UPDATED)

by MicaelaL71 Posted on March 21, 2014

The Brothers Koch quietly become largest tar-sands lease holders in Alberta (UPDATED)

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UPDATE: It looks like Steve Mufson and Juliet Eilperin, the authors of the Washington Post article upon which this post was based, are backing down on their claims — sort of. The Koch brothers have leases on a confirmed 1.1 million acres of Alberta tar sands, and the article’s authors cite unnamed “industry sources we consider highly authoritative” who estimate that amount of land to be closer to two million acres. Mufson and Eilperin claim that if the latter figure is accurate, the Koch brothers are indeed the largest lease-holders in the region. However, Jonathan Adler, a columnist for the Washington Post, indicates that it’s possible that Canadian Natural Resources holds leases on 2.5 million acres of tar-sands land, which would exceed even the Kochs’ theoretical holdings.

You can read Mufson and Eilperin’s fairly half-hearted mea culpa here, and Adler’s response to the original article here.

Charles and David Koch sure are a busy coupla pranksters! In the 2012 election, the Mark and Donnie Wahlberg of modern-day American capitalism spent more than $412 million trying (and largely failing) to get their favorite candidates elected. And they’re gearing up to drop some cash on this year’s elections too.

But fossil-fuel-loving politicians aren’t the only item in the Koch shopping cart. Turns out the wacky sibling duo has spent the past dozen years throwing substantial bills at tar-sands property in Alberta – enough to buy leases on 1.1 million acres worth, to be exact.

That makes Koch Industries the single largest tar-sands lease holder in the province, ranking ahead of energy giants Conoco Phillips and Shell. As a point of reference, Alberta has the third largest crude oil reserves in the world, second only to Venezuela and Saudi Arabia.

So what might this mean for the Keystone XL debate? As it happens, not that much. From The Washington Post:

The finding about the Koch acreage is likely to inflame the already contentious debate about the Keystone XL Pipeline and spur activists and environmentalists seeking to slow or stop planned expansions of production from the northern Alberta oil sands, or tar sands. Environmental groups have already made opposing the pipeline their leading cause this spring and Senate Majority Leader Harry Reid has called the Koch brothers Charles and David “un-American” and “shadowy billionaires.”

The link between Koch and Keystone XL is, however, indirect at best. Koch’s oil production in northern Alberta is “negligible,” according to industry sources and quarterly publications of the provincial government. Moreover, Koch has not reserved any space in the Keystone XL pipeline, a process that usually takes place before a pipeline is built.  The pipeline also does not run anywhere near Koch’s refining facilities. And TransCanada, owner of the Keystone routes, says Koch is not expected to be one of the pipeline’s customers.

However, as such a large stakeholder in the region, Koch Industries could stand to profit from Keystone XL because it’s expected to lower transportation costs, pushing other pipelines and rail companies to reduce their prices to stay in the oil-shipping game.

Koch Industries, the second-largest privately held company in the United States with annual revenues of $115 billion, is renowned for both its secrecy and the diversity of its holdings. Next on the company’s agenda? Sky’s the limit! They’re all over the place! By the time you get home tonight, there’s a chance that they may have acquired all of your shoes, but you probably won’t find out about it for another 12 years.


Source
The biggest lease holder in Canada’s oil sands isn’t Exxon Mobil or Chevron. It’s the Koch brothers., The Washington Post

Eve Andrews is a Grist fellow and new Seattle transplant via the mean streets of Chicago, Poughkeepsie, and Pittsburgh, respectively and in order of meanness. Follow her on Twitter.

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The Brothers Koch quietly become largest tar-sands lease holders in Alberta (UPDATED)

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