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Richard Kirsch

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ObamaCare Isn't Just About Health Care - It's a Winning Jobs Issue

Posted: 05/31/2012 12:18 pm

Cross-posted from Next New Deal.

Massachusetts is the only state in the country where you don't have to worry about losing your health insurance if you lose your job, and it will remain that way if Mitt Romney, the man who signed that Massachusetts bill into law, gets elected president. But if President Obama beats him, every state in the Union will join Massachusetts in 2014.

The number one issue in the election, the issue that will decide who will be living at 1600 Pennsylvania Avenue next January 20th, is jobs. President Obama's reelection prospects will be determined by how many of the small percentage of voters who are up for grabs decide that they might as well give Romney a chance, since their economic prospects are just as shaky now as when President Obama took office. It might help if they could see ObamaCare as a jobs issue, which it clearly is.

Many of the independent voters who will determine the presidential election are confused by the Affordable Care Act, as its passage has offered no relief for a major worry in their lives: if they lose their job, they'll lose their health insurance. Or maybe they've already been forced to take a job without health insurance, or are self-employed or out of work. In that case, they may well be among the 51 million uninsured Americans who are worried that one major illness will wipe out whatever financial security they have left. Other swing voters might like to leave their jobs and start a small business, but they are locked into their current jobs until they reach 65 and qualify for Medicare. All that will change in 2014 if they vote for President Obama -- which they might be more likely to do if they knew that.

Starting in 2014, health insurance will be affordable for the great majority of people who don't get coverage at work. Most will qualify for heavily subsidized private health insurance through the new health insurance marketplaces (exchanges) that will be set up in each state. Many others in low-wage jobs will be eligible for coverage under Medicaid, which will be expanded to cover families up to 133 percent of the poverty level, around $30,600 for a family of four.

ObamaCare is more than a health care bill; it is a major step toward addressing the gaping inequities in our economy, where incomes and wealth for the richest 1 percent keep rising while most Americans are treading water or drowning. Three decades ago, a job came with good health care, along with rising wages and a pension. Now only 56 percent of the workforce gets health care on the job. With the implementation of the Affordable Care Act's coverage expansions in 2014, almost all workers will have access to affordable health coverage, even if they don't get the insurance at work.

President Obama and Mitt Romney are both working hard to appeal to the hard-pressed middle class. For Democrats, ObamaCare should be a core part of this appeal and the most powerful rebuttal to attacks on the legislation. The president and Democratic candidates for Congress around the county can reach swing voters on health care if they make the stakes in the election very clear: a vote for Romney and Republicans in Congress is a vote to leave Massachusetts as the only state in the nation in which you don't have to worry that losing your job will mean losing your health care. A vote for Obama and Democrats will mean that, come 2014, Americans will finally have the security that -- job or not -- they will have health coverage for themselves and their families.

 
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Cross-posted from Next New Deal. Massachusetts is the only state in the country where you don't have to worry about losing your health insurance if you lose your job, and it will remain that way if M...
Cross-posted from Next New Deal. Massachusetts is the only state in the country where you don't have to worry about losing your health insurance if you lose your job, and it will remain that way if M...
 
 
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HUFFPOST SUPER USER
jkbc8484
11:45 AM on 06/01/2012
I believe the Affordable Health Care, know as ObamaCare, is one of the best programs for Americans. Right now a few highlights - assures people who suddenly become ill will not lose their insurance, no lifetime cap, children staying on their parents insurance until age 26 until they are offered it (getting a job which offers health insurance).

Those of us who are lucky enough to have insurance pay for the uninsured by higher costs to us. Many have large co-payments deducted from their paychecks. The rates are increased however the
insurance is not as good.

I know many people do not have health insurance. They are scared if they suddenly become ill. What will they do?
09:34 AM on 06/01/2012
This issue tells us so much about the fake differences between the two parties because Obama and the corrupt congress passed a republican health care plan over the fierce opposition of republicans and it has been rejected by a majority of people from the right and by the progresives which means it doesn't poll well and most democrats now realize it is not a winning issue and that it will be changed to make it more acceptable to the ring wing which will only postpone the day of reckoning as the extreme for-profit system's failure becomes even more obvious to everyone.
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Joseph LeCompte
The USA isnt broke.It was robbed.
06:28 AM on 06/01/2012
How about mandatory military service for all 18-22 year olds. When finished you get universal coverage. A GI bill. Grandfather the rest or start a parallel national service similar to national gaurd. One weekend a month on civil projects.
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HUFFPOST SUPER USER
gerald4
licensed mechanical and electrical engineer
10:11 AM on 06/01/2012
And borrow money from the Chinese to pay forall of that?
05:55 AM on 06/01/2012
Just so no one is confused by this blogger concerning how RomneyCare works here in Massachusetts:
IF you have healthcare insurance through your employer in Massachusetts, and
IF you lose your job (or decide to leave it to start your own business),
You lose your health care insurance.

What the blogger might mean is that
IF you want to buy health insurance in Massachusetts and
IF your employer does not offer it, and
IF one of the scenarios the blogger describes occurs
You can buy an expensive, age/occupation/geography-rated, low-deductible policy from one of a small set of insurance companies through the Massachusetts Connector exchange
Note that you can only buy this insurance during July of each year except in special circumstances. Also note that about half the doctors in Massachusetts do NOT accept this full-priced insurrance.

Further
IF you want to buy health insurrance in Massachusetts, and
IF your employer does not offer it, and
IF you make less than about $35,000 (scales up based on size of family for family insurance)
You can buy an expensive, age/geography/occupation-rated policy from a smaller set of insurance companies at a substantial discount
Note that to qualify for this subsidized insurance you will have to first apply for Medicaid, which takes about three months, and be turned down for Medicaid. Also note that even fewer doctors in Massachusetts accept this subsidized insurance.
09:55 AM on 06/01/2012
Thank you.
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HUFFPOST SUPER USER
Scott Leland
10:41 AM on 06/01/2012
Thank you for the information about the Mass. Health Insurance Mandate. One thing I am concerned about "mandates" is: what happens to the rest of the Economy when workers have to pay $3,000-$5,000 a year for health services they are not going to use? That is money they are currently spending on cars, clothes, electronics, smart phones and furniture.

I think the mandate is going to negatively affect single workers.
01:08 PM on 06/04/2012
Scott, I was not commenting on the mandate but on the author saying "you cannot lose your insurance in Massachusetts." You lose your insurance here like you lose it anywhere (you quit, you get fired or your employer stops offering insurance). But Massachusetts differs in two ways from elsewhere:
1. IF you quit, get fired or your employer stops offering insurance, you can get it through the Exchange under the conditions I covered
2. IF your employer doesn't offer healthcare insurance, he or she might get fined

Supposedly there is some similarity between RomneyCare approach and Obamacare (I dunno; I haven't read the 2400 pages). If so, here is what is likely to happen nationwide based on Massachusetts' experience:
1. Many fewer people will get insurance through employers as employers move people to part time (not eligible for benefits)
2. Employers will decide to pay the fine (it's still cheaper than providing the benefit) while doing their lower paid employees a favor (because they can get much cheaper insurance from the state)
3. This affects a very small proportion of the population. About .5% buy the full price insurance available on the Exchange and 1.5% get the subsidized insurance.

The mandate idea was never an issue here because from 90% to 95% of us already had insurance (depending on whose statistics you use). Now the number is somewhere between 94% and 98%. Most of the increase came from people who already qualified for Medicaid but hadn't signed up.
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parlimentMike
It's not un-American to investigate 4 crimes.
05:11 AM on 06/01/2012
A winning jobs issue would be the removal of health costs from the cost of hiring an employee. This is done in the smart world with universal single payer health insurance provided as part of the commons.
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HUFFPOST SUPER USER
Scott Leland
10:43 AM on 06/01/2012
Yes, you are right, not providing health insurance is the goal of corporations now causing them to hire through "temporary agencies" to avoid hiring permanent workers.
RTGerdes
Registered Republican Since 1971
02:47 AM on 06/01/2012
Voters need to be aware that Obamacare will cause them to lose the health insurance paid by their employer. Employers will find that paying a penalty will be less expensive than paying premiums for thier employees. There is no way that 30,000,000 people will receive free health insurance without someone paying for it. Employers know that they are the first ones on the list for being tapped by Obnamacare for the additional premiums.
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Joseph LeCompte
The USA isnt broke.It was robbed.
06:19 AM on 06/01/2012
50% of workers already lost or don't have employee based Health insurance. It's been decreasing every year for decades now. There is no new threat. Costs go up 8-12% every years for decades too. Obamacare isnt attempting to replace private insurance. It's filling in the gaps private insurance can't or won't. Just like Medicare and Medicaid. Those programs exist because private insurance companies wouldn't cover the elderly or poor.
RTGerdes
Registered Republican Since 1971
10:31 AM on 06/01/2012
Madicare and Medicaid are very different. Medicare is for the elderly and Medicaid is for the poor that do not have private health insurance. You are correct about the Medicaid not being covered by private insurance companies. Private insurance companies know that Medicaid is only a cost and does not generate any income. Obamacare is trying to throw the cost of Medicaid back on the employers who will pass it on to their employees with increased premiums on payroll deduction. This means the middle class working people will be paying the lions share of Obamacare.
09:57 AM on 06/01/2012
That's been the plan all along.

Democrats think Warren Buffet and George Soros will donate money to finance the difference.
RTGerdes
Registered Republican Since 1971
10:50 AM on 06/01/2012
Yes, and we both know that these two guys will never put their money where there mouth is.
HUFFPOST SUPER USER
jkbc8484
11:51 AM on 06/01/2012
How do you know this information?
RTGerdes
Registered Republican Since 1971
02:03 AM on 06/01/2012
That is a real stretch of the imagination to think that Obamacare will create jobs. It is the biggest job killer the Democrats ever came up with.
05:42 AM on 06/01/2012
Why is Heritagecare good for Massachusetts but bad for the rest of the country?

Why is Heritagecare, the Republican approach to health care reform, Communism when enacted by Democrats?
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HUFFPOST SUPER USER
mbazid
Just smile and nod
06:16 AM on 06/01/2012
Whenever a Repug is asked that question they ignore it.
03:34 PM on 06/01/2012
It is not good for Massachusetts either - high deductible, very expensive insurances are still unaffordable
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HUFFPOST SUPER USER
Shrank
We are sorry, your micro-bio is not PC
01:07 AM on 06/01/2012
The Republicans and their teabagger allies are betting that Americans would rather have the "Freedom" of an unregulated and predatory health insurance industry than the security of affordable healthcare. Or, in other words...

"You will never go broke underestimating the intelligence of the American public"... P.T. Barnum.
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HUFFPOST SUPER USER
Scott Leland
10:49 AM on 06/01/2012
The Republicans are always talking about "Freedom" (from unions,) the "Liberty" from making enough to pay your bills and the "Opportunity" to be exploited by the corporations they own.
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HUFFPOST SUPER USER
Darius Molark
de gustibus non est disputandum
11:37 PM on 05/31/2012
Excellent. Thanks!
This comment has been removed due to violations of our [Guidelines]
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demisfine
Often correct, NEVER right.
09:30 PM on 05/31/2012
If the DNC had a functioning message machine, the nation would know this already.
But, they have ceded all dialogue to the GOP and Faux.
We are three years behind in sharing anything positive done by this president.
08:29 PM on 05/31/2012
"Massachusetts is the only state in the country where you don't have to worry about losing your health insurance if you lose your job"

It is also the state with the highest premiums and emergency room visits have increased since the bill was enacted.
HUFFPOST SUPER USER
Phyllis Copeland
Shout into the void, don't weep in the darkness
04:17 AM on 06/01/2012
Hawaii has universal health care, too, so that statement in the article is inaccurate.
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HUFFPOST PUNDIT
Chris1962
NYC
08:02 PM on 05/31/2012
>>>if they lose their job, they'll lose their health insurance. That will change in 2014 if they vote for President Obama.>>>

I wouldn't count on CrapCare making it past the Supreme Court.
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HUFFPOST SUPER USER
Shrank
We are sorry, your micro-bio is not PC
01:15 AM on 06/01/2012
Is that you, Clarence?
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HUFFPOST PUNDIT
Chris1962
NYC
06:21 AM on 06/01/2012
Mmm, no.
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HUFFPOST SUPER USER
gerald4
licensed mechanical and electrical engineer
07:53 PM on 05/31/2012
How does anybody even think that any of the big or small US manufacturing businesses would ever even consider creating and/or keeping any jobs in the USA (or Europe) if they are hamstrung with many times more expensive labor costs, electrical energy costs (that is required to be generated in compliance with the EPA), health care payroll tax costs, unemployment payroll tax costs, social security and medical care payroll tax costs, EPA environmental compliance manufacturing costs, fringe (holiday and vacation) benefit payroll costs, OSHA compliance payroll costs, union labor work rules, anti-business laws, and general anti-business attitudes that make manufacturing products in the USA many many times more costly than manufacturing the same product in almost any other foreign country in accordance with his newly created FREE TRADE AGREEMENTS?

US Businesses must also pay lower (hourly wages) pay scales to US citizens in the USA that are well below the wages that they pay foreigners in foreign Asian nations because US businesses have to compensate for the additional EPA costs and the additional US labor payroll costs that the NATIONAL HEALTHCARE, UI, Social Security, F.I.C.A., and other Federal Government payroll taxes that are added on top of the costs of US labor payrolls requiring lower pay for US workers.

FREE TRADE AGREEMENTS economically require that US businesses use foreign manufacturing costs if foreign costs are any less expensive than US costs.
05:44 AM on 06/01/2012
So we need to become China? Why not just shut the country down?
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HUFFPOST SUPER USER
mbazid
Just smile and nod
06:22 AM on 06/01/2012
US Businesses must also pay lower (hourly wages) pay scales to US citizens in the USA that are well below the wages that they pay foreigners in foreign Asian nations because US businesses have to compensate for the additional EPA costs and the additional US labor payroll costs that the NATIONAL HEALTHCARE, UI, Social Security, F.I.C.A., and other Federal Government payroll taxes that are added on top of the costs of US labor payrolls requiring lower pay for US workers.

In China minimum wage varies from area to area.
Shanghai pays the most. The average minimum wage earner there makes $200 a month.
Is that what you are suggesting?
Are you out of your mind?
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HUFFPOST SUPER USER
gerald4
licensed mechanical and electrical engineer
10:16 AM on 06/01/2012
Or repeal all of the FREE TRADE AGREEMENTS that economically require US businesses to use foreign manufacturing facilities if foreign costs are any less expensive than US costs.

US FREE TRADE AGREEMENTS and similar treaties mean that US workers must (generally) compete with foreign worker pay scales, benefit packages (none), the more productive foreign labor work rules (none), foreign corporate tax rates (lower or non-existent), property taxes (lower) and the lower environmental manufacturing costs (none) that are available in foreign countries since these FREE TRADE AGREEMENTS removed the import tariffs that were added to imported products that made the imported product cost as much as the same product made in the USA with US Labor costs.

Before creation of the "FEE TRADE AGREEMENTS", the USA had extremely high import tariffs that increased the costs of imported products to approximately the cost of US made products.
06:53 PM on 05/31/2012
VOTING FOR OBAMA, WONT ENSURE OBAMACARE. EVEN WITH OBAMACARE YOU LOSE YOUR JOB YOU STILL LOSE OBAMACARE. PREMUIMS STILL HAVE TO BE PAID.
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HUFFPOST SUPER USER
Dave F
Former Republican. Liberal = liberty.
08:58 PM on 05/31/2012
"EVEN WITH OBAMACARE YOU LOSE YOUR JOB YOU STILL LOSE OBAMACARE."

Wrong.

"PREMUIMS STILL HAVE TO BE PAID."

Please read the section about premium support.
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demisfine
Often correct, NEVER right.
09:31 PM on 05/31/2012
Did you sleep through the past fifteen years of nonstop premium increases???
NONSTOP.