KHN’s ‘What the Well being?’: The ACA Lives


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For the third time in 9 years, the Inexpensive Care Act has survived a constitutional problem on the Supreme Court docket. In a 7-2 determination, the courtroom dominated that the states and people who filed the most recent problem lacked standing to sue.

In the meantime, Democratic lawmakers are searching for methods to broaden well being advantages as they pull collectively spending plans on Capitol Hill. And criticism is rising of the Meals and Drug Administration, which authorised a controversial drug to deal with Alzheimer’s illness over the advice of its personal knowledgeable exterior advisers.

This week’s panelists are Julie Rovner of KHN, Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Name and Rachel Cohrs of Stat.

Among the many takeaways from this week’s episode:

  • The ACA determination Thursday was a sign that the Supreme Court docket is transferring past Republican arguments that the landmark well being legislation is unconstitutional or ought to be overturned. At the very least one different problem continues to be working its means by means of the courtroom system, and the Supreme Court docket should still be known as on to settle questions on particular provisions or features of implementation. However it seems that authorized challenges are now not an existential menace to the general legislation.
  • The primary main ACA case that made its option to the Supreme Court docket was one introduced by enterprise teams. However over time, trade has come to just accept the ACA and most companies don’t need to see extra challenges that threaten your complete legislation.
  • The courtroom’s determination leaves Republicans in a tricky place. Their opposition to the legislation has change into an ordinary a part of the get together’s id, but Republican lawmakers by no means put ahead a robust imaginative and prescient for a substitute or a path to assembly the nation’s well being care wants if the ACA had been overturned. As a result of well being care coverage points should not entrance and middle on Capitol Hill in the intervening time, Republicans have time to formulate a brand new technique. However they might want a message when Democrats transfer quickly to make everlasting the improved insurance coverage subsidies for plans on the ACA market.
  • The congressional clock is ticking as Democrats strategize on a wide range of insurance policies, together with infrastructure and people well being premium subsidies. If bipartisan offers should not made quickly, Democratic leaders will doubtless push to make use of an advanced course of known as finances reconciliation that enables some varieties of payments to be handed by a easy majority within the Senate and never be subjected to a filibuster. Well being provisions could possibly be a part of such a invoice, comparable to decreasing the eligibility age for Medicare, establishing greater insurance coverage subsidies and permitting Medicare to barter drug costs.
  • Probably the most in style choices Democrats want to add to a reconciliation invoice can be increasing Medicare advantages to cowl dental, imaginative and prescient and listening to care.
  • Because the nation continues to transition to a brand new regular because the covid pandemic eases, some employers are mandating that staff be vaccinated — however, in some cases, staff are refusing. The difficulty has already led to a authorized battle over a Houston hospital’s mandate and is more likely to unfold. Staff argue that the vaccine has not but been formally authorised by federal regulators, having obtained solely emergency authorization. That would change quickly, although, as a result of at the very least two vaccine makers are asking for a former approval from the FDA.

Additionally this week, Rovner interviews Andy Slavitt, who ran Medicare and Medicaid within the Obama administration and most just lately helped head up the covid response effort for President Joe Biden.

Plus, for further credit score, the panelists advocate their favourite well being coverage tales of the week they assume you must learn, too:

Julie Rovner: Politico Journal’s “How the Anti-Abortion Motion Used the Progressive Playbook to Chip Away at Roe v. Wade,” by Mary Ziegler and Robert L. Tsai

Joanne Kenen: The Atlantic’s “The Texans Difficult Obamacare Have No Standing,” by Nicholas Bagley

Rachel Cohrs: KHN’s “In Alleged Well being Care ‘Cash Seize,’ Nation’s Largest Hospital Chain Cashes In on Trauma Facilities,” by Jay Hancock

Mary Ellen McIntire: The New York Instances’ “Many Publish-Covid Sufferers Are Experiencing New Medical Issues, Research Finds,” by Pam Belluck

Additionally: Roll Name’s “CDC Points Steerage for Treating ‘Lengthy COVID’ Sufferers,” by Mary Ellen McIntire


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