Read Washington Monthly's Can the States Sabotage Obamacare? by TCF's Greg Anrig below:
After surviving near-death experiences on Capitol Hill, in the Supreme Court, and during the presidential election, the Affordable Care Act is now confronted with unanticipated sabotage in conservative state capitols. The passive aggression of many Republican governors and state legislatures, who are balking at implementing key elements of the law, threatens to create severe political blowback against health care reform upon its launch in a little over a year while undermining the effectiveness of the legislation. Policy analysts always recognized that relying heavily on states to administer the act posed major challenges, but the unexpected depth and breadth of state-level resistance has created the real possibility of a fiasco come 2014.READ MORE
I spent November 30 at a terrific small-group University of Chicago conference on states’ implementation of the Medicaid expansion in health reform. The conference was sponsored by the Journal of Health Politics, Policy, and Law. (My colleague Colleen Grogan organized the conference. She edits JHPPL.) The group consisted of a number of state Medicaid administrators here, along with a small group of academic researchers.READ MORE
President Obama’s re-election has ensured that his signature legislative accomplishment—the Patient Protection and Affordable Care Act—will not be stillborn. The challenge now is to get it out of the neonatal unit and up and running on its own feet.READ MORE
The Congressional Budget Office has concluded that the Affordable Care Act (ACA), signed into law by President Barack Obama in the spring of 2010, will more than pay for itself, provide coverage for 32 million uninsured Americans, and trim federal budget deficits by some $210 billion over the ten years ending in 2021. In this issue brief, Maggie Mahar synthesizes the relevant numbers and offers in-depth analysis of exactly how the ACA will both strengthen health insurance protections and save money.READ MORE
America’s system of employment-based health insurance has many disadvantages: it leaves many citizens without coverage; it results in great expense to taxpayers as uncompensated care is covered by federal and state government; and it either burdens companies with the expense of insurance or encourages companies to drop or limit coverage. America’s Achilles’ Heel looks at these problems and offers remedy in the form of models for universal or near-universal health care.READ MORE
Compared to other advanced nations, America’s retirement security and health care systems offer weaker protections against risks we all face. The Century Foundation’s work focuses on ideas for strengthening Social Security, pensions, and health care – including steps for building on the Affordable Care Act.
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