“Millions of Americans losing their jobs may still be able to sign up for Obamacare — but Trump officials haven’t been urging people to grab onto that safety net while they can.
People who’ve lost their workplace health insurance during the coronavirus outbreak may qualify for private coverage through Obamacare, along with generous subsidies, despite President Donald Trump’s decision last week not to re-open signups for everyone. Many may also qualify for free or low-cost coverage under Medicaid, especially in the two-thirds of states that joined Obamacare’s expansion of the low-income health care program.
Some states that depend on Healthcare.gov are trying to broadcast these options to their citizens — through media campaigns, the governors’ microphones, social media and patient groups — while advocates say the federal government needs to bring in money and a marketing plan to help.”
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“most of the 12 states and the District of Columbia that run their own ACA exchanges have reopened their markets.”
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“For those advocacy groups or insurers who do try to spread the word, the enrollment task is made even more challenging by steep cuts the Trump administration made to the government’s Obamacare outreach. That started soon after Trump took office and intensified right through the most recent open enrollment, which ended in mid-December.”
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“the usual red-tape involved in getting people who qualify for special sign-ups into ACA plans has only grown more complicated and cumbersome in the time of social distancing — when people can’t just present the documents they need to an insurance broker and fill out the necessary forms in real-time. The process is even harder if the person trying to get covered doesn’t have access to a computer. During normal signup seasons, people can call for help, go use a library computer, or get help from a broker or ACA navigator.
The Trump administration says its plan to pay Covid-19 hospital bills is better, as it promises to make direct payments for care.
But critics note that’s not health insurance. It won’t help a newly uninsured person who breaks a leg, has a heart attack, or is undergoing chemotherapy.”
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“People who lose jobs can get COBRA, meaning they can extend their job-related insurance after being laid off. But that is massively expensive — particularly for anyone who has just lost their livelihood.”
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“People have just 60 days after losing job-based coverage to get documentation in order and figure out a new plan.”
“We were just about to leave for the two-hour drive to the hospital when the nurse called back. She said Duke University Hospital was now requiring the results of virus testing prior to admitting anyone for surgery. They didn’t have a test to give me; just a policy that required me to get one. I contacted my physician in Winston-Salem, but he said the hospital there was only testing patients who had been admitted with serious virus symptoms. Almost as quickly as it had been scheduled, the surgery was canceled.
I don’t know how long it will be before there are enough tests available that someone like me can get one. But unlike other people who might just be curious about whether they are infected or not, I have a clock ticking in my body. While I wait for the test, this cancer could metastasize. By the time they can perform the surgery, it might be a moot point.”
“The unfolding tragedy in American nursing homes, where patients are dying in clusters, is another consequence of the coronavirus testing debacle.
While America wasn’t looking, family visitors, staff and other health professionals unknowingly brought the virus into long-term care facilities, spreading it among the population least likely to withstand it.
On top of that, the shortages of protective gear for health workers exacerbated the situation because nursing homes, hospices and other outpatient settings have a tough time getting scarce equipment like masks and gowns, provider groups said.”
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“On top of that, the shortages of protective gear for health workers exacerbated the situation because nursing homes, hospices and other outpatient settings have a tough time getting scarce equipment like masks and gowns, provider groups said.”
“Kuhn believes that it’s not likely that novel coronavirus spread directly from bats to humans, but that one or more animals at the market in Wuhan were infected by bats and served as an intermediate host in the transfer of the virus from bats to humans. It’s thought that humans then came in contact with an infected animal, or animals, at the market. How exactly the virus was transmitted is still unknown, but some theories include a human consuming an infected animal or touching an infected animal during the butchering process.”
“Prominent conservative groups are refusing to criticize Republican lawmakers and President Donald Trump for the massive spending package, and polling shows fewer than 1 in 10 Republican voters disapprove of the measure’s passage.
That tells you something about the current state of the conservative movement. When the last Republican president signed the $700 billion Troubled Asset Relief Program (TARP), otherwise known as the 2008 bank bailout, polling from Gallup found that fewer than half of all Republicans supported it. When President Barack Obama signed the American Recovery and Reinvestment Act, the $833 billion stimulus passed in the wake of the last economic collapse, only about 30 percent of self-identified conservatives approved, Gallup found.
Now, we’re spending a whole lot more money with a whole lot less opposition.
As Reason Editor at Large Matt Welch put it last week: “There is no more politics of fiscal prudence in America, just a competition to see who can wag the biggest firehose.””
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“If fiscal conservatism still held any cache among Republican lawmakers, voters, and activists, there would have been an outcry about President Donald Trump and Republicans in Congress inflating the deficit to record highs over the past three years. It wasn’t all that long ago that grassroots conservatives were toasting the toppling of high-ranking Republicans for lesser slights.”
“Viktor Orbán is the prime minister of Hungary. He has been in power since 2010. During that time, he has underinvested in hospitals. Instead, public money has gone to pet projects, many of them related to the sports he enjoys. In his home village, Felcsút, the government built an elaborate soccer stadium with a heated field and 3,814 seats—which, as The New York Times noted, is twice the number of people who live in the village. Meanwhile, the nearby county hospital’s emergency ward has long struggled to cope with even an ordinary number of patients. On one evening in October, a visiting Times reporter found two harried doctors on call at midnight, and 30 people waiting for treatment.
During the past decade, Orbán’s government has also misdirected European Union money—some meant to encourage regional development in places like Felcsút, some meant specifically for medical development—to friends and party comrades. This kind of corruption, coupled with the Hungarian government’s nationalist rhetoric, has famously persuaded many educated people to leave the country, including doctors. Poor salaries in the health service haven’t persuaded them to stay. Now, thanks to COVID-19, Hungary faces a looming health crisis, as well as an economic crisis.”
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“On March 30, the Hungarian Parliament, which is controlled by Orbán’s party, Fidesz, voted to cancel all elections, suspend its own ability to legislate, and give the prime minister the right to rule by decree—indefinitely. None of these powers is needed to fight the coronavirus. None of them fixes the existing problems in Hungarian hospitals. All of them will help the Hungarian government push through other measures. Almost immediately, they were used to pass controversial edicts on museum construction and theater management, and to prohibit transgender people from legally changing their sex—issues without the remotest relevance to the pandemic. The government also wants to use its new powers to pass a decree classifying all information about a major Chinese railway investment in the country, the single largest infrastructure investment in Hungarian history. Once again, this has nothing to do with fighting the virus but it will conveniently keep the details of the business deal, and the names of the businessmen who benefit, out of the public view for 10 years.”
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“although Hungary is a small country, it is one whose creeping authoritarianism is widely admired. In early February, I wrote about the rapturous reception that Orbán had received at a conference of self-declared nationalist and far-right intellectuals—American, Israeli, and European—in Rome. I fully expect his tactics to be imitated: Anybody who disagrees with my emergency laws is trying to spread illness is something we will hear again. So is Whichever mistakes we made in the past, we are not responsible for them now. Indeed, I suspect that we will hear that sentiment again and again.”
“Right now, the biggest worry is whether the medical system has enough ventilators and protective equipment to treat patients with Covid-19, the disease caused by the novel coronavirus.
But another troubling shortage is on the horizon: doctors, nurses, and other health care personnel.
As patient demand continues to ramp up nationwide and more health care workers are unable to show up for work, either because they contract the virus or because they have to self-quarantine, doctor shortages are a real possibility”
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“One solution is to make it easier to bring in doctors and nurses from abroad.”
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“even before the current crisis, the immigration system made it difficult for foreign doctors and nurses to work in the US and go where they’re needed. Doctors may face long wait times for green cards, restrictions on where they can settle geographically, and limitations on where they can practice while they’re waiting for a green card. Nurses, meanwhile, also face long waits for green cards and can’t come to the US under temporary skilled worker visas.
The implications of a shortage would be devastating, both to overworked personnel and to the patients for whom receiving medical attention could be a life-or-death matter. But it’s a problem that more immigration could easily fix”
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“Not only does the current system make it exceedingly difficult for doctors to stay in the US long-term, but it also severely restricts where in the US they can go.”