“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.”
“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.”
“To progressives, America’s flailing response to the coronavirus pandemic is everything that’s been terrifying about a Donald Trump presidency since his candidacy started gaining steam — dishonesty, disrespect for expertise, lack of focus and attention to detail, all colliding with a genuinely difficult policy problem to create a lethal catastrophe.
It’s sobering, then, to realize that Trump’s approval ratings, while not exactly good, have been steadily rising since mid-March to reach the highest point since the earliest days of his presidency. After an up-and-down associated with the impeachment process followed by the recent decline, he’s now up to about a 45 percent approval rating from around 40 percent at the beginning of November.
But to contextualize this a bit, essentially all incumbent leaders appear to be benefiting from a coronavirus-related bump. Compared to the governors of hard-hit states or the presidents and prime ministers of hard-hit foreign countries, Trump’s bump is actually quite small, amounting to maybe 2 or 3 points. Compare that with foreign leaders like France’s Emmanuel Macron or Germany’s Angela Merkel, who have seen double-digit increases in their approval ratings.
A Siena College poll released Monday showed New York Gov. Andrew Cuomo (D) enjoying a 20-point boost in his approval rating.”
“The survey was done March 20-23, a week after the initial declaration of emergency.”
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“Republicans are less likely than Democrats to report responding with CDC-recommended behavior, and are less concerned about the pandemic, yet are more likely to support policies that restrict trade and movement across borders as a response to it. Democrats, by contrast, have responded by changing their personal health behaviors, and supporting policies that socialize the costs of testing and treatment. Partisanship is a more consistent predictor of behaviors, attitudes, and preferences than anything else that we measure.”
“The bill, known as the CARES Act, delivers direct payments to most taxpayers, vastly expands unemployment benefits, and makes testing for the virus free, among other provisions. But although unauthorized immigrants are no more immune from the effects of the current crisis, the stimulus bill conspicuously leaves them out in the cold — potentially putting them at greater economic and health risk, and impeding public health efforts to stop the spread of coronavirus.”
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““Those who cannot obtain relief are likely to continue going out and trying to earn a living, at the risk of themselves and spreading the virus to others,” Theresa Cardinal Brown, director of immigration and cross-border policy at the Bipartisan Policy Institute, told Vox. “The cost of providing this benefit to them has to be weighed against the need to keep up the restrictions to stop the virus spread.””
“Certified N95 respirators are special. Unlike a conventional surgical mask, N95 masks are built so that 95 percent of very small airborne particles can’t get through. These masks also need to be approved by the CDC’s National Institute for Occupational Safety and Health and, depending on the type, the Food and Drug Administration. In order to fulfill those requirements, N95 masks must be constructed so that they seal tightly around one’s mouth and nose, unlike surgical or cloth masks which are loose-fitting.
The United States is now confronted with a shortage of N95 masks for a number of reasons. The masks themselves are difficult to make, in part because they require specialized equipment to meet stringent regulatory standards. Many of the companies that can make the masks are also in China. That supply chain wasn’t prepared for a pandemic, especially one that originated in the same country where many of these masks are produced. And as the novel coronavirus spread throughout China, the country’s government bought its domestically produced masks, ensuring they weren’t exported. That’s made the gap between supply and demand in the US much larger.
In the absence of a pandemic, the US has typically not produced enough of these N95 masks to meet the needs of its own workers. Prestige Ameritech and 3M are the two primary companies that do end-to-end production of medical-grade N95 masks in the US, and both are both ramping up production. Another American company, Honeywell, recently started producing N95 masks at its Rhode Island and Phoenix facilities. Still, these three companies won’t solve our mask shortage.”