The deadline to sign up for ObamaCare is Monday, but the roiling,
years-long debate about enrollment numbers and practically every other
aspect of President Obama’s signature health care law appears far from
over in this politically-charged election year.
The White House said Thursday that more than 6 million Americans have
signed up for private insurance plans since October 1 through the
federal and state ObamaCare exchanges -- a major accomplishment toward
the White House’s goal of 7 million enrollees by March 31, considering
the disastrous start.
On Sunday, ObamaCare supporters were on television championing the
law’s recent successes, particularly the late-enrollment surges,
including 1.2 million visitors Saturday to the federal site.
“The law's working,” said White House senior adviser David Plouffe. “This was a seminal achievement.”
But as Plouffe told ABC’s “This Week” the number was really closer to
10 million when including Medicaid and children's health-care signups
as well as Americans who went directly to private insurance companies,
Republicans continued to question those numbers and why others have not
been made public.
“They are cooking the books on this,” Sen. John Barrasso, R-Wyoming, told “Fox News Sunday.”
Beyond questioning the publicly-announced numbers, Barrasso and
fellow Republicans want to know why the administration has not released
such information as whether premium costs will increase when enrollment
resumes Nov. 15, and on how many younger Americans have enrolled to
cover the health care costs of older enrollees. Other questions include
how many enrollees have paid for their insurance premiums; will people
be forced out of insurance deemed sub-standard by ObamaCare; will people
be allowed to keep their doctors; and how many of enrollees were
previously uninsured, consider a major goal of the law was to help them.
Barrasso’s seemingly hard-hitting remarks were in fact nothing new
for Republicans, who have opposed the Affordable Care Act since Obama
proposed it in 2008 and have since fought to both repeal the law, signed
by Obama in 2010, and punish the Democrats who have supported it.
The relentless attacks appear to have taken their toll, despite what Democrats say.
“I think the Republican playbook of just repeal ObamaCare, repeal
ObamaCare, repeal ObamaCare gets tougher as more and more people get
health care,” Plouffe said Sunday. “I think smart Republicans understand
that.”
However, the real possibility that Republicans will win six seats in
November to take control of the Senate is largely the result of several
incumbent Senate Democrats having to defend their support for ObamaCare.
And a Fox New poll released last week showed 56 percent of Americans
surveyed oppose the law, compared to 40 percent who support it, numbers
consistent with polls by The Associated Press and others.
Beyond the Republicans' repeated predictions that ObamaCare would be a
drag on the entire economy, particularly on job-creating small
businesses, the law’s first real problems began on October 1, the start
of enrollment, when the high volume of prospective customers exposed
glitches in the federal and several state websites, resulting in
crashes, delays, lost applications, misinformation and a variety of
other problems.
Though an all-out, 24-hour-a-day intervention finally got the federal
site working several weeks later, several of the 17 state-run sites –
particularly Maryland, Massachusetts, Nevada, Oregon and Vermont --
never fully recovered.
Early projections for those five states were to sign up a combined
800,000 Americans for private health insurance coverage by March 31, 11
percent of the Obama administration's original target for national
enrollment.
Yet with just one day to go before the six-month enrollment period
ends, achieving 25 percent of that target would be considered a success.
Officials in those states have botched their handling of the process
so badly that they already are looking beyond Monday's deadline to the
next enrollment period starting in November.
Overseers of Nevada Health Link, for example, have called that state's program a "full failure" and a "catastrophe."
Though the overall 6 million-plus number is close to the initial
projection by the nonpartisan Congressional Budget Office, Republicans
and other ObamaCare critics point out that the president has made dozens
of changes to the law through waivers, deadline extensions and other
executive actions including some that appear to go beyond the scope of
his powers.
The most recent came Wednesday with the White House announcing that
Americans who have unsuccessfully tried to enroll by March 31 now have
until mid-April.
While Obama has aggressively sought out 18- to 34-year-olds, some of
the more recent reports show most of the enrollees are 35 and older.
Yet the bigger question is perhaps whether the law has indeed helped
insure at least some of the estimated 48 million Americans who
previously did not have insurance or couldn’t get it because of a
pre-existing condition.
The most recent finding by the often-cited McKinsey & Company
show 27 percent of enrollees were previously uninsured and that roughly
75 percent of those who signed up for private insurance under ObamaCare
have paid their premiums.
Five Senate Democrats including Mark Warner of Virginia, in a
possible attempt to help themselves in difficult races, last week
proposed fixes to ObamaCare.
In addition, Angus King, Independent-Maine, acknowledged on “Fox News
Sunday” that the administration needs to be more transparent about the
numbers and told Barrasso that he would co-sponsor legislation with him
“so people can know exactly who is covered and who is not covered by the
various policy options.”
Barrasso told Fox News: “What Angus is offering in his legislation
only nibbles around the edges. It doesn't get to the fundamental flaws
of the president's health care law. The Democrats are unnerved. .. I've
looked at this 10 different ways. This health care law is not fixable.”
The Associated Press contributed to this report.
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