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The Pronk Pops Show 897, May 22, 2017, Story 1: President Trump’s Landmark Historic Speech To 50 majority-Muslim countries attending the Arab-Islamic-American Summit in Riyadh. — President Trump: “… A better future is only possible if your nations drive out the terrorists and extremists. Drive. Them. Out.” — Videos — Story 2: President Trump Arrives In Israel — Iran Must Not Have Nuclear Weapons — Videos — Breaking — Story 3: Explosions in England’s Manchester Arena At Completion of Ariana Grande Concert With Several Killed and Injured — Videos

Posted on May 22, 2017. Filed under: American History, Barack H. Obama, Benghazi, Blogroll, Breaking News, Coal, Communications, Countries, Donald J. Trump, Donald J. Trump, Donald Trump, Education, Elections, Empires, Employment, Energy, Fast and Furious, Former President Barack Obama, Free Trade, Freedom of Speech, Government, Government Spending, Health, Hillary Clinton, Hillary Clinton, History, Human, Human Behavior, Illegal Immigration, Illegal Immigration, Immigration, Independence, Investments, Iran Nuclear Weapons Deal, Iraq, IRS, Islam, Islamic Republic of Iran, Law, Legal Immigration, Life, Media, National Interest, Natural Gas, Natural Gas, News, Nuclear Weapons, Obama, Oil, Oil, People, Philosophy, Photos, Politics, Polls, President Barack Obama, President Trump, Progressives, Radio, Raymond Thomas Pronk, Regulation, Religion, Resources, Rule of Law, Saudi Arabia, Scandals, Security, Spying, Success, Surveillance and Spying On American People, Surveillance/Spying, Syria, Terror, Terrorism, Trump Surveillance/Spying, U.S. Negotiations with Islamic Republic of Iran, United States of America, Videos, Violence, Wealth, Wisdom | Tags: , , , , , , , , , , , , , , , |

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The Pronk Pops Show Podcasts

Pronk Pops Show 897,  May 22, 2017

Pronk Pops Show 896,  May 18, 2017

Pronk Pops Show 895,  May 17, 2017

Pronk Pops Show 894,  May 16, 2017

Pronk Pops Show 893,  May 15, 2017

Pronk Pops Show 892,  May 12, 2017

Pronk Pops Show 891,  May 11, 2017

Pronk Pops Show 890,  May 10, 2017

Pronk Pops Show 889,  May 9, 2017

Pronk Pops Show 888,  May 8, 2017

Pronk Pops Show 887,  May 5, 2017

Pronk Pops Show 886,  May 4, 2017

Pronk Pops Show 885,  May 3, 2017

Pronk Pops Show 884,  May 1, 2017

Pronk Pops Show 883 April 28, 2017

Pronk Pops Show 882: April 27, 2017

Pronk Pops Show 881: April 26, 2017

Pronk Pops Show 880: April 25, 2017

Pronk Pops Show 879: April 24, 2017

Pronk Pops Show 878: April 21, 2017

Pronk Pops Show 877: April 20, 2017

Pronk Pops Show 876: April 19, 2017

Pronk Pops Show 875: April 18, 2017

Pronk Pops Show 874: April 17, 2017

Pronk Pops Show 873: April 13, 2017

Pronk Pops Show 872: April 12, 2017

Pronk Pops Show 871: April 11, 2017

Pronk Pops Show 870: April 10, 2017

Pronk Pops Show 869: April 7, 2017

Pronk Pops Show 868: April 6, 2017

Pronk Pops Show 867: April 5, 2017

Pronk Pops Show 866: April 3, 2017

Pronk Pops Show 865: March 31, 2017

Pronk Pops Show 864: March 30, 2017

Pronk Pops Show 863: March 29, 2017

Pronk Pops Show 862: March 28, 2017

Pronk Pops Show 861: March 27, 2017

Pronk Pops Show 860: March 24, 2017

Pronk Pops Show 859: March 23, 2017

Pronk Pops Show 858: March 22, 2017

Pronk Pops Show 857: March 21, 2017

Pronk Pops Show 856: March 20, 2017

Pronk Pops Show 855: March 10, 2017

Pronk Pops Show 854: March 9, 2017

Pronk Pops Show 853: March 8, 2017

Pronk Pops Show 852: March 6, 2017

Pronk Pops Show 851: March 3, 2017

Pronk Pops Show 850: March 2, 2017

Pronk Pops Show 849: March 1, 2017

Pronk Pops Show 848: February 28, 2017

Pronk Pops Show 847: February 27, 2017

Pronk Pops Show 846: February 24, 2017

Pronk Pops Show 845: February 23, 2017

Pronk Pops Show 844: February 22, 2017

Pronk Pops Show 843: February 21, 2017

Pronk Pops Show 842: February 20, 2017

Pronk Pops Show 841: February 17, 2017

Pronk Pops Show 840: February 16, 2017

Pronk Pops Show 839: February 15, 2017

Pronk Pops Show 838: February 14, 2017

Pronk Pops Show 837: February 13, 2017

Pronk Pops Show 836: February 10, 2017

Pronk Pops Show 835: February 9, 2017

Pronk Pops Show 834: February 8, 2017

Pronk Pops Show 833: February 7, 2017

Pronk Pops Show 832: February 6, 2017

Pronk Pops Show 831: February 3, 2017

Pronk Pops Show 830: February 2, 2017

Image result for trump speach to 50 plus islamic countries in saudi arabiaImage result for trump speach to 50 plus islamic countries in saudi arabiaImage result for trump leaves saudi arabia may 22, 2017Image result for trump leaves saudi arabia for israel may 22, 2017 trump wife and king

Image result for explosion manchester arena

Story 1: President Trump’s Landmark Historic Speech To 50 majority-Muslim countries attending the Arab-Islamic-American Summit in Riyadh. —  President Trump:  “… A better future is only possible if your nations drive out the terrorists and extremists. Drive. Them. Out.” — Videos —

It is a choice between two futures — and it is a choice America CANNOT make for you.
A better future is only possible if your nations drive out the terrorists and extremists. Drive. Them. Out.
DRIVE THEM OUT of your places of worship.
DRIVE THEM OUT of your communities.
DRIVE THEM OUT of your holy land, and
DRIVE THEM OUT OF THIS EARTH.

Image result for trump arrives in saudi arabiaImage result for trump arrives in saudi arabiaImage result for trump arrives in saudi arabiaImage result for trump arrives in saudi arabiaImage result for trump arrives in saudi arabiaImage result for trump arrives in saudi arabiaImage result for trump arrives in saudi arabiaImage result for trump speach to 50 plus islamic countries in saudi arabiaImage result for trump speach to 50 plus islamic countries in saudi arabiaImage result for trump speach to 50 plus islamic countries in saudi arabiaImage result for trump speach to 50 plus islamic countries in saudi arabia

Trump’s speech in Saudi Arabia, in 3 minutes

Published on May 22, 2017

President Trump spoke to leaders of countries in the Gulf Cooperation Council on May 21 in Riyadh, Saudi Arabia. Here’s what he said, in three minutes.

Full Speech: President Trump’s Speech at Arab Islamic American Summit in Saudi Arabia – 5/21/17

Streamed live on May 21, 2017

LIVE Coverage of President Trump’s Islam Speech in Saudi Arabia at the Arab Islamic American Summit – 5/21/17

President Trump receives Saudi royal welcome

Keys to the Kingdom: Trump visits Saudi Arabia first, signs $380bn deal

WATCH: President Trump departs for Saudi Arabia – First Foreign Trip 5/19/2017

President Trump Lands in Saudi Arabia And Meets King Salman (FULL)

TRUMP ARRIVES TO ROYALTY IN SAUDI ARABIA

Trump arrives in Riyadh, Saudi Arabia, for his first foreign trip as president

President Donald Trump Welcome Ceremony in Saudi Arabia at Al Yamamh Palace #2

President Trump Welcome Reception Ceremony in Saudi Arabia with King Salman

President Trump and Melania in Saudi Arabia Meet King Salman

President Trump & King Salman Dancing During Ceremony in Saudi Arabia (FULL)

President Trump Welcome Reception Ceremony in Saudi Arabia with King Salman

President Trump and Cabinet At meeting in Saudi Arabia

Who Are The Salafis and Wahhabis Yusuf Estes Islam?

What’s the Difference Between Sunni and Shiite Muslims?

What Does Jihad Actually Mean?

What Do ISIS & Saudi Arabia Have In Common?

How Saudi Arabia Exports Ultra-Conservative Islam

Why Do Saudi Arabia And Iran Hate Each Other?

Middle East Explained – The Religions, Languages, and Ethnic Groups

What a difference an election can make for the respect American leaders have for our country.

There were two very different outcomes when two American presidents greeted the king of Saudi Arabia.

All eyes were on President Trump today as he arrived in the country for his first foreign trip.

Video shows the president stepping off the plane and greeting King Salman:

Trump stood up straight as Salman appeared to bow slightly.

Trump’s posture stands in stark difference to President Obama’s in the early days of his presidency.

Cameras captured Obama bowing to King Abdullah, contorting nearly to a 90-degree angle in what many called a moment of American weakness:

Trump’s behavior was refreshingly noticeable, as several Twitter users contrasted the two reactions.

View image on Twitter

LOOK CAREFULLY at these two photos. The one on the RIGHT is a lesson in American exceptionalism: @FLOTUS no hijab, @POTUS no kowtow. 🇺🇸❤️-VJ

“Look carefully at these two photos,” recording artist Vinnie James wrote. “The one on the RIGHT is a lesson in American exceptionalism: @FLOTUS no hijab, @POTUS no kowtow.”

http://www.theamericanmirror.com/great-unlike-obama-trump-doesnt-bow-saudi-king/

#LionelNation YouTube Live Stream: Trump Mania Saudi Sword Dancing, Bibi Hobnobbing & Media Syncope

Trump Triumphant in Saudi Arabia, Mainstream Media Meltdown and Geopolitical Reconfiguring

Transcript of Trump’s speech in Saudi Arabia

Trump’s visit to Saudi a ‘turning point’: King Salman

© Saudi Royal Palace/AFP | A handout picture provided by the Saudi Royal Palace on May 22, 2017, shows US President Donald Trump and First Lady Melania Trump waving as they board Air Force One before leaving Riyadh for Israel

Saudi King Salman on Monday described US President Donald Trump’s visit to the Muslim kingdom in the Gulf as a “turning point” in relations between the two countries.Trump on Monday concluded his landmark visit to Saudi Arabia, which he chose for his first foreign trip since taking office in January, during which the allies announced arms deals and investments worth hundreds of billions of dollars.

“This is a turning point in relations between the two countries,” Salman told his council of ministers, according to state news agency SPA.

He said relations between the two countries will advance from a partnership to the “level of strengthening consultations, cooperation and coordination on all fronts”.

The king also praised an “historic agreement” between Gulf monarchies and Washington “to take firm measures to target the financing of terrorism” and the setting up of a Riyadh-based centre for this task, SPA said.

The ministers also hailed the launch of the Global Center for Combating Extremist Ideology in Riyadh on Sunday.

Dubbed “Etital”, Arabic for moderation, the centre “embodies the kingdom’s great efforts and its ongoing fight against terrorism”, SPA reported.

In his first foreign speech, Trump on Sunday urged Muslim leaders to take a stand against violence committed in the name of religion, describing the struggle against extremism as a “battle between good and evil”.

http://www.france24.com/en/20170522-trumps-visit-saudi-turning-point-king-salman

‘A lot of money! Big dollars!’ and ‘Jobs, jobs, jobs!’ Trump team delivers $350 BILLION in new long-term business for U.S. companies as Saudis snap up defense equipment

  • Deals inked Saturday during signing ceremony will drive $110 billion in immediate new business for defense companies in the U.S. 
  • Longer-term value will be $350 billion over 10 years 
  • White House chief economic adviser said the Saudis are ‘going to hire US companies’ for ‘a bunch of infrastructure related things’
  • He boasted that the deal is worth ‘a lot of money. Big dollars. Big dollars’
  • Military hardware going to Saudi Arabia:  ‘aerostats, tanks, artillery, counter-mortar radars, armored personnel carriers [and] helicopters’
  • State Department also says the Saudis will acquire and missile-defense systems ‘such as Patriot and THAAD’ 

American military defense companies have agreed to immediately sell nearly $110 billion in equipment and services to the Saudi Arabian government as part of a long-term agreement inked Saturday by the Trump administration and the Arab kingdom.

The deal, formalized in a signing ceremony in the capital city of Riyadh, also calls for an expanded deal worth a total of $350 billion over ten years.

‘That was a tremendous day,’ President Donald Trump said at the top of a bilateral meeting with Saudi Crown Prince Mohammed bin Nayef.

‘Tremendous investments in the United States. Hundreds of billions of dollars of investments into the United States and jobs, jobs, jobs.’

The State Department released a fact sheet that described the military hardware Saudi Arabia will buy as ‘aerostats, tanks, artillery, counter-mortar radars, armored personnel carriers [and] helicopters.’

President Donald Trump (L) was welcomed Saturday by Saudi Arabia’s King Salman bin Abdulaziz Al Saud (R), the first stop of Trump’s first foreign trip since taking office in January

Trump and King Salman had a welcome ceremony inside the Royal Terminal of King Khalid International Airport after Air Force One landed

Trump and King Salman had a welcome ceremony inside the Royal Terminal of King Khalid International Airport after Air Force One landed

White House chief economic adviser Gary Cohn (right) told reporters that a series of defense contracts inked Saturday would mean 'a lot of money, big dollars' for American companies

White House chief economic adviser Gary Cohn (right) told reporters that a series of defense contracts inked Saturday would mean ‘a lot of money, big dollars’ for American companies

President Donald Trump and the Saudi King gesture during a signing ceremony at the Saudi Royal Court in Riyadh on May 20

President Donald Trump and the Saudi King gesture during a signing ceremony at the Saudi Royal Court in Riyadh on May 20

Separately, U.S. companies in the oil center stand to gain $22 billion in new deals with the state-owned oil company Saudi Aramco. And pacts with other companies could balloon that number as high as $50 billion.

House chief economic adviser Gary Cohn told reporters that the kingdom is ‘going to hire US companies’ for ‘a bunch of infrastructure related things,’ boasting that the deal is worth ‘a lot of money. Big dollars. Big dollars.’

Saudi Arabia will ‘invest a lot of money in the U.S. and have a lot of U.S. companies invest and build things over here,’ Cohn said.

White House press secretary Sean Spicer claimed on Twitter that the $110 billion in immediate defense contracts represents the ‘largest single arms deal in US history.’

Commerce Secretary Gary Cohn told reporters that U.S. companies would gain ’23 new licenses, and then all of these contracts.’

‘I can’t imagine another business day that’s been as good for the United States and the kingdom,’ he said.

Donald Trump is in Saudi Arabia on the first of five stops during his inaugural foreign trip as president, getting chummy with King Salman bin Abdulaziz al-Saud and preparing to deliver a speech on Sunday that promises to frame his administration’s relationship with the Muslim world.

Ivanka Trump and Jared Kushner arrive to attend the presentation of the Order of Abdulaziz al-Saud medal at the Saudi Royal Court

Ivanka Trump and Jared Kushner arrive to attend the presentation of the Order of Abdulaziz al-Saud medal at the Saudi Royal Court

US President Donald Trump receives the Order of Abdulaziz al-Saud medal at the Saudi Royal Court in Riyadh on May 20

US President Donald Trump receives the Order of Abdulaziz al-Saud medal at the Saudi Royal Court in Riyadh on May 20

US President Donald Trump receives the Order of Abdulaziz al-Saud medal at the Saudi Royal Court in Riyadh on May 20

Ivanka Trump participates in a presentation ceremony of the kingdom's top civilian honor, the gold King Abdulaziz medal, to President Donald Trump

Ivanka Trump participates in a presentation ceremony of the kingdom’s top civilian honor, the gold King Abdulaziz medal, to President Donald Trump

Donald Trump and First Lady Melania Trump make their way to a luncheon after Trump received the gold King Abdulaziz medal

Donald Trump and First Lady Melania Trump make their way to a luncheon after Trump received the gold King Abdulaziz medal

The new defense deals are part of Trump’s strategy to hold both the ISIS terror army and Iran’s nuclear ambitions in check through the intervention of Middle Eastern partners instead of expensive American military deployments.

A White House official said Saturday that the purchases are meant to accomplish just that, for the sake of Saudi and regional security.

The official also said a strengthened Saudi military will be better equipped to contribute to counterterrorism operations across the region.

Trump and Salman signed a joint vision statement, nine separate defense cooperation pacts – including eight that are finalized – and a separate set of ‘private sector agreements,’ according to White House spokeswoman Sarah Sanders.

White House press secretary Sean Spicer claimed Saturday on Twitter that the agreements signed by the US. and Saudi Arabia constitute the 'largest single arms deal in US history'

White House press secretary Sean Spicer claimed Saturday on Twitter that the agreements signed by the US. and Saudi Arabia constitute the ‘largest single arms deal in US history’

Saudi Aramco will be relying on U.S. companies to build new oil rigs like this one in the Persian Gulf

Saudi Aramco will be relying on U.S. companies to build new oil rigs like this one in the Persian Gulf

The White House said the military equipment and services contracts will support ‘tens of thousands of new jobs in the U.S. defense industrial base.’

Separately, a CEO forum being held on the margins of the Trump-Salman meeting resulted in $22 billion in new deals in the oil and gas sector, according to the event’s organizers.

Saudi Aramco announced agreements with U.S. companies including Weatherford, Jacobs, Honeywell, McDermott, and Nabors.

The agreements will result in an unspecified number of new offshore Persian Gulf drilling rigs, at a time when the kingdom is pumping less oil to stabilize global prices.

Aramco appears to be planning for a future that will require greater crude production by gearing up to produce materials and equipment that had previously been imported.

Saudi Arabia's King Salman bin Abdulaziz Al Saud (right) welcomes DonaldTrump and first lady Melania Trump at the airport

Saudi Arabia’s King Salman bin Abdulaziz Al Saud (right) welcomes DonaldTrump and first lady Melania Trump at the airport

Jared Kushner and Ivanka Trump were both seen arriving in the Middle East on Trump's first foreign tour since taking office

Jared Kushner and Ivanka Trump were both seen arriving in the Middle East on Trump’s first foreign tour since taking office

Donald Trump and wife Melania, dressed in a black jumpsuit with statement belt, sip a drink as they are welcomed by the Saudi king 

Donald Trump and wife Melania, dressed in a black jumpsuit with statement belt, sip a drink as they are welcomed by the Saudi king

http://www.dailymail.co.uk/news/article-4525224/Trump-delivers-350B-new-biz-U-S-defense-companies.html#ixzz4hqYp7HAD

 

Story 2: President Trump Arrives In Israel — Videos

Image result for trump leaves saudi arabia for israel may 22, 2017 trump wife and kingImage result for trump leaves saudi arabia for israel may 22, 2017 trump wife and king

Trump to Israel: We are with you

Trump meets with Israeli PM Netanyahu (full speech)

President Trump and President Rivilin Joint Statements: Jerusalem

Donald Trump Lands In Israel – Complete [HD] 720p

TRUMP CEREMONY AT TEL AVIV AIRPORT IN ISRAEL (FULL)

Video Footage of Mr. and Mrs. Trump in Israel

President Trump in Israel with Sebastian Gorka Commentary

President Trump Arrives In Tel Aviv, Urges Peace In Middle East | TODAY

President Trump Arrives in Jerusalem as part of his Foreign Trip

President Trump Prays at the Western Wall in Jerusalem 5/22/17

Trump in Israel: US President visits Church of the Holy Sepulchre

Trump visits Jerusalem’s Church of the Holy Sepulchre

Isreal raises concerns about U.S. Saudi arms deal

FULL DAY COVERAGE: ALL President Donald Trump Speeches & Appearances in Israel 5/22/2017

Breaking — Story 3: Explosions in England’s Manchester Arena At Completion of Ariana Grande Concert With Several Killed and Injured — Videos

Image result for explosion manchester arena

Breaking News: Terror and Panic at Manchester Arena – Explosion After Ariana Grande Concert

BREAKING UK EXPLOSION!!! Deaths confirmed after Manchester Arena blast reports

 

 

BREAKING NEWS: Several people killed and many injured after two explosions in Manchester Arena at the end of Ariana Grande gig as bloodied concertgoers flee in terror

  • Several people killed after explosions rang out at the end of an Ariana Grande gig in Manchester Arena
  • Video footage showed people fleeing in tears from the venue after bangs ran out when the concert finished

Several people have been killed after two explosions inside Manchester Arena at the end of an Ariana Grande gig tonight.

Video footage showed people fleeing in tears from the venue after bangs rang out immediately after the concert finished.

Bloodied concertgoers were pictured being helped by emergency services outside the gig and armed police were seen patrolling the arena.

Evie Brewster, who attended the concert, told MailOnline: ‘Ariana Grange had just finished her last song and left the stage when a huge explosion sounded.

‘Suddenly everybody started screaming and running for the exit.

Bloodied concertgoers were pictured being helped by armed police outside the arena after explosions rang out at the gig

Bloodied concertgoers were pictured being helped by armed police outside the arena after explosions rang out at the gig

Concert-goers helped injured people make their way from the gig in Manchester tonight

Concert-goers helped injured people make their way from the gig in Manchester tonight

Video footage showed people fleeing in tears from the venue after reports of explosions at the end of an Ariana Grande concert (pictured tonight)

Video footage showed people fleeing in tears from the venue after reports of explosions at the end of an Ariana Grande concert (pictured tonight)

People attending the concert by Ariana Grande fled in panic on hearing the noises - some in tears

‘We could hear the police and ambulance sirens. It was terrifying.

‘There were thousands of people trying to get out at once. They were all screaming and crying. The whole place smelt smokey and burnt.

‘The explosion sounded like it was inside the building somewhere.’

Manchester Victoria train station, next door to the arena, is currently closed and trains are currently unable to run to or from the station.

Greater Manchester Police said emergency services had responded to a ‘serious incident’ at the arena.

 

Jonathan Yates, 24, from the Wirral, who attended the gig, told MailOnline: ‘The concert had finished and the lights came on almost instantly. There was a bang, a weird bang. There were lots of balloons but I thought to myself that can’t be a balloon, that’s not normal.

‘We were sat on the floor level and it came from the higher seats, people were running and screaming. Everyone stopped and I turned to my friend and said ‘we need to run’. Everyone was running and screaming and then when we got out it felt a bit more OK.

‘I heard five or six bangs that sounded like gunshots. When we got outside people were outside, crying and on their phones.

‘You don’t think it’s something that’s going to happen when you go…it was such a nice, fun concert.’

Nick Schurok, 28, from Manchester, told MailOnline: ‘Ariana Grande had just finished the concert and the lights came on. Everyone started leaving. I was on the floor and at the back of the arena people started exiting through the tunnels.

‘There was a bang in the left tunnel and everyone went to the middle tunnel. Then about two minutes later, there was another bang. The bang was so loud and crowds of people were running. There were lots of children and families there.’

Another witness Jenny Brewster told MailOnline: ‘We were exiting the building when it happened. We’d headed towards the main doors as Ariana was performing the last song because we wanted to beat the crowds, but – as we made our way there – a wall of security men blocked it and told us to go the other way.

‘Seconds later they shouted ‘RUN!’ and the explosion happened right behind them. Hundreds of people were running and screaming. Those men saved our lives.’

Catherine Macfarlane told Reuters: ‘We were making our way out and when we were right by the door there was a massive explosion and everybody was screaming.

‘It was a huge explosion – you could feel it in your chest. It was chaotic. Everybody was running and screaming and just trying to get out of the area.’

One witness wrote on Twitter: ‘Just ran from an explosion, genuinely thought we were gonna die.’

Another said: ‘Explosion at Manchester Arena, we were evacuated, a LOT of police here.’

Former Manchester United footballer Rio Ferdinand said: ‘Just heard the news what’s happening in Manchester.. hope everyone safe and sound!’

A spokesman for Greater Manchester Police said: ‘Emergency services responding to serious incident at Manchester Arena. Avoid the area. More details will follow as soon as available.’

A British Transport Police spokesman said: ‘We are aware of an incident at Manchester Arena. We have officers at the scene and will provide further updates as soon as possible.’

http://www.dailymail.co.uk/news/article-4531940/Emergency-services-rush-Manchester-Arena.html#ixzz4hqs2mmOV

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The Pronk Pops Show 886, May 4, 2017, Breaking — Story 1: The Beginning of The End of Obamacare — House Republicans Vote Yes For Repeal and Replace of Obamacare — 217-213– On The Senate — Videos — Story 2: President Trump Signs Two Executive Orders Promoting Free Speech And Religious Liberty — Videos —

Posted on May 4, 2017. Filed under: American History, Blogroll, Breaking News, Budgetary Policy, Communications, Congress, Countries, Donald J. Trump, Donald J. Trump, Donald Trump, Donald Trump, Economics, Education, Empires, Employment, Fiscal Policy, Government, Government Spending, Health, Health Care, Health Care Insurance, History, House of Representatives, Human, Life, Media, Medicare, Mike Pence, News, Obama, Philosophy, Photos, Politics, President Barack Obama, President Trump, Progressives, Radio, Raymond Thomas Pronk, Regulation, Scandals, Senate, Social Security, Tax Policy, Taxation, Taxes, United States of America, Videos, Wealth, Welfare Spending, Wisdom | Tags: , , , , , , , |

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Image result for trump executive order protecting free speech and religious libertyImage result for house republican vote to repeal obamacare 217Image result for May 4, 2017 white house president trump and congress repeal and replace on lawnStory 1: The Beginning of The End of Obamacare — House Republicans Vote Yes For Repeal and Replace of Obamacare — 217-213– On To The Senate — Videos — 

Image result for house republican vote to repeal obamacare

 

Image result for house republican vote to repeal obamacare 217

Image result for house republican vote to repeal obamacare 217

FULL. President Trump A Statement Following Health Plan Passing House. May 4, 2017.

Vote to repeal Obamacare passes in the House of Representatives

House passes Obamacare replacement bill | ABC News

Story 2: President Trump Signs Two Executive Orders Promoting Free Speech And Religious Liberty — Videos —

Image result for History Johnson Amendment 1954Image result for History Johnson Amendment 1954

The History of the Johnson Amendment

Trump’s Promise to Evangelicals: I Will ‘Destroy’ the Johnson Amendment

How Does the Johnson Amendment Affect the Church?

Repealing the Johnson Amendment Will Blur Lines Between Church and State

Donald Trump says he will repeal The Johnson Amendment – Voter Values Summit Washington, DC

President Trump’s Speech On Religious Freedom And Free Speech Executive Order

USA: Trump signs executive order on Promoting Free Speech and Religious Liberty

FULL: President Donald Trump signs the Executive Order on Promoting Free Speech & Religious Liberty

BREAKING: Trump Just Did Something Huge For Churches That Will Make God Smile

President Trump Promises Christians More Freedom At Prayer Breakfast And Liberals Won’t Like It

Trump marks National Day of Prayer, signs executive order on religious freedom

Trump: We are giving our churches their voices back

President Trump marked the National Day of Prayer by signing an executive order aimed at boosting religious freedom by easing IRS restrictions against political activities by tax-exempt religious organizations, including churches.

Declaring “no one should be censoring sermons,” Trump announced the order, which fulfilled a campaign pledge, during a Rose Garden ceremony Thursday attended by religious leaders, activists and Vice President Pence.

“We will not allow people of faith to be targeted, bullied or silenced again and we will never stand for religious discrimination,” Trump said before signing the order, which states it is now administration policy is “to protect and vigorously promote religious liberty.”

EXECUTIVE ORDER: PROMOTING FREE SPEECH AND RELIGIOUS LIBERTY

The ban on political speech from the pulpit is rooted in an amendment introduced in 1954 by then-Democratic Sen. Lyndon Johnson that gave the IRS authority to punish tax-exempt charitable organizations, including churches, for making political endorsements or getting involved in political campaigns.

The order directs the IRS to exercise maximum enforcement discretion to alleviate the burden of the so-called Johnson Amendment.

In addition, it instructs the Treasury Department not to target the tax-exempt status of churches and other institutions if they express support for political candidates.

The order also directs the Department of Justice to ensure religious protections are afforded to individuals and groups, such as Little Sisters of the Poor, a group of nuns who take a vow of poverty in serving the elderly.

In his introductory remarks, Pence said the National Day of Prayer is a time to reaffirm “the vital role people of faith play in American society” and praised the president for marking the day in such a public manner.

Trump campaigned against the ban and pledged in his address to the Republican National Convention that he would “work very hard to repeal that language and to protect free speech for all Americans.”

Trump called up several of the Little Sisters of the Poor members and congratulated them on their landmark victory in the Supreme Court over the issue of the contraceptive mandate included in ObamaCare.

According to Trump, more than 50 religious groups filed lawsuits against the Obama administration for violating their religious liberty.

Before the final order was released, several religious liberty groups expressed support for the administration’s actions.

“The first freedom in the Bill of Rights is religious freedom. America was born on the foundation of religious freedom and it is one of our most cherished liberties. There could be no better day to sign an executive order on religious freedom than the National Day of Prayer,” said Mat Staver, chairman of Liberty Counsel.

Mark Rienzi, counsel for The Becket Fund, said on Twitter he was encouraged by the “promise of the protection” coming from the White House and looked forward to seeing the final language.

The Becket Fund is the public interest law firm which has represented the Little Sisters of the Poor in their fight to be exempted from ObamaCare’s contraceptive mandate.

The executive order drew critics from the left and the right.

“If the … EO on religious liberty ends up being what media outlets are currently reporting, then it’ll be woefully inadequate,” tweeted Ryan Anderson, a senior research fellow at the conservative Heritage Foundation.

The American Civil Liberties Union argued the executive actions constitute “a broadside to our country’s long-standing commitment to the separation of church and state” that will divide the nation and permit discrimination.

“President Trump’s efforts to promote religious freedom are thinly-veiled efforts to unleash his conservative religious base into the political arena while also using religion to discriminate. It’s a dual dose of pandering to a base and denying reproductive care. We will see Trump in court, again,” said ACLU Executive Director Anthony D. Romero in a statement.

http://www.foxnews.com/politics/2017/05/04/trump-marks-national-day-prayer-signs-executive-order-on-religious-freedom.html

Johnson Amendment

From Wikipedia, the free encyclopedia

The Johnson Amendment is a provision in the U.S. tax code that prohibits all 501(c)(3) non-profit organizations from endorsing or opposing political candidates. 501(c)(3) organizations are the most common type of nonprofit organization in the United States, ranging from charitable foundations to universities and churches. The amendment is named for then-Senator Lyndon B. Johnson of Texas.

In recent years, many Republicans, including President Donald Trump, have sought to repeal it, arguing that it restricts the free speech rights of churches and other religious groups. Repeal has been criticized because churches have fewer reporting requirements than other non-profit organizations, and because it would effectively make political contributions tax-deductible. On May 4, 2017, President Donald Trump signed an executive order easing the Johnson ammendment’s restrictions.[1]

Provisions

Page from the Congressional Record containing a transcript of the passage of the amendment

The amendment affects nonprofit organizations with 501(c)(3) tax exemptions,[2] which are subject to absolute prohibitions on engaging in political activities and risk loss of tax-exempt status if violated.[3] Specifically, they are prohibited from conducting political campaign activities to intervene in elections to public office.[4][5] The Johnson Amendment applies to any 501(c)(3) organization, not just religious 501(c)(3) organizations.

The benefit of 501(c)(3) status is that, in addition to the organization itself being exempt from taxes, donors may also take a tax deduction for their contributions to the organization.

According to the Internal Revenue Service, contributions to political campaign funds, or public statements of position in favor of or in opposition to any candidate for public office, are disallowed. However, certain voter education activities as well as voter registration and get-out-the-vote drives, if conducted in a non-partisan manner, are not prohibited.[4]

History

Lyndon B. Johnson during his tenure as Senator from Texas

The amendment was to a bill in the 83rd Congress, H.R. 8300, which was enacted into law as the Internal Revenue Code of 1954. The amendment was proposed by Senator Lyndon B. Johnson of Texas on July 2, 1954. (Johnson would later serve as President from 1963 to 1969.) The amendment was agreed to without any discussion or debate and included in Internal Revenue Code of 1954 (Aug. 16, 1954, ch. 736).[6] It was considered uncontroversial at the time, and continued to be included in the Internal Revenue Code of 1986 enacted during the Ronald Reagan administration.[7]

Repeal efforts

In recent years, the Alliance Defending Freedom has attempted to challenge the Johnson Amendment through the Pulpit Freedom Initiative, which urges Protestant ministers to violate the statute in protest. The ADF contends that the amendment violates First Amendment rights.[8]

During his 2016 presidential campaign, Donald Trump called for the repeal of the amendment.[9] On February 2, 2017, President Trump vowed at the National Prayer Breakfast to “totally destroy” the Johnson Amendment,[10] White House Press Secretary Sean Spicer announced to the press that the President “committed to get rid of the Johnson Amendment”, “allowing our representatives of faith to speak freely and without retribution”,[11] and Republican lawmakers introduced legislation that would allow all 501(c)(3) organizations to support political candidates, as long as any associated spending was minimal.[12][13]

Repeal has been criticized for a number of reasons. One concern is that campaign contributions funneled through 501(c)(3) organizations would be tax-deductible for donors, and because churches are exempt from reporting requirements required of other 501(c)(3) organizations. This has the potential of creating a mechanism where political contributions could be made in violation of relevant campaign financing laws.[14][15][16] Polls have shown that majorities of both the general public and of clergy oppose churches endorsing political candidates.[17] The National Council of Nonprofits released a statement opposing the proposed repeal legislation.[18]Independent Sector, a coalition of nonprofits, foundations, and corporations has also stated their opposition to the proposal to repeal the Johnson Amendment.[19]

See also

https://en.wikipedia.org/wiki/Johnson_Amendment

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The Pronk Pops Show 884, May 1, 2017, Story 1: Trump Attacks Big Lie Media and Fake News In 100 Day Rally Speech — Videos — Story 2: Rollover Republicans Rollover To Democrats on “Bipartisan” Unbalanced Fiscal Year 2017 Budget Deal With $500,000,000,000 — $600,000,000,000 Deficit For FY 2017! — No Funding For Trump’s Wall — No Government Shutdown — More Funding For Defense, Sanctuary Cities and Planned Parenthood — Warfare and Welfare State Big Government Budget — Trump Supporters Not Pleased! — Talk Radio Hosts Increasing Reservations About Future of Republican Party and Trump — The Washington Establishment Is The Problem — Set The Swamp on Fire — Videos — Story 3: Will President Trump Meet With Dictator Kim Jong un? If It Stops Nuclear Proliferation, why not? — Videos

Posted on May 2, 2017. Filed under: American History, Blogroll, Breaking News, Bribery, Budgetary Policy, Congress, Constitutional Law, Corruption, Countries, Crime, Culture, Defense Spending, Donald J. Trump, Donald J. Trump, Donald Trump, Donald Trump, Economics, Education, Empires, Employment, Federal Government, Fiscal Policy, Foreign Policy, Free Trade, Freedom of Speech, Government, Government Dependency, Government Spending, Health, Health Care, House of Representatives, Human, Illegal Immigration, Immigration, Independence, Labor Economics, Law, Legal Immigration, Life, Medicare, Monetary Policy, National Interest, News, Philosophy, Photos, Politics, Polls, Radio, Raymond Thomas Pronk, Scandals, Second Amendment, Security, Senate, Social Networking, Social Security, Success, Tax Policy, Taxation, Taxes, Unemployment, United States of America, Videos, Violence, War, Wealth, Welfare Spending, Wisdom | Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |

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Image result for President Trump rally in PennsyvaniaImage result for President Trump rally in PennsyvaniaImage result for cartoons branco trump wall no funding

Image result for cartoons branco budget deal 2017

Image result for cartoons branco budget deal 2017Image result for cartoons branco budget deal 2017

Story 1: Trump Attacks Big Lie Media and Fake News In 100 Day Rally Speech — Videos —

President Trump TAKES SHOTS at white house correspondents CNN,msnbc at his 100 days rally 4/29/2017

President Donald Trump 100 days rally full speech in Harrisburg, Pennsylvania 2017

Story 2: Rollover Republicans Rollover To Democrats on “Bipartisan” Unbalanced Fiscal Year 2017 Budget Deal With $500,000,000,000 — $600,000,000,000 Deficit For FY 2017! — No Funding For Trump’s Wall — No Government Shutdown — More Funding For Defense, Sanctuary Cities and Planned Parenthood — Warfare and Welfare State Big Government Budget — Trump Supporters Not Pleased! — Talk Radio Hosts Increasing Reservations About Future of Republican Party and Trump — The Washington Establishment Is The Problem — Set The Swamp on Fire —  Videos — 

Image result for cartoons branco trump drain the swampImage result for cartoons branco trump drain the swampImage result for cartoons branco trump drain the swampImage result for cartoons branco trump drain the swampImage result for cartoons branco trump drain the swampImage result for cartoons branco trump drain the swamp

TRUMP’s Honest Confession Abt His Famous SLogan ” DRAIN the SWAMP ”

Limbaugh SLAMS Budget: NO Reason To Keep Electing Republicans

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Congress agrees $1 trillion budget deal – but no money for border wall

As Expected, A ‘Bipartisan’ Budget…More Spending!

Federal Budget Deal Reached. Trump Loses, Liberals Win?

SPICER: “Make no mistake, the wall is going to be built”

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Congress reaches deal to keep government open through September

5 Democratic wins in the spending deal

Congressional negotiators reached a bipartisan spending agreement late on April 30, to fund the government through September. Here are the Republican and Democratic wins in the $1 trillion funding package. (The Washington Post)
April 30
Congressional negotiators reached an agreement late Sunday on a broad spending package to fund the government through the end of September, alleviating fears of a government shutdown later this week, several congressional aides said.Congress is expected to vote on the roughly $1 trillion package early this week. The bipartisan agreement includes policy victories for Democrats, whose votes will be necessary to pass the measure in the Senate, as well as $12.5 billion in new military spending and $1.5 billion more for border security requested by Republican leaders in Congress.The agreement follows weeks of tense negotiations between Democrats and GOP leaders after President Trump insisted that the deal include funding to begin building a wall along the U.S.-Mexico border. Trump eventually dropped that demand, leaving Congress to resolve lingering issues over several unrelated policy measures.The new border-security money comes with strict limitations that the Trump administration use it only for technology investments and repairs to existing fencing and infrastructure, the aides said.“This agreement is a good agreement for the American people and takes the threat of a government shutdown off the table,” said Senate Minority Leader Charles E. Schumer (D-N.Y.). “The bill ensures taxpayer dollars aren’t used to fund an ineffective border wall, excludes poison pill riders and increases investments in programs that the middle class relies on, like medical research, education and infrastructure.”Schumer and House Minority Leader Nancy Pelosi (D-Calif.) boasted that they were able to force Republicans to withdraw more than 160 unrelated policy measures, known as riders, including those that would have cut environmental funding and scaled back financial regulations for Wall Street.Democrats fought to include $295 million to help Puerto Rico continue making payments to Medicaid, $100 million to combat opioid addiction, and increases in energy and science funding that Trump had proposed cutting. If passed, the legislation will ensure that Planned Parenthood continues to receive federal funding through September.The package includes $61 million to reimburse local law enforcement agencies for the cost of protecting Trump when he travels to his residences in Florida and New York, a major priority for the two New York Democrats involved in the spending talks, Schumer and Rep. Nita M. Lowey.Among the bipartisan victories is $407 million in wildfire relief for western states and a decision to permanently extend a program that provides health-care coverage for coal miners.

“The agreement will move the needle forward on conservative priorities and will ensure that the essential functions of the federal government are maintained,” said Jennifer Hing, a spokeswoman for House Appropriations Committee Chairman Rodney Frelinghuysen (R-N.J.).

House Republicans have struggled in recent weeks to keep their members focused on spending as White House officials and conservatives pressed leaders to revive plans for a vote on health-care legislation. The health-care fight became tangled last week in spending talks as leaders worried that forcing a vote to repeal the Affordable Care Act risked angering Democrats whose votes are necessary to avoid a government shutdown.

Leaders worked last week to determine whether the House has enough votes to pass a revised health-care bill brokered by the White House, the head of the conservative House Freedom Caucus and a top member of the moderate Tuesday Group.

House Speaker Paul D. Ryan (R-Wis.) and his top lieutenants announced Thursday that they did not have sufficient votes to be sure the measure would pass but vowed to press on.

“We’re still educating members,” House Majority Leader Kevin McCarthy (R-Calif.) told reporters after a late-night health-care meeting last week. “We’ve been making great progress. As soon as we have the votes, we’ll vote on it.”

https://www.washingtonpost.com/powerpost/congress-reaches-deal-to-keep-government-open-through-september/2017/04/30/5f58e9d2-2df7-11e7-9dec-764dc781686f_story.html?utm_term=.40950c9a38b1

Trump´s wall gets no cash as deal reached on US government funding bill

Congressional Republicans and Democrats have forged a hard-won agreement on a huge one trillion dollar-plus (£800 billion) spending bill that would fund the day-to-day operations of the US government through to September.

Aides to politicians involved in the talks announced the agreement after weeks of negotiations. It is expected to be made public early on Monday.

The catchall spending bill would be the first major piece of bipartisan legislation to advance during Mr Trump’s short tenure in the White House.

Donald Trump

Donald Trump

While losing on the wall along the US-Mexico border, Mr Trump won a 15 billion dollar (£11 billion) down payment on his request to strengthen the military.

The measure funds the remainder of the 2017 budget year, rejecting cuts to popular domestic programmes targeted by Mr Trump, such as medical research and infrastructure grants.

Successful votes later this week would also clear away any remaining threat of a government shutdown – at least until the October 1 start of the 2018 budget year. Trump has submitted a partial 2018 budget promising a 10% increase for the Pentagon, financed by cuts to foreign aid and other non-defence programmes that negotiators on the pending measure protected.

Democrats were quick off the mark to praise the deal.

“This agreement is a good agreement for the American people, and takes the threat of a government shutdown off the table,” said Senate minority leader Chuck Schumer, a key force in the talks.

“The bill ensures taxpayer dollars aren’t used to fund an ineffective border wall, excludes poison pill riders, and increases investments in programmes that the middle class relies on, like medical research, education and infrastructure.”

Mr Trump said at nearly every campaign stop last year that Mexico would pay for the 2,000-mile border wall, a claim Mexican leaders have repeatedly rejected. The administration sought some 1.4 billion in US taxpayer dollars (£1 billion) for the wall and related costs in the spending bill, but Mr Trump later relented and said the issue could wait until September.

Mr Trump, however, obtained 1.5 billion dollars (£1.1 billion) for border security measures such as more than 5,000 additional detention beds, an upgrade in border infrastructure and technologies such as surveillance.

The measure is assured of winning bipartisan support in votes this week; the House and Senate have until midnight Friday to pass the measure to avert a government shutdown. It is unclear how much support the measure will receive from Republican conservatives and how warmly it will be received by the White House.

http://www.dailymail.co.uk/wires/pa/article-4462264/Trump-s-wall-gets-no-cash-deal-reached-US-government-funding-bill.html#ixzz4fxMFZlXX

Story 3: Will President Trump Meet With Dictator Kim Jong un? If It Stops Nuclear Proliferation, why not? — Videos

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Trump Says He’s Open to Meeting With North Korea’s Kim

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Sean Spicer CONFRONTED on Trump being HONORED to meet Kim Jong un ABC news 5/1/2017

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The Pronk Pops Show 880, April 25, 2017, Story 1: Bluff, Bombast, Bust, Bang, Boom–World War III With North Korea and Communist China? — Videos– Story 2: Operation Gotham Shield 2017 — Simulation of Nuclear and EMP Attack Over New York City — Videos — Story 3: Barrier, Fence, Double Fence, Wall, Border Security — No Budget — No Deal — Democrats Shutdown Government? — Videos —

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Image result for world war 3 starts in north koreaImage result for Operation Gotham Shield 2017Image result for branco cartoons trump wallStory 1: Bluff, Bombast, Bust, Bang, Boom–World War III With North Korea and Communist China? — Videos–

Image result for north korea world war 3Image result for north korea world war 3Image result for north korea world war 3

North Korea looking for a fight with US?

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Story 2: Operation Gotham Shield 2017 — Simulation of Nuclear and EMP Attack Over New York City — Videos

Image result for Operation Gotham Shield 2017 
Image result for Operation Gotham Shield 2017Image result for Operation Gotham Shield 2017Image result for Operation Gotham Shield 2017

April 24-26 2017 — Operation Gotham Shield 2017

4/24/17 Why Operation Gotham Shield Needs Your Attention – Alex Jones Infowars

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Operation Gotham Shield | NYC & NJ on April 24th – 26th

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Washington D.C. To Hold Massive “Coordinated Terror Attack” Drill This Wednesday

April 26th is shaping up to be a busy day.

As we reported on Friday, that’s when Operation Gotham Shield, an exercise involving FEMA, Homeland Security and a myriad of law enforcement and military agencies and which simulates a nuclear bomb blast over Manhattan, is set to conclude.

Then, as we learned earlier, April 26 is also when the entire Senate will be briefed by Donald Trump and his four top defense and military officials on the situation in North Korea at the White House, an event which Reuters dubbed as “unusual.”

April 26 is also when the USS Carl Vinson is expected to finally arrive off the coast of the Korean Penninsula.

Now, in a statement from the Metropolitan Washington Council of Governments, the regional association reports that “law enforcement officials and other first responders will participate in a full-scale exercise on April 26 designed to prepare for the possibility of a complex coordinated terror attack in the National Capital Region.”

The statement adds that emergency managers who work together at the Metropolitan Washington Council of Governments (COG) planned the exercise to help protect residents by preparing for an attack involving multiple target locations and teams of perpetrators.

The exercise will be conducted across a widespread geographical area. According to the release, the regional exercise will be staged at six sites in the District of Columbia, suburban Maryland and Northern Virginia, and will involve hundreds of police, fire, and emergency medical service personnel and volunteer actors.

The locations include neighborhoods in the northeast and southeast quadrants of the District of Columbia, Prince George’s County, and Arlington and Fairfax Counties.  Residents in those neighborhoods will be notified ahead of time to expect the exercise.

According to Scott Boggs, Managing Director of Homeland Security and Public Safety at COG, “Law enforcement officials practice and exercise their skills on their own regularly because that’s the best way to ensure we are always ready to respond quickly and professionally. On April 26, we’ll go one step further and stage a very realistic emergency event involving multiple sites and actors posing as the casualties.  However, there is no reason for residents to be alarmed because the exercise will occur in a controlled environment.

The is scheduled to take place near or at George Mason University, and last from 8;30am until 4:30pm.

The statement also advises that the only media availability will be in a one hour block before the exercise, from 7:30am – 8:30am on April 26.

Full statement below (link).

http://www.zerohedge.com/news/2017-04-24/washington-dc-area-hold-massive-drill-preparation-complex-coordinated-terror-attack-

Operation Gotham Shield: Is there a connection between massive power outages and the nuclear EMP drill?

Are Today’s Massive Power Outages Really Secretly Part of the Operation Gotham Shield Nuclear EMP Drill?

TDW News

nnew york city cnukeWhen Russia holds a massive civil defense drill for nuclear war, the government informs its people and even includes them.When the US government does it however, they do it in secret, even using natural disasters as cover, meanwhile keeping the civilian population in the dark and telling them as little as possible.

The fact that there are massive power outages today of all days in San Francisco, LA and specifically New York City — causes reportedly still unknown at this time — seems like anything but a coincidence with everything else going on right now including a massive NYC-area 10 kiloton nuclear blast and EMP drill called Operation Gotham Shield.

Power Outages

NYC
The first massive power outage today occurred in New York City just before 6 am after the power inexplicably went down at the 7th avenue and 53rd street subway station, causing a chain reaction through the rest of NYC’s subway system. MTA did not get the generators back up and running until around 11:30. Delays are still rampant.

LA
A few hours later, outages began being reported around Los Angeles, including at the LA airport.

San Francisco
This one is reportedly the worst. Some 90,000 people are still without power all around downtown San Francisco as of 1 pm this afternoon. Businesses are shuttered, transportation systems are shut down, whole skyscrapers are dark. People are calling the whole scene “surreal”. Again, the cause of the outage still has not been explained.

Operation Gotham Shield

All of this is coinciding with the Operation Gotham Shield drill being held in the NYC area; depending on who you ask, it’s even going on right now, but again, we civilians (read: peons) are being mostly kept in the dark about the huge drill. One set of dates says the drill started on April 18th and will run through May 5th. Another set of dates say the actual nuke/EMP simulation part of the drill won’t happen until April 24th–26th.

As Mac Slavo of SHTFPlan.com reported yesterday:

[Gotham Shield] is a tabletop, joint agency exercise involving FEMA, Homeland Security and a myriad of law enforcement and military agencies. WMD, chemical and biological units will all be on hand as a response is tested for a “simulated” nuclear detonation over the United States’ foremost urban center, in the iconic and densely populated island of Manhattan and nearby shores of New Jersey.

According to the Voice of Reason:

On April 18th thru May 5th, 2017, state, local, and federal organizations alike are planning for Operation Gotham Shield 2017 — a major nuclear detonation drill in the New York-New Jersey area, along with the U.S.-Canadian border. During this exercise, 4 nuclear devices, 2 of which are rendered “safe” during the U.S. Department of Defense (DOD) Vital Archer Exercise, and one successful 10kt detonation in the NYC/NJ area, along with one smaller detonation on the U.S./Canadian border are to take place.

Among the organizations involved are:

– U.S. Department of Energy (DOE)

– U.S. Department of Defense (DOD)

– U.S. Domestic Nuclear Detection Office (DNDO)

– U.S. Federal Bureau of Investigation (FBI)

– U.S. Federal Emergency Management Agency (FEMA)

– U.S. Northern Command (NORTHCOM)

– State of New Jersey Office of Emergency Management

– State of New York Office of Emergency Management

– City of New York Office of Emergency Management

And many more…

So the chances that we’re suddenly having totally random “unexplained” massive power outages in major cities, starting specifically in the one where this massive nuclear war/EMP drill is currently going down and it is all simply a coincidence seem poor at best.

Slavo continues:

The potential for a more explosive false flag to spin out of control, by hijacking and ‘converting’ the simulated actions, is all too real.

This is closely related to the mechanism that many researchers believe was at work on the day of 9/11, nesting a false flag attack inside of a series of large-scale training operations which invoked emergency powers and simulated attacks in locations that were actually hit.

Stay vigilant, people.

___
http://dailywesterner.com/news/2017-04-21/are-todays-massive-power-outages-really-secretly-part-of-the-operation-gotham-shield-nuclear-emp-drill/

Story 3: Barrier, Fence, Double Fence, Wall, Border Security — No Budget — No Deal — Democrats Shutdown Government? — Videos —

Image result for branco cartoons trump wall

Image result for branco cartoons trump wall

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Trump’s ‘big, beautiful wall’ collides with Congress

Liz Goodwin

Senior National Affairs Reporter
Yahoo News April 25, 2017

President Trump reportedly backed off his demand that Congress include a down payment for a wall spanning the entire U.S.-Mexico border in a crucial spending bill that must pass by Friday night to keep the government funded.

Republican lawmakers have urged the president to focus on border security in general instead of the wall, which Democrats have called a poison pill that would cause them to reject the bill and shut down the government.

Trump told a group of conservative reporters he invited to the White House on Monday that he was open to getting funding for the wall in September when Congress debates the 2018 budget, the Associated Press reported. This is a sharp reversal from his position over the weekend and early Monday, when he doubled down on his demand for the wall. Trump tweeted repeatedly that the wall is necessary to stop the flow of drugs into the United States.

“If the wall is not built, which it will be, the drug situation will NEVER be fixed the way it should be!” Trump exclaimed Monday, adding: “#BuildTheWall.”

On Tuesday morning, the president claimed he had not changed his position on the wall as the “fake media” was claiming, but he didn’t specify whether he still believed he would get the funds in this week’s spending bill, which increasingly looks like a political impossibility.

Don’t let the fake media tell you that I have changed my position on the WALL. It will get built and help stop drugs, human trafficking etc.

The president may have realized that with Democrats ready to shut down the government over the wall and many lawmakers in his own party skeptical of it, there was little chance of reaching a deal on his signature campaign promise before the Friday night deadline. Some critics noted that Trump had long promised that Mexico — and not the U.S. — would pay for the wall’s construction.

Minority Leader Chuck Schumer, D-N.Y., praised Trump in a statement for taking the wall “off the table.” He had earlier called the demand a “monkey wrench” the president had thrown into sensitive negotiations between the parties over a series of spending bills to keep the government funded for the next five months.

A view of the U.S.-Mexican border fence at Playas de Tijuana in Mexico. (Photo: Justin Sullivan/Getty Images)

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A view of the U.S.-Mexican border fence at Playas de Tijuana in Mexico. (Photo: Justin Sullivan/Getty Images)
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But it’s possible the president will find a way to declare victory even if his call for a wall goes unanswered by Congress. Several Republican senators urged the president to think of the “big, beautiful wall” he promised on the campaign trail as symbolic of border security in general. That way, the president could declare any increase in border spending in the spending bill a victory, right as his presidency passes the symbolic 100-day mark on Friday.

“Border walls and fences are part of an overall plan, but there will never be a 2,200-mile wall built. Period,” Sen. Lindsey Graham, R-S.C., told reporters Monday evening. “I think [the wall] has become symbolic for better border security. So it’s a code word for better border security.”

Graham said the president would still be in “good shape” if he gets funding for border security in the spending bill that’s not specifically for a wall.

Congress readies for border wall fight neither party seems to want

Sen. Thom Tillis, R-N.C., also pushed for interpreting “border wall” as border security in general. “I know it’s being generally referred to as a border wall, but I think it’s the efforts to make sure that Border Patrol can have adequate funding for the people, technology and infrastructure they think they need to secure [the border],” Tillis said. “I think we can be less prescriptive about exactly what the structure looks like and more focused on the fact that we need to secure the border.”

Both House Minority Leader Nancy Pelosi, D-Calif., and Schumer have signaled openness to funding border security in the spending bill as long as it doesn’t go to construction of a wall or the “deportation force” Trump mentioned during the campaign. The Democrats could theoretically agree to funds for more surveillance technology on the border, or to hire and train more border patrol agents. But it’s harder to imagine them supporting an increase in Immigration and Customs Enforcement (ICE) agents, since they enforce immigration laws internally in the United States and not at the borders.

Meanwhile, one of the president’s staunchest defenders in Congress defended the delay of the president’s campaign promise, urging Americans to be patient.

“He said we would build a wall and Mexico would pay for it, … but he never said when,” Rep. Louie Gohmert, R-Texas, said Monday night on Fox Business. “Some things just take time and don’t occur real quick. I think that’s the way with the wall.”

https://ca.news.yahoo.com/trumps-big-beautiful-wall-collides-congress-102804089.html

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The Pronk Pops Show 871, April 11, 2017, Story 1: Trump Rattling Cages (Sending Messages) in Syria and North Korea (Democratic People’s Republic of Korea (DPRK)) — Training Exercise — Trump Neoconed — Videos — Story 2: Attorney General Sessions Enforces Immigration Law — The Trump Era — Videos

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Story 1: Trump Rattling Cages (Sending Messages) in Syria and North Korea (Democratic People’s Republic of Korea (DPRK)) —  Training Exercise — Trump Neoconed — Videos —

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North Korea state media warns of nuclear strike if provoked as U.S. warships approach

* North Korea media warns of nuclear strike on U.S. if provoked

* U.S. warships head for Korean peninsula

* Trump says North Korea “looking for trouble”

* Russia “really worried” about possible U.S. attack on North (Adds Trump Tweet)

By Sue-Lin Wong

PYONGYANG, April 11 (Reuters) – North Korean state media on Tuesday warned of a nuclear attack on the United States at any sign of U.S. aggression as a U.S. Navy strike group steamed towards the western Pacific.

U.S. President Donald Trump, who has urged China to do more to rein in its impoverished neighbour, said in a Tweet North Korea was “looking for trouble” and the United States would “solve the problem” with or without China’s help.

Tension has escalated sharply on the Korean peninsula with talk of military action by the United States gaining traction following its strikes last week against Syria and amid concerns the reclusive North may soon conduct a sixth nuclear test.

For more news videos visit Yahoo View, available now on iOS and Android.

North Korea’s official Rodong Sinmun newspaper said the country was prepared to respond to any aggression by the United States.

“Our revolutionary strong army is keenly watching every move by enemy elements with our nuclear sight focused on the U.S. invasionary bases not only in South Korea and the Pacific operation theatre but also in the U.S. mainland,” it said.

South Korean acting President Hwang Kyo-ahn warned of “greater provocations” by North Korea and ordered the military to intensify monitoring and to ensure close communication with the United States.

“It is possible the North may wage greater provocations such as a nuclear test timed with various anniversaries including the Supreme People’s Assembly,” said Hwang, acting leader since former president Park Geun-hye was removed amid a graft scandal.

Trump said in a Tweet a trade deal between China and the United States would be “far better for them if they solved the North Korea problem”.

“If China decides to help, that would be great,” he said. “If not, we will solve the problem without them!”

Trump and his Chinese counterpart, Xi Jinping, met in Florida last week and Trump pressed Xi to do more to rein in North Korea.

The North convened a Supreme People’s Assembly session on Tuesday, one of its twice-yearly sessions in which major appointments are announced and national policy goals are formally approved. It did not immediately release details.

But South Korean officials took pains to quell talk in social media of an impending security crisis or outbreak of war.

“We’d like to ask precaution so as not to get blinded by exaggerated assessment about the security situation on the Korean peninsula,” Defence Ministry spokesman Moon Sang-kyun said.

Saturday is the 105th anniversary of the birth of Kim Il Sung, the country’s founding father and grandfather of current ruler, Kim Jong Un.

A military parade is expected in the North’s capital, Pyongyang, to mark the day. North Korea often also marks important anniversaries with tests of its nuclear or missile capabilities in breach of U.N. Security Council resolutions.

Men and women in colourful outfits were singing and dancing on the streets of Pyongyang, illuminated by better lighting than that seen in previous years, apparently practising for the parade planned.

Syrian President Bashar al-Assad sent a message of congratulations to mark the event, lambasting “big powers” for their “expansionist” policy.

“The friendly two countries are celebrating this anniversary and, at the same time, conducting a war against big powers’ wild ambition to subject all countries to their expansionist and dominationist policy and deprive them of their rights to self-determination,” the North’s KCNA news agency quoted the message as saying.

The North’s foreign ministry, in a statement carried by KCNA, said the U.S. navy strike group’s approach showed America’s “reckless moves for invading had reached a serious phase”.

“We never beg for peace but we will take the toughest counteraction against the provocateurs in order to defend ourselves by powerful force of arms and keep to the road chosen by ourselves,” an unidentified ministry spokesman said.

North Korea and the rich, democratic South are technically still at war because their 1950-53 conflict ended in a truce, not a peace treaty. The North regularly threatens to destroy the South and its main ally, the United States.

http://finance.yahoo.com/news/north-korea-state-media-warns-100014004.html

Coming to Terms With the American Empire

APRIL 14, 2015 | 07:54 GMT

 

By George Friedman

“Empire” is a dirty word. Considering the behavior of many empires, that is not unreasonable. But empire is also simply a description of a condition, many times unplanned and rarely intended. It is a condition that arises from a massive imbalance of power. Indeed, the empires created on purpose, such as Napoleonic France and Nazi Germany, have rarely lasted. Most empires do not plan to become one. They become one and then realize what they are. Sometimes they do not realize what they are for a long time, and that failure to see reality can have massive consequences.

World War II and the Birth of an Empire

The United States became an empire in 1945. It is true that in the Spanish-American War, the United States intentionally took control of the Philippines and Cuba. It is also true that it began thinking of itself as an empire, but it really was not. Cuba and the Philippines were the fantasy of empire, and this illusion dissolved during World War I, the subsequent period of isolationism and the Great Depression.

The genuine American empire that emerged thereafter was a byproduct of other events. There was no great conspiracy. In some ways, the circumstances of its creation made it more powerful. The dynamic of World War II led to the collapse of the European Peninsula and its occupation by the Soviets and the Americans. The same dynamic led to the occupation of Japan and its direct governance by the United States as a de facto colony, with Gen. Douglas MacArthur as viceroy.

The United States found itself with an extraordinary empire, which it also intended to abandon. This was a genuine wish and not mere propaganda. First, the United States was the first anti-imperial project in modernity. It opposed empire in principle. More important, this empire was a drain on American resources and not a source of wealth. World War II had shattered both Japan and Western Europe. The United States gained little or no economic advantage in holding on to these countries. Finally, the United States ended World War II largely untouched by war and as perhaps one of the few countries that profited from it. The money was to be made in the United States, not in the empire. The troops and the generals wanted to go home.

But unlike after World War I, the Americans couldn’t let go. That earlier war ruined nearly all of the participants. No one had the energy to attempt hegemony. The United States was content to leave Europe to its own dynamics. World War II ended differently. The Soviet Union had been wrecked but nevertheless it remained powerful. It was a hegemon in the east, and absent the United States, it conceivably could dominate all of Europe. This represented a problem for Washington, since a genuinely united Europe — whether a voluntary and effective federation or dominated by a single country — had sufficient resources to challenge U.S. power.

The United States could not leave. It did not think of itself as overseeing an empire, and it certainly permitted more internal political autonomy than the Soviets did in their region. Yet, in addition to maintaining a military presence, the United States organized the European economy and created and participated in the European defense system. If the essence of sovereignty is the ability to decide whether or not to go to war, that power was not in London, Paris or Warsaw. It was in Moscow and Washington.

The organizing principle of American strategy was the idea of containment. Unable to invade the Soviet Union, Washington’s default strategy was to check it. U.S. influence spread through Europe to Iran. The Soviet strategy was to flank the containment system by supporting insurgencies and allied movements as far to the rear of the U.S. line as possible. The European empires were collapsing and fragmenting. The Soviets sought to create an alliance structure out of the remnants, and the Americans sought to counter them.

The Economics of Empire

One of the advantages of alliance with the Soviets, particularly for insurgent groups, was a generous supply of weapons. The advantage of alignment with the United States was belonging to a dynamic trade zone and having access to investment capital and technology. Some nations, such as South Korea, benefited extraordinarily from this. Others didn’t. Leaders in countries like Nicaragua felt they had more to gain from Soviet political and military support than in trade with the United States.

The United States was by far the largest economic power, with complete control of the sea, bases around the world, and a dynamic trade and investment system that benefitted countries that were strategically critical to the United States or at least able to take advantage of it. It was at this point, early in the Cold War, that the United States began behaving as an empire, even if not consciously.

The geography of the American empire was built partly on military relations but heavily on economic relations. At first these economic relations were fairly trivial to American business. But as the system matured, the value of investments soared along with the importance of imports, exports and labor markets. As in any genuinely successful empire, it did not begin with a grand design or even a dream of one. Strategic necessity created an economic reality in country after country until certain major industries became dependent on at least some countries. The obvious examples were Saudi Arabia or Venezuela, whose oil fueled American oil companies, and which therefore — quite apart from conventional strategic importance — became economically important. This eventually made them strategically important.

As an empire matures, its economic value increases, particularly when it is not coercing others. Coercion is expensive and undermines the worth of an empire. The ideal colony is one that is not at all a colony, but a nation that benefits from economic relations with both the imperial power and the rest of the empire. The primary military relationship ought to be either mutual dependence or, barring that, dependence of the vulnerable client state on the imperial power.

This is how the United States slipped into empire. First, it was overwhelmingly wealthy and powerful. Second, it faced a potential adversary capable of challenging it globally, in a large number of countries. Third, it used its economic advantage to induce at least some of these countries into economic, and therefore political and military, relationships. Fourth, these countries became significantly important to various sectors of the American economy.

Limits of the American Empire

The problem of the American Empire is the overhang of the Cold War. During this time, the United States expected to go to war with a coalition around it, but also to carry the main burden of war. When Operation Desert Storm erupted in 1991, the basic Cold War principle prevailed. There was a coalition with the United States at the center of it. After 9/11, the decision was made to fight in Afghanistan and Iraq with the core model in place. There was a coalition, but the central military force was American, and it was assumed that the economic benefits of relations with the United States would be self-evident. In many ways, the post-9/11 wars took their basic framework from World War II. Iraq War planners explicitly discussed the occupation of Germany and Japan.

No empire can endure by direct rule. The Nazis were perhaps the best example of this. They tried to govern Poland directly, captured Soviet territory, pushed aside Vichy to govern not half but all of France, and so on. The British, on the other hand, ruled India with a thin layer of officials and officers and a larger cadre of businessmen trying to make their fortunes. The British obviously did better. The Germans exhausted themselves not only by overreaching, but also by diverting troops and administrators to directly oversee some countries. The British could turn their empire into something extraordinarily important to the global system. The Germans broke themselves not only on their enemies, but on their conquests as well.

The United States emerged after 1992 as the only global balanced power. That is, it was the only nation that could deploy economic, political and military power on a global basis. The United States was and remains enormously powerful. However, this is very different from omnipotence. In hearing politicians debate Russia, Iran or Yemen, you get the sense that they feel that U.S. power has no limits. There are always limits, and empires survive by knowing and respecting them.

The primary limit of the American empire is the same as that of the British and Roman empires: demographic. In Eurasia — Asia and Europe together — the Americans are outnumbered from the moment they set foot on the ground. The U.S. military is built around force multipliers, weapons that can destroy the enemy before the enemy destroys the relatively small force deployed. Sometimes this strategy works. Over the long run, it cannot. The enemy can absorb attrition much better than the small American force can. This lesson was learned in Vietnam and reinforced in Iraq and Afghanistan. Iraq is a country of 25 million people. The Americans sent about 130,000 troops. Inevitably, the attrition rate overwhelmed the Americans. The myth that Americans have no stomach for war forgets that the United States fought in Vietnam for seven years and in Iraq for about the same length of time. The public can be quite patient. The mathematics of war is the issue. At a certain point, the rate of attrition is simply not worth the political ends.

The deployment of a main force into Eurasia is unsupportable except in specialized cases when overwhelming force can be bought to bear in a place where it is important to win. These occasions are typically few and far between. Otherwise, the only strategy is indirect warfare: shifting the burden of war to those who want to bear it or cannot avoid doing so. For the first years of World War II, indirect warfare was used to support the United Kingdom and the Soviet Union against Germany.

There are two varieties of indirect warfare. The first is supporting native forces whose interests are parallel. This was done in the early stages of Afghanistan. The second is maintaining the balance of power among nations. We are seeing this form in the Middle East as the United States moves between the four major regional powers — Iran, Saudi Arabia, Israel and Turkey — supporting one then another in a perpetual balancing act. In Iraq, U.S. fighters carry out air strikes in parallel with Iranian ground forces. In Yemen, the United States supports Saudi air strikes against the Houthis, who have received Iranian training.

This is the essence of empire. The British saying is that it has no permanent friends or permanent enemies, only permanent interests. That old cliche is, like most cliches, true. The United States is in the process of learning that lesson. In many ways the United States was more charming when it had clearly identified friends and enemies. But that is a luxury that empires cannot afford.

Building a System of Balance

We are now seeing the United States rebalance its strategy by learning to balance. A global power cannot afford to be directly involved in the number of conflicts that it will encounter around the world. It would be exhausted rapidly. Using various tools, it must create regional and global balances without usurping internal sovereignty. The trick is to create situations where other countries want to do what is in the U.S. interest.

This endeavor is difficult. The first step is to use economic incentives to shape other countries’ behavior. It isn’t the U.S. Department of Commerce but businesses that do this. The second is to provide economic aid to wavering countries. The third is to provide military aid. The fourth is to send advisers. The fifth is to send overwhelming force. The leap from the fourth level to the fifth is the hardest to master. Overwhelming force should almost never be used. But when advisers and aid do not solve a problem that must urgently be solved, then the only type of force that can be used is overwhelming force. Roman legions were used sparingly, but when they were used, they brought overwhelming power to bear.

The Responsibilities of Empire

I have been deliberately speaking of the United States as an empire, knowing that this term is jarring. Those who call the United States an empire usually mean that it is in some sense evil. Others will call it anything else if they can. But it is helpful to face the reality the United States is in. It is always useful to be honest, particularly with yourself. But more important, if the United States thinks of itself as an empire, then it will begin to learn the lessons of imperial power. Nothing is more harmful than an empire using its power carelessly.

It is true that the United States did not genuinely intend to be an empire. It is also true that its intentions do not matter one way or another. Circumstance, history and geopolitics have created an entity that, if it isn’t an empire, certainly looks like one. Empires can be far from oppressive. The Persians were quite liberal in their outlook. The American ideology and the American reality are not inherently incompatible. But two things must be faced: First, the United States cannot give away the power it has. There is no practical way to do that. Second, given the vastness of that power, it will be involved in conflicts whether it wants to or not. Empires are frequently feared, sometimes respected, but never loved by the rest of the world. And pretending that you aren’t an empire does not fool anyone.

The current balancing act in the Middle East represents a fundamental rebalancing of American strategy. It is still clumsy and poorly thought out, but it is happening. And for the rest of the world, the idea that the Americans are coming will become more and more rare. The United States will not intervene. It will manage the situation, sometimes to the benefit of one country and sometimes to another.

https://www.stratfor.com/weekly/coming-terms-american-empire

 

History of North Korea

From Wikipedia, the free encyclopedia
For history of Korea before its division, see History of Korea.
Part of a series on the
History of North Korea
Emblem of Emblem of North Korea
Soviet Civil Administration 1945–46
Provisional People’s Committee for North Korea 1946–48
Kim Il-sung’s rule 1948–94
Korean War 1950–53
Korean DMZ Conflict 1966–69
Juche 1972
Death and state funeral of Kim Il-sung 1994
Kim Jong-il’s rule 1994–2011
North Korean famine 1994–98
Songun 1998
Sunshine Policy 1998–2010
Six-party talks 2003
ROKS Cheonan sinking 2010
Death and state funeral of Kim Jong-il 2011
Kim Jong-un’s rule 2011–present
State Affairs Commission 2016
Flag of North Korea.svgNorth Korea portal

The history of North Korea began with the partition of Korea at the end of World War II in 1945, and the creation of the Communist-aligned Democratic People’s Republic of Korea (DPRK) headed by the former guerrilla leader, Kim Il-sung. In 1950 the Korean War broke out. After much destruction, the war ended with the status quo being restored. The DPRK had failed to unify Korea under its leadership, and the US-led United Nations force had failed to conquer North Korea. The peninsula was divided by the Korean Demilitarized Zone, and a US military force remained in South Korea.

Tension between the two sides continued. Kim Il-sung remained in power until his death in 1994. He developed a pervasive personality cult and steered the country on an independent course in accordance with the principle of Juche (or self-reliance). However, with natural disasters and the collapse of the Soviet Bloc in 1991, North Korea went into a severe economic crisis. Kim Il-sung’s son, Kim Jong-il, succeeded him, and was in turn succeeded by his son, Kim Jong-un. Amid international alarm, North Korea developed nuclear missiles.

Northern Korea before the division

From 1910 to the end of World War II, Korea was under Japanese rule. Most Koreans were peasants engaged in subsistence farming.[1] In the 1930s, Japan developed mines, hydro-electric dams, steel mills, and manufacturing plants in northern Korea and neighboring Manchuria.[2] The Korean industrial working class expanded rapidly, and many Koreans went to work in Manchuria.[3] As a result, 65% of Korea’s heavy industry was located in the north, but, due to the harshness of the terrain, only 37% of its agriculture.[4]

A Korean guerrilla movement emerged in the mountainous interior and in Manchuria, harassing the Japanese imperial authorities. One of the most prominent guerrilla leaders was the Communist Kim Il-sung.[5]

Northern Korea had very little exposure to modern, Western ideas.[6] One partial exception of this was the penetration of religion. Since the arrival of missionaries in the late nineteenth century, the northwest of Korea, and Pyongyang in particular, had been a stronghold of Christianity.[7]

Division of Korea

Main article: Division of Korea

At the Tehran Conference in November 1943 and the Yalta Conference in February 1945, the Soviet Union promised to join its allies in the Pacific War within three months of victory in Europe. On August 8, 1945, after three months to the day, the Soviet Union declared war on Japan.[8] Soviet troops advanced rapidly, and the US government became anxious that they would occupy the whole of Korea. On August 10, the US government decided to propose the 38th parallel as the dividing line between a Soviet occupation zone in the north and a US occupation zone in the south. The parallel was chosen as it would place the capital Seoul under American control.[9] The division placed sixteen million Koreans in the American zone and nine million in the Soviet zone.[10] To the surprise of the Americans, the Soviet Union immediately accepted the division. The agreement was incorporated into General Order No. 1 (approved on 17 August 1945) for the surrender of Japan.[11]

Soviet forces began amphibious landings in Korea by August 14 and rapidly took over the north-east of the country, and on August 16 they landed at Wonsan.[12] On August 24, the Red Army reached Pyongyang.[13] US forces did not arrive in the south until September 8.[10]

During August, People’s Committees sprang up across Korea, affiliated with the Committee for the Preparation of Korean Independence, which in September founded the People’s Republic of Korea. When Soviet troops entered Pyongyang, they found a local People’s Committee established there, led by veteran Christian nationalist Cho Man-sik.[14] Unlike their American counterparts, the Soviet authorities recognized and worked with the People’s Committees.[15][16] By some accounts, Cho Man-sik was the Soviet government’s first choice to lead North Korea.[17][18]

On September 19, Kim Il-sung and 36 other Korean Red Army officers arrived in Wonsan. They had fought the Japanese in Manchuria in the 1930s but had lived in the USSR and trained in the Red Army since 1941.[19] On October 14, Soviet authorities introduced Kim to the North Korean public as a guerrilla hero.[19]

In December 1945, at the Moscow Conference, the Soviet Union agreed to a US proposal for a trusteeship over Korea for up to five years in the lead-up to independence. Most Koreans demanded independence immediately, but Kim and the other Communists supported the trusteeship under pressure from the Soviet government. Cho Man-sik opposed the proposal at a public meeting on January 4, 1946, and disappeared into house arrest.[20][21] On February 8, 1946, the People’s Committees were reorganized as Interim People’s Committees dominated by Communists.[22] The new regime instituted popular policies of land redistribution, industry nationalization, labor law reform, and equality for women.[23]

Meanwhile, existing Communist groups were reconstituted as a party under Kim Il-sung’s leadership. On December 18, 1945, local Communist Party committees were combined into the North Korean Communist Party.[19] In August 1946, this party merged with the New People’s Party to form the Workers’ Party of North Korea. In December, a popular front led by the Workers Party dominated elections in the North.[22] In 1949, the Workers’ Party of North Korea merged with its southern counterpart to become the Workers’ Party of Korea with Kim as party chairman.[24]

Kim established the Korean People’s Army (KPA) aligned with the Communists, formed from a cadre of guerrillas and former soldiers who had gained combat experience in battles against the Japanese and later Nationalist Chinese troops. From their ranks, using Soviet advisers and equipment, Kim constructed a large army skilled in infiltration tactics and guerrilla warfare. Before the outbreak of the Korean War, Joseph Stalin equipped the KPA with modern medium tanks, trucks, artillery, and small arms. Kim also formed an air force, equipped at first with ex-Soviet propeller-driven fighter and attack aircraft. Later, North Korean pilot candidates were sent to the Soviet Union and China to train in MiG-15 jet aircraft at secret bases.[25]

In 1946, a sweeping series of laws transformed North Korea on Stalinist lines. The “land to the tiller” reform redistributed the bulk of agricultural land to the poor and landless peasant population, effectively breaking the power of the landed class.[26] This was followed by a “Labor Law”, a “Sexual Equality Law”, and a “Nationalisation of Industry, Transport, Communications and Banks Law”.[27]

Kim Il-sung with Kim Koo in 1948

As negotiations with the Soviet Union on the future of Korea failed to make progress, the US took the issue to the United Nations in September 1947. In response, the UN established the United Nations Temporary Commission on Korea to hold elections in Korea. The Soviet Union opposed this move. In the absence of Soviet co-operation, it was decided to hold UN-supervised elections in the south only.[28] In April 1948, a conference of organizations from the North and the South met in Pyongyang, but conference produced no results. The southern politicians Kim Koo and Kim Kyu-sik attended the conference and boycotted the elections in the South.[29] Both men were posthumously awarded the National Reunification Prize by North Korea.[30] The elections were held in South Korea on May 10, 1948. On August 15, the Republic of Korea formally came into existence.[31] A parallel process occurred in North Korea. A new Supreme People’s Assembly was elected in August 1948, and on September 3 a new constitution was promulgated. The Democratic People’s Republic of Korea (DPRK) was proclaimed on September 9, with Kim as premier.[32] On October 12, the Soviet Union declared that Kim’s regime was the only lawful government on the peninsula.[citation needed] On December 12, 1948, the United Nations General Assembly accepted the report of UNTCOK and declared the Republic of Korea to be the “only lawful government in Korea”.[31]

By 1949, North Korea was a full-fledged Communist state. All parties and mass organizations joined the Democratic Front for the Reunification of the Fatherland, ostensibly a popular front but in reality dominated by the Communists. The government moved rapidly to establish a political system that was partly styled on the Soviet system, with political power monopolised by the Worker’s Party of Korea (WPK).

The Korean War (1950-1953)

Main article: Korean War

The consolidation of Syngman Rhee‘s government in the South with American military support and the suppression of the October 1948 insurrection ended North Korean hopes that a revolution in the South could reunify Korea, and from early 1949 Kim Il-sung sought Soviet and Chinese support for a military campaign to reunify the country by force. The withdrawal of most U.S. forces from South Korea in June 1949 left the southern government defended only by a weak and inexperienced South Korean army. The southern régime also had to deal with a citizenry of uncertain loyalty. The North Korean army, by contrast, had benefited from the Soviet Union‘s WWII-era equipment, and had a core of hardened veterans who had fought either as anti-Japanese guerrillas or alongside the Chinese Communists.[33] In 1949 and 1950 Kim traveled to Moscow with the South Korean Communist leader Pak Hon-yong to raise support for a war of reunification.[34]

InitiallyJoseph Stalin rejected Kim Il-sung’s requests for permission to invade the South, but in late 1949 the Communist victory in China and the development of Soviet nuclear weapons made him re-consider Kim’s proposal. In January 1950, after China’s Mao Zedong indicated that the People’s Republic of China would send troops and other support to Kim, Stalin approved an invasion.[35] The Soviets provided limited support in the form of advisers who helped the North Koreans as they planned the operation, and Soviet military instructors to train some of the Korean units. However, from the very beginning Stalin made it clear that the Soviet Union would avoid a direct confrontation with the U.S. over Korea and would not commit ground forces even in case of major military crisis.[36] The stage was set for a civil war between the two rival régimes on the Korean peninsula.

For over a year before the outbreak of war, the two sides had engaged in a series of bloody clashes along the 38th parallel, especially in the Ongjin area on the west coast.[37] On June 25, 1950, claiming to be responding to a South Korean assault on Ongjin, the Northern forces launched an amphibious offensive all along the parallel.[38] Due to a combination of surprise and military superiority, the Northern forces quickly captured the capital Seoul, forcing Syngman Rhee and his government to flee. By mid-July North Korean troops had overwhelmed the South Korean and allied American units and forced them back to a defensive line in south-east South Korea known as the Pusan Perimeter. During its brief occupation of southern Korea, the DPRK regime initiated radical social change, which included the nationalisation of industry, land reform, and the restoration of the People’s Committees.[39]According to the captured US General William F. Dean, “the civilian attitude seemed to vary between enthusiasm and passive acceptance”.[40][41]

The United Nations condemned North Korea’s actions and approved an American-led intervention force to defend South Korea. In September, UN forces landed at Inchon and retook Seoul. Under the leadership of US General Douglas Macarthur, UN forces pushed north, reaching the Chinese border. According to Bruce Cumings, the North Korean forces were not routed, but managed a strategic retreat into the mountainous interior and into neighboring Manchuria.[42] Kim Il-sung’s government re-established itself in a stronghold in Chagang Province.[43] In late November, Chinese forces entered the war and pushed the UN forces back, retaking Pyongyang in December 1950 and Seoul in January 1951. According to Bruce Cumings, the Korean People’s Army played an equal part in this counterattack.[44] UN forces managed to retake Seoul for South Korea. The war essentially became a bloody stalemate for the next two years.

2012 rehearsal in Pyongyang for Victory Day, marking the end of the war

American bombing included the use of napalm against populated areas and the destruction of dams and dykes, which caused devastating floods.[45][46] China and North Korea also alleged the US was deploying biological weapons.[47] As a result of the bombing, almost every substantial building and much of the infrastructure in North Korea was destroyed.[48][49] The North Koreans responded by building homes, schools, hospitals, and factories underground.[50] Economic output in 1953 had fallen by 75-90% compared with 1949.[51]

While the bombing continued, armistice negotiations, that had commenced in July 1951, wore on. North Korea’s lead negotiator was General Nam Il. The Korean Armistice Agreement was signed on July 27, 1953. A ceasefire followed, but there was no peace treaty, and hostilities continued at a lower intensity.[52]

Postwar developments

Internal politics

Despite the failure of his attempt at unifying the nation under his rule, Kim Il-sung considered the war a victory in the sense that he remained in power. As a result, the North Korean media made the most of it by focusing entirely on the defeats suffered by the US and UN forces during the failed invasion of North Korea in late 1950. The armistice was celebrated in Pyongyang with a military parade in which Kim declared: “Despite their best efforts, the imperialist invaders were defeated with great loss in men and material.”[citation needed]

Kim began gradually consolidating his power. Up to this time, North Korean politics were represented by four factions: the Yan’an faction, made up of returnees from China; the “Soviet Koreans” who were ethnic Koreans from the USSR; native Korean communists led by Pak Hon-yong; and Kim’s Kapsan group who had fought guerrilla actions against Japan in the 1930s.[53][54]

When the Worker’s Party Central Committee plenum opened on 30 August 1953 Choe Chang-ik made a speech attacking Kim for concentrating the power of the party and the state in his own hands as well as criticising the party line on industrialisation which ignored widespread starvation among the North Korean people. However, Kim neutralised the attack on him by promising to moderate the regime, promises which were never kept. The majority in the Central Committee voted to support Kim and also voted in favour of expelling Choe and Pak Hon-yong from the Central Committee. Eleven of Kim’s opponents were convicted in a show trial. It is believed that all were executed. A major purge of the KWP followed, with members originating from South Korea being expelled.[55]

Pak Hon-yong, party vice chairman and Foreign Minister of the DPRK, was blamed for the failure of the southern population to support North Korea during the war, was dismissed from his positions in 1953, and was executed after a show-trial in 1955.[56][57] Most of the South Korean leftists and communist sympathizers who defected to the North in 1945–1953 were also accused of espionage and other crimes, and subsequently killed, imprisoned, or exiled to remote agricultural and mining villages. Potential rivals from other groups such as Kim Tu-bong were also purged.[citation needed]

The Party Congress in 1956 indicated the transformation that the party had undergone. Most members of other factions had lost their positions of influence. More than half the delegates had joined after 1950, most were under 40 years old, and most had limited formal education.[58]

In February 1956, Soviet leader Nikita Khrushchev made a sweeping denunciation of Stalin, which sent shock waves throughout the Communist world. Encouraged by this, members of the party leadership in North Korea began to criticize Kim’s dictatorial leadership, personality cult, and Stalinist economic policies. They were defeated by Kim at the August Plenum of the party.[59][60] By 1960, 70 per cent of the members of the 1956 Central Committee were no longer in politics.[61]

Kim Il-sung had initially been criticized by the Soviets during a previous 1955 visit to Moscow for practicing Stalinism and a cult of personality, which was already growing enormous. The Korean ambassador to the USSR, Li Sangjo, a member of the Yan’an faction, reported that it had become a criminal offense to so much as write on Kim’s picture in a newspaper and that he had been elevated to the status of Marx, Lenin, Mao, and Stalin in the communist pantheon. He also charged Kim with rewriting history to appear as if his guerrilla faction had single-handedly liberated Korea from the Japanese, completely ignoring the assistance of the Chinese Communist Party. In addition, Li stated that in the process of agricultural collectivization, grain was being forcibly confiscated from the peasants, leading to “at least 300 suicides” and that Kim made nearly all major policy decisions and appointments himself. Li reported that over 30,000 people were in prison for completely unjust and arbitrary reasons as trivial as not printing Kim Il-sung’s portrait on sufficient quality paper or using newspapers with his picture to wrap parcels. Grain confiscation and tax collection were also conducted forcibly with violence, beatings, and imprisonment.[62] During Kim Il-sung’s Moscow visit, the Soviets recommended that he discard the personality cult, adhere to the ideas of collective leadership, remove falsified history accounts from textbooks, and work towards improving the living standards of the Korean people, which remained poor and below prewar standards. Foodstuffs during the initial postwar period were rationed and extremely expensive, as were consumer items. By comparison, South Korea, which had less of an industrial base than the DPRK, had a better food supply and was also flooded with American goods although it should be noted that the overall destruction there during the war was smaller.[citation needed]

In late 1968, known military opponents of North Korea’s Juche ideology such as Kim Chang-bong (minister of National Security), Huh Bong-hak (chief of the Division for Southern Intelligence) and Lee Young-ho(commander in chief of the DPRK Navy) were purged as anti-party/counter-revolutionary elements, despite their credentials as anti-Japanese guerrilla fighters in the past.[55]

Kim’s personality cult was modeled on Stalinism and his regime originally acknowledged Stalin as the supreme leader. After Stalin’s death in 1953, however, Kim was described as the “Great Leader” or “Suryong”. As his personality cult grew, the doctrine of Juche (or self-reliance) began to displace Marxism–Leninism. At the same time the cult extended beyond Kim himself to include his family in a revolutionary blood line.[63] In 1972, to celebrate Kim Il-sung’s birthday, the Mansu Hill Grand Monument was unveiled, including a 22-meter bronze statue of him.[64]

International relations

Like Mao in China, Kim Il-sung refused to accept Nikita Khrushchev‘s denunciation of Stalin and continued to model his regime on Stalinist norms.[65][66] At the same time, he increasingly stressed Korean independence, as embodied in the concept of Juche.[67] Kim told Alexei Kosygin in 1965 that he was not anyone’s puppet and “We…implement the purest Marxism and condemn as false both the Chinese admixtures and the errors of the CPSU”.[68]

Relations with China had worsened during the war. Mao Zedong criticized Kim for having started the whole “idiotic war” and for being an incompetent military commander who should have been removed from power. PLA commander Peng Dehuai was equally contemptuous of Kim’s skills at waging war.[69]

By some analysis, Kim Il-sung remained in power partially because the Soviets turned their attention to the Hungarian Revolution of 1956 that fall.[70] The Soviets and Chinese were unable to stop the inevitable purge of Kim’s domestic opponents or his move towards a one-man Stalinist autocracy and relations with both countries deteriorated in the former’s case because of the elimination of the pro-Soviet Koreans and the latter because of the regime’s refusal to acknowledge Chinese assistance in either liberation from the Japanese or the war in 1950-53.[71]

Stalin continued to be honored in North Korea long after his death in 1953, and a street in Pyongyang bore his name until 1980. By contrast, neighboring Chinese leader Mao Zedong was mostly ignored and Kim Il-sung rejected most of his policies such as the Hundred Flowers Campaign and (later) the Cultural Revolution.[citation needed]

The captured USS Pueblo being visited by tourists in Pyongyang

Tensions between North and South escalated in the late 1960s with a series of low-level armed clashes known as the Korean DMZ Conflict. In 1966, Kim declared “liberation of the south” to be a “national duty”.[72] In 1968, North Korean commandos launched the Blue House Raid, an unsuccessful attempt to assassinate the South Korean President Park Chung-hee. Shortly after, the US spy ship Pueblo was captured by the North Korean navy.[73] The crew were held captive throughout the year despite American protests that the vessel was in international waters and finally released in December after a formal US apology was issued.[74] In April 1969 North Korea shot down an EC-121 aircraft, killing everyone on board. The Nixon administration found itself unable to react at all, since the US was heavily committed in Vietnam and had no troops to spare if the situation in Korea escalated. However, the Pueblo capture and EC-121 shootdown did not find approval in Moscow, as the Soviet Union did not want a second major war to erupt in Asia. China’s response to the USS Pueblo crisis is less clear.[75]

After Khrushchev was replaced by Leonid Brezhnev as Soviet Leader in 1964, and with the incentive of Soviet aid, North Korea strengthened its ties with the USSR. Kim condemned China’s Cultural Revolution as “unbelievable idiocy”. In turn, China’s Red Guards labelled him a “fat revisionist”.[76][77] But by 1970, most of the storm clouds of the Cultural Revolution had blown away and relations with China quickly returned to normal. Chinese premier Zhou Enlai visited Pyongyang that year and apologized for the attacks made on Kim by the Red Guards. At the same time, the Soviets were again criticized by both Chinese and North Korean officials for being too soft on the United States. The Cultural Revolution was now viewed in North Korea as an excellent idea and “completely correct”.

In 1972, the first formal summit meeting between Pyongyang and Seoul was held, but the cautious talks did not lead to a lasting change in the relationship.[78]

With the fall of South Vietnam to the North Vietnamese on April 30, 1975, Kim Il-sung began to feel that the US had shown its weakness and that reunification of Korea under his regime was finally possible. Kim visited Beijing in May 1975 in the hope of gaining political and military support for this plan to invade South Korea again, but Mao Zedong refused.[79] Despite public proclamations of support, Mao privately told Kim that China would be unable to assist North Korea this time because of the lingering after-effects of the Cultural Revolution throughout China, and also because Mao had recently decided to restore diplomatic relations with the US. Afterwards, Kim went home empty-handed.[80]

Meanwhile, North Korea emphasized its independent orientation by joining the Non-Aligned Movement in 1975.[81] It promoted Juche as a model for developing countries to follow.[82] It developed strong ties with the regimes of Bokassa in the Central African Republic, Macias Nguema in Equatorial Guinea, Idi Amin in Uganda, Pol Pot in Cambodia, Gaddafi in Libya, and Ceausescu in Romania.[83]

Economic development

Reconstruction of the country after the war proceeded with extensive Chinese and Soviet assistance.[84][85] Koreans with experience in Japanese industries also played a significant part.[86]Land was collectivized between 1953 and 1958. Resistance appears to have been minimal as landlords had been eliminated by the earlier reforms or during the war.[87]

Although developmental debates took place within the Workers’ Party of Korea in the 1950s, North Korea, like all the postwar communist states, undertook massive state investment in heavy industry, state infrastructure and military strength, neglecting the production of consumer goods.[71]

The first Three Year Plan (1954–1956) introduced the concept of Juche or self-reliance.[88] The first Five Year Plan (1957-1961) consolidated the collectivization of agriculture and initiated mass mobilizations campaigns: the Chollima Movement, the Chongsan-ni system in agriculture and the Taean Work System in industry.[88][89] The Chollima Movement was influenced by China’s Great Leap Forward, but did not have its disastrous results.[88]Industry was fully nationalized by 1959.[90] Taxation on agricultural income was abolished in 1966.[91]

North Korea was placed on a semi-war footing, with equal emphasis being given to the civilian and military economies. This was expressed in the 1962 Party Plenum by the slogan, “Arms in one hand and a hammer and sickle in the other!”[92] At a special party conference in 1966, members of the leadership who opposed the military build-up were removed.[93]

On the ruins left by the war, North Korea had built an industrialized command economy. Che Guevara, then a Cuban government minister, visited North Korea in 1960, and proclaimed it a model for Cuba to follow. In 1965, the British economist Joan Robinson described North Korea’s economic development as a “miracle”.[94][95] As late as the 1970s, its GDP per capita was estimated to be equivalent to South Korea’s.[96][97][98][99] By 1968, all homes had electricity, though the supply was unreliable.[100] By 1972, all children from age 5 to 16 were enrolled in school, and over 200 universities and specialized colleges had been established.[101][102] By the early 1980s, 60–70% of the population was urbanized.[103]

Decline and crisis

North Korean village in the Yalu River delta

In the 1970s, expansion of North Korea’s economy, with the accompanying rise in living standards, came to an end.[104] Compounding this was a decision to borrow foreign capital and invest heavily in military industries. North Korea’s desire to lessen its dependence on aid from China and the Soviet Union prompted the expansion of its military power, which had begun in the second half of the 1960s. The government believed such expenditures could be covered by foreign borrowing and increased sales of its mineral wealth in the international market. North Korea invested heavily in its mining industries and purchased a large quantity of mineral extraction infrastructure from abroad. It also purchased entire petrochemical, textile, concrete, steel, pulp and paper manufacturing plants from the developed capitalist world.[105] This included a Japanese-Danish venture that provided North Korea with the largest cement factory in the world.[106] However, following the world 1973 oil crisis, international prices for many of North Korea’s native minerals fell, leaving the country with large debts and an inability to pay them off and still provide a high level of social welfare to its people. North Korea began to default in 1974 and halted almost all repayments in 1985. As a result, it was unable to pay for Western technology.[107]

Worsening this already poor situation, the centrally planned economy, which emphasized heavy industry had reached the limits of its productive potential in North Korea. Juche’s repeated demands that North Koreans learn to build and innovate domestically had run its course as had the ability of North Koreans to keep technological pace with other industrialized nations. By the mid to late-1970s some parts of the capitalist world, including South Korea, were creating new industries based around computers, electronics, and other advanced technology in contrast to North Korea’s Stalinist economy of mining and steel production.[108] Migration to urban areas stalled.[109]

Despite the emerging economic problems, the regime invested heavily on prestigious projects, such as the Juche Tower, the Nampo Dam, and the Ryugyong Hotel. In 1989, as a response to the 1988 Seoul Olympics it held the 13th World Festival of Youth and Students in Pyongyang.[110][111] In fact, the grandiosity associated with the regime and its personality cult, as expressed in monuments, museums, and events, has been identified as a factor in the economic decline.[112]

In 1984 Kim visited Moscow during a grand tour of the USSR where he met Soviet leader Konstantin Chernenko. Kim also made public visits to East Germany, Czechoslovakia, Poland, Hungary, Romania, Bulgaria and Yugoslavia. Soviet involvement in the North Korean economy increased, until 1988 when bilateral trade peaked at US$2.8 billion.[113] In 1986, Kim met the incoming Soviet leader Mikhail Gorbachev and received a pledge of support.[114]

However, Gorbachev’s reforms and diplomatic initiatives, the Chinese economic reforms starting in 1979, and the collapse of the Eastern Bloc from 1989 to 1991 increased North Korea’s isolation.[115] The leadership in Pyongyang responded by proclaiming that the collapse of the Eastern Bloc demonstrated the correctness of the policy of Juche.[116]

The collapse of the Soviet Union in 1991 deprived North Korea of its main source of economic aid, leaving China as the isolated regime’s only major ally. Without Soviet aid, North Korea’s economy went into a free-fall. By this time in the early 1990s, Kim Jong-il was already conducting most of the day-to-day activities of running of the state. Meanwhile, international tensions were rising over North Korean’s quest for nuclear weapons. Former US president Jimmy Carter made a visit to Pyongyang in June 1994 in which he met with Kim and returned proclaiming that he had resolved the crisis.[117]

Succession by Kim Jong-il

Portraits of Kim Il-sung and his son and successor Kim Jong-il

Kim Il-sung died from a sudden heart attack on July 8, 1994, three weeks after the Carter visit. His son, Kim Jong-il, who had already assumed key positions in the government, succeeded as General-Secretary of the Korean Workers’ Party. At that time, North Korea had no secretary-general in the party nor a president. Minimal legal procedure that had been established was summarily ignored. Although a new constitution appeared to end the war-time political system, it did not completely terminate the transitional military rule. Rather it legitimized and institutionalized military rule by making the National Defense Commission (NDC) the most important state organization and its chairman the highest authority. After three years of consolidating his power, Kim Jong-il became Chairman of the NDC on October 8, 1997, a position described by the NDC as the nation’s “highest administrative authority,” and thus North Korea’s de facto head of state. His succession had been foreshadowed in 1980, when he was introduced to the public at the Sixth Party Congress.[118] In 1982, Kim Jong-il had established himself as a leading theoretician with the publication of On the Juche Idea.[119] In 1984, he had been officially confirmed as his father’s successor.[120]

Meanwhile, the economy was in steep decline. In 1990-1995, foreign trade was cut in half, with the loss of subsidized Soviet oil being particularly keenly felt. The crisis came to a head in 1995 with widespread flooding that destroyed crops and infrastructure, leading to a famine that lasted till 1998.[121] At the same time, there appeared to be little significant internal opposition to the regime. Indeed, a great many of the North Koreans fleeing to China because of famine still showed significant support for the government as well as pride in their homeland. Many of these people reportedly returned to North Korea after earning sufficient money.[122]

In 1998 the government announced a new policy called “Songun“, or “Military First”. This suggested that the Korean People’s Army was now more powerful than the Korean Workers’ Party.[123]

President Kim Dae-jung of South Korea actively attempted to reduce tensions between the two Koreas under the Sunshine Policy, but this produced few immediate results. Since the election of George W. Bush as the President of the United States in 2000, North Korea has faced renewed external pressure over its nuclear program, reducing the prospect of international economic assistance.

In 2002, Kim Jong-il declared that “money should be capable of measuring the worth of all commodities”, followed by some small market-oriented measures, and the creation of the Kaesong Industrial Region with transport links to South Korea was announced.[citation needed] Experiments are under way to allow factory managers to fire underperforming workers and give bonuses. China’s investments increased to $200 million in 2004.[citation needed]

On October 9, 2006, North Korea has announced that it had successfully detonated a nuclear device underground at 10:36 am local time without any radiation leak. An official at South Korea’s seismic monitoring center confirmed a magnitude-3.6 tremor felt at the time North Korea said it conducted the test was not a natural occurrence.[124]

Additionally, North Korea was running a missile development program. In 1998, North Korea tested a Taepondong-1 Space Launch Vehicle, which successfully launched but failed to reach orbit. On July 5, 2006, they tested a Taepodong-2 ICBM that reportedly could reach the west coast of the U.S. in the 2-stage version, or the entire U.S. with a third stage. However, the missile failed shortly after launch, so it is unknown what its exact capabilities are or how close North Korea is to perfecting the technology.

North Korea’s advancements in weapons technology appear to give them leverage in ongoing negotiations with the United Nations and other countries. On February 13, 2007, North Korea signed an agreement with South Korea, the United States, Russia, China, and Japan, which stipulated North Korea would shut down itsYongbyon nuclear reactor in exchange for economic and energy assistance. However, in 2009 the North continued its nuclear test program.

In 2010, the sinking of a South Korean naval ship, the Cheonan, reportedly by a North Korean torpedo, escalated tensions between North and South.

Current situation

A computer lab classroom in the Grand People’s Study House, Pyongyang, 2012

Kim Jong-Il died on December 17, 2011[125] and was quickly succeeded by his son, Kim Jong-un. Tensions between North Korea and other countries increased due to its rocket launches and nuclear bomb testing, and UN sanctions have been tightened.

In 2014, the United Nations Commission of Inquiry accused the government of crimes against humanity.[126]

In 2015, North Korea adopted Pyongyang Standard Time (UTC+08.30), reversing the change to Japan Standard Time (UTC+9.00) which had been imposed by the Japanese Empire. As a result, North Korea was in a different time zone from South Korea.[127]

The 7th Congress of the Workers’ Party of Korea was held in 2016, where Kim Jong-Un further consolidated his control and power within the Workers’ Party of Korea and country.

See also

https://en.wikipedia.org/wiki/History_of_North_Korea

 Story 2: Attorney General Sessions Enforces Immigration Law — Videos

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The Pronk Pops Show 865, March 31, 2017, Story 1: Conservative and Libertarian Talk Radio Could Turn On Trump For Attacking Freedom Caucus and Failure To Completely Repeal Obamacare By Law (Statute) Not Discretion of Secretary of Health and Human Services Dr. Thomas Price — Establishment Republican House Speaker Ryan’s Bad Faith, Bad Process, Bad Bill — Socialized Medicine Obamacare Lite vs. Good Faith, Good Process, Good Bill — Free Enterprise Market Capitalism Competitive Health Insurance Premiums and Deductibles Decreases! — Close The Deal Mr. President — Videos — Story 2: Obama Administration Spied On American Citizens Including Trump and Trump Team — Obama Scandal Far Worse Than Nixon’s Cover-up of Watergate Break-in — Legacy Fading Fast — Grand Jury Should Be Impaneled Now! — Videos

Posted on March 31, 2017. Filed under: American History, Applications, Blogroll, Breaking News, Business, Communications, Computers, Congress, Consitutional Law, Countries, Crime, Culture, Donald J. Trump, Donald Trump, Economics, Education, Empires, Employment, Federal Bureau of Investigation (FBI), Federal Government, Foreign Policy, Fourth Amendment, Freedom of Speech, Government, Government Dependency, Government Spending, Hardware, Health, Health Care, Health Care Insurance, High Crimes, History, House of Representatives, Human, Independence, Insurance, Investments, Language, Law, Life, Media, Medicare, Mike Pence, National Security Agency, News, Nixon, Obama, Philosophy, Photos, Politics, Polls, President Barack Obama, Progressives, Radio, Raymond Thomas Pronk, Regulation, Rule of Law, Scandals, Second Amendment, Security, Senate, Servers, Social Networking, Social Security, Software, Spying, Surveillance and Spying On American People, Terror, Terrorism, Unemployment, United States Constitution, United States of America, Welfare Spending | Tags: , , , , , , , , , , , , , , , , , |

 

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Story 1: Conservative and Libertarian Talk Radio Could Turn On Trump For Attacking Freedom Caucus and Failure To Completely Repeal Obamacare By Law (Statute) Not Discretion of Secretary of Health and Human Services Dr. Thomas Price — Establishment Republican House Speaker Ryan’s Bad Faith, Bad Process, Bad Bill — Socialized Medicine Obamacare Lite  vs. Good Faith, Good Process, Good Bill — Free Enterprise Market Capitalism Competitive Health Insurance Premiums and Deductibles Decreases! — Close The Deal Mr. President — Videos —

 

“Effective as of Dec. 31, 2017, the Patient Protection and Affordable Care Act is repealed, and the provisions of law amended or repealed by such Act are restored or revived as if such Act had not been enacted,”

 Image result for trump tweet freedom caususImage result for Trump on freedom caucus ring leaders

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Rep. Mo Brooks Files A Bill To Repeal Obamacare

Published on Mar 27, 2017

On the same day that the House of Representatives canceled its vote on Ryancare, Alabama Rep. Mo Brooks filed a simple one-line bill to repeal Obama’s signature health care law.
The Huntsville Republican titled the bill ‘Obamacare Repeal Act.” It is short and to the point, AI.com reported.
“Effective as of Dec. 31, 2017, the Patient Protection and Affordable Care Act is repealed, and the provisions of law amended or repealed by such Act are restored or revived as if such Act had not been enacted,” the bill reads.
Brooks, a member of the House Freedom Caucus, told constituents last week that he was a “no” vote on the Obamacare repeal/replace bill offered by Republican Speaker of the House Paul Ryan.
Also last week, in an interview with SiriusXM host Alex Marlow, Brooks called the Speaker’s bill “a horrible replacement bill.”

Rep. Brooks: We need a bill that repeals Obamacare

Rep. Mo Brooks: ‘Deceptive’ to call GOP’s plan a repeal of Obamacare

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Poll: Just 17 percent of voters back ObamaCare repeal plan

 

Poll: Just 17 percent of voters back ObamaCare repeal plan

A majority of American voters oppose the Republicans’ plan to repeal and replace ObamaCare, while very few voters support it, a new poll finds.

A poll published Thursday by Quinnipiac University found that 56 percent of voters disapprove of the GOP healthcare plan, while just 17 percent support it.

Even among Republicans, only 41 percent support the American Health Care Act, while 24 percent oppose it. And 80 percent of Democrats and 58 percent of Independent voters disapprove of the plan.

Republicans are scrambling to shore up support for the repeal-and-replace bill ahead of an expected House vote later Thursday. President Trump is meeting with members of the conservative Freedom Caucus, who are seeking a number of changes to the bill in exchange for their support.But centrist Republicans are fleeing from the bill as it changes to fit the conservatives’ desires, complicating efforts to get the bill passed in the House.

The poll found that 46 percent of voters say they will be less likely to vote for their Congressional representative if they vote to approve the GOP health insurance plan.

The Quinnipiac University poll was conducted from March 16 to 21 and surveyed 1,056 voters. The margin of error is 3 percentage points.

http://thehill.com/policy/healthcare/325448-poll-majority-of-voters-disapprove-of-gop-obamacare-repeal-plan

 

Essential health benefits

From Wikipedia, the free encyclopedia

In the context of health care in the United States, essential health benefits (EHBs) are a set of benefits that certain health insurance plans are required to cover for patients.[1]

Essential health benefits must be offered by health plans in individual and small group markets, both inside and outside of the Health Insurance Marketplace.[2][3] Large-group health plans, self-insured ERISA plans, and ERISA-governed multiemployer welfare arrangements not subject to state insurance law are exempt from the EHB requirement.[4]

Essential health benefits

The ACA sets forth the following ten categories of essential health benefits,[5][6] at Section 1302(b)(1) of the Affordable Care Act, codified at 42 U.S.C. § 18022(b):[7]

  1. Ambulatory patient services. [outpatient care]
  2. Emergency services.
  3. Hospitalization. [inpatient care]
  4. Maternity and newborn care
  5. Mental health and substance use disorder services, including behavioral health treatment.
  6. Prescription drugs.
  7. Rehabilitative and habilitative services and devices.
  8. Laboratory services
  9. Preventive and wellness services and chronic disease management;
  10. Pediatric services, including oral and vision care.

The essential health benefits are a minimum standard: “Qualified health plans are not barred from offering additional benefits, and states may require that qualified health plans sold in state health insurance exchanges also cover state-mandated benefits.”[8]

The ACA’s list of essential health benefits is defined in terms of ten broad classes.[9] The act gives “considerable discretion” to the Secretary of Health and Human Services to determine, through regulation, what specific services within these classes are essential. However, the Act provides certain parameters for the secretary to consider. The secretary (1) must “ensure that such essential health benefits reflect an appropriate balance among the categories … so that benefits are not unduly weighted toward any category”; (2) may “not make coverage decisions, determine reimbursement rates, establish incentive programs, or design benefits in ways that discriminate against individuals because of their age, disability, or expected length of life”; (3) must take into account “the health care needs of diverse segments of the population, including women, children, persons with disabilities, and other groups”; and (4) must ensure that essential benefits “not be subject to denial to individuals against their wishes on the basis of the individuals’ age or expected length of life or the individuals’ present or predicted disability, degree of medical dependency, or quality of life.”[10]

According to a Commonwealth Fund report in 2011:

As it stands, federal regulations for 2014 and 2015 do not establish a single, nationally uniform package of health services. Instead, the U.S. Department of Health and Human Services (HHS) gave states discretion to determine the specific benefits they deem essential. This approach was well-received by many state officials, who valued the opportunity to tailor benefit standards to reflect state priorities, and by insurers, who retained more control over benefit design. Groups representing consumers and providers were less supportive, however, expressing concern that the degree of flexibility found in the rules undermines the law’s promise of consistent, meaningful coverage.[11]

History

Coverage of essential health benefits was first required by the Patient Protection and Affordable Care Act (PPACA or ACA) of 2010, which was a major piece of health care reform legislation.[1] The EHB provisions of the ACA was an amendment to the Public Health Service Act.[12]

Dr. Shana Alex Lavarreda, the director of health insurance studies for the UCLA Center for Health Policy Research, explains that before the ACA’s passage, U.S. health insurance sector experienced “a race to the bottom, with insurers cutting benefits to lower premiums.”[1] The establishment of essential health benefits “set a standard for insurance. Anything below that is not true health insurance.”[1] The EHB requirement came into effect on January 1, 2014.[1]

Revision and repeal of essential health benefits coverage was proposed in the Republican part American Health Care Act of 2017.[13] House Freedom Caucus members lobbied during legislation discussion with House Speaker Paul Ryan to remove EHBs as a condition for approval of the AHCA bill.[14]

Comparison with minimum essential coverage

Essential health benefits should not be confused with minimum essential coverage (MEC). MEC is the minimum amount of coverage that an individual must carry to meet the individual health insurance mandate, while EHBs are a set of benefits that qualified health plans (QHPs) must offer.[15] MEC is a low threshold; many forms of coverage that do not provide essential health benefits are nevertheless considered minimum essential coverage.[15]

Notes

  1. ^ Jump up to:a b c d e Frank Lalli, The Health Care Law’s 10 Essential Benefits: The Affordable Care Act ensures you’ll have access to these medical and wellness services, AARP The Magazine (August/September 2013).
  2. Jump up^ Essential Health Benefits, HealthCare.gov (accessed November 12, 2015).
  3. Jump up^ Rosenbaum, Teitelbaum & Hayes, p. 2.
  4. Jump up^ Rosenbaum, Teitelbaum & Hayes, p. 3.
  5. Jump up^ 10 health care benefits covered in the Health Insurance Marketplace, HealthCare.gov (accessed November 12, 2015).
  6. Jump up^ Alexandra Ernst, 10 Essential Health Benefits Insurance Plans Must Cover Starting in 2014, FamiliesUSA (March 28, 2013).
  7. Jump up^ 42 U.S. Code § 18022 – Essential health benefits requirements
  8. Jump up^ Rosenbaum, Teitelbaum & Hayes, p. 3.
  9. Jump up^ Rosenbaum, Teitelbaum & Hayes, p. 3.
  10. Jump up^ Rosenbaum, Teitelbaum & Hayes, pp. 3-4
  11. Jump up^ Giovannelli, Lucia & Corlette, p. 2.
  12. Jump up^ Rosenbaum, Teitelbaum & Hayes, p. 2.
  13. Jump up^ “Republicans may gut an overlooked provision of Obamacare — and disrupt health insurance”. Business Insider. Retrieved 2017-03-26.
  14. Jump up^ Luhby, Tami. “Essential Health Benefits and why they matter”. CNN. Retrieved 2017-03-26.
  15. ^ Jump up to:a b Susan Grassli & Lisa Klinger, Understanding the Difference between Minimum Essential Coverage, Essential Health Benefits, Minimum Value, and Actuarial Value, Leavitt Group (January 27, 2014).

Sources

External links

Patient Protection and Affordable Care Act

From Wikipedia, the free encyclopedia
Patient Protection and Affordable Care Act
Great Seal of the United States
Long title The Patient Protection and Affordable Care Act
Acronyms(colloquial) PPACA, ACA
Nicknames Affordable Care Act, Health Insurance Reform, Healthcare Reform, Obamacare
Enacted by the 111th United States Congress
Effective March 23, 2010; 7 years ago
Most major provisions phased in by January 2014; remaining provisions phased in by 2020
Citations
Public law 111–148
Statutes at Large 124 Stat.119through 124 Stat.1025(906 pages)
Legislative history
  • Introduced in the Houseasthe “Service Members Home Ownership Tax Act of 2009” (H.R. 3590) byCharles Rangel (DNY) on September 17, 2009
  • Committee consideration byWays and Means
  • Passed the House on October 8, 2009 (416–0)
  • Passed the Senate as the “Patient Protection and Affordable Care Act” on December 24, 2009 (60–39) with amendment
  • House agreed to Senate amendment on March 21, 2010 (219–212)
  • Signed into law by PresidentBarack Obamaon March 23, 2010
Major amendments
Health Care and Education Reconciliation Act of 2010
Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011
United States Supreme Court cases
National Federation of Independent Business v. Sebelius
Burwell v. Hobby Lobby
King v. Burwell

The Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act (ACA) and nicknamed Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by PresidentBarack Obama on March 23, 2010. Under the act, hospitals and primary physicians would transform their practices financially, technologically, and clinically to drive better health outcomes, lower costs, and improve their methods of distribution and accessibility.

The Affordable Care Act was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage and reduce the costs of healthcare. It introduced mechanisms including mandates, subsidies and insurance exchanges.[1][2] The law requires insurers to accept all applicants, cover a specific list of conditions and charge the same rates regardless of pre-existing conditions or sex.[3]

The ACA has caused a significant reduction in the number and percentage of people without health insurance, with estimates ranging from 20-24 million additional persons covered during 2016.[4][5] Increases in overall healthcare spending have slowed since the law was implemented, including premiums for employer-based insurance plans.[6] The Congressional Budget Office reported in several studies that the ACA would reduce the budget deficit, and that repealing it would increase the deficit.[7][8]

As implementation began, first opponents, then others, and finally the president himself adopted the term “Obamacare” to refer to the ACA.[9]

The law and its implementation faced challenges in Congress and federal courts, and from some state governments, conservativeadvocacy groups, labor unions, and small business organizations. The United States Supreme Court upheld the constitutionality of the ACA’s individual mandate as an exercise of Congress’s taxing power,[10]found that states cannot be forced to participate in the ACA’s Medicaid expansion,[11][12][13] and found that the law’s subsidies to help individuals pay for health insurance are available in all states, not just in those that have set up state exchanges.[14]

Together with the Health Care and Education Reconciliation Act amendment, it represents the U.S. healthcare system‘s most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965.[15][16][17][18]

Contents

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Provisions

The President and White House Staff react to the House of Representatives passing the bill on March 21, 2010.

The ACA includes provisions to take effect between 2010 and 2020, although most took effect on January 1, 2014. Few areas of the US health care system were left untouched, making it the most sweeping health care reform since the enactment of Medicare and Medicaid in 1965.[15][16][17][19][18] However, some areas were more affected than others. The individual insurance market was radically overhauled, and many of the law’s regulations applied specifically to this market,[15] while the structure of Medicare, Medicaid, and the employer marketwere largely retained.[16] Most of the coverage gains were made through the expansion of Medicaid,[20] and the biggest cost savings were made in Medicare.[16] Some regulations applied to the employer market, and the law also made delivery system changes that affected most of the health care system.[16] Not all provisions took full effect. Some were made discretionary, some were deferred, and others were repealed before implementation.

Individual insurance

Guaranteed issue prohibits insurers from denying coverage to individuals due to pre-existing conditions. States were required to ensure the availability of insurance for individual children who did not have coverage via their families.

States were required to expand Medicaid eligibility to include individuals and families with incomes up to 133% of the federal poverty level, including adults without disabilities or dependent children.[21] The law provides a 5% “income disregard”, making the effective income eligibility limit for Medicaid 138% of the poverty level.[22]

The State Children’s Health Insurance Program (CHIP) enrollment process was simplified.[21]

Dependents were permitted to remain on their parents’ insurance plan until their 26th birthday, including dependents that no longer live with their parents, are not a dependent on a parent’s tax return, are no longer a student, or are married.[23][24]

Among the groups who remained uninsured were:

  • Illegal immigrants, estimated at around 8 million—or roughly a third of the 23 million projection—are ineligible for insurance subsidies and Medicaid.[25][26] They remain eligible for emergency services.
  • Eligible citizens not enrolled in Medicaid.[27]
  • Citizens who pay the annual penalty instead of purchasing insurance, mostly younger and single.[27]
  • Citizens whose insurance coverage would cost more than 8% of household income and are exempt from the penalty.[27]
  • Citizens who live in states that opt out of the Medicaid expansion and who qualify for neither existing Medicaid coverage nor subsidized coverage through the states’ new insurance exchanges.[28]

Subsidies

Households with incomes between 100% and 400% of the federal poverty level were eligible to receive federal subsidies for policies purchased via an exchange.[29][30] Subsidies are provided as an advanceable, refundable tax credit[31][32] Additionally, small businesses are eligible for a tax credit provided that they enroll in the SHOP Marketplace.[33] Under the law, workers whose employers offer affordable coverage will not be eligible for subsidies via the exchanges. To be eligible the cost of employer-based health insurance must exceed 9.5% of the worker’s household income.

Subsidies (2014) for Family of 4[34][35][36][37][38]
Income % of federal poverty level Premium Cap as a Share of Income Incomea Max Annual Out-of-Pocket Premium Premium Savingsb Additional Cost-Sharing Subsidy
133% 3% of income $31,900 $992 $10,345 $5,040
150% 4% of income $33,075 $1,323 $9,918 $5,040
200% 6.3% of income $44,100 $2,778 $8,366 $4,000
250% 8.05% of income $55,125 $4,438 $6,597 $1,930
300% 9.5% of income $66,150 $6,284 $4,628 $1,480
350% 9.5% of income $77,175 $7,332 $3,512 $1,480
400% 9.5% of income $88,200 $8,379 $2,395 $1,480
a.^ Note: In 2014, the FPL was $11,800 for a single person and $24,000 for family of four.[39][40] See Subsidy Calculator for specific dollar amount.[41] b.^ DHHS and CBO estimate the average annual premium cost in 2014 would have been $11,328 for a family of 4 without the reform.[36]

Premiums were the same for everyone of a given age, regardless of preexisting conditions. Premiums were allowed to vary by enrollee age, but those for the oldest enrollees (age 45-64 average expenses $5,542) could only be three times as large as those for adults (18-24 $1,836).[42]

Mandates

Individual

The individual mandate[43] is the requirement to buy insurance or pay a penalty for everyone not covered by an employer sponsored health plan, Medicaid, Medicare or other public insurance programs (such as Tricare). Also exempt were those facing a financial hardship or who were members in a recognized religious sect exempted by the Internal Revenue Service.[44]

The mandate and the limits on open enrollment[45][46] were designed to avoid the insurance death spiral in which healthy people delay insuring themselves until they get sick. In such a situation, insurers would have to raise their premiums to cover the relatively sicker and thus more expensive policies,[43][47][48] which could create a vicious cycle in which more and more people drop their coverage.[49]

The purpose of the mandate was to prevent the healthcare system from succumbing to adverse selection, which would result in high premiums for the insured and little coverage (and thus more illness and medical bankruptcy) for the uninsured.[47][50][51] Studies by the CBO, Gruber and Rand Health concluded that a mandate was required.[52][53][54] The mandate increased the size and diversity of the insured population, including more young and healthy participants to broaden the risk pool, spreading costs.[55] Experience in New Jersey and Massachusetts offered divergent outcomes.[50][53][56]

Business

Businesses that employ 50 or more people but do not offer health insurance to their full-time employees pay a tax penalty if the government has subsidized a full-time employee’s healthcare through tax deductions or other means. This is commonly known as the employer mandate.[57][58] This provision was included to encourage employers to continue providing insurance once the exchanges began operating.[59] Approximately 44% of the population was covered directly or indirectly through an employer.[60][61]

Excise taxes

Excise taxes for the Affordable Care Act raised $16.3 billion in fiscal year 2015 (17% of all excise taxes collected by the Federal Government). $11.3 billion was an excise tax placed directly on health insurers based on their market share. The ACA was going to impose a 40% “Cadillac tax” on expensive employer sponsored health insurance but that was postponed until 2018. Annual excise taxes totaling $3 billion were levied on importers and manufacturers of prescription drugs. An excise tax of 2.3% on medical devices and a 10% excise tax on indoor tanning services were applied as well.[62]

Insurance standards

Essential health benefits

The National Academy of Medicine defined the law’s “essential health benefits” as “ambulatory patient services; emergency services; hospitalization; maternity and newborn care; mental health and substance use disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services and chronic disease management; and pediatric services, including oral and vision care”[63][64][65][66][67][68][69] and others[70] rated Level A or B by the U.S. Preventive Services Task Force.[71] In determining what would qualify as an essential benefit, the law required that standard benefits should offer at least that of a “typical employer plan”.[68] States may require additional services.[72]

Contraceptives

One provision in the law mandates that health insurance cover “additional preventive care and screenings” for women.[73] The guidelines mandate “[a]ll Food and Drug Administration approved contraceptive methods, sterilization procedures, and patient education and counseling for all women with reproductive capacity”.[74] This mandate applies to all employers and educational institutions except for religious organizations.[75][76] These regulations were included on the recommendations of the Institute of Medicine.[77][78]

Risk management

ACA provided three ways to control risk for insurers in the individual and business markets: temporary reinsurance, temporary risk corridors, and permanent risk adjustment.

Risk corridor program

The risk-corridor program was a temporary risk management device defined under the PPACA section 1342[79]:1 to encourage reluctant insurers into the “new and untested” ACA insurance market during the first three years that ACA was implemented (2014-2016). For those years the Department of Health and Human Services (HHS) “would cover some of the losses for insurers whose plans performed worse than they expected. Insurers that were especially profitable, for their part, would have to return to HHS some of the money they earned on the exchanges”[80][81] According to an article in Forbes, risk corridors “had been a successful part of the Medicare prescription drug benefit, and the ACA’s risk corridors were modeled after Medicare’s Plan D.”[82] They operated on the principle that “more participation would mean more competition, which would drive down premiums and make health insurance more affordable” and “[w]hen insurers signed up to sell health plans on the exchanges, they did so with the expectation that the risk-corridor program would limit their downside losses.”[80] The risk corridors succeeded in attracting ACA insurers. The program did not pay for itself as planned with “accumulated losses” up to $8.3 billion for 2014 and 2015 alone. Authorization had to be given so that HHS could pay insurers from “general government revenues”. Congressional Republicans “railed against” the program as a ‘bailout’ for insurers. Then-Rep. Jack Kingston (R-Ga.), on the Appropriations Committee that funds the Department of Health and Human Services and the Labor Department “[slipped] in a sentence” — Section 227 — in the “massive” appropriationsConsolidated Appropriations Act, 2014 (H.R. 3547) that said that no funds in the discretionary spending bill “could be used for risk-corridor payments.” This effectively “blocked the administration from obtaining the necessary funds from other programs”[83] and placed Congress in a potential breach of contract with insurers who offered qualified health plans, under the Tucker Act[79] as it did not pay the insurers.[84][84] On February 10, 2017, in the Moda Health v the US Government, Moda, one of the insurers that struggled financially because of the elimination of the risk corridor program, won a “$214-million judgment against the federal government”. Justice Thomas C. Wheeler stated, “the Government “made a promise in the risk corridors program that it has yet to fulfill. Today, the court directs the Government to fulfill that promise. After all, ‘to say to [Moda], ‘The joke is on you. You shouldn’t have trusted us,’ is hardly worthy of our great government.”[85]

Temporary reinsurance

Temporary reinsurance for insurance for insurers against unexpectedly high claims was a program that ran from 2014 through 2016. It was intended to limit insurer losses.[citation needed]

Risk adjustment

Of the three risk management programs, only risk adjustment was permanent. Risk adjustment attempts to spread risk among insurers to prevent purchasers with good knowledge of their medical needs from using insurance to cover their costs (adverse selection). Plans with low actuarial risk compensate plans with high actuarial risk.[citation needed]

Other provisions

In 2012 Senator Sheldon Whitehouse created this summary to explain his view on the act.

The ACA has several other provisions:

  • Annual and lifetime coverage caps on essential benefits were banned.[86][87]
  • Prohibits insurers from dropping policyholders when they get sick.[88]
  • All health policies sold in the United States must provide an annual maximum out of pocket (MOOP) payment cap for an individual’s or family’s medical expenses (excluding premiums). After the MOOP payment cap is reached, all remaining costs must be paid by the insurer.[89]
  • A partial community rating requires insurers to offer the same premium to all applicants of the same age and location without regard to gender or most pre-existing conditions (excluding tobacco use).[90][91][92] Premiums for older applicants can be no more than three times those for the youngest.[93]
  • Preventive care, vaccinations and medical screenings cannot be subject to co-payments, co-insurance or deductibles.[94][95][96] Specific examples of covered services include: mammograms and colonoscopies, wellness visits, gestational diabetes screening, HPV testing, STI counseling, HIV screening and counseling, contraceptive methods, breastfeeding support/supplies and domestic violence screening and counseling.[97]
  • The law established four tiers of coverage: bronze, silver, gold and platinum. All categories offer the essential health benefits. The categories vary in their division of premiums and out-of-pocket costs: bronze plans have the lowest monthly premiums and highest out-of-pocket costs, while platinum plans are the reverse.[68][98] The percentages of health care costs that plans are expected to cover through premiums (as opposed to out-of-pocket costs) are, on average: 60% (bronze), 70% (silver), 80% (gold), and 90% (platinum).[99]
  • Insurers are required to implement an appeals process for coverage determination and claims on all new plans.[88]
  • Insurers must spend at least 80–85% of premium dollars on health costs; rebates must be issued to policyholders if this is violated.[100][101]

Exchanges

Established the creation of health insurance exchanges in all fifty states. The exchanges are regulated, largely online marketplaces, administered by either federal or state government, where individuals and small business can purchase private insurance plans.[102][103][104]

Setting up an exchange gives a state partial discretion on standards and prices of insurance.[105][106] For example, states approve plans for sale, and influence (through limits on and negotiations with private insurers) the prices on offer. They can impose higher or state-specific coverage requirements—including whether plans offered in the state can cover abortion.[107] States without an exchange do not have that discretion. The responsibility for operating their exchanges moves to the federal government.[105]

State waivers

From 2017 onwards, states can apply for a “waiver for state innovation” that allows them to conduct experiments that meet certain criteria.[108] To obtain a waiver, a state must pass legislation setting up an alternative health system that provides insurance at least as comprehensive and as affordable as ACA, covers at least as many residents and does not increase the federal deficit.[109] Such states can exempt states from some of ACA’s central requirements, including the individual and employer mandates and the provision of an insurance exchange.[110] The state would receive compensation equal to the aggregate amount of any federal subsidies and tax credits for which its residents and employers would have been eligible under ACA plan, if they cannot be paid out due to the structure of the state plan.[108]

In May 2011, Vermont enacted Green Mountain Care, a state-based single-payer system for which they intended to pursue a waiver to implement.[111][112][113] In December 2014, Vermont decided not to continue due to high expected costs.[114]

Accountable Care Organizations

The Act allowed the creation of Accountable Care Organizations (ACOs), which are groups of doctors, hospitals and other providers that commit to give coordinated, high quality care to Medicare patients. ACOs were allowed to continue using a fee for service billing approach. They receive bonus payments from the government for minimizing costs while achieving quality benchmarks that emphasize prevention and mitigating chronic disease. If they fail to do so, they are subject to penalties.[115]

Unlike Health Maintenance Organizations, ACO patients are not required to obtain all care from the ACO. Also, unlike HMOs, ACOs must achieve quality of care goals.[115]

Others

Legislative history

President Obama signing the Patient Protection and Affordable Care Act on March 23, 2010

Background

An individual mandate coupled with subsidies for private insurance as a means for universal healthcare was considered the best way to win the support of the Senate because it had been included in prior bipartisan reform proposals. The concept goes back to at least 1989, when the conservativeHeritage Foundation proposed an individual mandate as an alternative to single-payer health care.[125] It was championed for a time by conservative economists and Republican senators as a market-based approach to healthcare reform on the basis of individual responsibility and avoidance of free rider problems. Specifically, because the 1986 Emergency Medical Treatment and Active Labor Act (EMTALA) requires any hospital participating in Medicare (nearly all do) to provide emergency care to anyone who needs it, the government often indirectly bore the cost of those without the ability to pay.[126][127][128]

President Bill Clintonproposed a healthcare reform bill in 1993 that included a mandate for employers to provide health insurance to all employees through a regulated marketplace of health maintenance organizations. Republican Senators proposed an alternative that would have required individuals, but not employers, to buy insurance.[127]Ultimately the Clinton plan failed amid an unprecedented barrage of negative advertising funded by politically conservative groups and the health insurance industry and due to concerns that it was overly complex.[129] Clinton negotiated a compromise with the 105th Congress to instead enact the State Children’s Health Insurance Program (SCHIP) in 1997.[130]

John Chafee

The 1993 Republican alternative, introduced by Senator John Chafee as the Health Equity and Access Reform Today Act, contained a “universal coverage” requirement with a penalty for noncompliance—an individual mandate—as well as subsidies to be used in state-based ‘purchasing groups’.[131] Advocates for the 1993 bill included prominent Republicans such as Senators Orrin Hatch, Chuck Grassley, Bob Bennett and Kit Bond.[132][133] Of 1993’s 43 Republican Senators, 20 supported the HEART Act.[125][134] Another Republican proposal, introduced in 1994 by Senator Don Nickles (R-OK), the Consumer Choice Health Security Act, contained an individual mandate with a penalty provision;[135] however, Nickles subsequently removed the mandate from the bill, stating he had decided “that government should not compel people to buy health insurance”.[136] At the time of these proposals, Republicans did not raise constitutional issues with the mandate; Mark Pauly, who helped develop a proposal that included an individual mandate for George H. W. Bush, remarked, “I don’t remember that being raised at all. The way it was viewed by the Congressional Budget Office in 1994 was, effectively, as a tax.”[125]

Mitt Romney’s Massachusetts went from 90% of its residents insured to 98%, the highest rate in the nation.[137]

In 2006, an insurance expansion bill was enacted at the state level in Massachusetts. The bill contained both an individual mandate and an insurance exchange. Republican Governor Mitt Romney vetoed the mandate, but after Democrats overrode his veto, he signed it into law.[138] Romney’s implementation of the ‘Health Connector’ exchange and individual mandate in Massachusetts was at first lauded by Republicans. During Romney’s 2008 presidential campaign, Senator Jim DeMint praised Romney’s ability to “take some good conservative ideas, like private health insurance, and apply them to the need to have everyone insured”. Romney said of the individual mandate: “I’m proud of what we’ve done. If Massachusetts succeeds in implementing it, then that will be the model for the nation.”[139]

In 2007, a year after the Massachusetts reform, Republican Senator Bob Bennett and Democratic Senator Ron Wyden introduced the Healthy Americans Act, which featured an individual mandate and state-based, regulated insurance markets called “State Health Help Agencies”.[128][139] The bill initially attracted bipartisan support, but died in committee. Many of the sponsors and co-sponsors remained in Congress during the 2008 healthcare debate.[140]

By 2008 many Democrats were considering this approach as the basis for healthcare reform. Experts said that the legislation that eventually emerged from Congress in 2009 and 2010 bore similarities to the 2007 bill[131] and that it was deliberately patterned after Romney’s state healthcare plan.[141]

Healthcare debate, 2008–10

Healthcare reform was a major topic during the 2008 Democratic presidential primaries. As the race narrowed, attention focused on the plans presented by the two leading candidates, Hillary Clinton and the eventual nominee, Barack Obama. Each candidate proposed a plan to cover the approximately 45 million Americans estimated to not have health insurance at some point each year. Clinton’s proposal would have required all Americans to obtain coverage (in effect, an individual mandate), while Obama’s proposal provided a subsidy but rejected the use of an individual mandate.[142][143]

During the general election, Obama said that fixing healthcare would be one of his top four priorities as president.[144] Obama and his opponent, Sen. John McCain, proposed health insurance reforms though they differed greatly. Senator John McCain proposed tax credits for health insurance purchased in the individual market, which was estimated to reduce the number of uninsured people by about 2 million by 2018. Obama proposed private and public group insurance, income-based subsidies, consumer protections, and expansions of Medicaid and SCHIP, which was estimated at the time to reduce the number of uninsured people by 33.9 million by 2018.[145]

President Obama addressing Congress regarding healthcare reform, September 9, 2009

After his inauguration, Obama announced to a joint session of Congress in February 2009 his intent to work with Congress to construct a plan for healthcare reform.[146][147] By July, a series of bills were approved by committees within the House of Representatives.[148] On the Senate side, from June to September, the Senate Finance Committee held a series of 31 meetings to develop a healthcare reform bill. This group — in particular, Democrats Max Baucus, Jeff Bingaman and Kent Conrad, along with Republicans Mike Enzi, Chuck Grassley and Olympia Snowe — met for more than 60 hours, and the principles that they discussed, in conjunction with the other committees, became the foundation of the Senate healthcare reform bill.[149][150][151]

Congressional Democrats and health policy experts like MIT economics professor Jonathan Gruber[152] and David Cutler argued that guaranteed issue would require both community rating and an individual mandate to ensure that adverse selection and/or “free riding” would not result in an insurance “death spiral”.[153] This approach was taken because the president and congressional leaders had concluded that more progressive plans, such as the (single-payer)Medicare for All act, could not obtain filibuster-proof support in the Senate. By deliberately drawing on bipartisan ideas — the same basic outline was supported by former Senate majority leaders Howard Baker, Bob Dole, Tom Daschle and George J. Mitchell—the bill’s drafters hoped to garner the votes necessary for passage.[154][155]

However, following the adoption of an individual mandate, Republicans came to oppose the mandate and threatened to filibuster any bills that contained it.[125] Senate minority leader Mitch McConnell, who led the Republican congressional strategy in responding to the bill, calculated that Republicans should not support the bill, and worked to prevent defections:[156]

It was absolutely critical that everybody be together because if the proponents of the bill were able to say it was bipartisan, it tended to convey to the public that this is O.K., they must have figured it out.[157]

Republican Senators, including those who had supported previous bills with a similar mandate, began to describe the mandate as “unconstitutional”. Journalist Ezra Klein wrote in The New Yorker that “a policy that once enjoyed broad support within the Republican Party suddenly faced unified opposition.”[128] Reporter Michael Cooper of The New York Times wrote that: “the provision … requiring all Americans to buy health insurance has its roots in conservative thinking.”[127][134]

Tea Party protesters at the Taxpayer March on Washington, September 12, 2009

The reform negotiations also attracted attention from lobbyists,[158] including deals between certain lobby groups and the advocates of the law to win the support of groups that had opposed past reforms, as in 1993.[159][160] The Sunlight Foundation documented many of the reported ties between “the healthcare lobbyist complex” and politicians in both parties.[161]

During the August 2009 summer congressional recess, many members went back to their districts and held town hall meetings on the proposals. The nascent Tea Party movement organized protests and many conservative groups and individuals attended the meetings to oppose the proposed reforms.[147] Many threats were made against members of Congress over the course of the debate.[162][163]

When Congress returned from recess, in September 2009 President Obama delivered a speech to a joint session of Congress supporting the ongoing Congressional negotiations.[164] He acknowledged the polarization of the debate, and quoted a letter from the late Senator Edward “Ted” Kennedy urging on reform: “what we face is above all a moral issue; that at stake are not just the details of policy, but fundamental principles of social justice and the character of our country.”[165] On November 7, the House of Representatives passed the Affordable Health Care for America Act on a 220–215 vote and forwarded it to the Senate for passage.[147]

Senate

The Senate began work on its own proposals while the House was still working. The United States Constitution requires all revenue-related bills to originate in the House.[166] To formally comply with this requirement, the Senate used H.R. 3590, a bill regarding housing tax changes for service members.[167] It had been passed by the House as a revenue-related modification to the Internal Revenue Code. The bill became the Senate’s vehicle for its healthcare reform proposal, discarding the bill’s original content.[168] The bill ultimately incorporated elements of proposals that were reported favorably by the Senate Health and Finance committees. With the Republican Senate minority vowing to filibuster, 60 votes would be necessary to pass the Senate.[169] At the start of the 111th Congress, Democrats had only 58 votes; the Senate seat in Minnesota ultimately won by Al Franken was still undergoing a recount, while Arlen Specter was still a Republican (he became a Democrat in April, 2009).

Negotiations were undertaken attempting to satisfy moderate Democrats and to bring Republican senators aboard; particular attention was given to Republicans Bennett, Enzi, Grassley and Snowe. On July 7 Franken was sworn into office, providing a potential 60th vote. On August 25 Ted Kennedy—a longtime healthcare reform advocate—died. Paul Kirk was appointed as Senator Kennedy’s temporary replacement on September 24.

After the Finance Committee vote on October 15, negotiations turned to moderate Democrats. Majority leader Harry Reid focused on satisfying centrists. The holdouts came down to Joe Lieberman of Connecticut, an independent who caucused with Democrats, and conservative Nebraska Democrat Ben Nelson. Lieberman’s demand that the bill not include a public option[153][170] was met,[171] although supporters won various concessions, including allowing state-based public options such as Vermont’s Green Mountain Care.[171][172]

Senate vote by state.

  Democratic yes (58)
  Independent yes (2)
  Republican no (39)
 Republican not voting (1)

The White House and Reid addressed Nelson’s concerns[173] during a 13-hour negotiation with two concessions: a compromise on abortion, modifying the language of the bill “to give states the right to prohibit coverage of abortion within their own insurance exchanges”, which would require consumers to pay for the procedure out of pocket if the state so decided; and an amendment to offer a higher rate of Medicaid reimbursement for Nebraska.[147][174] The latter half of the compromise was derisively termed the “Cornhusker Kickback”[175] and was repealed in the subsequent reconciliation amendment bill.

On December 23, the Senate voted 60–39 to end debate on the bill: a cloture vote to end the filibuster. The bill then passed, also 60–39, on December 24, 2009, with all Democrats and two independents voting for it, and all Republicans against (except Jim Bunning, who did not vote).[176] The bill was endorsed by the AMA and AARP.[177]

On January 19, 2010, Massachusetts Republican Scott Brown was elected to the Senate in a special election to replace Kennedy, having campaigned on giving the Republican minority the 41st vote needed to sustain Republican filibusters.[147][178][179] His victory had become significant because of its effects on the legislative process. The first was psychological: the symbolic importance of losing Kennedy’s traditionally Democratic Massachusetts seat made many Congressional Democrats concerned about the political cost of passing a bill.[180][181]

House

House vote by congressional district.

  Democratic yes (219)
  Democratic no (34)
  Republican no (178)
  No representative seated (4)

Brown’s election meant Democrats could no longer break a filibuster in the Senate. In response, White House Chief of StaffRahm Emanuel argued that Democrats should scale back to a less ambitious bill; House SpeakerNancy Pelosi pushed back, dismissing Emanuel’s scaled-down approach as “Kiddie Care”.[182][183]

Obama remained insistent on comprehensive reform. The news that Anthem Blue Cross in California intended to raise premium rates for its patients by as much as 39% gave him new evidence of the need for reform.[182][183] On February 22, he laid out a “Senate-leaning” proposal to consolidate the bills.[184] He held a meeting with both parties’ leaders on February 25. The Democrats decided that the House would pass the Senate’s bill, to avoid another Senate vote.

House Democrats had expected to be able to negotiate changes in a House-Senate conference before passing a final bill. Since any bill that emerged from conference that differed from the Senate bill would have to pass the Senate over another Republican filibuster, most House Democrats agreed to pass the Senate bill on condition that it be amended by a subsequent bill.[181] They drafted the Health Care and Education Reconciliation Act, which could be passed by the reconciliation process.[182][185][186]

As per the Congressional Budget Act of 1974, reconciliation cannot be subject to a filibuster. But reconciliation is limited to budget changes, which is why the procedure was not used to pass ACA in the first place; the bill had inherently non-budgetary regulations.[187][188] Although the already-passed Senate bill could not have been passed by reconciliation, most of House Democrats’ demands were budgetary: “these changes—higher subsidy levels, different kinds of taxes to pay for them, nixing the Nebraska Medicaid deal—mainly involve taxes and spending. In other words, they’re exactly the kinds of policies that are well-suited for reconciliation.”[185]

The remaining obstacle was a pivotal group of pro-life Democrats led by Bart Stupak who were initially reluctant to support the bill. The group found the possibility of federal funding for abortion significant enough to warrant opposition. The Senate bill had not included language that satisfied their concerns, but they could not address abortion in the reconciliation bill as it would be non-budgetary. Instead, Obama issued Executive Order 13535, reaffirming the principles in the Hyde Amendment.[189] This won the support of Stupak and members of his group and assured the bill’s passage.[186][190] The House passed the Senate bill with a 219–212 vote on March 21, 2010, with 34 Democrats and all 178 Republicans voting against it.[191] The next day, Republicans introduced legislation to repeal the bill.[192] Obama signed ACA into law on March 23, 2010.[193] Since passage, Republicans have voted to repeal all or parts of the Affordable Care Act over sixty times; no such attempt by Republicans has been successful.[194] The amendment bill, The Health Care and Education Reconciliation Act, cleared the House on March 21; the Senate passed it by reconciliation on March 25, and Obama signed it on March 30.

Impact

Coverage rate, employer market cost trends, budgetary impact, and income inequality aspects of the Affordable Care Act.

This chart illustrates several aspects of the Affordable Care Act, including number of persons covered, cost before and after subsidies, and public opinion.

Coverage

The law has caused a significant reduction in the number and percentage of people without health insurance. The CDC reported that the percentage of people without health insurance fell from 16.0% in 2010 to 8.9% during the January–June 2016 period.[195] From Q4-2013 to Q1-2016, a Gallup survey found that the uninsured rate among adults declined from 17.1% to 11.0%, a decline of 6.1 percentage points.[196] In a 2016 review, Obama presented data showing that the uninsured rate had declined by 43%, from 16.0% in 2010 to 9.1% in 2015, mostly in 2014.[197] The uninsured rate dropped in every congressional district in the U.S. between 2013 and 2015.[198]

In March 2016, the CBO reported that there were approximately 27 million people without insurance in 2016, a figure they expected would range from 26-28 million through 2026. CBO also estimated the percentage of insured among all U.S. residents would remain at 90% through that period, 92-93% excluding unauthorized immigrants.[4]

Those states that expanded Medicaid had a 7.3% uninsured rate on average in the first quarter of 2016, while those that did not expand Medicaid had a 14.1% uninsured rate, among adults aged 18 to 64.[199] As of December 2016 there were 32 states (including Washington DC) that had adopted the Medicaid extension, while 19 states had not.[200]

The Congressional Budget Office reported in March 2016 that there were approximately 12 million people covered by the exchanges (10 million of whom received subsidies to help pay for insurance) and 11 million made eligible for Medicaid by the law, a subtotal of 23 million people. An additional 1 million were covered by the ACA’s “Basic Health Program,” for a total of 24 million.[4] CBO also estimated that the ACA would reduce the net number of uninsured by 22 million in 2016, using a slightly different computation for the above figures totaling ACA coverage of 26 million, less 4 million for reductions in “employment-based coverage” and “non-group and other coverage.”[4] The Department of Health and Human Services (HHS) estimated that 20.0 million adults (aged 18–64) gained healthcare coverage via ACA as of February 2016, a 2.4 million increase over September 2015. HHS estimated that this 20.0 million included: a) 17.7 million from the start of open enrollment in 2013-2016; and b) 2.3 million young adults aged 19–25 who initially gained insurance from 2010-2013, as they were allowed to remain on their parent’s plans until age 26. Of the 20.0 million, an estimated 6.1 million were aged 19–25.[5]

By 2017, nearly 70% of those on the exchanges could purchase insurance for less than $75/month after subsidies, which rose to offset significant pre-subsidy price increases in the exchange markets.[201] Healthcare premium cost increases in the employer market continued to moderate. For example, healthcare premiums for those covered by employers rose by 69% from 2000-2005, but only 27% from 2010 to 2015,[6] with only a 3% increase from 2015 to 2016.[202]

The ACA also helps reduce income inequality measured after taxes, due to higher taxes on the top 5% of income earners and both subsidies and Medicaid expansion for lower-income persons.[203] CBO estimated that subsidies paid under the law in 2016 averaged $4,240 per person for 10 million individuals receiving them, roughly $42 billion. For scale, the subsidy for the employer market, in the form of exempting from taxation those health insurance premiums paid on behalf of employees by employers, was approximately $1,700 per person in 2016, or $266 billion total in the employer market. The employer market subsidy was not changed by the law.[4]

Insurance exchanges

As of August 2016, 15 states operated their own exchanges. Other states either used the federal exchange, or operated in partnership with or supported by the federal government.[204]

Medicaid expansion

Medicaid expansion by state.[205]

  Adopted the Medicaid expansion
  Medicaid expansion under discussion
  Not adopting Medicaid expansion

As of December 2016 there were 32 states (including Washington DC) that had adopted the Medicaid extension, while 19 states had not.[200] Those states that expanded Medicaid had a 7.3% uninsured rate on average in the first quarter of 2016, while those that did not expand Medicaid had a 14.1% uninsured rate, among adults aged 18 to 64.[199] Following the Supreme Court ruling in 2012, which held that states would not lose Medicaid funding if they didn’t expand Medicaid under the ACA, several states rejected expanded Medicaid coverage. Over half of the national uninsured population lived in those states.[206] In a report to Congress, the Centers for Medicare and Medicaid Services (CMS) estimated that the cost of expansion was $6,366 per person for 2015, about 49 percent above previous estimates. An estimated 9 million to 10 million people had gained Medicaid coverage, mostly low-income adults.[207] The Kaiser Family Foundation estimated in October 2015 that 3.1 million additional people were not covered because of states that rejected the Medicaid expansion.[208]

States that rejected the Medicaid expansion could maintain their Medicaid eligibility thresholds, which in many states were significantly below 133% of the poverty line.[209]Many states did not make Medicaid available to childless adults at any income level.[210] Because subsidies on exchange insurance plans were not available to those below the poverty line, such individuals had no new options.[211][212] For example, in Kansas, where only able-bodied adults with children and with an income below 32% of the poverty line were eligible for Medicaid, those with incomes from 32% to 100% of the poverty level ($6,250 to $19,530 for a family of three) were ineligible for both Medicaid and federal subsidies to buy insurance. Absent children, able-bodied adults were not eligible for Medicaid in Kansas.[206]

Studies of the impact of state decisions to reject the Medicaid expansion calculated that up to 6.4 million people could fall into this status.[213] The federal government initially paid for 100% of the expansion (through 2016). The subsidy tapered to 90% by 2020 and continued to shrink thereafter.[214] Several states argued that they could not afford their 10% contribution.[214][215] Studies suggested that rejecting the expansion would cost more than expanding Medicaid due to increased spending on uncompensated emergency care that otherwise would have been partially paid for by Medicaid coverage,[216]

A 2016 study led by Harvard University health economics professor Benjamin Sommers found that residents of Kentucky and Arkansas, which both accepted the Medicaid expansion, were more likely to receive health care services and less likely to incur emergency room costs or have trouble paying their medical bills than before the expansion. Residents of Texas, which did not accept the Medicaid expansion, did not see a similar improvement during the same period.[217] Kentucky opted for increased managed care, while Arkansas subsidized private insurance. The new Arkansas and Kentucky governors have proposed reducing or modifying their programs. Between 2013 and 2015, the uninsured rate dropped from 42% to 14% in Arkansas and from 40% to 9% in Kentucky, compared with 39% to 32% in Texas. Specific improvements included additional primary and preventive care, fewer emergency departments visits, reported higher quality care, improved health, improved drug affordability, reduced out-of-pocket spending and increased outpatient visits, increased diabetes screening, glucose testing among diabetes patients and regular care for chronic conditions.[218]

A 2016 DHHS study found that states that expanded Medicaid had lower premiums on exchange policies, because they had fewer low-income enrollees, whose health on is worse than that of those with higher income.[219]

Healthcare insurance costs

U.S. healthcare cost information, including rate of change, per-capita, and percent of GDP. (Data source: Centers for Medicare and Medicaid Services[220])

The law is designed to pay subsidies in the form of tax credits to the individuals or families purchasing the insurance, based on income levels. Higher income consumers receive lower subsidies. While pre-subsidy prices rose considerably from 2016 to 2017, so did the subsidies, to reduce the after-subsidy cost to the consumer. For example, a study published in 2016 found that the average requested 2017 premium increase among 40-year-old non-smokers was about 9 percent, according to an analysis of 17 cities, although Blue Cross Blue Shield proposed increases of 40 percent in Alabama and 60 percent in Texas.[221] However, some or all of these costs are offset by subsidies, paid as tax credits. For example, the Kaiser Foundation reported that for the second-lowest cost “Silver plan” (a plan often selected and used as the benchmark for determining financial assistance), a 40-year old non-smoker making $30,000 per year would pay effectively the same amount in 2017 as they did in 2016 (about $208/month) after the subsidy/tax credit, despite large increases in the pre-subsidy price. This was consistent nationally. In other words, the subsidies increased along with the pre-subsidy price, fully offsetting the price increases.[222]

Healthcare premium cost increases in the employer market continued to moderate after the implementation of the law. For example, healthcare premiums for those covered by employers rose by 69% from 2000-2005, but only 27% from 2010 to 2015,[6] with only a 3% increase from 2015 to 2016.[202] From 2008-2010 (prior to Obamacare) health insurance premiums rose by an average of 10% per year.[223]

Several studies found that the financial crisis and accompanying recession could not account for the entirety of the slowdown and that structural changes likely share at least partial credit.[224][225][226][227] A 2013 study estimated that changes to the health system had been responsible for about a quarter of the recent reduction in inflation.[228] Paul Krawzak claimed that even if cost controls succeed in reducing the amount spent on healthcare, such efforts on their own may be insufficient to outweigh the long-term burden placed by demographic changes, particularly the growth of the population on Medicare.[229]

In a 2016 review of the ACA published in JAMA, Barack Obama himself wrote that from 2010 through 2014 mean annual growth in real per-enrollee Medicare spending was negative, down from a mean of 4.7% per year from 2000 through 2005 and 2.4% per year from 2006 to 2010; similarly, mean real per-enrollee growth in private insurance spending was 1.1% per year over the period, compared with a mean of 6.5% from 2000 through 2005 and 3.4% from 2005 to 2010.[230]

Effect on deductibles and co-payments

While health insurance premium costs have moderated, some of this is because of insurance policies that have a higher deductible, co-payments and out-of-pocket maximums that shift costs from insurers to patients. In addition, many employees are choosing to combine a health savings account with higher deductible plans, making the impact of the ACA difficult to determine precisely.

For those who obtain their insurance through their employer (“group market”), a 2016 survey found that:

  • Deductibles grew by 63% from 2011 to 2016, while premiums increased 19% and worker earnings grew by 11%.
  • In 2016, 4 in 5 workers had an insurance deductible, which averaged $1,478. For firms with less than 200 employees, the deductible averaged $2,069.
  • The percentage of workers with a deductible of at least $1,000 grew from 10% in 2006 to 51% in 2016. The 2016 figure drops to 38% after taking employer contributions into account.[231]

For the “non-group” market, of which two-thirds are covered by the ACA exchanges, a survey of 2015 data found that:

  • 49% had individual deductibles of at least $1,500 ($3,000 for family), up from 36% in 2014.
  • Many marketplace enrollees qualify for cost-sharing subsidies that reduce their net deductible.
  • While about 75% of enrollees were “very satisfied” or “somewhat satisfied” with their choice of doctors and hospitals, only 50% had such satisfaction with their annual deductible.
  • While 52% of those covered by the ACA exchanges felt “well protected” by their insurance, in the group market 63% felt that way.[232]

Health outcomes

Insurance coverage helps save lives, by encouraging early detection and prevention of dangerous medical conditions. According to a 2014 study, the ACA likely prevented an estimated 50,000 preventable patient deaths from 2010 to 2013.[233]City University public health professors David Himmelstein and Steffie Woolhandler wrote in January 2017 that a rollback of the ACA’s Medicaid expansion alone would cause an estimated 43,956 deaths annually.[234]

Federal deficit

CBO estimates of revenue and impact on deficit

The CBO reported in several studies that the ACA would reduce the deficit, and that repealing it would increase the deficit.[7][8][235][236] The 2011 comprehensive CBO estimate projected a net deficit reduction of more than $200 billion during the 2012–2021 period:[8][237] it calculated the law would result in $604 billion in total outlays offset by $813 billion in total receipts, resulting in a $210 billion net deficit reduction.[8] The CBO separately predicted that while most of the spending provisions do not begin until 2014,[238][239] revenue would exceed spending in those subsequent years.[240] The CBO claimed that the bill would “substantially reduce the growth of Medicare’s payment rates for most services; impose an excise tax on insurance plans with relatively high premiums; and make various other changes to the federal tax code, Medicare, Medicaid, and other programs”[241]—ultimately extending the solvency of the Medicare trust fund by 8 years.[242]

This estimate was made prior to the Supreme Court’s ruling that enabled states to opt out of the Medicaid expansion, thereby forgoing the related federal funding. The CBO and JCT subsequently updated the budget projection, estimating the impact of the ruling would reduce the cost estimate of the insurance coverage provisions by $84 billion.[243][244][245]

The CBO in June 2015 forecasted that repeal of ACA would increase the deficit between $137 billion and $353 billion over the 2016–2025 period, depending on the impact of macroeconomic feedback effects. The CBO also forecasted that repeal of ACA would likely cause an increase in GDP by an average of 0.7% in the period from 2021 to 2015, mainly by boosting the supply of labor.[7]

Major new sources of increased tax receipts include:[95] higher Medicare taxes; annual fees on insurance providers; fees on the healthcare industry such as manufacturers and importers of brand-name pharmaceutical drugs and certain medical devices; limits on tax deductions of medical expenses and flexible spending accounts; a 40% excise tax on plans with annual insurance premiums in excess of $10,200 for an individual or $27,500 for a family; revenue from mandate penalty payments; a 10% federal sales tax on indoor tanning services. Predicted spending reductions included a reduction in Medicare reimbursements to insurers and drug companies for private Medicare Advantage policies that the Government Accountability Office and Medicare Payment Advisory Commission found to be excessively costly relative to government Medicare;[246][247] and reductions in Medicare reimbursements to hospitals that failed standards of efficiency and care.[246]

Although the CBO generally does not provide cost estimates beyond the 10-year budget projection period because of the degree of uncertainty involved in the projection, it decided to do so in this case at the request of lawmakers, and estimated a second decade deficit reduction of $1.2 trillion.[241][248] CBO predicted deficit reduction around a broad range of one-half percent of GDP over the 2020s while cautioning that “a wide range of changes could occur”.[249]

Opinions on CBO projections

The CBO cost estimates were criticized because they excluded the effects of potential legislation that would increase Medicare payments by more than $200 billion from 2010 to 2019.[250][251][252] However, the so-called “doc fix” is a separate issue that would have existed whether or not ACA became law – omitting its cost from ACA was no different from omitting the cost of other tax cuts.[253][254][255]

Uwe Reinhardt, a Princeton health economist, wrote. “The rigid, artificial rules under which the Congressional Budget Office must score proposed legislation unfortunately cannot produce the best unbiased forecasts of the likely fiscal impact of any legislation”, but went on to say “But even if the budget office errs significantly in its conclusion that the bill would actually help reduce the future federal deficit, I doubt that the financing of this bill will be anywhere near as fiscally irresponsible as was the financing of the Medicare Modernization Act of 2003.”[256]Douglas Holtz-Eakin, CBO director during the George W. Bush administration, who later served as the chief economic policy adviser to U.S. Senator John McCain‘s 2008 presidential campaign, alleged that the bill would increase the deficit by $562 billion because, he argued, it front-loaded revenue and back-loaded benefits.[257]

Scheiber and Cohn rejected critical assessments of the law’s deficit impact, arguing that predictions were biased towards underestimating deficit reduction. They noted that for example, it is easier to account for the cost of definite levels of subsidies to specified numbers of people than account for savings from preventive healthcare, and that the CBO had a track record of overestimating costs and underestimating savings of health legislation;[258][259] stating, “innovations in the delivery of medical care, like greater use of electronic medical records[260] and financial incentives for more coordination of care among doctors, would produce substantial savings while also slowing the relentless climb of medical expenses… But the CBO would not consider such savings in its calculations, because the innovations hadn’t really been tried on such large scale or in concert with one another—and that meant there wasn’t much hard data to prove the savings would materialize.”[258]

In 2010 David Walker, former U.S. Comptroller General then working for The Peter G. Peterson Foundation, stated that the CBO estimates are not likely to be accurate, because they were based on the assumption that the law would not change.[261] The Center on Budget and Policy Priorities objected that Congress had a good record of implementing Medicare savings. According to their study, Congress followed through on the implementation of the vast majority of provisions enacted in the past 20 years to produce Medicare savings, although not the payment reductions addressed by the annual “doc fix”.[262][263]

Economic consequences

CBO estimated in June 2015 that repealing the ACA would:

  • Decrease aggregate demand (GDP) in the short-term, as low-income persons who tend to spend a large fraction of their additional resources would have fewer resources (e.g., ACA subsidies would be eliminated). This effect would be offset in the long-run by the labor supply factors below.
  • Increase the supply of labor and aggregate compensation by about 0.8 and 0.9 percent over the 2021-2025 period. CBO cited the ACA’s expanded eligibility for Medicaid and subsidies and tax credits that rise with income as disincentives to work, so repealing the ACA would remove those disincentives, encouraging workers to supply more hours of labor.
  • Increase the total number of hours worked by about 1.5% over the 2021-2025 period.
  • Remove the higher tax rates on capital income, thereby encouraging additional investment, raising the capital stock and output in the long-run.[7]

In 2015 the Center for Economic and Policy Research found no evidence that companies were reducing worker hours to avoid ACA requirements[264] for employees working over 30 hours per week.[265]

The CBO estimated that the ACA would slightly reduce the size of the labor force and number of hours worked, as some would no longer be tethered to employers for their insurance. Cohn, citing CBO’s projections, claimed that ACA’s primary employment effect was to alleviate job lock: “People who are only working because they desperately need employer-sponsored health insurance will no longer do so.”[266] He concluded that the “reform’s only significant employment impact was a reduction in the labor force, primarily because people holding onto jobs just to keep insurance could finally retire”, because they have health insurance outside of their jobs.[267]

Employer mandate and part-time work

For more details on health insurance mandates, see Health insurance mandate.

The employer mandate requires employers meeting certain criteria to provide health insurance to their workers. The mandate applies to employers with more than 50 employees that do not offer health insurance to their full-time workers.[268] Critics claimed that the mandate created a perverse incentive for business to keep their full-time headcount below 50 and to hire part-time workers instead.[269][270] Between March 2010 and 2014 the number of part-time jobs declined by 230,000, while the number of full-time jobs increased by 2 million.[271][272] In the public sector full-time jobs turned into part-time jobs much more than in the private sector.[271][273] A 2016 study found only limited evidence that ACA had increased part-time employment.[274]

Several businesses and the state of Virginia added a 29-hour-a-week cap for their part-time employees,[275][unreliable source?][276][unreliable source?] to reflect the 30-hour-or-more definition for full-time worker.[268] As of yet, however, only a small percent of companies have shifted their workforce towards more part-time hours (4% in a survey from the Federal Reserve Bank of Minneapolis).[270] Trends in working hours[277] and the effects of the Great Recession correlate with part-time working hour patterns.[278][279] The impact of this provision may have been offset by other factors, including that health insurance helps attract and retain employees, increases productivity and reduces absenteeism; and the lower training and administration costs of a smaller full-time workforce over a larger part-time work force.[270][277][280] Relatively few firms employ over 50 employees[270] and more than 90% of them offered insurance.[281] Workers without employer insurance could purchase insurance on the exchanges.[282]

Most policy analysts (on both right and left) were critical of the employer mandate provision.[269][281] They argued that the perverse incentives regarding part-time hours, even if they did not change existing plans, were real and harmful;[283][284] that the raised marginal cost of the 50th worker for businesses could limit companies’ growth;[285] that the costs of reporting and administration were not worth the costs of maintaining employer plans;[283][284] and noted that the employer mandate was not essential to maintain adequate risk pools.[286][287] The effects of the provision generated vocal opposition from business interests and some unions not granted exemptions.[284][288]

A 2013/4 survey by the National Association for Business Economics found that about 75 percent of those surveyed said ACA hadn’t influenced their planning or expectations for 2014, and 85 percent said the law wouldn’t prompt a change in their hiring practices. Some 21 percent of 64 businesses surveyed said that the act would have a harmful effect and 5 percent said it would be beneficial.[289]

Hospitals

From the start of 2010 to November 2014, 43 hospitals in rural areas closed. Critics claimed that the new law caused these hospitals to close. Many of these rural hospitals were built using funds from the 1946 Hill–Burton Act, to increase access to medical care in rural areas. Some of these hospitals reopened as other medical facilities, but only a small number operated emergency rooms (ER) or urgent care centers.[290]

Between January 2010 and 2015, a quarter of emergency room doctors said they had seen a major surge in patients, while nearly half had seen a smaller increase. Seven in ten ER doctors claimed that they lacked the resources to deal with large increases in the number of patients. The biggest factor in the increased number of ER patients was insufficient primary care providers to handle the larger number of insured patients.[291]

Insurers claimed that because they have access to and collect patient data that allow evaluations of interventions, they are essential to ACO success. Large insurers formed their own ACOs. Many hospitals merged and purchased physician practices. The increased market share gave them more leverage in negotiations with insurers over costs and reduced patient care options.[115]

Public opinion

Prior to the law’s passage, polling indicated the public’s views became increasingly negative in reaction to specific plans discussed during the legislative debate over 2009 and 2010. Polling statistics showed a general negative opinion of the law; with those in favor at approximately 40% and those against at 51%, as of October 2013.[292][293] About 29% of whites approve of the law, compared with 61% of Hispanics and 91% of African Americans.[294]Opinions were divided by age of the person at the law’s inception, with a solid majority of seniors opposing the bill and a solid majority of those younger than forty years old in favor.[295]

Congressional Democrats celebrating the 6th anniversary of the Affordable Care Act in March 2016 on the steps of the U.S. Capitol.

Congressional Democrats celebrating the 6th anniversary of the Affordable Care Act in March 2016 on the steps of the U.S. Capitol.

Specific elements were popular across the political spectrum, while others, such as the mandate to purchase insurance, were widely disliked. In a 2012 poll 44% supported the law, with 56% against. By party affiliation, 75% of Democrats, 27% of Independents and 14% of Republicans favored the law overall. 82% favored banning insurance companies from denying coverage to people with pre-existing conditions, 61% favored allowing children to stay on their parents’ insurance until age 26, 72% supported requiring companies with more than 50 employees to provide insurance for their employees, and 39% supported the individual mandate to own insurance or pay a penalty. By party affiliation, 19% of Republicans, 27% of Independents, and 59% of Democrats favored the mandate.[296] Other polls showed additional provisions receiving majority support, including the creation of insurance exchanges, pooling small businesses and the uninsured with other consumers so that more people can take advantage of large group pricing benefits and providing subsidies to individuals and families to make health insurance more affordable.[297][298]

In a 2010 poll, 62% of respondents said they thought ACA would “increase the amount of money they personally spend on health care”, 56% said the bill “gives the government too much involvement in health care”, and 19% said they thought they and their families would be better off with the legislation.[299] Other polls found that people were concerned that the law would cost more than projected and would not do enough to control costs.[300]

Some opponents believed that the reform did not go far enough: a 2012 poll indicated that 71% of Republican opponents rejected it overall, while 29% believed it did not go far enough; independent opponents were divided 67% to 33%; and among the much smaller group of Democratic opponents, 49% rejected it overall and 51% wanted more.[296] In June 2013, a majority of the public (52–34%) indicated a desire for “Congress to implement or tinker with the law rather than repeal it”.[301] After the Supreme Court upheld the individual mandate, a 2012 poll held that “most Americans (56%) want to see critics of President Obama’s health care law drop efforts to block it and move on to other national issues”.[302]A 2014 poll reported that 48.9% of respondents had an unfavorable view of ACA vs. 38.3% who had a favorable view (of more than 5,500 individuals).[303]

A 2014 poll reported that 26% of Americans support ACA.[304] Another held that 8% of respondents say that the Affordable Care Act “is working well the way it is”.[305] In late 2014, a Rasmussen poll reported Repeal: 30%, Leave as is: 13%, Improve: 52%, i.e., 65% wanted to leave ACA alone or improve upon it.[306]

In 2015, a CBS News / New York Times poll reported that 47% of Americans approved the health care law. This was the first time that a major poll indicated that more respondents approved ACA than disapproved of it.[307] The recurring Kaiser Health Tracking Poll from December 2016 reported that: a) 30% wanted to expand what the law does; b) 26% wanted to repeal the entire law; c) 19% wanted to move forward with implementing the law as it is; and d) 17% wanted to scale back what the law does, with the remainder undecided.[308]

Separate polls from Fox News and NBC/WSJ both taken during January 2017 indicated more people viewed the law favorably than did not for the first time. One of the reasons for the improving popularity of the law is that Democrats who opposed it in the past (many prefer a “Medicare for All” approach) have shifted their positions since the ACA is under threat of repeal.[309]

A January 2017 Morning Consult poll showed that 35% of respondents either believed that Obamacare and the Affordable Care Act were different or did not know.[310] Approximately 45% were unsure whether the repeal of Obamacare also meant the repeal of the Affordable Care Act.[310] 39% did not know that “many people would lose coverage through Medicaid or subsidies for private health insurance if the A.C.A. were repealed and no replacement enacted,” with Democrats far more likely (79%) to know that fact than Republicans (47%).[310]

A 2017 study found that personal experience with public health insurance programs leads to greater support for the Affordable Care Act, and the effects appear to be most pronounced among Republicans and low-information voters.[311]

Political aspects

“Obamacare”

The term “Obamacare” was originally coined by opponents as a pejorative. The term emerged in March 2007 when healthcare lobbyist Jeanne Schulte Scott used it in a health industry journal, writing “We will soon see a ‘Giuliani-care’ and ‘Obama-care’ to go along with ‘McCain-care’, ‘Edwards-care’, and a totally revamped and remodeled ‘Hillary-care‘ from the 1990s”.[9][312] According to research by Elspeth Reeve, the expression was used in early 2007, generally by writers describing the candidate’s proposal for expanding coverage for the uninsured.[313] It first appeared in a political campaign by Mitt Romney in May 2007 in Des Moines, Iowa. Romney said, “In my state, I worked on healthcare for some time. We had half a million people without insurance, and I said, ‘How can we get those people insured without raising taxes and without having government take over healthcare?’ And let me tell you, if we don’t do it, the Democrats will. If the Democrats do it, it will be socialized medicine; it’ll be government-managed care. It’ll be what’s known as Hillarycare or Barack Obamacare, or whatever you want to call it.”[9]

By mid-2012, Obamacare had become the colloquial term used by both supporters and opponents. In contrast, the use of “Patient Protection and Affordable Care Act” or “Affordable Care Act” became limited to more formal and official use.[313] Use of the term in a positive sense was suggested by Democrat John Conyers.[314] Obama endorsed the nickname, saying, “I have no problem with people saying Obama cares. I do care.”[315]

In March 2012, the Obama reelection campaign embraced the term “Obamacare”, urging Obama’s supporters to post Twitter messages that begin, “I like #Obamacare because…”.[316]

In October 2013 the Associated Press and NPR began cutting back on use of the term.[317] Stuart Seidel, NPR’s managing editor, said that the term “seems to be straddling somewhere between being a politically-charged term and an accepted part of the vernacular”.[318]

Common misconceptions

“Death panels”

Main article: Death panel

On August 7, 2009, Sarah Palin pioneered the term “death panels” to describe groups that would decide whether sick patients were “worthy” of medical care.[319] “Death panel” referred to two claims about early drafts.

One was that under the law, seniors could be denied care due to their age[320] and the other that the government would advise seniors to end their lives instead of receiving care. The ostensible basis of these claims was the provision for an Independent Payment Advisory Board (IPAB).[321] IPAB was given the authority to recommend cost-saving changes to Medicare by facilitating the adoption of cost-effective treatments and cost-recovering measures when the statutory levels set for Medicare were exceeded within any given 3-year period. In fact, the Board was prohibited from recommending changes that would reduce payments to certain providers before 2020, and was prohibited from recommending changes in premiums, benefits, eligibility and taxes, or other changes that would result in rationing.[322][323]

The other related issue concerned advance-care planning consultation: a section of the House reform proposal would have reimbursed physicians for providing patient-requested consultations for Medicare recipients on end-of-life health planning (which is covered by many private plans), enabling patients to specify, on request, the kind of care they wished to receive.[324] The provision was not included in ACA.[325]

In 2010, the Pew Research Center reported that 85% of Americans were familiar with the claim, and 30% believed it was true, backed by three contemporaneous polls.[326] A poll in August 2012 found that 39% of Americans believed the claim.[327] The allegation was named PolitiFact‘s “Lie of the Year”,[319][328] one of FactCheck.org‘s “whoppers”[329][330] and the most outrageous term by the American Dialect Society.[331]AARP described such rumors as “rife with gross—and even cruel—distortions”.[332]

Members of Congress

ACA requires members of Congress and their staffs to obtain health insurance either through an exchange or some other program approved by the law (such as Medicare), instead of using the insurance offered to federal employees (the Federal Employees Health Benefits Program).[333][334][335][336][337]

Illegal immigrants

ACA does not provide benefits to illegal immigrants.[338] It explicitly denies insurance subsidies to “unauthorized (illegal) aliens”.[25][26][339]

Exchange “death spiral”

One argument against the ACA is that the insurers are leaving the marketplaces, as they cannot profitably cover the available pool of customers, which contains too many unhealthy participants relative to healthy participants. A scenario where prices rise, due to an unfavorable mix of customers from the insurer’s perspective, resulting in fewer customers and fewer insurers in the marketplace, further raising prices, has been called a “Death Spiral.”[340]During 2017, the median number of insurers offering plans on the ACA exchanges in each state was 3.0, meaning half the states had more and half had fewer insurers. There were five states with one insurer in 2017; 13 states with two; 11 states with three; and the remainder had four insurers or more. Wisconsin had the most, with 15 insurers in the marketplace. The median number of insurers was 4.0 in 2016, 5.0 in 2015, and 4.0 in 2014.[341]

Further, the CBO reported in January 2017 that it expected enrollment in the exchanges to rise from 10 million during 2017 to 13 million by 2027, assuming laws in place at the end of the Obama administration were continued.[342] Following a 2015 CBO report that reached a similar conclusion, Paul Krugman wrote: “But the truth is that this report is much, much closer to what supporters of reform have said than it is to the scare stories of the critics–no death spirals, no job-killing, major gains in coverage at relatively low cost.”[343]

Opposition

Opposition and efforts to repeal the legislation have drawn support from sources that include labor unions,[344][345]conservative advocacy groups,[346][347] Republicans, small business organizations and the Tea Party movement.[348] These groups claimed that the law would disrupt existing health plans, increase costs from new insurance standards, and increase the deficit.[349] Some opposed the idea of universal healthcare, viewing insurance as similar to other unsubsidized goods.[350][351] President Donald Trump has repeatedly promised to “repeal and replace” it.[352][353]

As of 2013 unions that expressed concerns about ACA included the AFL-CIO,[354] which called ACA “highly disruptive” to union health care plans, claiming it would drive up costs of union-sponsored plans; the International Brotherhood of Teamsters, United Food and Commercial Workers International Union, and UNITE-HERE, whose leaders sent a letter to Reid and Pelosi arguing, ” ACA will shatter not only our hard-earned health benefits, but destroy the foundation of the 40-hour work week that is the backbone of the American middle class.”[345] In January 2014, Terry O’Sullivan, president of the Laborers’ International Union of North America (LIUNA) and D. Taylor, president of Unite Here sent a letter to Reid and Pelosi stating, “ACA, as implemented, undermines fair marketplace competition in the health care industry.”[344]

In October 2016, Mark Dayton, the governor of Minnesota and a member of the Minnesota Democratic–Farmer–Labor Party, said that the ACA had “many good features” but that it was “no longer affordable for increasing numbers of people” and called on the Minnesota legislature to provide emergency relief to policyholders.[355] Dayton later said he regretted his remarks after they were seized on by Republicans seeking to repeal the law.[356]

Legal challenges

National Federation of Independent Business v. Sebelius

Opponents challenged ACA’s constitutionality in multiple lawsuits on multiple grounds.[357][358][not in citation given] In National Federation of Independent Business v. Sebelius, the Supreme Court ruled on a 5–4 vote that the individual mandate was constitutional when viewed as a tax, although not under the Commerce Clause.

The Court further determined that states could not be forced to participate in the Medicaid expansion. ACA withheld all Medicaid funding from states declining to participate in the expansion. The Court ruled that this withdrawal of funding was unconstitutionally coercive and that individual states had the right to opt out without losing preexisting Medicaid funding.[359]

Contraception mandate

In March 2012 the Roman Catholic Church, while supportive of ACA’s objectives, voiced concern through the United States Conference of Catholic Bishops that aspects of the mandate covering contraception and sterilization and HHS‘s narrow definition of a religious organization violated the First Amendment right to free exercise of religion and conscience. Various lawsuits addressed these concerns.[360][361]

On June 25, 2015, the U.S. Supreme Court ruled 6–3 that federal subsidies for health insurance premiums could be used in the 34 states that did not set up their own insurance exchanges.[362]

House v. Burwell

In United States House of Representatives v. Burwell the House sued the administration alleging that the money for premium subsidy payments to insurers had not been appropriated, as required for any federal government spending. The Obamacare subsidy that helps customers pay premiums was not part of the suit. Without the cost-sharing subsidies, the government estimated that premiums would increase by 20 percent to 30 percent for silver plans.[363]

Non-cooperation

Officials in Texas, Florida, Alabama, Wyoming, Arizona, Oklahoma and Missouri opposed those elements of ACA over which they had discretion.[364][365] For example, Missouri declined to expand Medicaid or establish a health insurance marketplace engaging in active non-cooperation, enacting a statute forbidding any state or local official to render any aid not specifically required by federal law.[366] Other Republican politicians discouraged efforts to advertise the benefits of the law. Some conservative political groups launched ad campaigns to discourage enrollment.[367][368]

Repeal efforts

ACA was the subject of unsuccessful repeal efforts by Republicans in the 111th, 112th, and 113th Congresses: Representatives Steve King (R-IA) and Michele Bachmann (R-MN) introduced bills in the House to repeal ACA the day after it was signed, as did Senator Jim DeMint (R-SC) in the Senate.[369] In 2011, after Republicans gained control of the House of Representatives, one of the first votes held was on a bill titled “Repealing the Job-Killing Health Care Law Act” (H.R. 2), which the House passed 245–189.[370] All Republicans and 3 Democrats voted for repeal.[371] House Democrats proposed an amendment that repeal not take effect until a majority of the Senators and Representatives had opted out of the Federal Employees Health Benefits Program; Republicans voted down the measure.[372] In the Senate, the bill was offered as an amendment to an unrelated bill, but was voted down.[373] President Obama had stated that he would have vetoed the bill even if it had passed both chambers of Congress.[374]

2017 House Budget

Following the 2012 Supreme Court ruling upholding ACA as constitutional, Republicans held another vote to repeal the law on July 11;[375] the House of Representatives voted with all 244 Republicans and 5 Democrats in favor of repeal, which marked the 33rd, partial or whole, repeal attempt.[376][377] On February 3, 2015, the House of Representatives added its 67th repeal vote to the record (239 to 186). This attempt also failed.[378]

2013 federal government shutdown

Strong partisan disagreement in Congress prevented adjustments to the Act’s provisions.[379] However, at least one change, a proposed repeal of a tax on medical devices, has received bipartisan support.[380] Some Congressional Republicans argued against improvements to the law on the grounds they would weaken the arguments for repeal.[284][381]

Republicans attempted to defund its implementation,[365][382] and in October 2013, House Republicans refused to fund the federal government unless accompanied with a delay in ACA implementation, after the President unilaterally deferred the employer mandate by one year, which critics claimed he had no power to do. The House passed three versions of a bill funding the government while submitting various versions that would repeal or delay ACA, with the last version delaying enforcement of the individual mandate. The Democratic Senate leadership stated the Senate would only pass a “clean” funding bill without any restrictions on ACA. The government shutdown began on October 1.[383][384][385] Senate Republicans threatened to block appointments to relevant agencies, such as the Independent Payment Advisory Board[386] and Centers for Medicare and Medicaid Services.[387][388]

2017 repeal effort

During a midnight congressional session starting January 11, 2017, the Senate of the 115th Congress of the United States voted to approve a “budget blueprint” which would allow Republicans to repeal parts of the law “without threat of a Democraticfilibuster.”[389][390] The plan, which passed 51-48 is a budget blueprint named by Senate Republicans the “Obamacare ‘repeal resolution.'”[391] Democrats opposing the resolution staged a protest during the vote.[392]

House Republicans announced their replacement for the ACA, the American Health Care Act, on March 6, 2017.[393] On March 24, 2017 the effort, led by Paul Ryan and Donald Trump, to repeal and replace the ACA failed amid a revolt among Republican representatives.[394]

Implementation history

Once the law was signed, provisions began taking effect, in a process that continued for years. Some provisions never took effect, while others were deferred for various periods.

Existing individual health plans

Plans purchased after the date of enactment, March 23, 2010, or old plans that changed in specified ways would eventually have to be replaced by ACA-compliant plans.[citation needed]

At various times during and after the ACA debate, Obama stated that “if you like your health care plan, you’ll be able to keep your health care plan”.[395][396] However, in fall 2013 millions of Americans with individual policies received notices that their insurance plans were terminated,[397] and several million more risked seeing their current plans cancelled.[398][399][400]

Obama’s previous unambiguous assurance that consumers’ could keep their own plans became a focal point for critics, who challenged his truthfulness.[401][402] On November 7, 2013, President Obama stated: “I am sorry that [people losing their plans] are finding themselves in this situation based on assurances they got from me.”[403] Various bills were introduced in Congress to allow people to keep their plans.[404]

In the fall of 2013, the Obama Administration announced a transitional relief program that would let states and carriers allow non-compliant individual and small group policies to renew at the end of 2013. In March 2014, HHS allowed renewals as late as October 1, 2016. In February 2016, these plans were allowed to renew up until October 1, 2017, but with a termination date no later than December 31, 2017.[citation needed]

2010

In June small business tax credits took effect. For certain small businesses, the credits reached up to 35% of premiums. At the same time uninsured people with pre-existing conditions could access the federal high-risk pool. Also, participating employment-based plans could obtain reimbursement for a portion of the cost of providing health insurance to early retirees.[405]

In July the Pre-Existing Condition Insurance Plan (PCIP) took effect to offer insurance to those that had been denied coverage by private insurance companies because of a pre-existing condition. Despite estimates of up to 700,000 enrollees, at a cost of approximately $13,000/enrollee, only 56,257 enrolled at a $28,994 cost per enrollee.[405]

2011

As of September 23, 2010, pre-existing conditions could no longer be denied coverage for children’s policies. HHS interpreted this rule as a mandate for “guaranteed issue“, requiring insurers to issue policies to such children.[citation needed] By 2011, insurers had stopped marketing child-only policies in 17 states, as they sought to escape this requirement.[406]

The average beneficiary in the prior coverage gap would have spent $1,504 in 2011 on prescriptions. Such recipients saved an average $603. The 50 percent discount on brand name drugs provided $581 and the increased Medicare share of generic drug costs provided the balance. Beneficiaries numbered 2 million[407]

2012

In National Federation of Independent Business v. Sebelius decided on June 28, 2012, the Supreme Court ruled that the individual mandate was constitutional when the associated penalties were construed as a tax. The decision allowed states to opt out of the Medicaid expansion. Several did so,[408] although some later accepted the expansion.[409]

2013

In January 2013 the Internal Revenue Service ruled that the cost of covering only the individual employee would be considered in determining whether the cost of coverage exceeded 9.5% of income. Family plans would not be considered even if the cost was above the 9.5% income threshold. This was estimated to leave 2–4 million Americans unable to afford family coverage under their employers’ plans and ineligible for subsidies.[410][411]

A June 2013 study found that the MLR provision had saved individual insurance consumers $1.2 billion in 2011 and $2.1 billion in 2012, reducing their 2012 costs by 7.5%.[412] The bulk of the savings were in reduced premiums, but some came from MLR rebates.

On July 2, 2013, the Obama Administration announced that it would delay the implementation of the employer mandate until 2015.[281][413][414]

The Community Living Assistance Services and Supports Act (or CLASS Act) was enacted as Title VIII of Obamacare. It would have created a voluntary and public long-term care insurance option for employees.[121][123] In October 2011 the administration announced it was unworkable and would be dropped.[415] The CLASS Act was repealed January 1, 2013.[416]

The launch for both the state and federal exchanges was troubled due to management and technical failings. HealthCare.gov, the website that offers insurance through the exchanges operated by the federal government, crashed on opening and suffered endless problems.[417] Operations stabilized in 2014, although not all planned features were complete.[418][419]

CMS reported in 2013 that, while costs per capita continued to rise, the rate of increase in annual healthcare costs had fallen since 2002. Per capita cost increases averaged 5.4% annually between 2000 and 2013. Costs relative to GDP, which had been rising, had stagnated since 2009.[420] Several studies attempted to explain the reductions. Reasons included:

  • Higher unemployment due to the 2008-2010 recession, which limited the ability of consumers to purchase healthcare;
  • Out-of-pocket costs rose, reducing demand for healthcare services.[421] The proportion of workers with employer-sponsored health insurance requiring a deductible climbed to about three-quarters in 2012 from about half in 2006.[224]
  • ACA changes[224] that aim to shift the healthcare system from paying-for-quantity to paying-for-quality. Some changes occurred due to healthcare providers acting in anticipation of future implementation of reforms.[120][225]

2014

On July 30, 2014, the Government Accountability Office released a non-partisan study that concluded that the administration did not provide “effective planning or oversight practices” in developing the website.[422]

In Burwell v. Hobby Lobby the Supreme Court exempted closely held corporations with religious convictions from the contraception rule.[423] In Wheaton College vs Burwell the Court issued an injunction allowing the evangelical college and other religiously affiliated nonprofit groups to completely ignore the contraceptive mandate.[424]

A study found that average premiums for the second-cheapest silver plan were 10-21% less than average individual market premiums in 2013, while covering many more conditions. Credit for the reduced premiums was attributed to increased competition stimulated by the larger market, greater authority to review premium increases, the MLR and risk corridors.[citation needed]

Many of the initial plans featured narrow networks of doctors and hospitals.[425][not in citation given]

A 2016 analysis found that health care spending by the middle class was 8.9% of household spending in 2014.[426]

2015

By the beginning of the year, 11.7 million had signed up (ex-Medicaid).[427] On December 31, 2015, about 8.8 million consumers had stayed in the program. Some 84 percent, or about 7.4 million, were subsidized.[428]

Bronze plans were the second most popular in 2015, making up 22% of marketplace plan selections. Silver plans were the most popular, accounting for 67% of marketplace selections. Gold plans were 7%. Platinum plans accounted for 3%. On average across the four metal tiers, premiums were up 20% for HMOs and 18% for EPOs. Premiums for POS plans were up 15% from 2015 to 2016, while PPO premiums were up just 8%.[citation needed]

A 2015 study found 14% of privately insured consumers received a medical bill in the past two years from an out-of-network provider in the context of an overall in-network treatment event. Such out-of-network care is not subject to the lower negotiated rates of in-network care, increasing out-of-pocket costs. Another 2015 study found that the average out-of-network charges for the majority of 97 medical procedures examined “were 300% or higher compared to the corresponding Medicare fees” for those services.[citation needed]

Some 47% of the 2015 ACA plans sold on the Healthcare.gov exchange lacked standard out-of-network coverage. Enrollees in such plans, typically received no coverage for out-of-network costs (except for emergencies or with prior authorization). A 2016 study on Healthcare.gov health plans found a 24 percent increase in the percentage of ACA plans that lacked standard out-of-network coverage.[citation needed]

The December spending bill delayed the onset of the “Cadillac tax” on expensive insurance plans by two years, until 2020.[429]

The average price of non-generic drugs rose 16.2% in 2015 and 98.2% since 2011.[426]

2016

As of March 2016 11.1 million people had purchased exchange plans,[citation needed] while an estimated 9 million to 10 million people had gained Medicaid coverage, mostly low-income adults.[207] 11.1 million were still covered, a decline of nearly 13 percent.[430] 6.1 million uninsured 19-25 year olds gained coverage.[431]

Employers

A survey of New York businesses found an increase of 8.5 percent in health care costs, less than the prior year’s survey had expected. A 10 percent increase was expected for 2017. Factors included increased premiums, higher drug costs, ACA and aging workers. Some firms lowered costs by increasing cost-sharing (for higher employee contributions, deductibles and co-payments). 60% planned to further increase cost-sharing. Coverage and benefits were not expected to change. Approximately one fifth said ACA had pushed them to reduce their workforce. A larger number said they were raising prices.[432]

Insurers

The five major national insurers expected to lose money on ACA policies in 2016.[433] UnitedHealth withdrew from the Georgia and Arkansas exchanges for 2017, citing heavy losses.[204] Humana exited other markets, leaving it operating in 156 counties in 11 states for 2017.[434] 225 counties across the country had access to only a single ACA insurer. A study released in May estimated that 664 counties would have one insurer in 2017.[435][not in citation given]

Aetna cancelled planned expansion of its offerings and following an expected $300 million loss in 2016 and then withdrew from 11 of its 15 states.[436] In August 2016 Anthem said that its offerings were losing money, but also that it would expand its participation if a pending merger with Cigna was approved.[437] Aetna and Humana’s exit for 2017 left 8 rural Arizona counties with only Blue Cross/Blue Shield.[438]

Blue Cross/Blue Shield Minnesota announced that it would exit individual and family markets in Minnesota in 2017, due to financial losses of $500 million over three years.[439]

Another analysis found that 17 percent of eligibles may have a single insurer option in 2017. North Carolina, Oklahoma, Alaska, Alabama, South Carolina and Wyoming were expected to have a single insurer,[440] while only 2 percent of 2016 eligibles had only one choice.[441]

Aetna, Humana, UnitedHealth Group also exited various individual markets. Many local Blue Cross plans sharply narrowed their networks. In 2016 two thirds of individual plans were narrow-network HMO plans.[425]

One of the causes of insurer losses is the lower income, older and sicker enrollee population. One 2016 analysis reported that while 81% of the population with incomes from 100-150% of the federal poverty level signed up, only 45% of those from 150-200% did so. The percentage continued to decline as income rose: 2% of those above 400% enrolled.[442]

Costs

The law is designed to pay subsidies in the form of tax credits to the individuals or families purchasing the insurance, based on income levels. Higher income consumers receive lower subsidies. While pre-subsidy prices rose considerably from 2016 to 2017, so did the subsidies, to reduce the after-subsidy cost to the consumer. For example, a study published in 2016 found that the average requested 2017 premium increase among 40-year-old non-smokers was about 9 percent, according to an analysis of 17 cities, although Blue Cross Blue Shield proposed increases of 40 percent in Alabama and 60 percent in Texas.[221] However, some or all of these costs are offset by subsidies, paid as tax credits. For example, the Kaiser Foundation reported that for the second-lowest cost “Silver plan” (a plan often selected and used as the benchmark for determining financial assistance), a 40-year old non-smoker making $30,000 per year would pay effectively the same amount in 2017 as they did in 2016 (about $208/month) after the subsidy/tax credit, despite large increases in the pre-subsidy price. This was consistent nationally. In other words, the subsidies increased along with the pre-subsidy price, fully offsetting the price increases.[222]

Cooperatives

The number of ACA nonprofit insurance cooperatives for 2017 fell from 23 originally to 7 for 2017. The remaining 7 posted annual losses in 2015. A General Accountability Report found that co-ops’ 2015 premiums were generally below average. At the end of 2014, money co-ops and other ACA insurers had counted on risk corridor payments that didn’t materialize. Maryland’s Evergreen Health claims that ACA’s risk-adjustment system does not adequately measure risk.[citation needed]

Medicaid

Newly elected Louisiana Governor John Bel Edwards issued an executive order to accept the expansion, becoming the 32nd state to do so. The program was expected to enroll an additional 300,000 Louisianans.[443]

2017

More than 9.2 million people signed up for care on the national exchange (healthcare.gov) for 2017, down some 400,000 from 2016. This decline was due primarily to the election of President Trump, who pulled advertising encouraging people to signup for coverage, issued an executive order that attempts to eliminate the mandate, and has created significant uncertainty about the future of the ACA. Enrollments had been running ahead of 2016 prior to President Obama leaving office, with 9.8 million expected to sign-up, so President Trump’s actions potentially cost about 600,000 national enrollments (i.e., 9.8 million expected – 9.2 million actual = 0.6 million impact).[444]Of the 9.2 million, 3.0 million were new customers and 6.2 million were returning. The 9.2 million excludes the 11 states that run their own exchanges, which have signed up around 3 million additional people.[444] These figures also exclude the additional coverage due to the Medicaid expansion, which covers another approximately 10 million persons, as described in the impact section above.

In February, Humana announced that it would withdraw from the individual insurance market in 2018, citing “further signs of an unbalanced risk pool.”[445] That month the IRS announced that it would not require that tax returns indicate that a person has health insurance, reducing the effectiveness of the individual mandate, in response to an executive order from President Donald Trump.[446]

Aetna CEO Mark Bertolini stated that ACA was in a “death spiral” of escalating premiums and shrinking, skewed enrollment.[447] However, a U.S. judge found that the Aetna CEO misrepresented why his company was leaving the exchanges; an important part of the reason was the Justice Department’s opposition to the intended merger between Aetna and Humana. Aetna actually pulled out of states where it was making money on the exchanges, while remaining in some states where it was not.[448] Further, the CBO reported in March 2017 that the healthcare exchanges were expected to be stable; i.e., they were not in a “death spiral.”[449]

Molina Healthcare, a major Medicaid provider, said that it was considering exiting some markets in 2018, citing “too many unknowns with the marketplace program.” Molina lost $110 million in 2016 due to having to contribute $325 million more than expected to the ACA “risk transfer” fund that compensated insurers with unprofitable risk pools. These pools were establish to help prevent insurers from artificially selecting lower-risk pools.[450]

https://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act

 

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BREAKING: Obama SCREAMS LIKE A BABY After Being Refused A Meeting With Trump At The White House

Four Secret Service agents and two United States Marines had a good laugh earlier today when Barack Obama showed up unannounced at the White House, demanding a meeting with President Trump. At first, the former president just nodded and waved and started walking through the door at the ellipse like he owned the place until he came face to face with Agent Brock Neidemeir, who used to serve on his detail.

After a short discussion, Neidemyer agreed to call down to the Oval Office and was told by Trump’s secretary Rosalita that he wasn’t welcome and that Trump had no time for him. Obama, being the sore loser that he is, started stomping around like a baby and demanding he be allowed in. People as far away as the south gate could hear him whining.

There’s no telling why Obama felt the need to show up at the White House or why he thought he could just waltz right in like he owned the place. One thing is for sure: Trump isn’t going to allow someone who knows how to do his job that much better than him come down the halls of the West Wing to show him up. He has real issues to deal with.

http://thelastlineofdefense.org/breaking-obama-screams-like-a-baby-after-being-refused-a-meeting-with-trump-at-the-white-house/

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The Pronk Pops Show 859, March 23, 2017, Breaking Story 1: Khalid Masood Criminal Radical Islamic Terrorist Killed 4 and Injured 29 (4 In Critical Condition) Before Being Killed by London Police Was Jihadist Soldier of Islamic State — Videos — Story 2: Big Lie Media Ignores Maryland Rape Case — Why? Two Criminal Illegal Aliens Were The Rapists — Rollback The 30-60 Million Illegal Alien Invasion of United States — Enforce Immigration Law: Remove and Deport All Illegal Aliens — It Is The Law! — Videos

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The Pronk Pops Show Podcasts

Pronk Pops Show 859: March 23, 2017

Pronk Pops Show 858: March 22, 2017

Pronk Pops Show 857: March 21, 2017

Pronk Pops Show 856: March 20, 2017

Pronk Pops Show 855: March 10, 2017

Pronk Pops Show 854: March 9, 2017

Pronk Pops Show 853: March 8, 2017

Pronk Pops Show 852: March 6, 2017

Pronk Pops Show 851: March 3, 2017

Pronk Pops Show 850: March 2, 2017

Pronk Pops Show 849: March 1, 2017

Pronk Pops Show 848: February 28, 2017

Pronk Pops Show 847: February 27, 2017

Pronk Pops Show 846: February 24, 2017

Pronk Pops Show 845: February 23, 2017

Pronk Pops Show 844: February 22, 2017

Pronk Pops Show 843: February 21, 2017

Pronk Pops Show 842: February 20, 2017

Pronk Pops Show 841: February 17, 2017

Pronk Pops Show 840: February 16, 2017

Pronk Pops Show 839: February 15, 2017

Pronk Pops Show 838: February 14, 2017

Pronk Pops Show 837: February 13, 2017

Pronk Pops Show 836: February 10, 2017

Pronk Pops Show 835: February 9, 2017

Pronk Pops Show 834: February 8, 2017

Pronk Pops Show 833: February 7, 2017

Pronk Pops Show 832: February 6, 2017

Pronk Pops Show 831: February 3, 2017

Pronk Pops Show 830: February 2, 2017

Pronk Pops Show 829: February 1, 2017

Pronk Pops Show 828: January 31, 2017

Pronk Pops Show 827: January 30, 2017

Pronk Pops Show 826: January 27, 2017

Pronk Pops Show 825: January 26, 2017

Pronk Pops Show 824: January 25, 2017

Pronk Pops Show 823: January 24, 2017

Pronk Pops Show 822: January 23, 2017

Pronk Pops Show 821: January 20, 2017

Pronk Pops Show 820: January 19, 2017

Pronk Pops Show 819: January 18, 2017

Pronk Pops Show 818: January 17, 2017

Pronk Pops Show 817: January 13, 2017

Pronk Pops Show 816: January 12, 2017

Pronk Pops Show 815: January 11, 2017

Pronk Pops Show 814: January 10, 2017

Pronk Pops Show 813: January 9, 2017

Pronk Pops Show 812: December 12, 2016

Pronk Pops Show 811: December 9, 2016

Pronk Pops Show 810: December 8, 2016

Pronk Pops Show 809: December 7, 2016

Pronk Pops Show 808: December 6, 2016

Pronk Pops Show 807: December 5, 2016

Pronk Pops Show 806: December 2, 2016

Pronk Pops Show 805: December 1, 2016

Breaking Story 1: Khalid Masood Criminal Radical Islamic Terrorist Killed 4 and Injured 29 (4 In Critical Condition) Before Being Killed by London Police Was Jihadist Soldier of Islamic State — Videos —

Image result for london terrorist attack parliamentImage result for london terrorist attack parliament march 22, 2017 westminster bridge
Image result for london terrorist attack parliamentImage result for london terrorist attack parliament march 22, 2017 westminster bridgeImage result for london terrorist attack parliamentImage result for london terrorist attack parliament march 22, 2017 westminster bridgeImage result for london terrorist attack parliamentImage result for london terrorist attack parliament march 22, 2017 westminster bridgeImage result for london terrorist attack parliament march 22, 2017 westminster bridgeImage result for london terrorist attack parliament march 22, 2017 westminster bridgeImage result for london terrorist attack parliamentImage result for london terrorist attack parliamentImage result for london terrorist attack parliament march 22, 2017Image result for london terrorist attack parliamentImage result for london terrorist attack parliamentImage result for london terrorist attack parliamentImage result for london terrorist attack parliamentImage result for london terrorist attack parliament march 22, 2017Image result for london terrorist attack parliament march 22, 2017Image result for london terrorist attack parliament march 22, 2017 westminster bridgeImage result for london terrorist attack parliament march 22, 2017 westminster bridgeTerror Attack Targets London’s Parliament Building

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SEDUCED BY ISIS

London terror attacker named as Khalid Masood – a 52-year-old body-building obsessed dad-of-three English teacher seduced by ISIS

The Muslim convert used several aliases and had been convicted previously of possessing a knife

A KILLER who murdered three people before he was shot dead by police has been named as a body-building obsessed married dad-of-three.

Muslim convert former English teacher Khalid Masood, 52, who mowed down pedestrians on Westminster Bridge before storming Parliament and stabbing a police officer to death, was born in Kent but later moved to the West Midlands.

Khalid Masood lies on a stretcher outside Parliament with paramedics treating his injuries while armed cops stand guard

PA:PRESS ASSOCIATION
Khalid Masood lies on a stretcher outside Parliament with paramedics treating his injuries while armed cops stand guard

Masood was a former English teacher from Kent who was obsessed with body building

PA:PRESS ASSOCIATION
Masood was a former English teacher from Kent who was obsessed with body building

Scotland Yard said serial offender Masood, who was born on Christmas Day, had previous convictions for assaults, including GBH, possession of offensive weapons and public order offences.

He had not been convicted of any terror offences, and was not subject to any investigations at the time of the atrocity.

Masood’s first conviction was in November 1983 for criminal damage and his last conviction was in December 2003 for possession of a knife.

The Met police said there was “no prior intelligence about his intent to mount a terrorist attack”.

They added: “Anyone with any information about Masood can call the Anti-Terrorist Hotline 0800 789 321.”

The killer was known by a number of aliases including Khalid Choudri, according to Sky News.

Theresa May earlier revealed  MI5 intelligence chiefs had previously investigated 52-year-old Khalid Masood but dismissed him as a “peripheral figure”.

The house in Birmingham that Khalid Masood lived in after moving from London

AP:ASSOCIATED PRESS
The house in Birmingham that Khalid Masood lived in after moving from London

The murderous rampage was only stopped when the Defence Minister’s protection officer drew his gun, shooting the extremist up to three times.

Officials have now said the lone wolf maniac was inspired by “Islamic terrorism” and had been investigated for violent extremism by MI5 before he mowed down crowds on Westminster Bridge and stabbed cop Keith Palmer to death outside Parliament.

A Sky source, who met him, described him as a “big bloke” who looked like a bodybuilder “you wouldn’t want to mess with”.

He added that Masood was a “very religious, well spoken man. You couldn’t go to his home in Birmingham on Friday because he would be at prayer”.

The source also said he was a “religious convert”.

A stunned neighbour claimed she recognised the dead terrorist after he apparently lived next door to her in Winson Green, Birmingham.

Iwona Romek, who did not know the attacker’s name, described the killer as a dad who was a keen gardener.

The 45-year-old said the murderer “seemed to be quite nice” but suddenly moved out with his “young child and Asian wife”.

Masood used to live at this modest house in West Ham, London

PA:PRESS ASSOCIATION
Masood used to live at this modest house in West Ham, London

The killer lived here in London before moving to Birmingham

PA:PRESS ASSOCIATION
The killer lived here in London before moving to Birmingham

Forensic teams work on Westminster Bridge the day after a lone wolf maniac attacked London

GETTY
Forensic teams work on Westminster Bridge the day after a lone wolf maniac attacked London

Forensic teams carry bags of evidence from Westminster Bridge where a maniac ploughed into crowds yesterday

LONDON NEWS PICTURES
Forensic teams carry bags of evidence from Westminster Bridge where a maniac ploughed into crowds yesterday

PM Theresa May confirms MI5 know the identity of the Westminster terror attacker

Theresa May updated MPs in the House of Commons this morning

EPA
Theresa May updated MPs in the House of Commons this morning

Third victim of London terror attack at Westminster named as Kurt Cochran

Iwona Romek believes she lived next door to the killer

SWNS:SOUTH WEST NEWS SERVICE
Iwona Romek believes she lived next door to the killer

She added: “When I saw the pictures on TV and in the papers of the man who carried out the attack, I recognised him as the man who used to live next door.

“I would see him quite often, but it would just be a ‘hello’ and a ‘how are you’.

“He had a young child, who I’d think was about five or six years old.

“There was a woman living there with him, an Asian woman.

“He seemed to be quite nice, he would be taking care of his garden and the weeds.

“He moved out in December, very soon. One day he was gone, there were delivery vans outside all of a sudden.

“Last night I just heard banging of the door and police shouting ‘open the door, open the door’.

“They were saying ‘it’s on the second floor’

“I heard the helicopters flying above too.

“Men were going in in the forensics outfits, it was very strange.

“I’m shaking and I’m nervous. I don’t know if I can live here anymore, I’ve been here

for 12 years.

“I just thought it was a normal family”.

Police leaving the property at the Quayside, in the Winson Green area of Birmingham after carrying out a forensic search

SWNS:SOUTH WEST NEWS SERVICE
Police leaving the property at the Quayside, in the Winson Green area of Birmingham after carrying out a forensic search

Officers holding a battering ram raided the property in Birmingham

SWNS:SOUTH WEST NEWS SERVICE
Officers holding a battering ram raided the property in Birmingham

A number of raids including this one in Birmingham have been carried out across the country

SWNS:SOUTH WEST NEWS SERVICE
A number of raids including this one in Birmingham have been carried out across the country

A photograph shows police arresting an individual after carrying out raids last night

CATERS NEWS AGENCY
A photograph shows police arresting an individual after carrying out raids last night

Hundreds of cops have been drafted in the aftermath of the Westminster attack with six properties raided - including this Birmingham flat

CATERS NEWS AGENCY
Hundreds of cops have been drafted in the aftermath of the Westminster attack with six properties raided – including this Birmingham flat

Police swooped on areas around Hagley Road in Birmingham in raids

SWNS:SOUTH WEST NEWS SERVICE
Police swooped on areas around Hagley Road in Birmingham in raids

An officer enters the flat in Hagley Road in Birmingham

© ANDREW PRICE/VIEW FINDER PICT
An officer enters the flat in Hagley Road in Birmingham

Inside the Birmingham flat, located in the south west of the city, which was raided by cops

Inside the Birmingham flat, located in the south west of the city, which was raided by cops

Cops raided the flat, and took several people into custody, according to reports

Cops raided the flat, and took several people into custody, according to reports

Farahd Makavand, the owner of a flat in Birmingham, that was raided by police

REUTERS
FarahdMakavand, the owner of a flat in Birmingham, that was raided by police

Theresa May told Parliament this morning: “What I can confirm is the man was British-born and that some years ago he was once investigated by MI5 in relation to concerns about violent extremism.”

She said he was a “peripheral” figure, adding: “The case is historic.

“He is not part of the current intelligence picture. There was no prior intelligence of his intent or the plot.”

ISIS has now claimed responsibility for the attack, publishing a statement and claiming the attacker as a “soldier of the Islamic State”.

While vowing that Britain would not be cowed by the attack, the PM said that as a precautionary measure,  more armed police will be rolled out as the country beefs up security.

Met with vocal support from other members of parliament, she said: “Yesterday we saw the worst of humanity, but we will remember the best.”

But she said that with no new intelligence to suggest another attack, the threat level to the UK would remain unchanged at “severe”.

It comes at it was revealed that Masood only got into Parliament when the gates were opened to let the Metropolitan Police chief Mark Rowley leave.

US tourist Kurt Cochran was also killed in the terrorist incident while enjoying a dream holiday

US tourist Kurt Cochran was also killed in the terrorist incident while enjoying a dream holiday

The details come after American tourist Kurt Cochran, 54, was named as the third victim of the horrific Westminster attack.

The revelations come after cops arrested eight people in raids on six different addresses across London, Carmarthenshire, Brighton and Birmingham in connection with yesterday’s bloody attack.

The three women and five men have been held on suspicion of preparing terrorist acts.

Police said a 39-year-old woman was arrested at an address in east London, a 21-year-old woman and a 23-year-old man were arrested at an address in Birmingham, a 26-year-old woman and three men aged 28, 27 and 26 years old were arrested at a separate address in Birmingham.

A 58-year-old man was also arrested this morning at a separate address in Birmingham on suspicion of preparation of terrorist acts.

Mark Rowley, national lead for Counter Terrorism Policing and Met Acting Deputy Commissioner corrected earlier figures saying three innocent victims – PC Palmer, a woman in her mid 40s and a man in his mid 50s – were killed along with the attacker who was shot by cops.

The female victim was mum-of-two Aysha Frade, who is believed to have been picking up her children from school when she was killed in the horrific attack.

AMAQ News Agency says ISIS carried out London terror attack at Westminster

Police were on their hands and knees searching the area for clues

Police were on their hands and knees searching the area for clues

Mark Rowley, national lead for Counter Terrorism Policing and Met Acting Deputy Commissioner gives a press conference this morning

Mark Rowley, national l