The Pronk Pops Show 1233, April 4, 2019, Story 1: Largest Raid Of A Business, CVE, In United States In Last Ten Years: Immigration Customs Enforcement (ICE) Arrests 280 Illegal Alien Employees At Business In Allen For Administrative Immigration Violations — Did Not Arrest  Managers, Executives and Owners of Company Who Hired Illegal Aliens — Family Deported Together Stays Together — Videos — Story 2: Competitive Free Enterprise Market Capitalism Health Care vs Monopoly Socialized Government Health Care — Live Now or Die While Waiting — Videos — Story 3: U.S Weekly Jobless Claims Fall To Lowest Level in 50 Years (1969) — Videos

Posted on April 6, 2019. Filed under: 2020 Democrat Candidates, 2020 President Candidates, 2020 Republican Candidates, Addiction, American History, Barack H. Obama, Bernie Sander, Blogroll, Breaking News, Budgetary Policy, Business, Cartoons, Clinton Obama Democrat Criminal Conspiracy, Communications, Computers, Congress, Constitutional Law, Corruption, Countries, Crime, Culture, Deep State, Donald J. Trump, Donald J. Trump, Donald J. Trump, Donald Trump, Drugs, Economics, Education, Elections, Empires, Employment, Energy, Federal Government, First Amendment, Fiscal Policy, Foreign Policy, Former President Barack Obama, Freedom of Speech, Government, Government Dependency, Government Spending, Health, Health Care, Health Care Insurance, History, House of Representatives, Human, Human Behavior, Illegal Drugs, Illegal Drugs, Illegal Immigration, Illegal Immigration, Immigration, Independence, Kamala Harris, Labor Economics, Law, Legal Immigration, Life, Lying, Media, Medicare, Medicine, Mental Illness, Military Spending, National Interest, News, People, Philosophy, Photos, Politics, Polls, Progressives, Public Corruption, Radio, Rand Paul, Raymond Thomas Pronk, Regulation, Resources, Rule of Law, Scandals, Security, Senate, Social Security, Spying, Surveillance and Spying On American People, Surveillance/Spying, Tax Policy, Taxation, Taxes, Trade Policy, Trump Surveillance/Spying, Unemployment, United States Constitution, United States of America, United States Supreme Court, Videos, Violence, War, Wealth, Welfare Spending, Wisdom | Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |

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The Pronk Pops Show Podcasts

Pronk Pops Show 1233 April 4, 2019

Pronk Pops Show 1232 April 1, 2019 Part 2

Pronk Pops Show 1232 March 29, 2019 Part 1

Pronk Pops Show 1231 March 28, 2019

Pronk Pops Show 1230 March 27, 2019

Pronk Pops Show 1229 March 26, 2019

Pronk Pops Show 1228 March 25, 2019

Pronk Pops Show 1227 March 21, 2019

Pronk Pops Show 1226 March 20, 2019

Pronk Pops Show 1225 March 19, 2019

Pronk Pops Show 1224 March 18, 2019

Pronk Pops Show 1223 March 8, 2019

Pronk Pops Show 1222 March 7, 2019

Pronk Pops Show 1221 March 6, 2019

Pronk Pops Show 1220 March 5, 2019

Pronk Pops Show 1219 March 4, 2019

Pronk Pops Show 1218 March 1, 2019

Pronk Pops Show 1217 February 27, 2019

Pronk Pops Show 1216 February 26, 2019

Pronk Pops Show 1215 February 25, 2019

Pronk Pops Show 1214 February 22, 2019

Pronk Pops Show 1213 February 21, 2019

Pronk Pops Show 1212 February 20, 2019

Pronk Pops Show 1211 February 19, 2019

Pronk Pops Show 1210 February 18, 2019

Pronk Pops Show 1209 February 15, 2019

Pronk Pops Show 1208 February 14, 2019

Pronk Pops Show 1207 February 13, 2019

Pronk Pops Show 1206 February 12, 2019

Pronk Pops Show 1205 February 11, 2019

Pronk Pops Show 1204 February 8, 2019

Pronk Pops Show 1203 February 7, 2019

Pronk Pops Show 1202 February 6, 2019

Pronk Pops Show 1201 February 4, 2019

Pronk Pops Show 1200 February 1, 2019

Pronk Pops Show 1199 January 31, 2019

Pronk Pops Show 1198 January 25, 2019

Pronk Pops Show 1197 January 23, 2019

Pronk Pops Show 1196 January 22, 2019

Pronk Pops Show 1195 January 17, 2019

Pronk Pops Show 1194 January 10, 2019

Pronk Pops Show 1193 January 9, 2019

Pronk Pops Show 1192 January 8, 2019

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Story 1: Story 1: Largest Raid Of Business CVE In United States In Last Ten Years: Immigration Customs Enforcement (ICE) Arrests 280 Illegal Alien Employees At Business In Allen For Administrative Immigration Violations — Did Not Arrest  Managers, Executives and Owners of Company Who Hired Illegal Aliens — Family Deported Together Stays Together — Videos —

See the source image

ICE Arrests Hundreds In Texas In Largest Workplace Raid In Over A Decade

280 People Arrested On Immigration Violations In Allen

SURPRISE It’s ICE: Illegal Immigration Raid In Texas

ICE cracking down on employers hiring undocumented workers

Eye on America: Georgia law enforcement partners with federal agents in immigration crackdown

Eye on America: Georgia law enforcement partners with federal agents in immigration crackdown

On the ground with ICE agents enforcing Trump’s immigration crackdown

Local police departments partnering with ICE in Texas

Inside a raid on Texas home with 62 undocumented immigrants

ICE Enforcement In Action (2017) • Dallas & New York City

A day with ICE in the so-called “Sanctuary City…

Why Many Employers Prefer to Hire Illegal Aliens

The High Cost of Illegal Immigration

Top 10 US States With The Most Illegal Immigrants 2014

Form I-9 Breaking Down The List of Acceptable Documents

 

How to Fill Out the I-9 Form

5 Most Common Questions Regarding I-9 Forms

Form I-9 On-Demand Webinar

ICE arrests nearly 300 in Texas, the largest workplace raid since before the Obama administration

I-9, Employment Eligibility Verification

Form I-9 is used for verifying the identity and employment authorization of individuals hired for employment in the United States. All U.S. employers must ensure proper completion of Form I-9 for each individual they hire for employment in the United States. This includes citizens and noncitizens. Both employees and employers (or authorized representatives of the employer) must complete the form. On the form, an employee must attest to his or her employment authorization. The employee must also present his or her employer with acceptable documents evidencing identity and employment authorization. The employer must examine the employment eligibility and identity document(s) an employee presents to determine whether the document(s) reasonably appear to be genuine and to relate to the employee and record the document information on the Form I-9. The list of acceptable documents can be found on the last page of the form. Employers must retain Form I-9 for a designated period and make it available for inspection by authorized government officers. NOTE: State agencies may use Form I-9. Also, some agricultural recruiters and referrers for a fee may be required to use Form I-9.

Form 3; Supplement (if applicable): 1; Instructions 15

07/17/2017.

Do not file Form I-9 with USCIS or U.S. Immigrations and Customs Enforcement (ICE). Employers must have a completed Form I-9 on file for each person on their payroll who is required to complete the form. Form I-9 must be retained and stored by the employer either for three years after the date of hire or for one year after employment is terminated, whichever is later. The form must be available for inspection by authorized U.S. Government officials from the Department of Homeland Security, Department of Labor, or Department of Justice.

$0

The Spanish version of Form I-9 may be filled out by employers and employees in Puerto Rico ONLY. Spanish-speaking employers and employees in the 50 states and other U.S. territories may print this for their reference, but may only complete the form in English to meet employment eligibility verification requirements.

To more easily complete Form I-9, Employment Eligibility Verification, download the PDF directly to your computer. You should use the latest version of the free Adobe Reader. The Internet Explorer, Firefox and Safari web browsers will prompt you to open or save the form.
To download the form from the Chrome web browser:

  1. Click the link to the Form I-9 you wish to download.
  2. Click the arrow that displays in the PDF file download box that will appear in the bottom left-hand corner.
  3. Select ‘Show in folder’ from the drop-down that appears.
  4. Open the form that appears in your Download folder.

For best results, ensure that you use the most current version of the browser of your choice.

 

Story 2: Competitive Free Enterprise Market Capitalism Health Care vs Monopoly Socialized Government Health Care — Live Now or Die While Waiting — Videos —

What’s Wrong with Government-Run Healthcare?

Government Can’t Fix Healthcare

Single-Payer Health Care: America Already Has It

The TRUTH About Universal Healthcare! (from a Canadian)

Why Is Healthcare So Expensive?

Republicans pump the brakes as Trump challenges Obamacare

Trump Delays Obamacare Replacement Vote Until After 2020 Election

 

Health Insurance Coverage in the United States: 2017

REPORT NUMBER P60-264
EDWARD R. BERCHICK, EMILY HOOD, AND JESSICA C. BARNETT

Introduction

This report presents statistics on health insurance coverage in the United States based on information collected in the 2014, 2015, 2016, 2017, and 2018 Current Population Survey Annual Social and Economic Supplements (CPS ASEC) and the American Community Survey (ACS).

Highlights

• In 2017, 8.8 percent of people, or 28.5 million, did not have health insurance at any point during the year as measured by the CPS ASEC. The uninsured rate and number of uninsured in 2017 were not statistically different from 2016 (8.8 percent or 28.1 million).

• The percentage of people with health insurance coverage for all or part of 2017 was 91.2 percent, not statistically different from the rate in 2016 (91.2 percent). Between 2016 and 2017, the number of people with health insurance coverage increased by 2.3 million, up to 294.6 million.

 In 2017, private health insurance coverage continued to be more prevalent than government coverage, at 67.2 percent and 37.7 percent, respectively. Of the subtypes of health insurance coverage, employer-based insurance was the most common, covering 56.0 percent of the population for some or all of the calendar year, followed by Medicaid (19.3 percent), Medicare (17.2 percent), direct-purchase coverage (16.0 percent), and military coverage (4.8 percent).

• Between 2016 and 2017, the rate of Medicare coverage increased by 0.6 percentage points to cover 17.2 percent of people for part or all of 2017 (up from 16.7 percent in 2016).

• The military coverage rate increased by 0.2 percentage points to 4.8 percent during this time. Coverage rates for employment-based coverage, direct-purchase coverage, and Medicaid did not statistically change between 2016 and 2017.

• In 2017, the percentage of uninsured children under age 19 (5.4 percent) was not statistically different from the percentage in 2016.

• For children under age 19 in poverty, the uninsured rate (7.8 percent) was higher than for children not in poverty (4.9 percent).

• Between 2016 and 2017, the uninsured rate did not statistically change for any race or Hispanic origin group.

• In 2017, non-Hispanic Whites had the lowest uninsured rate among race and Hispanic-origin groups (6.3 percent). The uninsured rates for Blacks and Asians were 10.6 percent and 7.3 percent, respectively. Hispanics had the highest uninsured rate (16.1 percent).

• Between 2016 and 2017, the percentage of people without health insurance coverage at the time of interview decreased in three states and increased in 14 states.

https://www.census.gov/library/publications/2018/demo/p60-264.html

Key Facts about the Uninsured Population

The Affordable Care Act (ACA) led to historic gains in health insurance coverage by extending Medicaid coverage to many low-income individuals and providing Marketplace subsidies for individuals below 400% of poverty. The number of uninsured nonelderly Americans decreased from over 44 million in 2013 (the year before the major coverage provisions went into effect) to just below 27 million in 2016. However, in 2017, the number of uninsured people increased by nearly 700,000 people, the first increase since implementation of the ACA. Ongoing efforts to alter the ACA or to make receipt of Medicaid contingent on work may further erode coverage gains seen under the ACA. This fact sheet describes how coverage has changed in recent years, examines the characteristics of the uninsured population, and summarizes the access and financial implications of not having coverage.

Summary: Key Facts about the Uninsured Population
How many people are uninsured?
In the past, gaps in the public insurance system and lack of access to affordable private coverage left millions without health insurance. Beginning in 2014, the ACA expanded coverage to millions of previously uninsured people through the expansion of Medicaid and the establishment of Health Insurance Marketplaces. Data show substantial gains in public and private insurance coverage and historic decreases in the number of uninsured people under the ACA, with nearly 20 million gaining coverage. However, for the first time since the implementation of the ACA, the number of uninsured increased by more than half a million in 2017.Why do people remain uninsured?
Even under the ACA, many uninsured people cite the high cost of insurance as the main reason they lack coverage. In 2017, 45% of uninsured adults said that they remained uninsured because the cost of coverage was too high. Many people do not have access to coverage through a job, and some people, particularly poor adults in states that did not expand Medicaid, remain ineligible for financial assistance for coverage. Some people who are eligible for financial assistance under the ACA may not know they can get help, and undocumented immigrants are ineligible for Medicaid or Marketplace coverage.Who remains uninsured?
Most uninsured people are in low-income families and have at least one worker in the family. Reflecting the more limited availability of public coverage in some states, adults are more likely to be uninsured than children. People of color are at higher risk of being uninsured than non-Hispanic Whites.How does not having coverage affect health care access?
People without insurance coverage have worse access to care than people who are insured. One in five uninsured adults in 2017 went without needed medical care due to cost. Studies repeatedly demonstrate that the uninsured are less likely than those with insurance to receive preventive care and services for major health conditions and chronic diseases.What are the financial implications of being uninsured?
The uninsured often face unaffordable medical bills when they do seek care. In 2017, uninsured nonelderly adults were over twice as likely as their insured counterparts to have had problems paying medical bills in the past 12 months. These bills can quickly translate into medical debt since most of the uninsured have low or moderate incomes and have little, if any, savings.

How many people are uninsured?

In the past, gaps in the public insurance system and lack of access to affordable private coverage left millions without health insurance, and the number of uninsured Americans grew over time, particularly during periods of economic downturns. By 2013, more than 44 million people lacked coverage. Under the ACA, as of 2014, Medicaid coverage has been expanded to nearly all adults with incomes at or below 138% of poverty in states that have expanded their programs, and tax credits are available for people who purchase coverage through a health insurance marketplace. Millions of people have enrolled in these new coverage options, and the uninsured rate dropped to a historic low. Coverage gains were particularly large among low-income adults living in states that expanded Medicaid. Still, millions of people—27.4 million nonelderly individuals in 2017—remain without coverage.1

Key Details:
  • The number of uninsured, and the share of the nonelderly population that was uninsured, rose from 44.2 million (17.1%) to 46.5 million (17.8%) between 2008 and 2010 as the country faced an economic recession (Figure 1). As early provisions of the ACA went into effect in 2010, and as the economy improved, the number of uninsured people and uninsured rate began to drop. When the major ACA coverage provisions went into effect in 2014, the number of uninsured and uninsured rate dropped dramatically and continued to fall through 2016, when just below 27 million people (10% of the nonelderly population) lacked coverage.

Number of Uninsured and Uninsured Rate Among the Nonelderly Population, 2008-2017

Figure 1: Number of Uninsured and Uninsured Rate Among the Nonelderly Population, 2008-2017

Change in Uninsured Rate Among the Nonelderly Population by Selected Characteristics, 2013-2016

Figure 2: Change in Uninsured Rate Among the Nonelderly Population by Selected Characteristics, 2013-2016

  • Coverage gains from 2013 to 2016 were particularly large among groups targeted by the ACA, including adults and poor and low-income individuals. The uninsured rate among nonelderly adults, who are more likely than children to be uninsured, dropped 8.4 percentage points from 20.6% in 2013 to 12.2% in 2016, a 41% decline.2 In addition, between 2013 and 2016, the uninsured rate declined substantially for poor and near-poor nonelderly individuals (Figure 2). People of color, who had higher uninsured rates than non-Hispanic Whites prior to 2014, had larger coverage gains from 2013 to 2016 than non-Hispanic Whites. Though uninsured rates dropped across all states, they dropped more in states that chose to expand Medicaid, decreasing by 7.2 percentage points from 2013 to 2016 compared to a 6.1 percentage point drop in non-expansion states.3
  • In 2017, the uninsured rate reversed course and, for the first time since the passage of the ACA, rose significantly to 10.2%. Changes in the uninsured rate in the set of states that expanded Medicaid were essentially flat overall, declining by less than 0.1 percentage points, but patterns varied by states (Appendix Table A) and by demographic group (Figure 3). In contrast, the uninsured rate in states that did not expand Medicaid increased both overall (rising by 0.6 percentage points) and for most groups (Figure 3). The largest increases in the uninsured rates in non-expansion states were among non-Hispanic Blacks and those living above poverty (Figure 3). Again, changes in coverage from 2016-2017 varied within the set of states that have not expanded Medicaid (Appendix A).

Figure 3: Change in Uninsured Rate Among the Nonelderly Population by Selected Characteristics and Expansion Status, 2016-2017

Why do people remain uninsured?

Most of the nonelderly in the United States obtain health insurance through an employer, but not all workers are offered employer-sponsored coverage or, if offered, can afford their share of the premiums. Medicaid covers many low-income individuals, and financial assistance for Marketplace coverage is available for many moderate-income people. However, Medicaid eligibility for adults remains limited in some states, and few people can afford to purchase coverage without financial assistance. Some people who are eligible for coverage under the ACA may not know they can get help, and others may still find the cost of coverage prohibitive.

Key Details:
  • Cost still poses a major barrier to coverage for the uninsured. In 2017, 45% of uninsured nonelderly adults said they were uninsured because the cost is too high, making it the most common reason cited for being uninsured (Figure 4). Though financial assistance is available to many of the remaining uninsured under the ACA,4 not everyone who is uninsured is eligible for free or subsidized coverage. In addition, some uninsured who are eligible for help may not be aware of coverage options or may face barriers to enrollment.5 Outreach and enrollment assistance was key to facilitating both initial and ongoing enrollment in ACA coverage, but these programs face challenges due to funding cuts and high demand.6,7

    Reasons for Being Uninsured Among Uninsured Nonelderly Adults, 2017

    Figure 4: Reasons for Being Uninsured Among Uninsured Nonelderly Adults, 2017

  • Access to health coverage changes as a person’s situation changes. In 2017, 22% of uninsured nonelderly adults said they were uninsured because the person who carried the health coverage in their family lost their job or changed employers (Figure 4). More than one in ten were uninsured because of a marital status change, the death of a spouse or parent, or loss of eligibility due to age or leaving school (11%), and some lost Medicaid because of a new job/increase in income or the plan stopping after pregnancy (11%).8
  • As indicated above, not all workers have access to coverage through their job. In 2017, 71% of nonelderly uninsured workers worked for an employer that did not offer health benefits to the worker.9 Moreover, nine out of ten uninsured workers who do not take up an offer of employer-sponsored coverage report cost as the main reason for declining (90%).10 From 2008 to 2018, total premiums for family coverage increased by 55%, and the worker’s share increased by 65%, outpacing wage growth.11
  • Medicaid and CHIP are available for low-income children, but eligibility for adults is more limited. As of November 2018, 37 states including DC adopted Medicaid expansion eligibility for adults under the ACA.12,13 However, in states that have not expanded Medicaid, eligibility for adults remains limited, with median eligibility level for parents at just 43% of poverty and adults without dependent children ineligible in most cases.14 Millions of poor uninsured adults fall in a “coverage gap” because they earn too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits.15
  • Undocumented immigrants are ineligible for Medicaid or Marketplace coverage.16 While lawfully-present immigrants under 400% of poverty are eligible for Marketplace tax credits, only those who have passed a five-year waiting period after receiving qualified immigration status can qualify for Medicaid.

Who remains uninsured?

Most remaining uninsured people are in working families, are in families with low incomes, and are nonelderly adults.17 Reflecting income and the availability of public coverage, people who live in the South or West are more likely to be uninsured. Most who remain uninsured have been without coverage for long periods of time. (See Appendix Table B for detailed data on the uninsured population.)

Key Details:
  • In 2017, over three quarters of the uninsured (77%) had at least one full-time worker in their family, and an additional 10% had a part-time worker in their family (Figure 5).

Figure 5: Characteristics of the Nonelderly Uninsured, 2017

Figure 5: Characteristics of the Nonelderly Uninsured, 2017

  • Individuals below poverty18 are at the highest risk of being uninsured. In total, more than eight in ten of the uninsured were in families with incomes below 400% of poverty in 2017 (Figure 5).
  • While a plurality (41%) of the uninsured are non-Hispanic Whites, people of color are at higher risk of being uninsured than Whites. People of color make up 42% of the nonelderly U.S. population19 but account for over half of the total nonelderly uninsured population (Figure 5). Hispanics and Blacks have significantly higher uninsured rates (19% and 11%, respectively) than Whites (7%) (Figure 6).20

Figure 6: Uninsured Rates Among the Nonelderly Population by Selected Characteristics, 2017

  • Most (86%) of the uninsured are nonelderly adults. The uninsured rate among children was just 5% in 2017, less than half the rate among nonelderly adults (12%),21 largely due to broader availability of Medicaid/CHIP for children than for adults.
  • Most of the uninsured (75%) are U.S. citizens, and 25% are non-citizens.22 Uninsured non-citizens include both lawfully present and undocumented immigrants. Undocumented immigrants are ineligible for federally funded health coverage, but legal immigrants can qualify for subsidies in the Marketplaces and those who have been in the country for more than five years are eligible for Medicaid.23
  • Uninsured rates vary by state and by region, with individuals living in non-expansion states being the most likely to be uninsured (Figure 6). Thirteen of the eighteen states with the highest uninsured rates in 2017 were non-expansion states as of that year (Figure 7 and Appendix A). Economic conditions, availability of employer-sponsored coverage, and demographics are other factors contributing to variation in uninsured rates across states.

    Figure 7:

    Figure 7: Uninsured Rates Among the Nonelderly by State, 2017

  • Nearly three-fourths (74%) of the nonelderly adults uninsured in 2017 have been without coverage for more than a year.24 People who have been without coverage for long periods may be particularly hard to reach in outreach and enrollment efforts.

How does not having coverage affect health care access?

Health insurance makes a difference in whether and when people get necessary medical care, where they get their care, and ultimately, how healthy they are. Uninsured adults are far more likely than those with insurance to postpone health care or forgo it altogether. The consequences can be severe, particularly when preventable conditions or chronic diseases go undetected.

Key Details:
  • Studies repeatedly demonstrate that the uninsured are less likely than those with insurance to receive preventive care and services for major health conditions and chronic diseases.2526 One in five (20%) nonelderly adults without coverage say that they went without care in the past year because of cost compared to 3% of adults with private coverage and 8% of adults with public coverage. Part of the reason for poor access among the uninsured is that many (50%) do not have a regular place to go when they are sick or need medical advice (Figure 8).

    Figure 8: Barriers to Health Care Among Nonelderly Adults by Insurance Status, 2017

  • Because of the cost of care, many uninsured people do not obtain the treatments their health care providers recommend for them. In 2017, uninsured nonelderly adults were more than three times as likely as adults with private coverage to say that they postponed or did not get a needed prescription drug due to cost (19% vs. 6%).27 And while insured and uninsured people who are injured or newly diagnosed with a chronic condition receive similar plans for follow-up care, people without health coverage are less likely than those with coverage to obtain all the recommended services.28
  • Because people without health coverage are less likely than those with insurance to have regular outpatient care, they are more likely to be hospitalized for avoidable health problems and to experience declines in their overall health. When they are hospitalized, uninsured people receive fewer diagnostic and therapeutic services and also have higher mortality rates than those with insurance.29,30,31,32
  • Research demonstrates that gaining health insurance improves access to health care considerably and diminishes the adverse effects of having been uninsured. A seminal study of a Medicaid expansion in Oregon found that uninsured adults who gained Medicaid coverage were more likely to receive care than their counterparts who did not gain coverage.33 A comprehensive review of research on the effects of the ACA Medicaid expansion finds that expansion led to positive effects on access to care, utilization of services, the affordability of care, and financial security among the low-income population.34
  • Public hospitals, community clinics and health centers, and local providers that serve disadvantaged communities provide a crucial health care safety net for uninsured people. However, safety net providers have limited resources and service capacity, and not all uninsured people have geographic access to a safety net provider.35,36 High uninsured rates also contribute to rural hospital closures, leaving individuals living in rural areas at an even greater disadvantage to accessing care.37

What are the financial implications of being uninsured?

The uninsured often face unaffordable medical bills when they do seek care. These bills can quickly translate into medical debt since most of the uninsured have low or moderate incomes and have little, if any, savings.38

Key Details:
  • Those without insurance for an entire year pay for one-fourth of their care out-of-pocket.39 In addition, hospitals frequently charge uninsured patients much higher rates than those paid by private health insurers and public programs.40,41
  • Medical bills can put great strain on the uninsured and threaten their financial well-being. In 2017, nonelderly uninsured adults were over twice as likely as those with insurance to have problems paying medical bills (29% vs. 14%; Figure 9) with nearly two thirds of uninsured who had medical bill problems unable to pay their medical bills at all (65%).42 Uninsured adults are also more likely to face negative consequences due to medical bills, such as using up savings, having difficulty paying for necessities, borrowing money, or having medical bills sent to collection.43
  • Uninsured nonelderly adults are also much more likely than their insured counterparts to lack confidence in their ability to afford usual medical costs and major medical expenses or emergencies. Uninsured nonelderly adults are over twice as likely as insured adults to worry about being able to pay costs for normal health care (61% vs. 27%; Figure 9). Furthermore, over three quarters of uninsured nonelderly adults (76%) say they are very or somewhat worried about paying medical bills if they get sick or have an accident, compared to 45% of insured adults.
  • Lacking insurance coverage puts people at risk of medical debt. In 2017, three in ten (31%) of uninsured nonelderly adults said they were paying off at least one medical bill over time (Figure 9). Nearly three in five consumers (59%) reported being contacted regarding a collection for medical bills in the United States.44 More than half (53%) of uninsured people said they had problems paying household medical bills in the past year and are more likely to be in medical debt than people with insurance.45

    Figure 9: Problems Paying Medical Bills by Insurance Status, 2017

  • Though the uninsured are typically billed for medical services they use, when they cannot pay these bills, the costs may become bad debt or uncompensated care for providers. State, federal, and private funds defray some but not all of these costs. With the expansion of coverage under the ACA, providers are seeing reductions in uncompensated care costs, particularly in states that expanded Medicaid.46
  • Research suggests that gaining health coverage improves the affordability of care and financial security among the low-income population. Multiple studies of the ACA have found larger declines in trouble paying medical bills in expansion states relative to non-expansion states. A separate study found that, among those residing in areas with high shares of low-income, uninsured individuals, Medicaid expansion significantly reduced the number of unpaid bills and the amount of debt sent to third-party collection agencies.47

Conclusion

Millions of people gained coverage under the ACA, but recent trends in insurance coverage indicate that coverage gains may be eroding. In 2017, 27.4 million people lacked health coverage, up slightly from 2016. Ongoing debate about altering the ACA or limiting Medicaid to populations traditionally served by the program could lead to further loss of coverage. On the other hand, if additional states opt to expand Medicaid as allowed under the ACA, there may be additional coverage gains as low-income individuals gain access to affordable coverage. Going without coverage can have serious health consequences for the uninsured because they receive less preventive care, and delayed care often results in serious illness or other health problems. Being uninsured also can have serious financial consequences. The outcome of ongoing debate over health coverage policy in the United States has substantial implications for people’s coverage, access, and overall health and well-being.

Appendix Table A: Uninsured Rate Among the Nonelderly by State, 2013-2017
2013
Uninsured Rate
2016
Uninsured Rate
2017
Uninsured Rate
Change in
Uninsured Rate
2013-2017
Change in Number of Uninsured
2013-2017
Change in
Uninsured Rate
2016-2017
Change in Number of Uninsured
2016-2017
US Total 16.8% 10.0% 10.2% -6.6% -17,037,000 0.2% 684,800
Expansion States 15.1% 7.7% 7.6% -7.4% -12,070,200 0.0% 4,400
Alaska 20.5% 16.0% 15.5% -4.9% -32,900 -0.5% -4,900
Arizona 20.4% 11.9% 12.0% -8.4% -435,600 0.1% 11,600
Arkansas 19.0% 9.5% 9.6% -9.5% -230,300 0.1% 2,400
California 19.4% 8.4% 8.2% -11.2% -3,619,900 -0.2% -48,700
Colorado 15.8% 8.7% 8.6% -7.2% -306,600 -0.1% -3,400
Connecticut 10.9% 5.7% 6.6% -4.3% -129,900 0.9% 25,600
Delaware 11.8% 6.8% 6.6% -5.2% -38,600 -0.1% -1,000
District of Columbia 7.2% 4.5% 4.1% -3.1% -15,000 -0.4% -1,900
Hawaii 8.2% 4.1% 4.5% -3.7% -41,800 0.4% 3,200
Illinois 14.5% 7.5% 7.9% -6.6% -739,500 0.4% 37,400
Indiana 16.3% 9.4% 9.8% -6.5% -358,700 0.4% 23,300
Iowa 10.3% 4.8% 5.2% -5.1% -129,900 0.4% 9,400
Kentucky 16.8% 6.0% 6.4% -10.4% -380,900 0.4% 14,700
Louisiana 19.2% 11.9% 9.7% -9.6% -375,800 -2.2% -85,600
Maryland 11.5% 7.0% 7.1% -4.4% -220,500 0.1% 6,100
Massachusetts 4.4% 2.9% 3.2% -1.2% -63,200 0.3% 18,900
Michigan 12.9% 6.3% 6.1% -6.9% -571,800 -0.2% -19,400
Minnesota 9.6% 4.9% 5.2% -4.3% -194,900 0.3% 15,000
Montana 19.9% 10.1% 11.0% -8.9% -72,700 0.8% 7,200
Nevada 23.5% 12.8% 12.9% -10.6% -235,000 0.1% 6,100
New Hampshire 12.8% 7.6% 6.8% -6.0% -66,400 -0.8% -9,000
New Jersey 15.4% 8.9% 8.9% -6.5% -488,200 0.0% -1,000
New Mexico 22.3% 10.7% 10.7% -11.6% -205,600 0.1% 1,500
New York 12.5% 7.0% 6.7% -5.8% -961,800 -0.3% -58,600
North Dakota 12.0% 9.1% 8.7% -3.3% -17,500 -0.4% -2,700
Ohio 12.9% 6.6% 6.9% -6.0% -579,800 0.3% 29,100
Oregon 17.5% 7.3% 8.1% -9.4% -296,500 0.8% 28,900
Pennsylvania 11.5% 7.0% 6.6% -4.8% -508,400 -0.3% -35,400
Rhode Island 14.1% 5.0% 5.3% -8.7% -74,700 0.3% 2,900
Vermont 8.3% 4.4% 5.1% -3.2% -17,100 0.7% 3,300
Washington 16.2% 6.9% 7.1% -9.2% -519,300 0.2% 15,800
West Virginia 16.3% 6.0% 7.1% -9.2% -141,400 1.1% 13,600
Non-Expansion States 19.6% 13.8% 14.3% -5.3% -4,966,700 0.6% 680,400
Alabama 16.0% 10.9% 11.3% -4.7% -191,700 0.4% 16,200
Florida 24.4% 15.3% 15.9% -8.5% -1,179,400 0.6% 133,400
Georgia 21.2% 14.8% 15.4% -5.9% -466,400 0.6% 62,800
Idaho 18.6% 12.1% 12.6% -6.0% -73,400 0.6% 10,900
Kansas 14.3% 9.8% 10.0% -4.3% -106,200 0.2% 4,500
Maine 13.4% 9.7% 9.8% -3.7% -41,500 0.0% -200
Mississippi 19.7% 13.8% 14.3% -5.5% -144,000 0.5% 9,200
Missouri 15.3% 10.6% 10.8% -4.5% -228,800 0.2% 6,100
Nebraska 12.4% 10.3% 10.0% -2.4% -35,300 -0.3% -4,500
North Carolina 18.2% 12.3% 12.7% -5.5% -422,500 0.4% 38,500
Oklahoma 20.6% 16.1% 16.4% -4.2% -130,200 0.3% 7,000
South Carolina 18.6% 11.8% 13.4% -5.1% -186,600 1.6% 66,100
South Dakota 14.6% 9.8% 11.0% -3.5% -23,900 1.2% 8,200
Tennessee 16.3% 10.8% 11.1% -5.2% -267,700 0.3% 23,600
Texas 24.6% 18.7% 19.6% -5.0% -879,100 0.9% 275,300
Utah 14.8% 9.4% 10.0% -4.7% -106,300 0.6% 19,800
Virginia 14.2% 10.3% 10.2% -3.9% -266,700 0.0% -400
Wisconsin 10.5% 6.1% 6.1% -4.4% -213,900 -0.1% -3,600
Wyoming 14.7% 12.7% 14.5% -0.1% -3,100 1.8% 7,400
NOTES: Includes nonelderly individuals ages 0-64. Expansion status reflects the implementation of Medicaid expansion as of 2017.
SOURCE: Kaiser Family Foundation analysis of 2013, 2016, and 2017 American Community Survey (ACS), 1-Year Estimates.
Appendix Table B: Characteristics of the Nonelderly Uninsured, 2017
Nonelderly
(millions)
Percent of Nonelderly Uninsured
(millions)
Percent of Uninsured Uninsured
Rate
Total Nonelderly 267.5 100.0% 27.4 100.0% 10.2%
Age
Children – Total 76.1 28.5% 3.8 13.8% 5.0%
Nonelderly Adults – Total 191.4 71.5% 23.6 86.2% 12.3%
Adults 19 – 25 28.3 10.6% 4.2 15.4% 14.8%
Adults 26 – 34 39.1 14.6% 6.1 22.3% 15.6%
Adults 35 – 44 40.5 15.1% 5.5 20.2% 13.6%
Adults 45 – 54 41.8 15.6% 4.5 16.3% 10.7%
Adults 55 – 64 41.6 15.6% 3.3 12.0% 7.9%
Annual Family Income
<$20,000 31.8 11.9% 5.5 20.0% 17.2%
$20,000 – <$40,000 42.8 16.0% 7.4 27.0% 17.3%
$40,000+ 192.9 72.1% 14.5 53.0% 7.5%
Family Poverty Level
<100% 30.4 11.4% 5.0 18.4% 16.6%
100% – <200% 45.3 16.9% 7.8 28.5% 17.2%
200% – <400% 81.9 30.6% 9.6 35.2% 11.7%
400%+ 109.9 41.1% 4.9 18.0% 4.5%
Household Type
1 Parent with Children 19.0 7.1% 1.3 4.9% 7.1%
2 Parents with Children 84.2 31.5% 6.0 22.0% 7.2%
Multigenerational 18.7 7.0% 2.2 7.9% 11.6%
Adults Living Alone or with Other Adults 111.7 41.8% 13.2 48.3% 11.8%
Other 33.9 12.7% 4.6 16.9% 13.6%
Family Work Status
2+ Full-time 101.8 38.1% 8.6 31.5% 8.5%
1 Full-time 119.3 44.6% 12.4 45.3% 10.4%
Only Part-time 19.5 7.3% 2.8 10.4% 14.6%
Non-workers 26.9 10.1% 3.5 12.8% 13.0%
Race/Ethnicity
White 154.3 57.7% 11.3 41.3% 7.3%
Black 34.0 12.7% 3.8 13.8% 11.1%
Hispanic 53.5 20.0% 10.1 36.9% 18.9%
Asian/N. Hawaiian and Pacific Islander 15.9 5.9% 1.1 4.2% 7.2%
American Indian/Alaska Native 1.8 0.7% 0.4 1.5% 22.0%
Two or More Races 8.0 3.0% 0.6 2.3% 7.9%
Citizenship
U.S. Citizen – Native 230.6 86.2% 18.9 69.2% 8.2%
U.S. Citizen – Naturalized 16.7 6.2% 1.7 6.1% 10.0%
Non-U.S. Citizen, Residents for <5 Years 6.4 2.4% 1.7 6.4% 27.2%
Non-U.S. Citizen, Residents for 5+ Years 13.9 5.2% 5.0 18.3% 36.0%
NOTES: Includes nonelderly individuals ages 0-64. The U.S. Census Bureau’s poverty threshold for a family with two adults and one child was $19,730 in 2017. Parent includes any person with a dependent child. Multigenerational/other families with children include families with at least three generations in a household, plus families in which adults are caring for children other than their own. Part-time workers were defined as working <35 hours per week. Respondents who identify as mixed race who do not also identify as Hispanic fall intot he “Two or More Races” category. All individuals who identify as Hispanic ethnicity fall into the Hispanic category regardless of race.
SOURCE: Kaiser Family Foundation analysis of 2017 American Community Survey (ACS), 1-Year Estimates.
Endnotes …

 

Story 3: U.S Weekly Jobless Claims Fall To Lowest Level in 50 Years (1969)

Jobless Claims Hit A Low Since The Sixties

 

US weekly jobless claims drop to the lowest level since 1969

  
  • The number of Americans filing applications for unemployment benefits dropped to a more than 49-year low last week.
  • The data pointed to sustained labor market strength despite slowing economic growth.
  • Initial claims for state unemployment benefits dropped to 202,000 for the week ended March 30, the lowest level since early December 1969, the Labor Department said.

The number of Americans filing applications for unemployment benefits dropped to a more than 49-year low last week, pointing to sustained labor market strength despite slowing economic growth.

Initial claims for state unemployment benefits declined 10,000 to a seasonally adjusted 202,000 for the week ended March 30, the lowest level since early December 1969, the Labor Department said on Thursday.

Data for the prior week was revised to show 1,000 more applications received than previously reported.

Economists polled by Reuters had forecast claims rising to 216,000 in the latest week. The Labor Department said only claims for California were estimated.

Claims have shown no sign of a pickup in layoffs even as the economy has lost momentum as the stimulus from a $1.5 trillion tax cut package fades. Companies are experiencing a shortage of workers, which contributed to a recent slowdown in hiring.

Job growth has slowed from last year’s roughly 225,000 monthly average pace. The pace of increase, however, remains more than sufficient to keep up with growth in the working age population, holding down the unemployment rate.

Initial jobless claimsWeek ending Saturday, seasonally adjusted200820102012201420162018100000200000300000400000500000600000700000Labor DeptSaturday, Jun 10, 2017240 000

The four-week moving average of initial claims, considered a better measure of labor market trends as it irons out week-to-week volatility, fell 4,000 to 213,500 last week, the lowest level since early October 2018.

The claims data has no bearing on March’s employment report, which is scheduled for release on Friday. According to a Reuters survey of economists, nonfarm payrolls likely increased by 180,000 jobs last month after a meager 20,000 in February, which was seen as pay-back after robust gains in the prior two months.

The unemployment rate is forecast unchanged at 3.8 percent.

Thursday’s claims report showed the number of people receiving benefits after an initial week of aid decreased 38,000 to 1.72 million for the week ended March 23. The four-week moving average of the so-called continuing claims slipped 8,000 to 1.74 million.

https://www.cnbc.com/2019/04/04/weekly-jobless-claims.html

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The Pronk Pops Show 1189, December 14, 2018, Story 1: Court Rules Obamacare Unconstitutional — When Will The Republican Party Repeal and Replace Obamacare or Patient Protection and Affordable Care Act? — 2021 or 2019 By Supreme Court Decision — Videos — Story 2: Trump Must Shutdown Government Until He Gets At Least $5 Billion to Fund 300 Miles of Border Wall Between U.S. and Mexico — Both Democratic and Republican Party Leadership Will Not Fund The Wall — Maximum Pressure — Call Their Bluff — Up and Down Party Vote — American People vs. Washington Political Elitist Establishment — 75% of Government Funded — Videos — Breaking News — Story 3: Trump Selects A Temporary “Acting” Chief of Staff — Mick Mulvaney — Too Much On His Plate — Gatekeeper Golfer — Videos

Posted on December 17, 2018. Filed under: Uncategorized | Tags: , , , , , , , , , , , |

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Story 1: Court Rules Obamacare Unconstitutional — When Will The Republican Party Repeal and Replace Obamacare or Patient Protection and Affordable Care Act? — 2021 or 2019 By Supreme Court Decision — Videos

See the source image

Federal judge strikes down Obamacare

ObamaCare ruling was the right decision: Judge Napolitano

Federal judge rules ObamaCare unconstitutional

Federal Judge Strikes Down Obamacare – What’s Next? | Sunday TODAY

U.S. judge finds obamacare unconstitutional

Fox Report Weekend Fox News 12/15/18 Breaking Fox News December 15, 2018

 

Federal judge rules Obamacare is unconstitutional – and President Trump calls it ‘great news for America’

  • Judge Reed O’Connor in Fort Worth ruled Affordable Care Act is unconstitutional
  • Ruled that a change in tax law last year eliminating a penalty for not having health insurance invalidated the entire law
  • Last year Trump signed a $1.5 trillion tax bill that included a provision eliminating the individual mandate 
  • Trump celebrated the 55-page ruling in two Tweets sent shortly after 9 pm 
  • Obamacare will remain in place pending its expected appeal to Supreme Court 

A U.S. federal judge in Texas ruled on Friday that the Affordable Care Act, known as Obamacare, is unconstitutional, a decision that was likely to be appealed to the Supreme Court.

U.S. District Judge Reed O’Connor in Fort Worth agreed with a coalition of 20 states that a change in tax law last year eliminating a penalty for not having health insurance invalidated the entire Obamacare law.

President Trump responded to the ruling on Twitter with glee.

A federal judge in Texas ruled on Friday that the Affordable Care Act is unconstitutional, a decision that was likely to be appealed to the Supreme Court. Trump was overjoyed

He first tweeted shortly after 9 pm, ‘As I predicted all along, Obamacare has been struck down as an UNCONSTITUTIONAL disaster! Now Congress must pass a STRONG law that provides GREAT healthcare and protects pre-existing conditions. Mitch and Nancy, get it done!’

He followed that up eight minutes later with a second Tweet.

‘Wow, but not surprisingly, ObamaCare was just ruled UNCONSTITUTIONAL by a highly respected judge in Texas. Great news for America!’

Trump issued two celebratory tweets shortly after the ruling

Trump issued two celebratory tweets shortly after the ruling

O’Connor’s decision was issued the day before the end of a 45-day sign-up period for 2019 health coverage under the law.

‘The Individual Mandate can no longer be fairly read as an exercise of Congress’s Tax Power and is still impermissible under the Interstate Commerce Clause — meaning the Individual Mandate is unconstitutional,’ the judge wrote. ‘The Individual Mandate is essential to and inseverable from the remainder of the ACA.’

‘Without [the individual mandate], Congress and the Supreme Court have stated, the architectural design fails,’ according to O’Connor. ‘It is like watching a slow game of Jenga, each party poking at a different provision to see if the ACA falls.’

A year ago, Trump signed a $1.5 trillion tax bill that included a provision eliminating the individual mandate.

In the 55-page opinion, O’Connor ruled Friday that last year’s tax cut bill knocked the constitutional foundation from under ‘Obamacare’ by eliminating a penalty for not having coverage.

About 11.8 million consumers nationwide enrolled in 2018 Obamacare exchange plans, according to the U.S. government’s Centers for Medicare and Medicaid Services.

The coalition of states challenging the law was led by Texas Attorney General Ken Paxton and Wisconsin Attorney General Brad Schimel, both Republicans.

Republicans have opposed the 2010 law, the signature domestic policy achievement of President Donald Trump’s Democratic predecessor Barack Obama, since its inception and have repeatedly tried and failed to repeal it.

The White House hailed Friday’s ruling, but said the law would remain in place pending its expected appeal to the Supreme Court.

‘Once again, the president calls on Congress to replace Obamacare and act to protect people with preexisting conditions and provide Americans with quality affordable healthcare,’ White House spokeswoman Sarah Sanders said in a statement.

In June, the Justice Department declared the healthcare law’s ‘individual mandate’ unconstitutional in federal court. 

The decision was a break with a long-standing executive branch practice of defending existing statutes in court.

JUDGE’S PREVIOUS RULINGS

 U.S. District Judge Reed O’Connor, is no stranger to the conservative resistance to Obama administration policies.

O’Connor, 53, is a former state and federal prosecutor who was nominated to the federal bench in 2007 by President George W. Bush. He has been active in the Federalist Society, which describes itself as ‘a group of conservatives and libertarians interested in the current state of the legal order.’

In 2014, the Fort Worth, Texas-based judge upheld the constitutionality of an Arlington, Texas, ordinance that bars people from handing out printed material at busy intersections and roads. The lawsuit had been brought by a gun-rights group called Open Carry Tarrant County. Although he upheld the ordinance, O’Connor ordered the city to pay the group’s coordinator $42,251 in damages.

That same year, he sentenced a man to more than 15 years in federal prison for kidnapping and severely beating a gay man he met through an online service, concluding the assailant kidnapped the man because of his sexual orientation.

In 2016, though, he blocked a federal directive that required public schools to let transgender students use bathrooms consistent with their gender identity. He ruled that Title IX, which the Obama administration cited in support of the directive, ‘is not ambiguous’ about sex being defined as ‘the biological and anatomical differences between male and female students as determined at their birth.’

Also in 2016, he struck down new U.S. Health and Human Services regulations that advised that certain forms of transgender discrimination by doctors, hospitals and insurers violated the Affordable Care Act. He declared that the rules placed ‘substantial pressure on Plaintiffs to perform and cover (gender) transition and abortion procedures.’ A coalition of religious medical organizations said the rules could force doctors to help with gender transition contrary to their religious beliefs or medical judgment.

https://www.dailymail.co.uk/news/article-6498335/U-S-federal-judge-rules-Obamacare-unconstitutional.html

Texas ObamaCare Blunder

A judge’s ruling will be overturned and could backfire on Republicans.

By The Editorial Board
Texas Attorney General Ken Paxton
Texas Attorney General Ken Paxton PHOTO: TONY GUTIERREZ/ASSOCIATED PRESS

No one opposes ObamaCare more than we do, and Democrats are now confirming that it was designed as a way-station to government-run health care. But a federal judge’s ruling Friday that the law is unconstitutional is likely to be overturned on appeal and may boomerang politically on Republicans.

Judge Reed O’Connor ruled for some 20 state plaintiffs that the Affordable Care Act’s individual mandate is no longer legal because Republicans repealed its financial penalty as part of the 2017 tax reform. Recall that Chief Justice John Roberts joined four Justices to say ObamaCare’s mandate was illegal as a command to individuals to buy insurance under the Commerce Clause. “The Framers gave Congress the power to regulate commerce, not to compel it,” he wrote.

Yet the Chief famously salvaged ObamaCare by unilaterally rewriting the mandate to be a “tax” that was within Congress’s power. Never mind that Democrats had expressly said the penalty was not a tax. Majority Leader Roberts declared it to be so.

Enter Texas Attorney General Ken Paxton, who argues in Texas v. U.S. that since Congress has repealed the mandate, the tax is no longer a tax, and ObamaCare is thus illegal. Judge O’Connor agreed with that logic, and he went further in ruling that since Congress said the mandate is crucial to the structure of ObamaCare, then all of ObamaCare must fall along with the mandate.

We’ll admit to a certain satisfaction in seeing the Chief Justice hoist on his own logic. But his ruling in NFIB v. Sebelius was in 2012 and there is more at issue legally now than the “tax” issue in that opinion. One legal complication is that Congress in 2017 repealed the financial part of the individual mandate, not the structure of the mandate itself. Republicans used budget rules to pass tax reform so they couldn’t repeal the mandate’s express language.

The Affordable Care Act has also been up and running since 2014, which means so-called reliance interests come into play when considering a precedent. Millions of people now rely on ObamaCare’s subsidies and rules, which argues against judges repealing the law by fiat.

Judge O’Connor breezes past this like a liberal Ninth Circuit appeals judge handling a Donald Trump appeal. He’s right that Democrats claimed the individual mandate was essential to the Affordable Care Act. But when Congress killed the financial penalty in 2017 it left the rest of ObamaCare intact. When judging congressional intent, a judge must account for the amending Congress as well as the original Congress.

In any case, the Supreme Court’s “severability” doctrine calls for restraint in declaring an entire law illegal merely because one part of it is. Our guess is that even the right-leaning Fifth Circuit Court of Appeals judges will overturn Judge O’Connor on this point.

As for the politics, Democrats claim to be alarmed by the ruling but the truth is they’re elated. They want to use it to further pound Republicans for denying health insurance for pre-existing conditions if the law is overturned. Democrats campaigned across the country against Mr. Paxton’s lawsuit to gain House and Senate seats in November, and they will now press votes in Congress so they can compound the gains in 2020.

President Trump hailed the ruling in a tweet, but he has never understood the Affordable Care Act. His Administration has done good work revising regulations to reduce health-care costs and increase access, but the risk is that the lawsuit will cause Republicans in Congress to panic politically and strike a deal with Democrats that reinforces ObamaCare. This is what happens when conservatives fall into the liberal trap of thinking they can use the courts to achieve policy goals that need to be won in Congress.

https://www.wsj.com/articles/texas-obamacare-blunder-11544996418

Story 2: Trump Must Shutdown Government Until He Gets At Least $5 Billion to Fund 300 Miles of Border Wall Between U.S. and Mexico — Both Democratic and Republican Party Leadership Will Not Fund The Wall — Maximum Pressure — Call Their Bluff — Up and Down Party Vote — American People vs. Washington Political Elitist Establishment — Videos

See the source image

The Wall: A 2,000-mile border journey

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Stephen Miller: WH ‘absolutely’ will shut down government to get border wall

Should Trump follow through with shutdown threat over border wall?

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Homan: Trump needs to call Democrats’ bluff on border wall

There’s been one shutdown this year, Chuck Schumer did it: Rep. Jordan

Victor D. Hanson on Obama’s Last Year & the Problem w/ Elites in Society

Victor Davis Hanson – Postmodern Ideologies Dismanteled

Victor Davis Hanson: How the left elite cheats the public

Victor Davis Hanson – Immigration Rhetoric vs Reality

Victor Davis Hanson – The 4 Groups that Benefit from Illegal Immigration

Historian Victor Davis Hanson on why he supports Trump

Victor Davis Hansen- Keynote Address: California at the Crossroads

Story 3: Trump Selects A Temporary “Acting” Chief of Staff — Mick Mulvaney — Too Much On His Plate — Gatekeeper Golfer — Videos

Trump names Mick Mulvaney acting chief of staff

Trump picks Mick Mulvaney as acting White House chief of staff

Does Mick Mulvaney make a government shutdown more likely?

Trump picks acting chief of staff

Who Is The New White House Chief Of Staff, Mick Mulvaney? | Velshi & Ruhle | MSNBC

Newt Gingrich weighs in on White House chief of staff pick

Acting Chief Of Staff Under Fire For Previous Comments On President Donald Trump | TODAY

Matt Schlapp: Mick Mulvaney ‘perfect fit’ for Trump chief of staff

A Boss Fight at the Consumer Financial Protection Bureau: The Daily Show

Trump names his budget director Mick Mulvaney as ‘acting’ chief of staff as he FINALLY finds someone to succeed ousted John Kelly – amid new plan to prevent government shutdown

  • President named former congressman Mick Mulvaney his acting chief of staff
  • Trump suggested the role is temporary but a White House official indicated to reporters that Mulvaney will stay in the job indefinitely
  • Mulvaney has a lot on his plate as Office of Management and Budget head 
  • His agency will oversee the government shutdown if Congress and the president cannot agree to a short or long-term spending deal by Dec. 21
  • Trump was said to be shopping an extension on Friday that would delay the battle until after the Christmas holiday
  • Had told congressional leaders on Tuesday that he would ‘absolutely’ shut the government down until they give him his desired funding for a border wall
  • Democrats take over Congress in January and will easily pass legislation averting a fiscal cliff, forcing Republicans in the Senate to make a decision 
  • Mulvaney earlier this year wore two hats as director of OMB and the Consumer Financial Protection Bureau until Trump filled an open job  
  • Trump said Thursday he was seriously considering five people for chief of staff
  • Chris Christie took himself out of the running on Friday afternoon
  • Jared Kushner was said to lobbying for the role, but White House officials openly dashed cold water on his ambitions
  • Trump left scrambling after he was unexpectedly turned down by Mike Pence chief of staff Nick Ayers last weekend 

President Donald Trump says his Office of Management and Budget Director Mick Mulvaney will lead the West Wing until he can find a permanent replacement for John Kelly.

Trump effectively let Kelly off the hook on Friday, saying in a tweet that Mulvaney would serve as ‘acting chief of staff’ once the retired general leaves the administration.

A senior official indicated that Mulvaney’s tenure will be indefinite however, telling reporters at the White House minutes after the announcement, ‘There’s no time limit.’

Just this morning, the White House was claiming that Kelly could stay longer than planned, having already agreed to extend his tenure longer than Trump initially said to ensure a smooth transition.

Trump said in an early evening tweet that he had changed his mind and Kelly would be departing at the end of the year.

‘I am pleased to announce that Mick Mulvaney, Director of the Office of Management & Budget, will be named Acting White House Chief of Staff, replacing General John Kelly, who has served our Country with distinction. Mick has done an outstanding job while in the Administration,’ he announced.

Hours later he sent a follow up tweet insisting ‘MANY’ people wanted the job.

President Donald Trump says his Office of Management and Budget Director Mick Mulvaney will lead the West Wing until he can find a permanent replacement for John Kelly

President Donald Trump says his Office of Management and Budget Director Mick Mulvaney will lead the West Wing until he can find a permanent replacement for John Kelly

Trump effectively let Kelly off the hook on Friday, saying in a tweet that Mulvaney would serve as 'acting chief of staff' once the retired general leaves the administration

Trump effectively let Kelly off the hook on Friday, saying in a tweet that Mulvaney would serve as ‘acting chief of staff’ once the retired general leaves the administration

Hours after naming Mulvaney, the president tweeted that 'MANY' people wanted the job

Hours after naming Mulvaney, the president tweeted that ‘MANY’ people wanted the job

Mulvaney has a lot on his plate as Office of Management and Budget head. A White House official said Friday that his job at OMB will be filled by his deputy Russ Vought 

Mulvaney is seen here chatting up Mark Meadows, a Republican congressman that Trump denied the job this week

Mulvaney is seen here chatting up Mark Meadows, a Republican congressman that Trump denied the job this week

In naming Mulvaney, the president went on, ‘I look forward to working with him in this new capacity as we continue to MAKE AMERICA GREAT AGAIN! John will be staying until the end of the year. He is a GREAT PATRIOT and I want to personally thank him for his service!’

Mulvany heads the Office of Management and Budget within the White House and earlier this year wore two hats as he filled the top job at the Consumer Financial Protection Bureau. 

OMB would oversee a partial government shutdown in the case that Congress and the president are unable to resolve their differences ahead of a Dec. 21 deadline to pass legislation to pull unfunded areas of the government out of limbo.

Trump was said on Friday to be shopping a two-week delay in hostilities after declaring on Tuesday that he would ‘absolutely’ preside over a shutdown until Congress approves $5 billion for his border wall.

That would push the fight that could furlough federal workers over the Christmas holiday into early next year. Trump will have lost much of his leverage by then, as Democrats take the majority in the House, but as he made clear in a Thursday tweet he now sees the value of avoiding an expensive and potentially toxic government closure.

‘Let’s not do a shutdown, Democrats – do what’s right for the American people!’ Trump had tweeted.

His appointment of Mulvaney to Kelly’s post on Friday evening suggests that Trump, whose White House is already stretched thin, is seriously considering his options.

A senior official told reporters on Friday evening that the OMB job will be filled for now by Mulvaney’s deputy Russ Vought.

The person stressed Mulvaney’s credentials for chief of staff as a former Member of Congress, representing South Carolina as a Republican from 2011 until the president appointed him OMB head.  

‘He knows Congress. He knows Capitol Hill,’ the official said.

Mulvaney and Trump met at the White House on Thursday afternoon prior to the announcement to discuss the impending fiscal cliff. Trump said in a tweet hours later that Mulvaney would be his interim chief of staff.

Hours prior to the president's announcement that Kelly would be succeeded by Mick Mulvaney, the White House said Trump son-in-law Jared Kushner was not under consideration. Kushner is Ivanka Trump's husband and a senior adviser to the president like she is

Hours prior to the president’s announcement that Kelly would be succeeded by Mick Mulvaney, the White House said Trump son-in-law Jared Kushner was not under consideration. Kushner is Ivanka Trump’s husband and a senior adviser to the president like she is

Trump promoted the job as a temporary assignment, but White House officials signaled that Mulvaney could fill the position for an extended period of time.

‘He’s the acting chief of staff, which means he’s the chief of staff,’ a senior official who requested anonymity said. ‘He got picked because the president liked him they get along.’

The person said that Mulvaney was named ‘acting’ chief instead of permanent chief, ‘because that’s what the president wants.’

‘We’ll see,’ a second official said of the appointment. ‘It’s what the president wants right now.’

Ivanka Trump quickly blasted a a congratulatory note to her new boss on Twitter, telling Mulvaney, ‘You will undoubtedly continue to inspire and impress in this new role just as you have at OMB.

Ivanka’s husband Jared Kushner, a senior adviser to the president, had been a dark horse for the job. The couple routinely clashed with Kelly, and the president’s daughter eagerly welcomed his exit. 

‘Thank you General Kelly for almost 2 years of leadership in this Administration and for a lifetime of service to our great nation!’ she said in her tweet. 

Prior to holding federal office, Mulvaney served as a state representative and state senator in South Carolina. Before that, he practiced law and worked for his family real estate business. 

Mulvaney and his wife Pamela have three children.

In Congress, he was known as a fiscal-hawk and social conservative who ran with the right-wing Freedom Caucus and was willing to shut the government down to trim down the federal deficit. 

Since joining the Trump administration he has taken flack for claiming that there is such a thing as a ‘good shutdown’ that could permanently fix the appropriations process. He has also been dogged by a claim that he says was meant to be a joke that he would only meet with lobbyists as a congressman who’d contributed to his campaigns.

Chris Christie became the latest contender for chief of staff to take himself out of the running on Friday, saying in a statement that it is an honor to have been considered, but it's not the right time in his life for the assignment
His announcement further narrowed the field after counselor to the president Kellyanne Conway confirmed that Trump son-in-law Jared Kushner is not under consideration

Chris Christie became the latest contender for chief of staff to take himself out of the running on Friday, saying in a statement that it is an honor to have been considered, but it’s not the right time in his life for the assignment

Mulvaney was the obvious choice for acting White House chief of staff after having been one of two rumored picks for the position for close to six months.

The other contender, Nick Ayers, turned the job down over the weekend.

Chris Christie also took himself out of the running, saying in a Friday afternoon statement that it is an honor to have been considered, but it’s not the right time in his life for the assignment.

He told the New York Times that he had asked Trump ‘to no longer keep me in considerations for this post’ following a meeting on Thursday to discuss the position.

Counselor to the president Kellyanne Conway meanwhile confirmed that Trump son-in-law Jared Kushner was not under consideration.

‘I haven’t heard either Jared or the president mention Jared on the list,’ she asserted. ‘But I think he’s doing a great job at what he’s doing.’

Asked whether the president spoke to Christie and what exactly happened she said: ‘I do know the answer, but I can’t comment. They had a great meeting last night.’

She smiled and said nothing as DailyMail.com asked if she is interested in doing the job that no one else seems to want.

Conway suggested to reporters that the president does have a ‘front-runner’ in mind for the job he’s been openly trying to fill for the last week.

‘I’m not saying, although I know. I know the answer, not telling you,’ she teased.

Reporters, throwing names out and hoping that someone sticks, queried the potential appointment of senior communications aide Bill Shine, who joined the administration earlier this year after working as an executive for many years at Fox.

‘I love that Bill Shine is the communications director,’ she said, ‘and it’s added a lot to our press and coms shop.’

It was unclear on Friday night whether Trump told Christie that he wouldn’t be getting the job and that’s why he abruptly pulled out.

Christie sent Kushner’s father to jail when he served as U.S. attorney for illegal campaign contributions.

Kushner was reported Thursday to have lobbied to become his father-in-law Donald Trump’s chief of staff.

The first son-in-law, already an adviser to the president with an office next to the Oval Office, was reported by the Huffington Post to have pushed his own candidacy and been rewarded with a meeting Wednesday about the role.

He apparently claimed he could work with Democrats – a claim ridiculed by one of the sources for the report who said: ‘I don’t know why he thinks that, when the Democrats are mainly going to be coming after Trump.’

Kushner’s potential candidacy emerged shortly after the president claimed he had five candidates who actually want the job fighting it out.

‘Five people. Really good ones. Terrific people. Mostly well known, but terrific people,’ Trump told reporters on Thursday.

The claim was met with skepticism in wider Washington D.C. given that Trump pushed out John Kelly without a successor in place and was turned down by his first choice.

White House Chief of Staff John Kelly attends a meeting with U.S. President Donald Trump and Governors-elects in the Cabinet Room at the White House on Thursday

White House Chief of Staff John Kelly attends a meeting with U.S. President Donald Trump and Governors-elects in the Cabinet Room at the White House on Thursday

Trump told the only Republican openly expressing interest in the job that he wants him to stay in Congress.

A White House statement on Wednesday said that Trump ruled out North Carolina Rep. Mark Meadows for the top White House position.

‘Congressman Mark Meadows is a great friend to President Trump and is doing an incredible job in Congress. The President told him we need him in Congress so he can continue the great work he is doing there,’ White House press secretary Sarah Sanders said.

Trump’s plans were turned upside down when Trump’s first pick for the position, Nick Ayes, unexpectedly turned the president’s proposition down.

The White House subsequently said that Kelly would be staying on until early January ‘at least’ to the manage the West Wing while the president conducts his search for a replacement.

Politico reported on Monday that Meadows, a leading pro-Trump Republican congressman, was interested in the gig that nobody else seemed to want.

‘Serving as Chief of Staff would be an incredible honor. The President has a long list of qualified candidates and I know he’ll make the best selection for his administration and for the country,’ he told the publication.

The White House told the publication Wednesday that the president asked the congressman who had a double-digit victory in November to remain his position in the House. Meadows is the House Freedom Caucus chairman.

The president claimed Tuesday that more than 10 people were competing for the chief of staff job but none appeared to be in the lead and it was unclear how much any of them actually wants to do it.

‘We are in no rush. Over a period of a week or two or maybe less we’ll announce who it’s going to be, but we have a lot of people who want the position,’ Trump said in a Oval Office meeting with Democratic leaders on Tuesday morning that Kelly attended.

He said, ‘A lot of friends of mine want it. A lot of people that Chuck and Nancy know very well want it, I think people you’d like,’ Trump said, talking up the post. ‘We have a lot of people that want the job of chief of staff. So we’ll be seeing what happens. We’re in no rush.’

Kellyanne Conway told reporters this week that Kelly will stay on as chief of staff 'at least' through the beginning of the year

Kellyanne Conway told reporters this week that Kelly will stay on as chief of staff ‘at least’ through the beginning of the year

The reason, Trump said: ‘Because we have a wonderful chief of staff right here.’

Conway had said during an appearance on ‘Fox & Friends’ on Tuesday morning – just days after the White House said Kelly’s tenure was nearly over – that he wouldn’t be leaving at the end of the year as planned.

‘He will stay on the job through January 2nd at least, and I think there were will be a very peaceful and pragmatic transition to the next chief of staff,’ Conway said. ‘But the president has many people who want to serve here.’

Later in the day, the president held a bill signing in the Oval Office that Mulvaney and Meadows were a part of. The two men allegedly competing for the same job who worked closely together in Congress stood side by side as the president talked.

By Wednesday afternoon, the White House had announced that Meadows, at least, was out of the running, and on Friday, ex-congressman Mulvaney was the last one standing.

Nick Ayers (L), chief of staff to U.S. Vice President Mike Pence, announced he is leaving the White House rather than succeeding White House Chief of Staff John Kelly

Nick Ayers turns down Chief of Staff role in Trump Administration

Mick Mulvaney

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Mick Mulvaney
Mick Mulvaney official photo.jpg
Acting White House Chief of Staff
Assuming office
January 2019
President Donald Trump
Deputy Zachary Fuentes
Succeeding John F. Kelly
Director of the Office of Management and Budget
Assumed office
February 16, 2017
President Donald Trump
Deputy Russell Vought
Margaret Weichert
Preceded by Shaun Donovan
Acting Director of the Consumer Financial Protection Bureau
In office
November 25, 2017[a] – December 11, 2018
President Donald Trump
Deputy Leandra English
Brian Johnson (acting)
Preceded by Richard Cordray
Succeeded by Kathleen Kraninger
Member of the U.S. House of Representatives
from South Carolina‘s 5th district
In office
January 3, 2011 – February 16, 2017
Preceded by John Spratt
Succeeded by Ralph Norman
Member of the South Carolina Senate
from the 16th district
In office
January 3, 2009 – January 3, 2011
Preceded by Chauncey K. Gregory
Succeeded by Chauncey K. Gregory
Member of the South Carolina House of Representatives
from the 45th district
In office
January 3, 2007 – January 3, 2009
Preceded by Eldridge Emory
Succeeded by Debora Long
Personal details
Born
John Michael Mulvaney

July 21, 1967 (age 51)
Alexandria, Virginia, U.S.

Political party Republican
Spouse(s)
Pamela West (m. 1998)
Children 3
Education Georgetown University (BS)
University of North Carolina at Chapel Hill (JD)

John Michael Mulvaney (/mʌlˈvni/; born July 21, 1967) is an American politician of the Republican Party who is serving in President Donald Trump‘s cabinet as Director of the Office of Management and Budget (OMB). He will serve as Trump’s acting White House Chief of Staff, beginning in 2019.[1][2] Mulvaney served as the acting Director of the Consumer Financial Protection Bureau (CFPB) from November 2017 to December 2018.

Mulvaney served in the South Carolina General Assembly from 2007 to 2011, first in the State House of Representatives and then the State Senate.[3] He served as a U.S. House Representative from 2011 to 2017.[4] He was nominated as OMB Director by President-elect Donald Trump in December 2016[5] and confirmed by Senate vote (51–49) on February 16, 2017.[6] While Mulvaney was known for his professed support for fiscal conservatismas a congressman, Mulvaney oversaw a dramatic expansion in the deficit as OMB Director. The deficit increases were a result of both spending increases and tax cuts, and were unusually high for a period of economic expansion.[7]

In November 2017, Trump appointed Mulvaney to serve as Acting CFPB Director under the Federal Vacancies Reform Act, which allows for the president to appoint an interim replacement without Senate confirmation. Mulvaney’s appointment was contested by CFPB Deputy Director Leandra English, but a federal judge had ruled in Mulvaney’s favor, thus Mulvaney was simultaneously directing both CFPB and OMB for almost 13 months.

On December 14, 2018, Donald Trump named Mulvaney as White House Chief of Staff in an acting capacity to begin with the new year.[8]

 

Early life

Mulvaney was born in Alexandria, Virginia, to Michael “Mike” and Kathleen “Kathy” Mulvaney, a teacher,[9] and grew up in Charlotte, North Carolina.[10] His father was a real estate developer[11] He later moved to Indian Land, South Carolina.[12][13] His grandparents were originally from County Mayo, Ireland.[14] He attended Charlotte Catholic High School and then Georgetown University, where he majored in international economics, commerce and finance.[12] At Georgetown, he was an Honors Scholar of the Edmund A. Walsh School of Foreign Service, and ultimately graduated with honors in 1989.[13]

Mulvaney attended law school at the University of North Carolina at Chapel Hill. He earned a full scholarship to attend law school, where his focus was on antitrust law. He graduated with his J.D. degree in 1992.[15]

Early legal work

From 1992 to 1997, Mulvaney practiced law with the firm James, McElroy & Diehl. Mulvaney joined his family’s homebuilding and real estate business. He participated in the Owners and Presidents Management Program at Harvard Business School. He was a minority shareholder and owner-operator in Salsarita’s Fresh Cantina, a privately held regional restaurant chain.[16]

South Carolina legislature

State House

Mulvaney was elected to the South Carolina House of Representatives in 2006.[17]

State Senate

In 2008 an unexpected retirement created a vacancy in the South Carolina Senate and he campaigned for and won that office in what was widely regarded to be the hardest fought legislative race in South Carolina that year.[18]

While in the State Senate, Mulvaney served on the Judiciary, Labor/Commerce/Industry, Medical Affairs, Agriculture/Natural Resources, and Corrections Committees. The Palmetto Family Council identified him as the Freshman Legislator of the Year in 2006 for his work on the South Carolina ultrasound bill.[19][20]

In 2010 he was named Legislator of the Year for his work in support of the State’s Emergency Medical Services (EMS). He has received one of the few A+ ratings in the entire legislature from the South Carolina Club for Growth.[20]

U.S. House of Representatives

Mulvaney’s official portrait

Elections

2010

Mulvaney, a GOP Young Gun, ran against Democratic incumbent John M. Spratt Jr. for South Carolina’s 5th congressional district. The race was highlighted by Mitt Romney‘s Free and Strong America PAC’s “Take Congress Back: 10 in ’10” initiative as one of the top 10 House challenger races.[21] Mulvaney’s involvement in the now defunct Edenmoor real estate development in Lancaster County, South Carolina became a campaign issue, with Mulvaney’s opponents alleging that he misled the Lancaster County council and taxpayers to provide $30 million in public funding for the real estate development and that once the public funds had been approved, Mulvaney sold his interest in the development to a third party at a $7 million profit.[22][23] Mulvaney denied the allegations and said that the project’s failure was due to Democratic economic policies.[22] He defeated Spratt, who had held the seat since 1983, with 55% of the vote.[24]

Mulvaney’s campaign against Spratt was aided by a 501(c)(4) organization named the Commission on Hope, Growth, and Opportunity. The group, which was established by anonymous donors and run by lobbyist Scott W. Reed, has been accused by the watchdog Citizens for Responsibility and Ethics in Washington of violating federal campaign finance laws and disclosing false information to the Internal Revenue Service.[25]

2012

Mulvaney speaking at the 2012 Conservative Political Action Conference (CPAC) in Washington, D.C.

He won re-election to a second term by defeating Democrat Joyce Knott 56%–44%.[26][27]

2014

He won re-election to a third term by defeating Democrat Tom Adams, a Fort Mill Town Council[28] member, 59%–41%.[29]

Mulvaney cofounded the bipartisan Blockchain Caucus, “meant to help congressmen stay up to speed on cryptocurrency and blockchain technologies”, and develop policies that advance them.[30]

2016

Mulvaney faced Ray Craig in the Republican primary and defeated him 78–22%.[31] Mulvaney was re-elected to a fourth term, winning over 59% of the vote.[32]

Tenure

During his time in the U.S. House, Mulvaney aligned himself with the Tea Party movement.[33][34] He was a founding member of the Freedom Caucus.[35]

He opposed gun control initiatives and the Affordable Care Act.[36][37][38]

Pay-to-play

In April 2018, Mulvaney told a room of banking industry executives and lobbyists that as a Congressman he refused to take meetings with lobbyists unless they contributed to his congressional campaigns.[39] He said, “If you are a lobbyist who never gave us money, I did not talk to you. If you are a lobbyist who gave us money, I might talk to you.”[39] At the top of the hierarchy, he added, were his constituents. “If you came from back home and sat in my lobby, I talked to you without exception, regardless of the financial contributions,” said Mr. Mulvaney.[39]

An April 2018 Daily Beast analysis of Office of Management and Budget (OMB) visitor logs and campaign finance disclosures found that Mulvaney had as OMB Director met with at least eight registered lobbyists and six executives who donated to his congressional campaigns.[40]

Government shutdown

According to the New York Times, Mulvaney took “a hard line on spending during President Obama’s term, vowing not to raise the nation’s debt limit and embracing the term ‘Shutdown Caucus’ because of his willingness to shut the government down instead.”[37] In 2015, Mulvaney voted against a government-funding resolution, which would have prevented a government shutdown, in part because it included funding for Planned Parenthood.[41] Explaining his vote, Mulvaney said, “This is not about women’s health. It’s about trafficking in pieces of dead children.”[41] After his appointment as head of the OMB in 2017, he reiterated his conditional position of support for a shutdown.[42]

Regulations

Mulvaney supported the Regulatory Improvement Act of 2015, which would have “[created] a commission tasked with eliminating and revising outdated and redundant federal regulations.”[43][44]

Fiscal year 2014 budget

On December 10, 2013, Republican Representative Paul Ryan and Democratic Senator Patty Murray announced that they had negotiated the Bipartisan Budget Act of 2013, a proposed two-year budget deal.[45][46] The budget deal capped the federal government’s spending for Fiscal Year 2014 at $1.012 trillion and for Fiscal Year 2015 at $1.014.[47]

The proposed deal eliminated some of the spending cuts required by the sequester by $45 billion of the cuts scheduled to happen in January and $18 billion of the cuts scheduled to happen in 2015.[47] This did not decrease federal spending; instead, by reducing the amount of spending cuts the government was going to be forced to make by the sequester, it actually increased government spending by $45 billion and $18 billion over what would have been spent had the sequester remained in place. Some Republicans wanted Speaker John Boehner to pursue a temporary measure that would cover the rest of Fiscal Year 2014 at the level set by the sequester – $967 billion, rather than pass this budget deal, which would have $45 billion in additional spending.[48]

The deal was designed to make up for this increase in spending by raising airline fees and changing the pension contribution requirements of new federal workers.[45] According to The Hill, Mulvaney spearheaded opposition to the bill. He did not blame Ryan for the budget deal, instead saying that the problem was that too few conservatives had been elected to Congress to pass a budget with a greater focus on debt reduction.[48] Mulvaney said that he expected the budget deal to pass because “it was designed to get the support of defense hawks and appropriators and Democrats”, not conservatives.[45]

On April 9, 2014, Mulvaney offered a proposal based on the Obama proposal as a substitute amendment in order to force a vote on the President’s budget request. The President’s proposal failed in a vote of 2–413, although Democrats were urged by their leadership to vote against this “political stunt.”[49]

Presidential endorsements

Mulvaney speaking at a campaign event for Senator Rand Paul in Spartanburg, South Carolina in September 2015.

In September 2015, Mulvaney endorsed Kentucky Senator Rand Paul in the 2016 Republican Party presidential primaries.[50]

Committee assignments

Caucus memberships

Director of the Office of Management and Budget[edit]

Nomination

On December 16, 2016, Mulvaney was announced as President-elect Donald Trump‘s choice to be the Director of the Office of Management and Budget.[53]

Mulvaney’s nomination as Director-designate was reviewed in hearings held by the members of the United States Senate Committee on the Budget and the United States Senate Committee on Homeland Security and Governmental Affairs then presented to the full Senate for a vote.

In his statement to the Senate Budget Committee, Mulvaney admitted that he had failed to pay $15,000 in payroll taxes from 2000-04 for a nanny he had hired to care for his triplets. Mulvaney said he did not pay the taxes because he viewed the woman as a babysitter rather than as a household employee. After filling out a questionnaire from the Trump transition team, he realized the lapse and began the process of paying back taxes and fees. Senate Democrats noted that Republicans had previously insisted that past Democratic nominees’ failure to pay taxes for their household employees was disqualifying, including former Health and Human Services nominee Tom Daschle in 2009.[54][55]

On February 16, 2017, the Senate confirmed Mulvaney, 51–49.[6][56]

Tenure

During his tenure as OMB Director, Mulvaney sought to influence President Donald Trump to cut Social Security and Medicare.[11] When he introduced himself to Gary Cohn, who was then Trump’s chief economic advisor, Mulvaney said, “Hi, I’m a right-wing nutjob.”[11]While Mulvaney was known for his professed support for fiscal conservatism as a congressman, under Mulvaney’s tenure as OMB Director there was a dramatic expansion in the deficit as a result of both spending increases and tax cuts.[7] The deficits were unusually high for a period of economic expansion.[7]

Manipulated unemployment numbers claim

In March 2017, Mulvaney stated that he believed that “the Obama administration was manipulating the numbers, in terms of the number of people in the workforce, to make the unemployment rate — that percentage rate — look smaller than it actually was,” and that “[w]hat you should really look at is the number of jobs created.”[57] There is no evidence that jobs numbers under the Obama administration were manipulated.[57][58][59] FiveThirtyEight‘s Ben Casselman noted that “manipulating the jobs figures… would mean not just messing with one number but rather interfering with an entire ecosystem of statistics” and “would require a conspiracy theory of massive proportions, involving hundreds if not thousands of people.”[58]

Criticism of the Congressional Budget Office

In March 2017, Mulvaney stated that the Congressional Budget Office was not capable of assessing the American Health Care Act, stating that “[i]f the CBO was right about Obamacare to begin with, there’d be 8 million more people on Obamacare today than there actually are.”[60] According to FactCheck.Org, “[t]he CBO actually nailed the overall impact of the law on the uninsured pretty closely…It’s true (as Trump administration officials have repeatedly pointed out) that CBO greatly overestimated the number who would get government-subsidized coverage through the new insurance exchanges. But at the same time, CBO underestimated the number who would get coverage through expanding Medicaid. And whatever the failings of CBO’s predictions, they were closer to the mark than those of the Obama administration and some other prominent forecasters.”[61] PolitiFact noted that “the initial CBO analysis of the Affordable Care Act did forecast that more people would participate in health care exchanges than actually did, but the CBO has revised those estimates. Moreover, independent analyses, as well as experts agree that the CBO offers some of the best estimates given the information available at the time.”[62]

In May 2017, Mulvaney was critical of the Congressional Budget Office (CBO) after it estimated the version of the American Health Care Act passed by the house in May 2017 would result in 23 million fewer people with health insurance. Mulvaney said that the CBO’s assessment was “absurd” and that “the days of relying on some nonpartisan Congressional Budget Office to do that work for us has probably come and gone.”[63]

Trump administration’s budget proposals

While promoting the Trump administration’s budget proposal in March 2017, Mulvaney stated that, as to taxpayers, the government was “not gonna ask you for your hard-earned money, anymore… unless we can guarantee to you that that money is actually being used in a proper function.”[64] For instance, Mulvaney justified cuts to block grants that go towards spending on Meals on Wheels because it was “just not showing any results.”[65][66] Others disagreed with Mulvaney’s statement, citing research that has “found home-delivered meal programs to significantly improve diet quality, increase nutrient intakes, and reduce food insecurity and nutritional risk among participants. Other beneficial outcomes include increased socialization opportunities, improvement in dietary adherence, and higher quality of life.”[67][65]

On May 22, 2017, Mulvaney presented President Trump’s $4.1 trillion 2018 United States federal budget. The budget included cuts to the United States Department of State, the Environmental Protection Agency, and the social safety net and increases in funding for defense spending and paid family leave. The “America First” budget included a 10.6% decrease in domestic program spending and a 10% increase in military spending, in addition to $1.6 billion for a border wall.[68] The budget would remove $272 billion from welfare programs, including $272 billion from the Supplemental Nutrition Assistance Program, also known as food stamps.[68] The budget would also remove $800 billion from Medicaid, and $72 billion from Social Security disability benefits, while removing nothing from Social Security retirement or Medicare benefits.[68] Mulvaney projected the budget will not add to the federal deficit because future tax cuts will lead to 3% GDP growth.[68] He described the budget as “the first time in a long time that an administration has written a budget through the eyes of the people who are actually paying the taxes.”[69]

In December 2017, the President signed the Tax Cuts and Jobs Act of 2017. The United States Congress Joint Committee on Taxation forecasted that with dynamic scoring the $1.5 trillion reduction in revenues will increase the federal deficit by $1 trillion.[70] Regulatory implementation of the tax cuts have been delayed by a dispute between Mulvaney and Treasury Secretary Steven Mnuchin regarding the involvement of the Office of Information and Regulatory Affairs.[71]

In February 2018, Mulvaney released the President’s $4.4 trillion 2019 United States federal budget, which would add $984 billion to the federal deficit that year, and $7 trillion over the next 10 years.[72] Later that month, the President signed the Bipartisan Budget Act of 2018, which allowed yearly federal deficits to reach $1 trillion.[73] In March 2018, Congress ultimately passed the $1.3 trillion Consolidated Appropriations Act, 2018, which funded the government’s operations until the end of the fiscal year in September.[74]

Ethics waivers

On April 28, 2017, Walter Shaub, the Director of the United States Office of Government Ethics issued a data request to see the ethics waivers given to ex-lobbyists in the executive branch, which Mulvaney then refused.[75] On May 22, Shaub sent Mulvaney, in addition to every federal ethics officer, every inspector general, and the six members of Congress responsible for government oversight, a ten-page response reasserting his legal authority to see the ethics waivers.[75]

Government shutdown

In a press briefing on May 2, 2017, Mulvaney said that a “good shutdown” of the federal government might be necessary in September. He defined such a situation as one “that fixes Washington, D.C. permanently.”[42] In the same conference call to reporters, Mulvaney defended a funding package which contained no funds for President Trump’s posed border wall. The call became infamous after being plagued with technical problems and interruptions.[76]

Consumer Financial Protection Bureau

Appointment

Former Trump campaign manager Corey Lewandowski had encouraged the President to replace Consumer Financial Protection Bureau (CFPB) Director Richard Cordray.[77] As a congressman, Mulvaney had been a strong critic of the CFPB, calling it a “sick, sad” joke and cosponsoring legislation for its elimination.[78] Mulvaney’s congressional campaigns had accepted nearly $63,000 in donations from payday lenders.[77]

President Trump appointed Mulvaney to serve as Acting Director of the CFPB under the Federal Vacancies Reform Act of 1998 (FVRA), which allows for the president to appoint an interim replacement without Senate confirmation. However, a dispute arose over whether Mulvaney can be so-named under the FVRA or whether a provision of the Dodd-Frank Act controls, which would make the deputy director, Leandra English, acting director of the CFPB instead. This led to a court battle, English v. Trump. On November 28, 2017, U.S. District Judge Timothy J. Kelly denied English’s motion for a preliminary injunction and allowed Mulvaney to begin serving as CFPB Acting Director.[79]

Tenure

Mulvaney immediately stopped hiring at the CFPB, stopped collecting fines, suspended rulemaking, and ordered all active investigations reviewed.[80] Mulvaney also sharply reduced agency personnel’s access to bank data, arguing that it posed a security risk.[39] On January 18, 2018, Mulvaney submitted a quarterly budget request for the CFPB to the Federal Reserve for $0.[81][82]

In January 2018, Mulvaney canceled an investigation into a South Carolina payday lender that had previously donated to his congressional campaigns.[77] He also dropped a lawsuit the CFPB was pursuing against an online lender the bureau had found was charging 950% interest.[83] Mulvaney suspended a short-term payday loan regulation.[84] In addition to payday lenders, Mulvaney also scaled back efforts to go after auto lenders and others accused of preying on vulnerable consumers.[39] By April 2018, more than four months after taking charge of the CFPB, Mulvaney had not undertaken a single enforcement action against finance companies; the previous CFPB director, Richard Cordray, averaged two to four enforcement actions per month.[84] Mulvaney accepted nearly $63,000 in donations by payday lenders while he was a congressman; in April 2018, he said that he would never take a meeting with lobbyists unless they contributed to his campaigns.[39]

In April 2018, Mulvaney submitted the CFPB’s annual report to Congress, in which he recommended the bureau’s funding should be made to require congressional appropriations, that its future rulemaking should require legislative approval, and that he, the director, should be made removable without cause by the President.[85]

The Community Financial Services Association of America, a trade association representing the payday lending industry, praised Mulvaney’s approach, calling it “relatively passive”.[77]

In April 2018, it was reported that Mulvaney had given some of his political appointees at the CFPB raises.[86] Mulvaney hired at least eight appointees after he took over the agency and created positions for some the appointees which did not exist under Cordray’s tenure at the CFPB.[86]

In April 2018, Mulvaney said that he would shut down public access to the CFPB’s online database of consumer complaints where consumers could post complaints and the CFPB used to guide its investigations.[39] Mulvaney said, “I don’t see anything in here that says I have to run a Yelp for financial services sponsored by the federal government.”[39] As the database was mandated by law, it could not be shut down, only closed to the public.[87] A review of Mulvaney’s campaign contributions as a congressman showed that 8 of the 10 firms with the most complaints about them had contributed to Mulvaney’s campaigns.[87]

In April 2018, Mulvaney announced a $1 billion fine against Wells Fargo for fraudulent practices. The case against Wells Fargo started prior to Mulvaney’s tenure, and there were reports that Mulvaney considered dropping the case. Amid this reporting, Trump warned that the bank would be fined.[88]

In May 2018, The New York Times reported that Mulvaney worked two to three days a week at the CFPB, a few hours at a time.[88]

In August 2018, it was reported that Mulvaney was considering rolling back oversight of lenders to see if they were violating the Military Lending Act and predating on military service members and their families.[89]

White House Chief of Staff

Appointment

On December 14, 2018, Donald Trump named Mulvaney as his acting White House Chief of Staff beginning with the new year.[90] Prior to Trump’s election, Mulvaney had characterized the future president as a “terrible human being”.[91][92]

Personal life

In 1998, Mulvaney married Pamela West whom he had met in line at a bookstore while he was a law student. The couple have triplets, (born in 2000) Finn, James and Caroline.[14][9] He is a Roman Catholic.[93]

Mick Mulvaney’s brother Ted Mulvaney (Theodore) is portfolio manager for Braeburn Capital, the investment arm of tech giant Apple Inc.[94][95]

Notes

  1. ^ Disputed with Leandra English until November 28.

References

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

 

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The Pronk Pops Show 1168, November 2, 2018, Story 1: Jobs Report — U.S. Economy Added 250,000 Jobs — Real Wages Up 3.1% and Capital Spending Growth — Civilian Labor Participation Rate Up .2% Going in Right Direction — Getting Better– All The Time — Videos — Story 2: Federal Reserve Will Be Increasing Fed Funds Target Rate by .25% In December 2018 — No Real Surprise — Videos — Story 3: President Trump’s Job Approval Rising — Hits 51% — Top Three Concerns of American People — The Economy, Illegal Immigration and Obamacare — Videos

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Story 1: November 2018 Jobs Report — U.S. Economy Added 250,000 Jobs With 3.7% U-3 Unemployment Rate  — Real Wages Up 3.1% and Capital Spending Growth — Civilian Labor Participation Rate Up .2% Going in Right Direction Up! — Getting Better– All The Time — Videos 

The Beatles – Getting Better

Getting Better
It’s getting better all the time
I used to get mad at my school (No, I can’t complain)
The teachers who taught me weren’t cool (No, I can’t complain)
You’re holding me down
Turning me round
Filling me up with your rules
I’ve got to admit it’s getting better (Better)
A little better all the time (It can’t get no worse)
I have to admit it’s getting better (Better)
It’s getting better
Since you’ve been mine
Me used to be angry young man
Me hiding me head in the sand
You gave me the word, I finally heard
I’m doing the best that I can
I’ve got to admit it’s getting better (Better)
A little better all the time (It can’t get no worse)
I have to admit it’s getting better (Better)
It’s getting better
Since you’ve been mine
Getting so much better all the time!
It’s getting better all the time
Better, better, better
It’s getting better all the time
Better, better, better
I used to be cruel to my woman
I beat her and kept her apart from the things that she loved
Man, I was mean but I’m changing my scene
And I’m doing the best that I can (ooh)
I admit it’s getting better (Better)
A little better all the time (It can’t get no worse)
Yes, I admit it’s getting better (Better)
It’s getting better
Since you’ve been mine
Getting so much better all the time!
It’s getting better all the time
Better, better, better
It’s getting better all the time
Better, better, better
Getting so much better all the time!
Songwriters: John Lennon / Paul McCartney
Getting Better lyrics © Sony/ATV Music Publishing LLC

Trump celebrates strong jobs report at rally

Job growth powers ahead

Economy adds 250K jobs in October

Santelli Exchange: Lazear on the jobs report

Jim Cramer on October jobs report: We have to move fast

CEA’s Hassett on China Trade, Jobs Report, Debt and Deficit

What does October’s banner jobs report tell us about where the economy is headed?

A Deep Dive Into the U.S. October Jobs Report

How Wall Street Views the October Jobs Report

What the markets want from the jobs report

What Is 3%? Jim Cramer on the Jobs Report

Alan Greenspan: Tightest labor market I’ve ever seen

Greenspan: We are in uncharted territory

Alan Greenspan: We have to deal with entitlements

Greenspan: The financial community doesn’t care about bookkeeping, they’re going to confront inflation

Defining the Unemployment Rate

Is Unemployment Undercounted?

Labor Force Participation

Cyclical Unemployment

Frictional Unemployment

Structural Unemployment

Monetary Policy and the Federal Reserve

Monetary Policy: The Best Case Scenario

Milton Friedman: Inflation vs Unemployment

Milton Friedman – Stimulus and Inflation

Milton Friedman – Money and Inflation (Q&A)

Responsibility to the Poor

Milton Friedman: There’s No Such Thing as a Free Lunch

TAKE IT TO THE LIMITS: Milton Friedman on Libertarianism

156,562,000: Record Employment for 12th Time Under Trump

By Susan Jones | November 2, 2018 | 8:41 AM EDT

A sign of the times in an Illinois shop window. (Photo by Tim Boyle/Getty Images)

(CNSNews.com) – The economy is the second most important issue for registered voters as the midterm election nears, a new Gallup Poll says. And there was very good economic news on Friday, as the Labor Department’s Bureau of Labor Statistics rolled out the October employment report — the final one before next week’s midterm election.

The number of employed Americans has never been higher. The 156,562,000 Americans employed in October is the twefth record set under President Donald Trump.

In October, the number of employed men age 20 and up — 80,405,000 — set the 12th record since Trump took office; and likewise, for the 12th time, the number of employed women age 20 and up set a record, reaching 70,909,000 in October.

The unemployment rate held at 3.7 percent, the same as September, which is the lowest it’s been in decades — since the end of 1969. And the Hispanic unemployment rate, 4.4 percent, has never been lower.

The unemployment rate for African-Americans, 6.2 percent, remained near the all-time low of 5.9 percent set in May.

On top of those numbers, the economy added a whopping 250,000 jobs last month. After revisions, job gains have averaged 218,000 over the past 3 months.

(“Wow!” Trump tweeted on Friday morning. “The U.S. added 250,000 Jobs in October – and this was despite the hurricanes. Unemployment at 3.7%. Wages UP! These are incredible numbers. Keep it going, Vote Republican!”)

The number of Americans not in the labor force dipped to 95.8 million, down from last month’s record high; and the labor force participation rate increased two-tenths of a point to 62.9 percent, a move in the right direction.

Among the major worker groups, the unemployment rates for adult men (3.5 percent), adult women (3.4 percent), teenagers (11.9 percent), Whites (3.3 percent), Blacks (6.2 percent), and Asians (3.2 percent) showed little or no change in October.

In October, average hourly earnings for all employees on private nonfarm payrolls rose by 5 cents to $27.30. Over the year, average hourly earnings have increased by 83 cents, or 3.1 percent.

In October, the nation’s civilian noninstitutionalized population, consisting of all people age 16 or older who were not in the military or an institution, reached 258,514,000. Of those, 162,637,000 participated in the labor force by either holding a job or actively seeking one.

The 162,637,000 who participated in the labor force equaled 62.9 percent of the 258,514,000 civilian noninstitutionalized population, the same as August.

The higher the participation rate, the better, but economists expect this percentage to remain stagnant and decline in the years ahead as an increasing number of baby boomers retire.

President Trump highlghted the booming economy at his rally in Missouri yesterday, telling voters that next week’s election “will decide whether we build on an extraordinary prosperity,” or whether Democrats “will wipe it all away.”

“The unemployment rate just fell to the lowest level in over 50 years,” the president said. “More Americans are working now than any time in history. Think of that…So today, right now, we have more Americans working than at any time, any time in the history of our country. That’s pretty good,” he said. “That’s pretty good!”

https://pronkpops.wordpress.com/wp-admin/post-new.php

Alternate Unemployment Charts

The seasonally-adjusted SGS Alternate Unemployment Rate reflects current unemployment reporting methodology adjusted for SGS-estimated long-term discouraged workers, who were defined out of official existence in 1994. That estimate is added to the BLS estimate of U-6 unemployment, which includes short-term discouraged workers.

The U-3 unemployment rate is the monthly headline number. The U-6 unemployment rate is the Bureau of Labor Statistics’ (BLS) broadest unemployment measure, including short-term discouraged and other marginally-attached workers as well as those forced to work part-time because they cannot find full-time employment.

 

Public Commentary on Unemployment

Unemployment Data Series   subcription required(Subscription required.)  View  Download Excel CSV File   Last Updated: November 2nd, 2018

The ShadowStats Alternate Unemployment Rate for October 2018 is 21.2%.

Republishing our charts:  Permission, Restrictions and Instructions (includes important requirements for successful hot-linking)

http://www.shadowstats.com/alternate_data/unemployment-charts

Labor Force Statistics from the Current Population Survey

Civilian Labor Force Level

162,637,000

Series Id:           LNS11000000
Seasonally Adjusted
Series title:        (Seas) Civilian Labor Force Level
Labor force status:  Civilian labor force
Type of data:        Number in thousands
Age:                 16 years and over

Download:
Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2000 142267(1) 142456 142434 142751 142388 142591 142278 142514 142518 142622 142962 143248
2001 143800 143701 143924 143569 143318 143357 143654 143284 143989 144086 144240 144305
2002 143883 144653 144481 144725 144938 144808 144803 145009 145552 145314 145041 145066
2003 145937(1) 146100 146022 146474 146500 147056 146485 146445 146530 146716 147000 146729
2004 146842(1) 146709 146944 146850 147065 147460 147692 147564 147415 147793 148162 148059
2005 148029(1) 148364 148391 148926 149261 149238 149432 149779 149954 150001 150065 150030
2006 150214(1) 150641 150813 150881 151069 151354 151377 151716 151662 152041 152406 152732
2007 153144(1) 152983 153051 152435 152670 153041 153054 152749 153414 153183 153835 153918
2008 154063(1) 153653 153908 153769 154303 154313 154469 154641 154570 154876 154639 154655
2009 154210(1) 154538 154133 154509 154747 154716 154502 154307 153827 153784 153878 153111
2010 153484(1) 153694 153954 154622 154091 153616 153691 154086 153975 153635 154125 153650
2011 153263(1) 153214 153376 153543 153479 153346 153288 153760 154131 153961 154128 153995
2012 154381(1) 154671 154749 154545 154866 155083 154948 154763 155160 155554 155338 155628
2013 155763(1) 155312 155005 155394 155536 155749 155599 155605 155687 154673 155265 155182
2014 155357(1) 155526 156108 155404 155564 155742 156011 156124 156019 156383 156455 156301
2015 157063(1) 156734 156754 157051 157449 157071 157035 157132 156700 157138 157435 158043
2016 158387(1) 158811 159253 158919 158512 158976 159207 159514 159734 159700 159544 159736
2017 159718(1) 159997 160235 160181 159729 160214 160467 160598 161082 160371 160533 160597
2018 161115(1) 161921 161763 161527 161539 162140 162245 161776 161926 162637
1 : Data affected by changes in population controls.

Labor Force Participation Rate

62.9%




Series Id:           LNS11300000
Seasonally Adjusted
Series title:        (Seas) Labor Force Participation Rate
Labor force status:  Civilian labor force participation rate
Type of data:        Percent or rate
Age:                 16 years and over

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2000 67.3 67.3 67.3 67.3 67.1 67.1 66.9 66.9 66.9 66.8 66.9 67.0
2001 67.2 67.1 67.2 66.9 66.7 66.7 66.8 66.5 66.8 66.7 66.7 66.7
2002 66.5 66.8 66.6 66.7 66.7 66.6 66.5 66.6 66.7 66.6 66.4 66.3
2003 66.4 66.4 66.3 66.4 66.4 66.5 66.2 66.1 66.1 66.1 66.1 65.9
2004 66.1 66.0 66.0 65.9 66.0 66.1 66.1 66.0 65.8 65.9 66.0 65.9
2005 65.8 65.9 65.9 66.1 66.1 66.1 66.1 66.2 66.1 66.1 66.0 66.0
2006 66.0 66.1 66.2 66.1 66.1 66.2 66.1 66.2 66.1 66.2 66.3 66.4
2007 66.4 66.3 66.2 65.9 66.0 66.0 66.0 65.8 66.0 65.8 66.0 66.0
2008 66.2 66.0 66.1 65.9 66.1 66.1 66.1 66.1 66.0 66.0 65.9 65.8
2009 65.7 65.8 65.6 65.7 65.7 65.7 65.5 65.4 65.1 65.0 65.0 64.6
2010 64.8 64.9 64.9 65.2 64.9 64.6 64.6 64.7 64.6 64.4 64.6 64.3
2011 64.2 64.1 64.2 64.2 64.1 64.0 64.0 64.1 64.2 64.1 64.1 64.0
2012 63.7 63.8 63.8 63.7 63.7 63.8 63.7 63.5 63.6 63.8 63.6 63.7
2013 63.7 63.4 63.3 63.4 63.4 63.4 63.3 63.3 63.2 62.8 63.0 62.9
2014 62.9 62.9 63.1 62.8 62.8 62.8 62.9 62.9 62.8 62.9 62.9 62.8
2015 62.9 62.7 62.7 62.8 62.9 62.7 62.6 62.6 62.3 62.5 62.5 62.7
2016 62.8 62.9 63.0 62.8 62.6 62.7 62.8 62.8 62.9 62.8 62.7 62.7
2017 62.9 62.9 63.0 62.9 62.7 62.8 62.9 62.9 63.0 62.7 62.7 62.7
2018 62.7 63.0 62.9 62.8 62.7 62.9 62.9 62.7 62.7 62.9

Unemployment Level

6,075,000

 

Series Id:           LNS13000000
Seasonally Adjusted
Series title:        (Seas) Unemployment Level
Labor force status:  Unemployed
Type of data:        Number in thousands
Age:                 16 years and over

Download:
Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2000 5708 5858 5733 5481 5758 5651 5747 5853 5625 5534 5639 5634
2001 6023 6089 6141 6271 6226 6484 6583 7042 7142 7694 8003 8258
2002 8182 8215 8304 8599 8399 8393 8390 8304 8251 8307 8520 8640
2003 8520 8618 8588 8842 8957 9266 9011 8896 8921 8732 8576 8317
2004 8370 8167 8491 8170 8212 8286 8136 7990 7927 8061 7932 7934
2005 7784 7980 7737 7672 7651 7524 7406 7345 7553 7453 7566 7279
2006 7064 7184 7072 7120 6980 7001 7175 7091 6847 6727 6872 6762
2007 7116 6927 6731 6850 6766 6979 7149 7067 7170 7237 7240 7645
2008 7685 7497 7822 7637 8395 8575 8937 9438 9494 10074 10538 11286
2009 12058 12898 13426 13853 14499 14707 14601 14814 15009 15352 15219 15098
2010 15046 15113 15202 15325 14849 14474 14512 14648 14579 14516 15081 14348
2011 14013 13820 13737 13957 13855 13962 13763 13818 13948 13594 13302 13093
2012 12797 12813 12713 12646 12660 12692 12656 12471 12115 12124 12005 12298
2013 12471 11950 11689 11760 11654 11751 11335 11279 11270 11136 10787 10404
2014 10235 10365 10435 9724 9740 9474 9610 9602 9266 8972 9064 8704
2015 8951 8634 8578 8546 8662 8265 8206 7996 7891 7884 7948 7907
2016 7811 7806 8024 7942 7465 7812 7723 7827 7919 7761 7419 7502
2017 7642 7486 7171 7021 6837 6964 6956 7127 6759 6524 6616 6576
2018 6684 6706 6585 6346 6065 6564 6280 6234 5964 6075

Not in Labor Force

95,877,000

 

Series Id:           LNS15000000
Seasonally Adjusted
Series title:        (Seas) Not in Labor Force
Labor force status:  Not in labor force
Type of data:        Number in thousands
Age:                 16 years and over

Download:
Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2000 69142 69120 69338 69267 69853 69876 70398 70401 70645 70782 70579 70488
2001 70088 70409 70381 70956 71414 71592 71526 72136 71676 71817 71876 72010
2002 72623 72010 72343 72281 72260 72600 72827 72856 72554 73026 73508 73675
2003 73960 74015 74295 74066 74268 73958 74767 75062 75249 75324 75280 75780
2004 75319 75648 75606 75907 75903 75735 75730 76113 76526 76399 76259 76581
2005 76808 76677 76846 76514 76409 76673 76721 76642 76739 76958 77138 77394
2006 77339 77122 77161 77318 77359 77317 77535 77451 77757 77634 77499 77376
2007 77506 77851 77982 78818 78810 78671 78904 79461 79047 79532 79105 79238
2008 78554 79156 79087 79429 79102 79314 79395 79466 79790 79736 80189 80380
2009 80529 80374 80953 80762 80705 80938 81367 81780 82495 82766 82865 83813
2010 83349 83304 83206 82707 83409 84075 84199 84014 84347 84895 84590 85240
2011 85441 85637 85623 85603 85834 86144 86383 86111 85940 86308 86312 86589
2012 87888 87765 87855 88239 88100 88073 88405 88803 88613 88429 88836 88722
2013 88900 89516 89990 89780 89827 89803 90156 90355 90481 91708 91302 91563
2014 91557 91559 91150 92036 92058 92072 92012 92105 92428 92274 92390 92726
2015 92660 93165 93326 93214 93006 93592 93841 93963 94625 94403 94312 93893
2016 94010 93766 93515 94049 94662 94421 94413 94340 94357 94621 94996 95006
2017 94364 94248 94179 94407 95038 94743 94684 94759 94480 95395 95416 95512
2018 95665 95012 95335 95745 95915 95502 95598 96290 96364 95877

U-3 Unemployment Rate

3.7%

Series Id:           LNS14000000
Seasonally Adjusted
Series title:        (Seas) Unemployment Rate
Labor force status:  Unemployment rate
Type of data:        Percent or rate
Age:                 16 years and over

Download:
Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2000 4.0 4.1 4.0 3.8 4.0 4.0 4.0 4.1 3.9 3.9 3.9 3.9
2001 4.2 4.2 4.3 4.4 4.3 4.5 4.6 4.9 5.0 5.3 5.5 5.7
2002 5.7 5.7 5.7 5.9 5.8 5.8 5.8 5.7 5.7 5.7 5.9 6.0
2003 5.8 5.9 5.9 6.0 6.1 6.3 6.2 6.1 6.1 6.0 5.8 5.7
2004 5.7 5.6 5.8 5.6 5.6 5.6 5.5 5.4 5.4 5.5 5.4 5.4
2005 5.3 5.4 5.2 5.2 5.1 5.0 5.0 4.9 5.0 5.0 5.0 4.9
2006 4.7 4.8 4.7 4.7 4.6 4.6 4.7 4.7 4.5 4.4 4.5 4.4
2007 4.6 4.5 4.4 4.5 4.4 4.6 4.7 4.6 4.7 4.7 4.7 5.0
2008 5.0 4.9 5.1 5.0 5.4 5.6 5.8 6.1 6.1 6.5 6.8 7.3
2009 7.8 8.3 8.7 9.0 9.4 9.5 9.5 9.6 9.8 10.0 9.9 9.9
2010 9.8 9.8 9.9 9.9 9.6 9.4 9.4 9.5 9.5 9.4 9.8 9.3
2011 9.1 9.0 9.0 9.1 9.0 9.1 9.0 9.0 9.0 8.8 8.6 8.5
2012 8.3 8.3 8.2 8.2 8.2 8.2 8.2 8.1 7.8 7.8 7.7 7.9
2013 8.0 7.7 7.5 7.6 7.5 7.5 7.3 7.2 7.2 7.2 6.9 6.7
2014 6.6 6.7 6.7 6.3 6.3 6.1 6.2 6.2 5.9 5.7 5.8 5.6
2015 5.7 5.5 5.5 5.4 5.5 5.3 5.2 5.1 5.0 5.0 5.0 5.0
2016 4.9 4.9 5.0 5.0 4.7 4.9 4.9 4.9 5.0 4.9 4.6 4.7
2017 4.8 4.7 4.5 4.4 4.3 4.3 4.3 4.4 4.2 4.1 4.1 4.1
2018 4.1 4.1 4.1 3.9 3.8 4.0 3.9 3.9 3.7 3.7

 U-6 Unemployment Rate

7.4 %

Series Id:           LNS13327709
Seasonally Adjusted
Series title:        (seas) Total unemployed, plus all marginally attached workers plus total employed part time for economic reasons, as a percent of all civilian labor force plus all marginally attached workers
Labor force status:  Aggregated totals unemployed
Type of data:        Percent or rate
Age:                 16 years and over
Percent/rates:       Unemployed and mrg attached and pt for econ reas as percent of labor force plus marg attached

Download:
Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2000 7.1 7.2 7.1 6.9 7.1 7.0 7.0 7.1 7.0 6.8 7.1 6.9
2001 7.3 7.4 7.3 7.4 7.5 7.9 7.8 8.1 8.7 9.3 9.4 9.6
2002 9.5 9.5 9.4 9.7 9.5 9.5 9.6 9.6 9.6 9.6 9.7 9.8
2003 10.0 10.2 10.0 10.2 10.1 10.3 10.3 10.1 10.4 10.2 10.0 9.8
2004 9.9 9.7 10.0 9.6 9.6 9.5 9.5 9.4 9.4 9.7 9.4 9.2
2005 9.3 9.3 9.1 8.9 8.9 9.0 8.8 8.9 9.0 8.7 8.7 8.6
2006 8.4 8.4 8.2 8.1 8.2 8.4 8.5 8.4 8.0 8.2 8.1 7.9
2007 8.4 8.2 8.0 8.2 8.2 8.3 8.4 8.4 8.4 8.4 8.4 8.8
2008 9.2 9.0 9.1 9.2 9.7 10.1 10.5 10.8 11.0 11.8 12.6 13.6
2009 14.2 15.2 15.8 15.9 16.5 16.5 16.4 16.7 16.7 17.1 17.1 17.1
2010 16.7 17.0 17.1 17.1 16.6 16.4 16.4 16.5 16.8 16.6 16.9 16.6
2011 16.2 16.0 15.9 16.1 15.8 16.1 15.9 16.1 16.4 15.8 15.5 15.2
2012 15.2 15.0 14.5 14.6 14.7 14.8 14.8 14.6 14.8 14.4 14.4 14.4
2013 14.6 14.4 13.8 14.0 13.8 14.2 13.8 13.6 13.5 13.6 13.1 13.1
2014 12.7 12.7 12.7 12.3 12.1 12.0 12.1 11.9 11.7 11.5 11.4 11.2
2015 11.3 11.0 10.9 10.9 10.8 10.4 10.3 10.2 10.0 9.8 9.9 9.9
2016 9.9 9.7 9.8 9.8 9.8 9.5 9.7 9.6 9.7 9.6 9.3 9.1
2017 9.4 9.2 8.8 8.6 8.4 8.5 8.5 8.6 8.3 8.0 8.0 8.1
2018 8.2 8.2 8.0 7.8 7.6 7.8 7.5 7.4 7.5 7.4

Employment Situation Summary

Transmission of material in this news release is embargoed until            USDL-18-1739
8:30 a.m. (EDT) Friday, November 2, 2018

Technical information:
 Household data:     (202) 691-6378  *  cpsinfo@bls.gov  *  www.bls.gov/cps
 Establishment data: (202) 691-6555  *  cesinfo@bls.gov  *  www.bls.gov/ces

Media contact:        (202) 691-5902  *  PressOffice@bls.gov


                        THE EMPLOYMENT SITUATION -- OCTOBER 2018


Total nonfarm payroll employment rose by 250,000 in October, and the unemployment rate
was unchanged at 3.7 percent, the U.S. Bureau of Labor Statistics reported today. Job
gains occurred in health care, in manufacturing, in construction, and in transportation
and warehousing.

   __________________________________________________________________________________
  |                                                                                  |
  |                               Hurricane Michael                                  |
  |                                                                                  |
  | Hurricane Michael made landfall in the Florida Panhandle on October 10, 2018,    |
  | during the reference periods for both the establishment and household surveys.   |
  | Hurricane Michael had no discernible effect on the national employment and       |
  | unemployment estimates for October, and response rates for the two surveys were  |
  | within normal ranges. For information on how severe weather can affect employment|
  | and hours data, see Question 8 in the Frequently Asked Questions section of this |
  | news release.                                                                    |
  |                                                                                  |
  | BLS will release the state estimates of employment and unemployment on           |
  | November 16, 2018, at 10:00 a.m. (EST).                                          |
  |__________________________________________________________________________________|


Household Survey Data

The unemployment rate remained at 3.7 percent in October, and the number of unemployed
persons was little changed at 6.1 million. Over the year, the unemployment rate and
the number of unemployed persons declined by 0.4 percentage point and 449,000,
respectively. (See table A-1.)

Among the major worker groups, the unemployment rates for adult men (3.5 percent),
adult women (3.4 percent), teenagers (11.9 percent), Whites (3.3 percent), Blacks
(6.2 percent), Asians (3.2 percent), and Hispanics (4.4 percent) showed little or no
change in October. (See tables A-1, A-2, and A-3.)

The number of long-term unemployed (those jobless for 27 weeks or more) was essentially
unchanged at 1.4 million in October and accounted for 22.5 percent of the unemployed.
(See table A-12.)

The labor force participation rate increased by 0.2 percentage point to 62.9 percent in
October but has shown little change over the year. The employment-population ratio
edged up by 0.2 percentage point to 60.6 percent in October and has increased by 0.4
percentage point over the year. (See table A-1.)

The number of persons employed part time for economic reasons (sometimes referred to as
involuntary part-time workers) was essentially unchanged at 4.6 million in October.
These individuals, who would have preferred full-time employment, were working part
time because their hours had been reduced or they were unable to find full-time jobs.
(See table A-8.)

In October, 1.5 million persons were marginally attached to the labor force, little
changed from a year earlier. (Data are not seasonally adjusted.) These individuals were
not in the labor force, wanted and were available for work, and had looked for a job
sometime in the prior 12 months. They were not counted as unemployed because they had
not searched for work in the 4 weeks preceding the survey. (See table A-16.)

Among the marginally attached, there were 506,000 discouraged workers in October, about
unchanged from a year earlier. (Data are not seasonally adjusted.) Discouraged workers
are persons not currently looking for work because they believe no jobs are available
for them. The remaining 984,000 persons marginally attached to the labor force in
October had not searched for work for reasons such as school attendance or family
responsibilities. (See table A-16.)

Establishment Survey Data

Total nonfarm payroll employment increased by 250,000 in October, following an average
monthly gain of 211,000 over the prior 12 months. In October, job growth occurred in
health care, in manufacturing, in construction, and in transportation and warehousing.
(See table B-1.)

Health care added 36,000 jobs in October. Within the industry, employment growth
occurred in hospitals (+13,000) and in nursing and residential care facilities
(+8,000). Employment in ambulatory health care services continued to trend up
(+14,000). Over the past 12 months, health care employment grew by 323,000.

In October, employment in manufacturing increased by 32,000. Most of the increase
occurred in durable goods manufacturing, with a gain in transportation equipment
(+10,000). Manufacturing has added 296,000 jobs over the year, largely in durable
goods industries.

Construction employment rose by 30,000 in October, with nearly half of the gain
occurring among residential specialty trade contractors (+14,000). Over the year,
construction has added 330,000 jobs.

Transportation and warehousing added 25,000 jobs in October. Within the industry,
employment growth occurred in couriers and messengers (+8,000) and in warehousing
and storage (+8,000). Over the year, employment in transportation and warehousing
has increased by 184,000.

Employment in leisure and hospitality edged up in October (+42,000). Employment was
unchanged in September, likely reflecting the impact of Hurricane Florence. The
average gain for the 2 months combined (+21,000) was the same as the average monthly
gain in the industry for the 12-month period prior to September.

In October, employment in professional and business services continued to trend up
(+35,000). Over the year, the industry has added 516,000 jobs.

Employment in mining also continued to trend up over the month (+5,000). The industry
has added 65,000 jobs over the year, with most of the gain in support activities for
mining.

Employment in other major industries--including wholesale trade, retail trade,
information, financial activities, and government--showed little change over the
month.

The average workweek for all employees on private nonfarm payrolls increased by 0.1
hour to 34.5 hours in October. In manufacturing, the workweek edged down by 0.1 hour
to 40.8 hours, and overtime was unchanged at 3.5 hours. The average workweek for
production and nonsupervisory employees on private nonfarm payrolls, at 33.7 hours,
was unchanged over the month. (See tables B-2 and B-7.)

In October, average hourly earnings for all employees on private nonfarm payrolls
rose by 5 cents to $27.30. Over the year, average hourly earnings have increased by
83 cents, or 3.1 percent. Average hourly earnings of private-sector production and
nonsupervisory employees increased by 7 cents to $22.89 in October. (See tables B-3
and B-8.)

The change in total nonfarm payroll employment for September was revised down from
+134,000 to +118,000, and the change for August was revised up from +270,000 to
+286,000. The downward revision in September offset the upward revision in August.
(Monthly revisions result from additional reports received from businesses and
government agencies since the last published estimates and from the recalculation
of seasonal factors.) After revisions, job gains have averaged 218,000 over the
past 3 months.

_____________
The Employment Situation for November is scheduled to be released on Friday,
December 7, 2018, at 8:30 a.m. (EST).



The PDF version of the news release

News release charts

Supplemental Files Table of Contents

Table of Contents

Employment Situation Summary Table A. Household data, seasonally adjusted

HOUSEHOLD DATA
Summary table A. Household data, seasonally adjusted
[Numbers in thousands]
Category Oct.
2017
Aug.
2018
Sept.
2018
Oct.
2018
Change from:
Sept.
2018-
Oct.
2018

Employment status

Civilian noninstitutional population

255,766 258,066 258,290 258,514 224

Civilian labor force

160,371 161,776 161,926 162,637 711

Participation rate

62.7 62.7 62.7 62.9 0.2

Employed

153,846 155,542 155,962 156,562 600

Employment-population ratio

60.2 60.3 60.4 60.6 0.2

Unemployed

6,524 6,234 5,964 6,075 111

Unemployment rate

4.1 3.9 3.7 3.7 0.0

Not in labor force

95,395 96,290 96,364 95,877 -487

Unemployment rates

Total, 16 years and over

4.1 3.9 3.7 3.7 0.0

Adult men (20 years and over)

3.8 3.5 3.4 3.5 0.1

Adult women (20 years and over)

3.6 3.6 3.3 3.4 0.1

Teenagers (16 to 19 years)

13.7 12.8 12.8 11.9 -0.9

White

3.5 3.4 3.3 3.3 0.0

Black or African American

7.3 6.3 6.0 6.2 0.2

Asian

3.0 3.0 3.5 3.2 -0.3

Hispanic or Latino ethnicity

4.8 4.7 4.5 4.4 -0.1

Total, 25 years and over

3.3 3.2 3.0 3.1 0.1

Less than a high school diploma

6.1 5.7 5.5 6.0 0.5

High school graduates, no college

4.3 3.9 3.7 4.0 0.3

Some college or associate degree

3.6 3.5 3.2 3.0 -0.2

Bachelor’s degree and higher

2.0 2.1 2.0 2.0 0.0

Reason for unemployment

Job losers and persons who completed temporary jobs

3,214 2,875 2,796 2,850 54

Job leavers

731 862 730 726 -4

Reentrants

2,001 1,846 1,877 1,906 29

New entrants

626 584 586 606 20

Duration of unemployment

Less than 5 weeks

2,128 2,208 2,065 2,057 -8

5 to 14 weeks

1,943 1,720 1,720 1,821 101

15 to 26 weeks

856 923 861 856 -5

27 weeks and over

1,645 1,332 1,384 1,373 -11

Employed persons at work part time

Part time for economic reasons

4,880 4,379 4,642 4,621 -21

Slack work or business conditions

2,960 2,551 2,782 2,816 34

Could only find part-time work

1,615 1,365 1,447 1,436 -11

Part time for noneconomic reasons

20,897 21,781 21,464 21,512 48

Persons not in the labor force (not seasonally adjusted)

Marginally attached to the labor force

1,535 1,443 1,577 1,491

Discouraged workers

524 434 383 506

– Over-the-month changes are not displayed for not seasonally adjusted data.
NOTE: Persons whose ethnicity is identified as Hispanic or Latino may be of any race. Detail for the seasonally adjusted data shown in this table will not necessarily add to totals because of the independent seasonal adjustment of the various series. Updated population controls are introduced annually with the release of January data.

 

Employment Situation Summary Table B. Establishment data, seasonally adjusted

ESTABLISHMENT DATA
Summary table B. Establishment data, seasonally adjusted
Category Oct.
2017
Aug.
2018
Sept.
2018(P)
Oct.
2018(P)

EMPLOYMENT BY SELECTED INDUSTRY
(Over-the-month change, in thousands)

Total nonfarm

271 286 118 250

Total private

277 267 121 246

Goods-producing

38 49 42 67

Mining and logging

1 7 4 5

Construction

17 31 20 30

Manufacturing

20 11 18 32

Durable goods(1)

10 11 14 21

Motor vehicles and parts

-1.6 2.7 1.0 6.8

Nondurable goods

10 0 4 11

Private service-providing

239 218 79 179

Wholesale trade

7.5 20.6 3.3 9.1

Retail trade

6.5 9.1 -32.4 2.4

Transportation and warehousing

13.7 23.1 20.8 24.8

Utilities

0.0 0.9 0.1 1.2

Information

0 -4 -4 7

Financial activities

9 9 15 7

Professional and business services(1)

60 54 46 35

Temporary help services

19.8 10.8 7.6 3.3

Education and health services(1)

15 67 26 44

Health care and social assistance

35.7 52.5 34.9 46.7

Leisure and hospitality

110 30 0 42

Other services

17 8 4 7

Government

-6 19 -3 4

(3-month average change, in thousands)

Total nonfarm

169 220 190 218

Total private

167 199 175 211

WOMEN AND PRODUCTION AND NONSUPERVISORY EMPLOYEES
AS A PERCENT OF ALL EMPLOYEES(2)

Total nonfarm women employees

49.5 49.7 49.7 49.7

Total private women employees

48.1 48.3 48.3 48.3

Total private production and nonsupervisory employees

82.4 82.4 82.4 82.4

HOURS AND EARNINGS
ALL EMPLOYEES

Total private

Average weekly hours

34.4 34.5 34.4 34.5

Average hourly earnings

$26.47 $27.17 $27.25 $27.30

Average weekly earnings

$910.57 $937.37 $937.40 $941.85

Index of aggregate weekly hours (2007=100)(3)

107.8 110.0 109.7 110.3

Over-the-month percent change

0.5 0.3 -0.3 0.5

Index of aggregate weekly payrolls (2007=100)(4)

136.5 142.8 143.0 143.9

Over-the-month percent change

0.4 0.6 0.1 0.6

DIFFUSION INDEX
(Over 1-month span)(5)

Total private (258 industries)

63.2 64.5 60.7 65.7

Manufacturing (76 industries)

63.8 56.6 65.1 62.5

Footnotes
(1) Includes other industries, not shown separately.
(2) Data relate to production employees in mining and logging and manufacturing, construction employees in construction, and nonsupervisory employees in the service-providing industries.
(3) The indexes of aggregate weekly hours are calculated by dividing the current month’s estimates of aggregate hours by the corresponding annual average aggregate hours.
(4) The indexes of aggregate weekly payrolls are calculated by dividing the current month’s estimates of aggregate weekly payrolls by the corresponding annual average aggregate weekly payrolls.
(5) Figures are the percent of industries with employment increasing plus one-half of the industries with unchanged employment, where 50 percent indicates an equal balance between industries with increasing and decreasing employment.
(P) Preliminary

NOTE: Data have been revised to reflect March 2017 benchmark levels and updated seasonal adjustment factors.

The Beatles – Hey Jude

Hey Jude
Hey Jude, don’t make it bad
Take a sad song and make it better
Remember to let her into your heart
Then you can start to make it better
Hey Jude, don’t be afraid
You were made to go out and get her
The minute you let her under your skin
Then you begin to make it better
And anytime you feel the pain, hey Jude, refrain
Don’t carry the world upon your shoulders
For well you know that it’s a fool who plays it cool
By making his world a little colder
Nah nah nah nah nah nah nah nah nah
Hey Jude, don’t let me down
You have found her, now go and get her
Remember to let her into your heart
Then you can start to make it better
So let it out and let it in, hey Jude, begin
You’re waiting for someone to perform with
And don’t you know that it’s just you, hey Jude, you’ll do
The movement you need is on your shoulder
Nah nah nah nah nah nah nah nah nah yeah
Hey Jude, don’t make it bad
Take a sad song and make it better
Remember to let her under your skin
Then you’ll begin to make it
Better better better better better better, oh
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Nah nah nah nah nah nah, nah nah nah, hey Jude
Songwriters: John Lennon / Paul McCartney
Hey Jude lyrics © Sony/ATV Music Publishing LLC

 

Getting Better

From Wikipedia, the free encyclopedia

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“Getting Better”
Getting Better - The Beatles (sheet music).jpg

Original UK sheet music for the song
Song by the Beatles
from the album Sgt. Pepper’s Lonely Hearts Club Band
Released 26 May 1967[1]
Recorded 9 March 1967
Genre
Length 2:47
Label ParlophoneCapitolEMI
Songwriter(s) Lennon–McCartney
Producer(s) George Martin

Getting Better” is a song written mainly by Paul McCartney, with lyrical contributions from John Lennon (credited to Lennon–McCartney).[3] It was recorded by the Beatles for the 1967 album Sgt. Pepper’s Lonely Hearts Club Band.

Composition

The song, which has been said to be musically reminiscent of the hit single “Penny Lane,”[4] moves forward by way of regular chords, produced by Lennon’s guitar, McCartney’s electric piano,[verification needed] and George Martin, who struck the strings of a pianet with a mallet. These heavily accented and repetitive lines cause the song to sound as if it is based on a drone. Lead guitarist George Harrison adds an Indian tanpura part to the final verse, which further accentuates this impact.

McCartney’s bassline, in counterpoint to this droning, was described by music critic Ian MacDonald as “dreamy” and “well thought out as a part of the production by McCartney”.[5] It was recorded after the main track was completed, as were many of the bass lines on Sgt Pepper’s Lonely Hearts Club Band.[6] Starting out in the verse with a pedal on the root note (G) that leaps two octaves, McCartney moves to a marching quarter-note (walking) bass line for the first (and only the first) chorus. In stark contrast, all subsequent choruses are played using a fluid, swing feel, full of anticipated notes that propel the song forward despite the quarter-note droning of the guitar and keyboard.

The song’s title and music suggest optimism, but some of the song’s lyrics have a more negative tone. In this sense, it reflects the contrasting personas of the two songwriters. In response to McCartney’s line, “It’s getting better all the time”, Lennon replies, “Can’t get no worse!”[7] In a December 1983 interview, McCartney praised this contribution as an example of things he “couldn’t ever have done [him]self”.[8]

Referring to the lyric “I used to be cruel to my woman/I beat her and kept her apart from the things that she loved/Man I was mean but I’m changing my scene/And I’m doing the best that I can”, Lennon admitted that he had done things in relationships in the past that he was not proud of.[9]

In a 1980 interview in Playboy with John Lennon and Yoko Ono, Lennon, when asked about the song, said that the song’s lyrics came personally from his own experience abusing women in relationships in the past. He states: “It is a diary form of writing. All that ‘I used to be cruel to my woman / I beat her and kept her apart from the things that she loved’ was me. I used to be cruel to my woman, and physically—any woman. I was a hitter. I couldn’t express myself and I hit. I fought men and I hit women. That is why I am always on about peace, you see. It is the most violent people who go for love and peace. Everything’s the opposite. But I sincerely believe in love and peace. I am a violent man who has learned not to be violent and regrets his violence. I will have to be a lot older before I can face in public how I treated women as a youngster.”

According to the author Hunter Davies and music critic Ian MacDonald, the initial idea for the song’s title came from a phrase often spoken by Jimmie Nicol, the group’s stand-in drummer for the Australian leg of a 1964 tour.[3][5]

Lennon on the roof

One of the recording sessions for “Getting Better” is infamous for an incident involving Lennon. During the 21 March 1967 session in which producer George Martin added a piano solo to “Lovely Rita“, Lennon complained that he did not feel well and could not focus.[10][11]He had accidentally taken LSD when he meant to take an upper.[12] Unaware of the mistake, Martin took him up to the roof of Abbey Road Studios for some fresh air, and returned to Studio Two where McCartney and Harrison were waiting. They knew why Lennon was not well, and upon hearing where Lennon was, rushed to the roof to retrieve him and prevent a possible accident.[11][13][14]

Personnel

Personnel per Ian MacDonald[4]

Live performances

Paul McCartney performed the song live for the first time by any Beatle on his 2002 Driving World Tour. He later reprised the song on his 2003 Back in the World Tour.[citation needed]

Cover versions

Notes

  1. Jump up^ Everett 1999, p. 123. “In the United Kingdom Sgt. Pepper’s Lonely Hearts Club Band…was rush-released six days ahead of its official date, June 1.”
  2. Jump up^ Unterberger 2009.
  3. Jump up to:a b Miles 1997, pp. 312–313.
  4. Jump up to:a b MacDonald 2005, p. 241.
  5. Jump up to:a b MacDonald 2005, p. 200.
  6. Jump up^ MacDonald 2005.
  7. Jump up^ Miles 1997, p. 314.
  8. Jump up^ “December 1983 interview”. Retrieved July 13, 2016.
  9. Jump up^http://www.recmusicbeatles.com/public/files/bbs/jl_yo.playboy/lennon4.html
  10. Jump up^ Spitz 2005, pp. 670–671.
  11. Jump up to:a b Lewisohn 1988, p. 104.
  12. Jump up^ Miles 1997, p. 382.
  13. Jump up^ The Beatles 2000, p. 242.
  14. Jump up^ Emerick & Massey 2006, p. 172–173.
  15. Jump up^ http://www.beatlesebooks.com/getting-better

References

External links

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

 

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Story 3: President Trump’s Job Approval Rising — Hits 51% — Top Three Concerns of American People — The Economy, Illegal Immigration and Obamacare — Videos

Daily Presidential Tracking Poll

The Rasmussen Reports daily Presidential Tracking Poll for Friday shows that 51% of Likely U.S. Voters approve of President Trump’s job performance. Forty-seven percent (47%) disapprove.

The latest figures include 37% who Strongly Approve of the president is performing and 40% who Strongly Disapprove. This gives him a Presidential Approval Index rating of -3. (See trends)

Regular updates are posted Monday through Friday at 9:30 a.m. Eastern (sign up for free daily email update).

Now that Gallup has quit the field, Rasmussen Reports is the only nationally recognized public opinion firm that still tracks President Trump’s job approval ratings on a daily basis. If your organization is interested in a weekly or longer sponsorship of Rasmussen Reports’ Daily Presidential Tracking Poll,  please send e-mail to beth@rasmussenreports.com  .

With early voting in full swing and Election Day approaching, we asked voters if they’re more likely or less likely to tell people how they are voting. Trump voters held back in 2016, and that unmeasured margin fooled most pollsters, not Rasmussen Reports  Find out at 10:30 if that silent vote is still out there.

 

Seventy-seven percent (77%) of Republicans say they always vote in midterm elections, as do 71% of Democrats and 63% of voters not affiliated with either major political party. The real story on Tuesday will be which side turns out even more than usual.

Look for Rasmussen Reports’ final Generic Congressional Ballot on Monday morning. Democrats now hold a three-point lead on the survey which has a +/- 2 margin of error.

President Trump is sending troops to the southern border to stop thousands of Central Americans now in Mexico from entering the United States illegally. Voters tend to agree with the president’s decision, but as is frequently the case on issues related to illegal immigration, there’s a sharp difference of opinion between Democrats and Republicans.

Illegal immigration is the most important voting issue in the upcoming elections for 22% of Republicans, 15% of unaffiliated voters and eight percent (8%) of Democrats.

 

20-Jan-1711-Apr-1729-Jun-1719-Sep-1711-Dec-1706-Mar-1824-May-1815-Aug-1802-Nov-180%10%20%30%40%50%60%70%80%www.RasmussenReports.comTotal Approve (Trump)Total Approve (Obama)

Sixty-one percent (61%) of Americans favor the death penalty, and among these adults, 68% think it needs to be carried out in a more timely fashion rather than delayed for all possible legal appeals.

Following last weekend’s massacre at a synagogue in Pittsburgh, Americans continue to worry that media overcoverage of horrific events like this inspires copycats.

Democrats (51%) are much more likely than Republicans (13%) and those not affiliated with either major party (25%) to blame the availability of guns for mass shootings more than the person who pulls the trigger.

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Some readers wonder how we come up with our job approval ratings for the president since they often don’t show as dramatic a change as some other pollsters do. It depends on how you ask the question and whom you ask.

To get a sense of longer-term job approval trends for the president, Rasmussen Reports compiles our tracking data on a full month-by-month basis.

Rasmussen Reports has been a pioneer in the use of automated telephone polling techniques, but many other firms still utilize their own operator-assisted technology (see methodology).

Daily tracking results are collected via telephone surveys of 500 likely voters per night and reported on a three-day rolling average basis. To reach those who have abandoned traditional landline telephones, Rasmussen Reports uses an online survey tool to interview randomly selected participants from a demographically diverse panel. The margin of sampling error for the full sample of 1,500 Likely Voters is +/- 2.5 percentage points with a 95% level of confidence. Results are also compiled on a full-week basis and crosstabs for full-week results are available for Platinum Members.

Rasmussen Reports is a media company specializing in the collection, publication and distribution of public opinion information.

We conduct public opinion polls on a variety of topics to inform our audience on events in the news and other topics of interest. To ensure editorial control and independence, we pay for the polls ourselves and generate revenue through the sale of subscriptions, sponsorships, and advertising. Nightly polling on politics, business and lifestyle topics provides the content to update the Rasmussen Reports web site many times each day. If it’s in the news, it’s in our polls. Additionally, the data drives a daily update newsletter and various media outlets across the country.

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http://www.rasmussenreports.com/public_content/politics/political_updates/prez_track_nov02

Trump, Economy Top Voter Concerns

Thursday, October 25, 2018

President Trump and the economy are the major concerns for voters going into the midterm congressional elections.

The latest Rasmussen Reports national telephone and online survey finds that 30% of Likely U.S. Voters view Trump as the most important issue to their vote in the upcoming elections. The economy is most important for 22%, followed by 15% who rank illegal immigration that way and 14% who say the same of Obamacare. (To see survey question wording, click here.)

Rasmussen Reports invites you to be a part of our first-ever Citizen-Sourced National Midterm Election Polling Project. Learn more about how you can contribute.

(Want a free daily email update? If it’s in the news, it’s in our polls). Rasmussen Reports updates are also available on Twitter or Facebook.

The survey of 1,000 Likely Voters was conducted on October 23-24, 2018 by Rasmussen Reports. The margin of sampling error is +/- 3 percentage points with a 95% level of confidence. Field work for all Rasmussen Reports surveys is conducted by Pulse Opinion Research, LLC. See methodology.

http://www.rasmussenreports.com/public_content/politics/general_politics/october_2018/trump_economy_top_voter_concerns

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Listen To Pronk Pops Podcast or Download Shows 644-650

Listen To Pronk Pops Podcast or Download Shows 637-643

Listen To Pronk Pops Podcast or Download Shows 629-636

Listen To Pronk Pops Podcast or Download Shows 617-628

Listen To Pronk Pops Podcast or Download Shows 608-616

Listen To Pronk Pops Podcast or Download Shows 599-607

Listen To Pronk Pops Podcast or Download Shows 590-598

Listen To Pronk Pops Podcast or Download Shows 585- 589

Listen To Pronk Pops Podcast or Download Shows 575-584

Listen To Pronk Pops Podcast or Download Shows 565-574

Listen To Pronk Pops Podcast or Download Shows 556-564

Listen To Pronk Pops Podcast or Download Shows 546-555

Listen To Pronk Pops Podcast or Download Shows 538-545

Listen To Pronk Pops Podcast or Download Shows 532-537

Listen To Pronk Pops Podcast or Download Shows 526-531

Listen To Pronk Pops Podcast or Download Shows 519-525

Listen To Pronk Pops Podcast or Download Shows 510-518

Listen To Pronk Pops Podcast or Download Shows 500-509

Listen To Pronk Pops Podcast or Download Shows 490-499

Listen To Pronk Pops Podcast or Download Shows 480-489

Listen To Pronk Pops Podcast or Download Shows 473-479

Listen To Pronk Pops Podcast or Download Shows 464-472

Listen To Pronk Pops Podcast or Download Shows 455-463

Listen To Pronk Pops Podcast or Download Shows 447-454

Listen To Pronk Pops Podcast or Download Shows 439-446

Listen To Pronk Pops Podcast or Download Shows 431-438

Listen To Pronk Pops Podcast or Download Shows 422-430

Listen To Pronk Pops Podcast or Download Shows 414-421

Listen To Pronk Pops Podcast or Download Shows 408-413

Listen To Pronk Pops Podcast or Download Shows 400-407

Listen To Pronk Pops Podcast or Download Shows 391-399

Listen To Pronk Pops Podcast or Download Shows 383-390

Listen To Pronk Pops Podcast or Download Shows 376-382

Listen To Pronk Pops Podcast or Download Shows 369-375

Listen To Pronk Pops Podcast or Download Shows 360-368

Listen To Pronk Pops Podcast or Download Shows 354-359

Listen To Pronk Pops Podcast or Download Shows 346-353

Listen To Pronk Pops Podcast or Download Shows 338-345

Listen To Pronk Pops Podcast or Download Shows 328-337

Listen To Pronk Pops Podcast or Download Shows 319-327

Listen To Pronk Pops Podcast or Download Shows 307-318

Listen To Pronk Pops Podcast or Download Shows 296-306

Listen To Pronk Pops Podcast or Download Shows 287-295

Listen To Pronk Pops Podcast or Download Shows 277-286

Listen To Pronk Pops Podcast or Download Shows 264-276

Listen To Pronk Pops Podcast or Download Shows 250-263

Listen To Pronk Pops Podcast or Download Shows 236-249

Listen To Pronk Pops Podcast or Download Shows 222-235

Listen To Pronk Pops Podcast or Download Shows 211-221

Listen To Pronk Pops Podcast or Download Shows 202-210

Listen To Pronk Pops Podcast or Download Shows 194-201

Listen To Pronk Pops Podcast or Download Shows 184-193

Listen To Pronk Pops Podcast or Download Shows 174-183

Listen To Pronk Pops Podcast or Download Shows 165-173

Listen To Pronk Pops Podcast or Download Shows 158-164

Listen To Pronk Pops Podcast or Download Shows 151-157

Listen To Pronk Pops Podcast or Download Shows 143-150

Listen To Pronk Pops Podcast or Download Shows 135-142

Listen To Pronk Pops Podcast or Download Shows 131-134

Listen To Pronk Pops Podcast or Download Shows 124-130

Listen To Pronk Pops Podcast or Download Shows 121-123

Listen To Pronk Pops Podcast or Download Shows 118-120

Listen To Pronk Pops Podcast or Download Shows 113 -117

Listen To Pronk Pops Podcast or Download Show 112

Listen To Pronk Pops Podcast or Download Shows 108-111

Listen To Pronk Pops Podcast or Download Shows 106-108

Listen To Pronk Pops Podcast or Download Shows 104-105

Listen To Pronk Pops Podcast or Download Shows 101-103

Listen To Pronk Pops Podcast or Download Shows 98-100

Listen To Pronk Pops Podcast or Download Shows 94-97

Listen To Pronk Pops Podcast or Download Show 93

Listen To Pronk Pops Podcast or Download Show 92

Listen To Pronk Pops Podcast or Download Show 91

Listen To Pronk Pops Podcast or Download Shows 88-90

Listen To Pronk Pops Podcast or Download Shows 84-87

Listen To Pronk Pops Podcast or Download Shows 79-83

Listen To Pronk Pops Podcast or Download Shows 74-78

Listen To Pronk Pops Podcast or Download Shows 71-73

Listen To Pronk Pops Podcast or Download Shows 68-70

Listen To Pronk Pops Podcast or Download Shows 65-67

Listen To Pronk Pops Podcast or Download Shows 62-64

Listen To Pronk Pops Podcast or Download Shows 58-61

Listen To Pronk Pops Podcast or Download Shows 55-57

Listen To Pronk Pops Podcast or Download Shows 52-54

Listen To Pronk Pops Podcast or Download Shows 49-51

Listen To Pronk Pops Podcast or Download Shows 45-48

Listen To Pronk Pops Podcast or Download Shows 41-44

Listen To Pronk Pops Podcast or Download Shows 38-40

Listen To Pronk Pops Podcast or Download Shows 34-37

Listen To Pronk Pops Podcast or Download Shows 30-33

Listen To Pronk Pops Podcast or Download Shows 27-29

Listen To Pronk Pops Podcast or Download Shows 17-26

Listen To Pronk Pops Podcast or Download Shows 16-22

Listen To Pronk Pops Podcast or Download Shows 10-15

Listen To Pronk Pops Podcast or Download Shows 1-9

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The Pronk Pops Show 931, July 19, 2017, Story 1: “Obamacare Failed” Says President Trump — Wants Obamacare Completely  Repealed and Replaced Sooner or Later — Obama Lied To American People — Does President Trump Understand The Relationship Between Pre-existing Conditions, Guaranteed Issue, Community Rating and Adverse Selection — Many Doubt Trump Really Understands The Relationship That Is The Real Reason Obamacare Was Designed To Fail From The Beginning So It Could Be Replaced By Single Payer Government Health Care — Videos

Posted on July 20, 2017. Filed under: Abortion, Addiction, American History, Barack H. Obama, Biology, Blogroll, Breaking News, Bribery, Budgetary Policy, Business, Cartoons, Chemistry, Communications, Congress, Constitutional Law, Corruption, Countries, Crime, Culture, Diet, Diets, Disasters, Donald J. Trump, Donald J. Trump, Donald Trump, Donald Trump, Drugs, Economics, Education, Elections, Empires, Employment, Energy, Eugenics, Exercise, Fiscal Policy, Food, Food, Former President Barack Obama, Freedom of Speech, Government, Government Dependency, Government Spending, Health, Health Care, Health Care Insurance, Hillary Clinton, Hillary Clinton, Hillary Clinton, History, House of Representatives, Human, Human Behavior, Illegal Drugs, Immigration, Independence, Insurance, Investments, Labor Economics, Language, Law, Legal Drugs, Life, Lying, Media, Medical, Medicare, Medicine, Monetary Policy, National Interest, Networking, News, Obama, People, Philosophy, Photos, Politics, Polls, President Trump, Pro Abortion, Pro Life, Progressives, Radio, Rand Paul, Raymond Thomas Pronk, Regulation, Religion, Resources, Rule of Law, Scandals, Science, Security, Senate, Social Science, Social Security, Success, Tax Policy, Taxation, Taxes, Ted Cruz, United States Constitution, United States of America, Videos, Violence, Wealth, Welfare Spending, Wisdom | Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |

Project_1

The Pronk Pops Show Podcasts

Pronk Pops Show 931,  July 19, 2017

Pronk Pops Show 930,  July 18, 2017

Pronk Pops Show 929,  July 17, 2017

Pronk Pops Show 928,  July 13, 2017

Pronk Pops Show 927,  July 12, 2017

Pronk Pops Show 926,  July 11, 2017

Pronk Pops Show 925,  July 10, 2017

Pronk Pops Show 924,  July 6, 2017

Pronk Pops Show 923,  July 5, 2017

Pronk Pops Show 922,  July 3, 2017 

Pronk Pops Show 921,  June 29, 2017

Pronk Pops Show 920,  June 28, 2017

Pronk Pops Show 919,  June 27, 2017

Pronk Pops Show 918,  June 26, 2017 

Pronk Pops Show 917,  June 22, 2017

Pronk Pops Show 916,  June 21, 2017

Pronk Pops Show 915,  June 20, 2017

Pronk Pops Show 914,  June 19, 2017

Pronk Pops Show 913,  June 16, 2017

Pronk Pops Show 912,  June 15, 2017

Pronk Pops Show 911,  June 14, 2017

Pronk Pops Show 910,  June 13, 2017

Pronk Pops Show 909,  June 12, 2017

Pronk Pops Show 908,  June 9, 2017

Pronk Pops Show 907,  June 8, 2017

Pronk Pops Show 906,  June 7, 2017

Pronk Pops Show 905,  June 6, 2017

Pronk Pops Show 904,  June 5, 2017

Pronk Pops Show 903,  June 1, 2017

Pronk Pops Show 902,  May 31, 2017

Pronk Pops Show 901,  May 30, 2017

Pronk Pops Show 900,  May 25, 2017

Pronk Pops Show 899,  May 24, 2017

Pronk Pops Show 898,  May 23, 2017

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

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Story 1: “Obamacare Failed” Says President Trump — Wants Obamacare Completely  Repealed and Replaced Sooner or Later — Obama Lied To American People — Does President Trump Understand The Relationship Between Pre-existing Conditions, Guaranteed Issue, Community Rating and Adverse Selection — Many Doubt Trump Really Understands The Relationship That Is The Real Reason Obamacare Was Designed To Fail From The Beginning So It Could Be Replaced By Single Payer Government Health Care — Videos

Trump Warns GOP Senators; 7-19-2017

MUST WATCH: President Trump Reacts to GOP Healthcare Bill Collapse – “Let ObamaCare Fail” (FNN)

LIMBAUGH: If We REPEAL Obamacare, “It’s The WILD WEST”

Rand Paul on Failed Healthcare Bill | Repealing Obamacare

Sen. Rand Paul Still Wants a Clean Repeal of Obamacare

Senator Mike Lee: Trump is right. repeal Obamacare now, replace later

Richard Epstein: Obamacare’s Collapse, the 2016 Election, & More

Richard Epstein – Obama Explained

Health Care 2: Can Congress Force Individuals to Buy Insurance?

Richard Epstein on Health Care Reform

The Truth Behind the Affordable Care Act – Learn Liberty

Is Obamacare Working? The Affordable Care Act Five Years Later

Why Is Healthcare So Expensive?

Why Is U.S. Health Care So Expensive?

Milton Friedman on universal health care

Milton Friedman on Medical Care (Full Lecture)

Professor Richard Epstein tribute to Milton Friedman

Does Trump Even Know What A Pre-Existing Conditions Is??

Here’s Why the Epic Health Care Reform Disaster Occurred

Here’s Why the Epic Health Care Reform Disaster Occurred

Will I pay more for insurance if I have a pre-existing condition under Obamacare?

Hume: Trump’s scenario for ObamaCare ‘politically nuts’

Obama’s Health Plan In 4 Minutes

How ObamaCare has been a financial failure

We Now Have Proof Obamacare Was Designed to Fail… and Here’s Why

The Pronk Pops Show Podcasts Portfolio

Listen To Pronk Pops Podcast or Download Shows 926-931

Listen To Pronk Pops Podcast or Download Shows 916-925

Listen To Pronk Pops Podcast or Download Shows 906-915

Listen To Pronk Pops Podcast or Download Shows 889-896

Listen To Pronk Pops Podcast or Download Shows 884-888

Listen To Pronk Pops Podcast or Download Shows 878-883

Listen To Pronk Pops Podcast or Download Shows 870-877

Listen To Pronk Pops Podcast or Download Shows 864-869

Listen To Pronk Pops Podcast or Download Shows 857-863

Listen To Pronk Pops Podcast or Download Shows 850-856

Listen To Pronk Pops Podcast or Download Shows 845-849

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Listen To Pronk Pops Podcast or Download Shows 793-799

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Listen To Pronk Pops Podcast or Download Shows 738-744

Listen To Pronk Pops Podcast or Download Shows 732-737

Listen To Pronk Pops Podcast or Download Shows 727-731

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Listen To Pronk Pops Podcast or DownloadShows 713-719

Listen To Pronk Pops Podcast or DownloadShows 705-712

Listen To Pronk Pops Podcast or Download Shows 695-704

Listen To Pronk Pops Podcast or Download Shows 685-694

Listen To Pronk Pops Podcast or Download Shows 675-684

Listen To Pronk Pops Podcast or Download Shows 668-674

Listen To Pronk Pops Podcast or Download Shows 660-667

Listen To Pronk Pops Podcast or Download Shows 651-659

Listen To Pronk Pops Podcast or Download Shows 644-650

Listen To Pronk Pops Podcast or Download Shows 637-643

Listen To Pronk Pops Podcast or Download Shows 629-636

Listen To Pronk Pops Podcast or Download Shows 617-628

Listen To Pronk Pops Podcast or Download Shows 608-616

Listen To Pronk Pops Podcast or Download Shows 599-607

Listen To Pronk Pops Podcast or Download Shows 590-598

Listen To Pronk Pops Podcast or Download Shows 585- 589

Listen To Pronk Pops Podcast or Download Shows 575-584

Listen To Pronk Pops Podcast or Download Shows 565-574

Listen To Pronk Pops Podcast or Download Shows 556-564

Listen To Pronk Pops Podcast or Download Shows 546-555

Listen To Pronk Pops Podcast or Download Shows 538-545

Listen To Pronk Pops Podcast or Download Shows 532-537

Listen To Pronk Pops Podcast or Download Shows 526-531

Listen To Pronk Pops Podcast or Download Shows 519-525

Listen To Pronk Pops Podcast or Download Shows 510-518

Listen To Pronk Pops Podcast or Download Shows 500-509

Listen To Pronk Pops Podcast or Download Shows 490-499

Listen To Pronk Pops Podcast or Download Shows 480-489

Listen To Pronk Pops Podcast or Download Shows 473-479

Listen To Pronk Pops Podcast or Download Shows 464-472

Listen To Pronk Pops Podcast or Download Shows 455-463

Listen To Pronk Pops Podcast or Download Shows 447-454

Listen To Pronk Pops Podcast or Download Shows 439-446

Listen To Pronk Pops Podcast or Download Shows 431-438

Listen To Pronk Pops Podcast or Download Shows 422-430

Listen To Pronk Pops Podcast or Download Shows 414-421

Listen To Pronk Pops Podcast or Download Shows 408-413

Listen To Pronk Pops Podcast or Download Shows 400-407

Listen To Pronk Pops Podcast or Download Shows 391-399

Listen To Pronk Pops Podcast or Download Shows 383-390

Listen To Pronk Pops Podcast or Download Shows 376-382

Listen To Pronk Pops Podcast or Download Shows 369-375

Listen To Pronk Pops Podcast or Download Shows 360-368

Listen To Pronk Pops Podcast or Download Shows 354-359

Listen To Pronk Pops Podcast or Download Shows 346-353

Listen To Pronk Pops Podcast or Download Shows 338-345

Listen To Pronk Pops Podcast or Download Shows 328-337

Listen To Pronk Pops Podcast or Download Shows 319-327

Listen To Pronk Pops Podcast or Download Shows 307-318

Listen To Pronk Pops Podcast or Download Shows 296-306

Listen To Pronk Pops Podcast or Download Shows 287-295

Listen To Pronk Pops Podcast or Download Shows 277-286

Listen To Pronk Pops Podcast or Download Shows 264-276

Listen To Pronk Pops Podcast or Download Shows 250-263

Listen To Pronk Pops Podcast or Download Shows 236-249

Listen To Pronk Pops Podcast or Download Shows 222-235

Listen To Pronk Pops Podcast or Download Shows 211-221

Listen To Pronk Pops Podcast or Download Shows 202-210

Listen To Pronk Pops Podcast or Download Shows 194-201

Listen To Pronk Pops Podcast or Download Shows 184-193

Listen To Pronk Pops Podcast or Download Shows 174-183

Listen To Pronk Pops Podcast or Download Shows 165-173

Listen To Pronk Pops Podcast or Download Shows 158-164

Listen To Pronk Pops Podcast or Download Shows151-157

Listen To Pronk Pops Podcast or Download Shows 143-150

Listen To Pronk Pops Podcast or Download Shows 135-142

Listen To Pronk Pops Podcast or Download Shows 131-134

Listen To Pronk Pops Podcast or Download Shows 124-130

Listen To Pronk Pops Podcast or Download Shows 121-123

Listen To Pronk Pops Podcast or Download Shows 118-120

Listen To Pronk Pops Podcast or Download Shows 113 -117

Listen To Pronk Pops Podcast or Download Show 112

Listen To Pronk Pops Podcast or Download Shows 108-111

Listen To Pronk Pops Podcast or Download Shows 106-108

Listen To Pronk Pops Podcast or Download Shows 104-105

Listen To Pronk Pops Podcast or Download Shows 101-103

Listen To Pronk Pops Podcast or Download Shows 98-100

Listen To Pronk Pops Podcast or Download Shows 94-97

Listen To Pronk Pops Podcast or Download Show 93

Listen To Pronk Pops Podcast or Download Show 92

Listen To Pronk Pops Podcast or Download Show 91

Listen To Pronk Pops Podcast or Download Shows 88-90

Listen To Pronk Pops Podcast or Download Shows 84-87

Listen To Pronk Pops Podcast or Download Shows 79-83

Listen To Pronk Pops Podcast or Download Shows 74-78

Listen To Pronk Pops Podcast or Download Shows 71-73

Listen To Pronk Pops Podcast or Download Shows 68-70

Listen To Pronk Pops Podcast or Download Shows 65-67

Listen To Pronk Pops Podcast or Download Shows 62-64

Listen To Pronk Pops Podcast or Download Shows 58-61

Listen To Pronk Pops Podcast or Download Shows 55-57

Listen To Pronk Pops Podcast or Download Shows 52-54

Listen To Pronk Pops Podcast or Download Shows 49-51

Listen To Pronk Pops Podcast or Download Shows 45-48

Listen To Pronk Pops Podcast or Download Shows 41-44

Listen To Pronk Pops Podcast or Download Shows 38-40

Listen To Pronk Pops Podcast or Download Shows 34-37

Listen To Pronk Pops Podcast or Download Shows 30-33

Listen To Pronk Pops Podcast or Download Shows 27-29

Listen To Pronk Pops Podcast or Download Shows 17-26

Listen To Pronk Pops Podcast or Download Shows 16-22

Listen To Pronk Pops Podcast or Download Shows 10-15

Listen To Pronk Pops Podcast or Download Shows 1-9

 

Read Full Post | Make a Comment ( None so far )

The Pronk Pops Show 925, Story 1: Republicans Rush To Pass Repeal and Replace Obamacare Before August Recess with Pence, Cruz and McConnell Leading The Way — Videos — Story 2: Total Repeal of Obamacare Requires Total Repeal of All Obamacare Regulations Including Requiring Guaranteed Issue In Individual Health Insurance Market For Those With Preexisting Conditions, Community Rating Premiums and 10 Essential Health Care Benefits as Well As Repeal of The Individual and Employer Mandates and All Obamacare-Related Taxes– Address Individuals With Preexisting Conditions by State Special Risk Pools Insurance Coverage With State Subsidies Only and No Federal Subsidies — Otherwise Guaranteed Failure Just Like Obamacare Due To Adverse Selection — Leading To Single Government Payer Health Care System — Total Repeal of Obamacare Now Or Replace Your Representative and Senators Both Democrat and Republican Next November — It’s Now Or Never (O Sole Mio) — Videos

Posted on July 10, 2017. Filed under: American History, Biology, Blogroll, Breaking News, Communications, Computer, Congress, Countries, Donald J. Trump, Donald J. Trump, Donald J. Trump, Donald Trump, Donald Trump, Education, Elections, Employment, Freedom of Speech, Government, Government Spending, Health Care, Health Care Insurance, History, House of Representatives, Human, Insurance, Investments, Language, Law, Life, Media, Medical, Medicine, Mike Pence, National Interest, News, People, Philosophy, Photos, Politics, Polls, President Barack Obama, President Trump, Progressives, Rand Paul, Rand Paul, Raymond Thomas Pronk, Rule of Law, Science, Security, Senate, Success, Taxation, Taxes, Ted Cruz, Ted Cruz, United States of America, Videos, Wealth, Wisdom | Tags: , , , , , , , , , , , |

Project_1

The Pronk Pops Show Podcasts

Pronk Pops Show 925,  July 10, 2017

Pronk Pops Show 924,  July 6, 2017

Pronk Pops Show 923,  July 5, 2017

Pronk Pops Show 922,  July 3, 2017 

Pronk Pops Show 921,  June 29, 2017

Pronk Pops Show 920,  June 28, 2017

Pronk Pops Show 919,  June 27, 2017

Pronk Pops Show 918,  June 26, 2017 

Pronk Pops Show 917,  June 22, 2017

Pronk Pops Show 916,  June 21, 2017

Pronk Pops Show 915,  June 20, 2017

Pronk Pops Show 914,  June 19, 2017

Pronk Pops Show 913,  June 16, 2017

Pronk Pops Show 912,  June 15, 2017

Pronk Pops Show 911,  June 14, 2017

Pronk Pops Show 910,  June 13, 2017

Pronk Pops Show 909,  June 12, 2017

Pronk Pops Show 908,  June 9, 2017

Pronk Pops Show 907,  June 8, 2017

Pronk Pops Show 906,  June 7, 2017

Pronk Pops Show 905,  June 6, 2017

Pronk Pops Show 904,  June 5, 2017

Pronk Pops Show 903,  June 1, 2017

Pronk Pops Show 902,  May 31, 2017

Pronk Pops Show 901,  May 30, 2017

Pronk Pops Show 900,  May 25, 2017

Pronk Pops Show 899,  May 24, 2017

Pronk Pops Show 898,  May 23, 2017

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

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Story 1: Republicans Rush To Pass Repeal and Replace Obamacare Before August Recess with Pence, Cruz and McConnell Leading The Way — Videos —

Ronald Reagan speaks out on Socialized Medicine – Audio

Is the GOP plan to replace ObamaCare dead?

Vice President Pence ‘s Obamacare Listening Session with Ohio Small Business Owners

Trump’s push to replace Obamacare in trouble as Congress returns from recess

Sen. Cruz on ‘Face the Nation’ – July 9, 2017

Sen Mike Lee on the push to repeal ObamaCare

Lawmakers respond to Senate health care proposal

Sen. Rand Paul: Senate health care bill needs more Obamacare ‘repeal’

Sen. Rand Paul: We shouldn’t try to fix government intervention with more intervention. – 6/22/17

I won’t vote to keep ObamaCare: Rand Paul

Coolidge: The Best President You Don’t Know

Amity Shlaes on Coolidge’s life, ideas, and success in bringing about low taxes and small government

Uncommon Knowledge: The Great Depression with Amity Shlaes

Amity Shlaes: Calvin Coolidge, Better Than Reagan?

Archie Bunker on Democrats

 

Trump prods Congress to pass stalled healthcare overhaul

By Susan Cornwell and Ian Simpson | WASHINGTON

President Donald Trump on Monday prodded the Republican-led U.S. Congress to pass major healthcare legislation but huge obstacles remained, with a senior lawmaker saying the Senate was unlikely to take up the stalled bill until next week.

The House of Representatives approved its healthcare bill in May but the Senate’s version appeared to be in growing trouble as lawmakers returned to Washington from a week-long recess.

“I cannot imagine that Congress would dare to leave Washington without a beautiful new HealthCare bill fully approved and ready to go!” Trump wrote on Twitter, referring to the seven-year Republican quest to dismantle Democratic former President Barack Obama’s signature legislative achievement.

Lawmakers are set to take another recess from the end of July until Sept. 5.

Repealing and replacing the Affordable Care Act, dubbed Obamacare, was a central campaign pledge for the Republican president. But Senate Republican leaders have faced a revolt within their ranks, with moderate senators uneasy about the millions of Americans forecast to lose their medical insurance under the legislation and hard-line conservatives saying it leaves too much of Obamacare intact.

They were struggling to find a compromise that could attract the 50 votes needed for passage in a chamber Republicans control by a 52-48 margin, with Vice President Mike Pence casting a potential tie-breaking vote in the face of unified Democratic opposition.

No. 2 Senate Republican John Cornyn said Republicans could release an updated draft of their bill by the end of the week and told Fox News that senators could vote as early as Tuesday or Wednesday of next week.

 
U.S. President Donald Trump waves as walks on the South Lawn of the White House upon his return to Washington, U.S., from the G20 Summit in Hamburg, July 8, 2017. REUTERS/Yuri Gripas
“We’re going to continue to talk and listen and exchange ideas on how we can continue to make improvements,” Cornyn said on the Senate floor.

Also speaking on the Senate floor, Majority Leader Mitch McConnell gave no timetable for the bill. McConnell signaled his determination to keep working and said mere legislative “band-aids” would not suffice.

Senate Democratic leader Chuck Schumer said he had written to McConnell urging a bipartisan effort to stabilize the health insurance market, noting that McConnell had been quoted recently as saying Congress would need to shore up that market if lawmakers fail to repeal Obamacare.

The U.S. Centers for Medicare and Medicaid Services issued data on Monday showing a 38 percent decrease in applications by insurers to sell health plans in the Obamacare individual market in 2018 compared to this year. The agency said insurers continue to flee the exchanges, the online marketplace for health insurance set up under Obamacare.

MORE AMERICANS UNINSURED

With uncertainty hanging over the healthcare system, the percentage of U.S. adults without health insurance grew in the April-May-June period to 11.7 percent, up from 11.3 percent in the first quarter of 2017, according to Gallup-Sharecare Well-Being Index figures released on Monday. That translates into nearly 2 million more Americans who have become uninsured.

Scores of protesters voiced opposition to the legislation outside the Republican National Committee headquarters and at the offices of some Republican lawmakers including House of Representatives Speaker Paul Ryan, chanting slogans including “Trumpcare kills” and “Healthcare is a human right.”

U.S. Capitol Police said in a statement 80 people were arrested at 13 locations in House and Senate office buildings after they refused “to cease and desist with their unlawful demonstration activities.”

Republicans criticize Obamacare as a costly government intrusion into the healthcare system. Democrats call the Republican legislation a giveaway to the rich that would hurt millions of the most vulnerable Americans.

The Senate legislation would phase out the Obamacare expansion of the Medicaid health insurance program for the poor and disabled, sharply cut federal Medicaid spending beginning in 2025, repeal most of Obamacare’s taxes, end a penalty on Americans who do not obtain insurance and overhaul Obamacare’s subsidies to help people buy insurance with tax credits.

Leerink Partners analyst Ana Gupte said investors remained in a “wait-and-see” mode regarding the Senate legislation.

(For a graphic on who’s covered under Medicaid, click bit.ly/2u3O2Mu)

(Additional reporting by Susan Heavey, Eric Beech and Doina Chiacu; Writing by Will Dunham; Editing by Tom Brown)

http://www.reuters.com/article/us-usa-politics-healthcare-idUSKBN19V0YP

 

The Health 202: Cruz picks government health care subsidies as lesser of two evils

 July 10 at 9:03 AM
THE PROGNOSIS

Even conservatives acknowledge that the sickest Americans need help in paying their own steep insurance costs. In an ironic twist, some would rather have the government make up the difference rather than spreading expenses among the healthy.

Health insurance markets are so complicated, and the policy around them is so complex and intertwined, that politicians don’t always land ideologically on the issue where you’d think. Just look at how GOP Sen. Ted Cruz of Texas is trying to change the Obamacare overhaul that Senate Republicans will try to pass in the next three weeks before August recess. The former presidential candidate last week touted his ideas and on the Sunday shows yesterday, my colleague Sean Sullivan reports.

Cruz’s so-called “Consumer Freedom Amendment” — which conservatives have been rallying around as the revision they most want — would essentially free the healthiest Americans from covering the costs of the sickest Americans. But the sick would be even more heavily reliant on federal assistance as a result.

“You would likely see some market segmentation” Cruz told Vox last month. “But the exchanges have very significant federal subsidies, whether under the tax credits or under the stabilization funds.”

The Cruz amendment, which is being scored by the Congressional Budget Office as one of several potential changes to the Senate health-care bill, would result in segmenting the individual insurance market into two groups, experts say. Under it, insurers could sell cheaper, stripped-down plans free of Obamacare coverage requirements like essential health benefits or even a guarantee of coverage. These sparser plans would appeal to the healthiest Americans, who would gladly exchange fewer benefits for lower monthly premiums.

But insurers would also have to sell one ACA-compliant plan. The sickest patients would flock to these more expansive and expensive plans because they need more care and medications covered on a day-to-day basis. As a result, premiums for people with expensive and serious medical conditions like diabetes or cancer would skyrocket because all those with such serious conditions would be pooled together.

“The question is, would there be a premium spiral on the ACA-complaint market?” said Cori Uccello, a senior health fellow with the American Academy of Actuaries. “Can they ever price those premiums adequately if it’s just going to be the sickest people in there?”

It’s true that government subsidies — which under the Senate plan would be available to those earning up to 350 percent of the federal poverty level — would be even more crucial in order for these sicker Americans to afford the cost of their coverage, as would an extra infusion of federal “stabilization” money for states to cover their steep expenses.

Cruz hasn’t laid out all the details of how his amendment would work, nor is it even certain Senate Majority Leader Mitch McConnell (R-Ky.) will accept it as part of his health-care bill. But should it be adopted, and the Senate bill ultimately made law, the Cruz amendment would significantly shift how the individual insurance market operates.

But in Cruz’s mind, it would solve one of the biggest problems with Obamacare: that it robs the healthy to pay for the sick. He’s spent the last week pitching it as the legislative solution for passing the Senate bill.

“I think really the consumer freedom option is the key to bringing Republicans together and getting this repeal passed,” Cruz said on ABC yesterday.

Of course, everyone paying into the system for those who most need care is the way insurance is fundamentally supposed to work. The ACA requires insurers to offer a wider ranger of benefits in plans sold to everyone regardless of their health status. But to Cruz and his compatriots, requiring healthier people to buy cushier plans than they want or need is an abridgment of personal freedom and oversteps federal regulatory authority. So they’re more worried at the moment about rolling back more ACA regulations and less worried about federal spending.

“I think for conservatives it’s become a question of picking their poison,” Larry Levitt, president of the Kaiser Family Foundation, told me. “Is it government spending, or regulation? It’s almost like with this amendment, Sen. Cruz is acknowledging the need for a government entitlement program.”

Conservative groups that want a much fuller Obamacare repeal than the Senate bill provides have been jumping on the Cruz bandwagon, including Club for Growth, FreedomWorks and Tea Party Patriots.

.@SenTedCruz@SenMikeLee ‘Consumer Choice’ amendment, aka individual Obamacare Opt Out, is real step toward . We Support it!

From Tea Party Patriots founder Jenny Beth Martin:

If the Senate adopts the Cruz-Lee Amdt to the health care bill, @TPPatriots will be more likely to support the bill http://www.teapartypatriots.org/news/tea-party-patriots-signals-support-for-cruz-lee-amendment-to-senate-health-care-bill/ 

Photo published for Tea Party Patriots Signals Support for Cruz-Lee Amendment to Senate Health Care Bill

Tea Party Patriots Signals Support for Cruz-Lee Amendment to Senate Health Care Bill

Atlanta, GA – Tea Party Patriots President and co-founder Jenny Beth Martin released the following statement today regarding the amendment to the Senate health care bill offered by Senators Ted Cruz…

teapartypatriots.org

On the flip side, the Cruz amendment could help kill the Senate health-care bill in the end because it’s prompting fears among moderates (whose votes are also needed to pass the legislation) that patients with preexisting conditions could be harmed.

“I think that reopens an issue that I can’t support, that it would make it too difficult for people with preexisting conditions to get coverage,” Sen. Shelley Moore Capito (R-W.Va.) told the Charleston Gazette-Mail.

Cruz has said the Senate bill’s $100 billion stabilization fund for states could help cover costs for the resulting pricier coverage for those with preexisting conditions under his amendment. And to parry concerns about the increased federal spending, which to some is more than ironic coming from Cruz? The  talking point Capitol Hill aides and conservative wonks are adopting: Directly subsidizing costs for those with preexisting conditions is a more “honest” approach by the government than forcing healthy people to indirectly pay for their care by buying comprehensive coverage.

“If you’re going to have a subsidy, have it come directly from the taxpayer and call it a subsidy rather than try to dragoon people to do the government’s work,” said Chris Jacobs, a former GOP Hill staffer and founder of Juniper Research Group.

“It’s more honest and fair to have the government than to have healthy, middle-class families pay for it,” Conn Carroll, a spokesman for Sen. Mike Lee (R-Utah) said.

A co-sponsor of Cruz’s amendment, Lee is insisting it be added to the Senate bill before he’ll vote for it. Sens. Rand Paul of Kentucky and Ron Johnson of Wisconsin have sent similar signals. And remember — if more than two Republicans defect, the measure would be sunk in the Senate and the GOP effort to repeal-and-replace Obamacare would most likely meet a bitter end.

Some exciting news over at The Daily 202 from my colleague James Hohmann, whose newsletter makes its debut on Amazon Echo devices and Google Home as a flash briefing called “The Daily 202’s Big Idea.” Every morning, you can listen to James analyze one of the day’s most important political stories, along with three headlines you need to know. To learn how to add The Daily 202’s Big Idea to your flash briefings on your Echo device or Google Home, visit this page. You can also get the briefing on Apple Podcasts or wherever you get your podcasts.

https://www.washingtonpost.com/news/powerpost/paloma/the-health-202/2017/07/10/the-health-202-cruz-picks-government-health-care-subsidies-as-lesser-of-two-evils/59611958e9b69b7071abcae4/?utm_term=.7137a797b4cf

GOP, White House Plot ‘Urgent Blitz’ For Repeal Votes | The Last Word | MSNBC

Story 2: Total Repeal of Obamacare Requires Total Repeal of All Obamacare Regulations Including Requiring Guaranteed Issue In Individual Health Insurance Market For Those With Preexisting Conditions, Community Rating Premiums and 10 Essential Health Care Benefits as Well As Repeal of The Individual and Employer Mandates and All Obamacare-Related Taxes– Address Individuals With Preexisting Conditions by State Special Risk Pools Insurance Coverage With State Subsidies Only and No Federal Subsidies — Otherwise Guaranteed Failure Just Like Obamacare Due To Adverse Selection — Leading To Single Government Payer Health Care System — Total Repeal of Obamacare Now Or Replace Your Representative and Senators Both Democrat and Republican Next November — It’s Now Or Never (O Sole Mio) — Videos

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Elvis – It’s Now Or Never (O Sole Mio)

 

 

It’s Now or Never
It’s now or never,
Come hold me tight
Kiss me my darling,
Be mine tonight
Tomorrow will be too late,
It’s now or never
My love won’t wait.
When I first saw you
With your smile so tender
My heart was captured,
My soul surrendered
I’d spend a lifetime
Waiting for the right time
Now that your near
The time is here at last.
It’s now or never,
Come hold me tight
Kiss me my darling,
Be mine tonight
Tomorrow will be too late,
It’s now or never
My love won’t wait.
Just like a willow,
We would cry an ocean
If we lost true love
And sweet

 

FACT VERSUS FEAR: THE AHCA AND PRE-EXISTING CONDITIONS

On May 4, 2017, the House of Representatives passed the American Health Care Act (AHCA), a bill to repeal and replace many provisions of the Affordable Care Act (ACA). Immediately following the vote, misinformation about the bill began spreading like wildfire, stoking fears and outrage. The issue which seems to be getting the most attention is the potential impact this legislation could have on people with pre-existing conditions. However, as the legislation now moves to the Senate for further consideration and amendment, it is important that all stakeholders be well informed, and understand what the legislation actually says and who may realistically be impacted by any possible changes to current law.

  • The number of people in the U.S. with a condition that would likely qualify as pre-existing is not easily known, primarily because there is not a specific, pre-determined list of conditions. Estimates vary depending on how one defines “pre-existing.”
  • Even the range included in a recent report from the Department of Health and Human Services varied by a margin of more than 2:1, from between 61 million to 133 million people.[1] That said, it is likely that approximately as many as a quarter of Americans, and possibly more, have a pre-existing health condition, making it understandable why some are concerned.
  • As the AHCA is currently written, the only people who could be charged a premium based on their health status are those with a pre-existing condition who are not enrolled in a large group health plan, are also living in a state that obtains a waiver, and have let their insurance lapse in the past year for 63 days or more. In this case, the increased premium would only be allowed for one year. Further, no one may be denied insurance because of a pre-existing condition.

Background

Before passage of the ACA, most laws pertaining to the regulation of the individual health insurance market were passed at the state level and could vary widely from one state to another. The McCarran-Ferguson Act of 1945 provided states primary responsibility for regulating the business of insurance.

The Employee Retirement Income Security Act of 1974 (ERISA) imposed federal standards on certain types and with respect to certain provisions of large group (employer-sponsored) health plans, some of which supersede state law.[2] Among the provisions included in ERISA is a requirement that plans be offered on a guaranteed-issue basis, meaning that insurers are prohibited from denying coverage to the group based on medical claims history; though, the policy may be medically underwritten, meaning the premiums are based on the insured’s health status.

In 1996, the Health Insurance Portability and Accountability Act (HIPAA) was passed and imposed additional federal health insurance standards across the individual, small group, and large group markets. In response to concerns of “job-lock”—the fear that leaving a job could result in the inability to regain health insurance if an individual had a pre-existing condition—HIPAA required all states to guarantee renewability of health insurance coverage to anyone who had creditable coverage for the past 18 months, with no more than a 63-day gap in coverage during that time.[3] However, while insurers were required to renew an individual’s policy from one year to the next, they were still not prohibited from medically underwriting individuals. Thus, some individuals found that while a plan was still technically available to them, the premium may have effectively priced them out of the market. Even those without a pre-existing condition may have found the cost of insurance to be significantly higher without the added employer contribution and tax advantage that such plans receive, which could make maintaining coverage, and HIPAA eligibility, more difficult.

Very few states previously had guarantee issue or renewability requirements or other protections for individuals not covered by HIPAA.[4] Most states permitted insurers to impose pre-existing condition exclusions, in which a pre-existing condition could be used to deny coverage altogether, or would not be covered by an individual’s new insurance policy for at least a certain amount of time, if not indefinitely. Varying “look-back” periods were also prevalent, which regulated the amount of time during which the insurer may check an individual’s claims history to make such a determination.

Current Law

The ACA attempted to mitigate these issues by imposing federal guaranteed issue requirements paired with community rating, which prohibits medical underwriting, across all health insurance markets. For many, these protections became the most important provisions of the ACA. However, there are economic consequences associated with such protections; primarily, higher average premiums in the individual market and increased spending by federal taxpayers. Multiple risk mitigation programs were included in order to help subsidize the cost of insuring high-risk, high-cost individuals, but the funding has not been sufficient. Insurers continue to lose money in the individual market, despite tens of billions of dollars in federal payments each year. In fact, many insurers have found the markets to be so unprofitable due to the many enhanced regulations, that they have decided they can no longer participate in the individual market in many states.[5]

The AHCA

The AHCA, passed by the House of Representatives on May 4, would repeal and replace many provisions of the ACA. One of the ACA’s most well-known provisions, the individual mandate which requires everyone to obtain health insurance, would be repealed (practically speaking, though not technically) and replaced with a continuous coverage provision.[6] These two policies are similar. The individual mandate imposes an annual penalty for not being insured equal to the greater of $695 per adult or 2.5 percent of household income.[7] The continuous coverage provision in this legislation would, instead of federally mandating that everyone buy insurance, incentivize individuals to remain insured by allowing for the imposition of a 30 percent premium surcharge for one year on individuals who signed up for coverage if they were uninsured for more than two months in the previous year.[8] After paying the surcharge for one year, individuals would return to paying regular community-rated premiums.

One provision that would not be repealed is the federal guaranteed issue requirement; insurers in every state would still be prohibited from denying insurance coverage to anyone on the basis of a pre-existing condition. In no circumstance would this protection be denied, though it seems much confusion surrounding this protection has stemmed from the adoption of several amendments to the underlying legislation.

The first relevant amendment is one that was negotiated by Rep. Mark Meadows (R-NC), on behalf of the Freedom Caucus. This amendment includes a provision pertaining to the “essential health benefits” established by the ACA—ten categories of care which are now required to be covered under every health insurance plan. The amendment would permit states, rather than the federal government, to define the EHB standards for themselves beginning in 2018.[9] However, this provision was ultimately struck.

A second amendment was offered by Rep. Tom MacArthur (R-NJ) to address concerns that states would drastically reduce benefit requirements. The MacArthur amendment reinstates the federal EHB standards, but would allow states to apply for waivers to a number of provisions, under certain conditions. Waivers would be permitted for the following: beginning in 2018, a change in age-rating restrictions (which determine how much more an insurer may charge an older person relative to a younger person); beginning in 2019, changes to the community rating provisions, which prohibit insurers from medically underwriting individuals; and, beginning in 2020, changes to the federal EHB standards, permitting states to set their own.

Any state seeking to obtain a community rating waiver must first have in place a program to help high-risk individuals enroll in coverage or a program providing incentives to insurers to enter the market and stabilize premiums, or an invisible risk-sharing program, as defined by the Schweikert/Palmer amendment.[10] All of these programs would be at least partially funded by the $138 billion provided over the next ten years by the Patient and State Stability Fund created by AHCA. The state must also specify how the waiver it is requesting would assist in: reducing average premiums in the state, increasing the number insured, stabilizing the health insurance market, stabilizing premiums for people with pre-existing conditions, or increasing plan choice in the state. If a state demonstrates it has met these conditions and obtains such a waiver, then it may permit insurers to waive the community rating protections, though only for individuals who have not maintained continuous coverage (save for the 63-day allowance) seeking to enroll in coverage in the individual and small group markets. In other words, individuals who would otherwise face a 30 percent surcharge as a result of not maintaining continuous coverage, would instead be medically underwritten for one year. However, under no circumstance may the gender rating protections be waived; insurers would continue to be prohibited from charging different rates based on whether an individual is a male or female.

Thus, the only people who could be charged a premium based on their health status are those with a pre-existing condition, not enrolled in a large group health plan, living in a state that obtains a waiver, who have let their insurance lapse in the past year for 63 days or more, and then only for one year. All others would continue to be protected by the community rating provisions currently in place under the ACA. Further, no one could be denied coverage because of the existence of a pre-existing condition, or even face a lock-out period.

Conclusion

The AHCA would not provide for the return to the status quo prior to the ACA. It is unlikely that many Americans will be impacted by the provisions of the MacArthur amendment. Finally, the AHCA must still be passed by the Senate and is likely to undergo significant reforms before it does, in which case, the legislation would again have to be passed by the House.

 

[1] https://aspe.hhs.gov/system/files/pdf/255396/Pre-ExistingConditions.pdf

[2] https://www.nahu.org/consumer/GroupInsurance.cfm

[3] There are some exceptions to the guaranteed renewability requirements.

[4] http://www.ncsl.org/research/health/individual-health-insurance-in-the-states.aspx

[5] http://kff.org/health-reform/issue-brief/2017-premium-changes-and-insurer-participation-in-the-affordable-care-acts-health-insurance-marketplaces/

[6] Technically, the mandate would not be repealed because legislative rules prohibit such a change through the reconciliation process, but the applicable penalty would be set to $0, rendering the mandate moot.

[7] https://www.healthcare.gov/fees/fee-for-not-being-covered/

[8] The continuous coverage provisions which match the 63-day rule of the HIPAA requirements.

[9] https://rules.house.gov/sites/republicans.rules.house.gov/files/115/policymngr-amdt.pdf

[10] https://rules.house.gov/sites/republicans.rules.house.gov/files/115/AHCA/Palmer-Schweikert%20Amendment.pdf

Read more: https://www.americanactionforum.org/insight/fact-versus-fear-ahca-pre-existing-conditions/#ixzz4mSiu1KRn
Follow us: @AAF on Twitter

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The Pronk Pops Show 920, June 28, 2017, Part 2 — Story 1: Breaking BIG — Big Interventionist Government — Obamacare and Obamacare Lite — The Progressive Two-Party Tyranny of The Democratic and Republican Parties — Fake Repeal and Fake Replace Is Not Real Repeal of Obamacare and All Obamacare Regulations and Replace With Free Enterprise Individual Health Insurance Markets Not Centralized Federal Control and Regulation with Massive Subsidies Of Health Insurance Industry — Collectivists vs Individualists — Replace The C, D, F BIG Progressive Republican Senators and Representatives — The Party’s Over — Videos

Posted on June 28, 2017. Filed under: American History, Banking System, Blogroll, Breaking News, Budgetary Policy, Communications, Congress, Constitutional Law, Corruption, Countries, Defense Spending, Donald J. Trump, Donald Trump, Economics, Elections, Employment, Federal Government, Fiscal Policy, Freedom of Speech, Government, Government Dependency, Government Spending, Health, Health Care, Health Care Insurance, History, House of Representatives, Human, Human Behavior, Independence, Labor Economics, Law, Life, Media, Medicare, Monetary Policy, National Interest, News, People, Philosophy, Photos, Politics, Progressives, Radio, Rand Paul, Raymond Thomas Pronk, Regulation, Rule of Law, Scandals, Senate, Social Security, Tax Policy, Taxation, Taxes, Ted Cruz, Trade Policy, United States of America, Videos, Wealth, Welfare Spending, Wisdom | Tags: , , , , , , , , , , , , , , |

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The Pronk Pops Show Podcasts

Pronk Pops Show 920,  June 28, 2017

Pronk Pops Show 919,  June 27, 2017

Pronk Pops Show 918,  June 26, 2017 

Pronk Pops Show 917,  June 22, 2017

Pronk Pops Show 916,  June 21, 2017

Pronk Pops Show 915,  June 20, 2017

Pronk Pops Show 914,  June 19, 2017

Pronk Pops Show 913,  June 16, 2017

Pronk Pops Show 912,  June 15, 2017

Pronk Pops Show 911,  June 14, 2017

Pronk Pops Show 910,  June 13, 2017

Pronk Pops Show 909,  June 12, 2017

Pronk Pops Show 908,  June 9, 2017

Pronk Pops Show 907,  June 8, 2017

Pronk Pops Show 906,  June 7, 2017

Pronk Pops Show 905,  June 6, 2017

Pronk Pops Show 904,  June 5, 2017

Pronk Pops Show 903,  June 1, 2017

Pronk Pops Show 902,  May 31, 2017

Pronk Pops Show 901,  May 30, 2017

Pronk Pops Show 900,  May 25, 2017

Pronk Pops Show 899,  May 24, 2017

Pronk Pops Show 898,  May 23, 2017

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

Image result for repeal and replace obamacareImage result for branco cartoon repeal and replace obamacare

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Image result for Progressive republicans and democrats the two party tyrannyImage result for cartoons on repeal and replace of obamacareImage result for Progressive republicans and democrats the two party tyranny

National Debt Clock 

http://www.usdebtclock.org/

Image result for Progressive republicans and democrats the two party tyranny

Part 2 — Story 1: Breaking BIG — Big Interventionist Government — Obamacare and Obamacare Lite — The Progressive Two-Party Tyranny of The Democratic and Republican Parties — Fake Repeal and Fake Replace Is Not Real Repeal of Obamacare and All Obamacare Regulations and Replace With Free Enterprise Individual Health Insurance Markets Not Centralized Federal Control and Regulation with Massive Subsidies Of Health Insurance Industry — Collectivists vs Individualists — Replace The C, D, F BIG Progressive Republican Senators, and Representatives — The Party’s Over — Videos

 

Image result for Per capita health care expenditures by country 2015

Image result for Per capita health care expenditures by country 2015

 

Image result for Per capita health care expenditures by country 2015

Image result for Per capita health care expenditures by country 2015

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Image result for how many americans are in employer paid health insurance v. individual health insurance

Judy Holliday – The Party’s Over

Judy Holliday The Party’s Over Lyrics

The party’s over
It’s time to call it a day
They’ve burst your pretty balloon
And taken the moon away.

It’s time to wind up

The masquerade
Just make your mind up
The piper must be paid.

The party’s over
The candles flicker and dim
You danced and dreamed

Through the night
It seemed to be right
Just being with him.

Now you must wake up
All dreams must end
Take off your makeup

The party’s over
It’s all over, my friend.

Now you must wake up
All dreams must end
Take off your makeup
The party’s over
It’s all over, my friend.

Should Republicans Punt On Health Care Reform?

Poll: Only 17% approve of Senate health care bill | Trump polls 6/28/2017

President Trump Holds Meeting with GOP Senators After Delayed Healthcare Vote 6/27/17

I won’t vote to keep ObamaCare: Rand Paul

Sen. Rand Paul: Our Bill May Cost More In First 2 Years Than Obamacare Did | TODAY

Republicans delay Senate health care vote

Heller says he will not support the GOP Senate health-care bill

Senator Ron Johnson: ‘We Should Not Be Voting’ on Healthcare This Week | Meet The Press | MSNBC

Milton Friedman – Collectivism

Milton Friedman on universal health care

Milton Friedman – The Social Security Myth

Milton Friedman – The Welfare Establishment

Milton Friedman – Tyranny of the Status Quo – Part 1 – Beneficiaries

Milton Friedman – Tyranny of the Status Quo – Part 2 – Bureaucrats

Milton Friedman – Tyranny of the Status Quo – Part 3 – Politicians

Milton Friedman – Why Tax Reform Is Impossible

Milton Friedman – Health Care Reform (1992) pt 1/4

Milton Friedman – Health Care Reform (1992) pt 2/4

Milton Friedman – Health Care Reform (1992) pt 3/4

Milton Friedman – Health Care Reform (1992) pt 3/4

Milton Friedman – Health Care Reform (1992) pt 4/4

Milton Friedman – Morality & Capitalism

Lacking enough GOP votes, Senate pushes back health bill

Sen. Rand Paul: Senate health care bill needs more Obamacare ‘repeal’

Hardball with Chris Matthews 6/27/17 Republicans can’t repeal and replace Obamacare

Hume on GOP Health Care Fight: Either Way, Republicans Have a ‘Problem’

Rand Paul: Let’s Repeal Obamacare And Don’t Replace It

Rush Limbaugh Talks Obamacare With VP Mike Pence: “We Take The Teeth Out Of The Tiger”

Republicans have one major problem on Obamacare

Why Can’t America Have a Grown-Up Healthcare Conversation?

Is Obamacare Working? The Affordable Care Act Five Years Later

Why Are American Health Care Costs So High?

How Health Insurance Works

Senate postpones health care bill vote

Individual Health Insurance VS. Group Health Insurance

Published on Aug 14, 2009

Ok so lets contrast individual vs. group health insurance. One thing that a lot of people get wrong is individual health insurance, number one isn’t as good coverage and number two, cost more than a group coverage. Well, these two things are wrong. The first one, lets talk about cost. We find that individual health insurance is about 40% less than any group plan. You can load it up with all the features and benefits you are looking for in a group

Group vs. Individual Health Insurance: Health Insurance Facts & More

Published on Aug 16, 2012

‘We’re Amending Obamacare. We’re Not Killing It’

The Senate bill coming out Thursday would do many things to health care in the U.S., but it won’t get rid of the Affordable Care Act, and Mitch McConnell won’t claim that it does.

The health-care bill Senate Republicans plan to unveil on Thursday likely will make substantial changes to Medicaid and cut taxes for wealthy Americans and businesses. It will eliminate mandates and relax regulations on insurance plans, and it will reduce the federal government’s role in health care.

What it won’t do, however, is actually repeal the Affordable Care Act.

Lost in the roiling debate over health care over the last several weeks is that Republicans have all but given up on their longstanding repeal-and-replace pledge. The slogan lives on in the rhetoric used by many GOP lawmakers and the Trump White House but not in the legislation the party is advancing. That was true when House Republicans passed the American Health Care Act last month, which rolled back key parts of Obamacare but was not a full repeal. And it is even more true of the bill the Senate has drafted in secret, which reportedly will stick closer to the underlying structure of the law.

“We’re amending Obamacare. We’re not killing it,” a frustrated Jason Pye of the conservative group FreedomWorks told me earlier this month as the murky outlines of the Senate proposal were beginning to emerge.

Like the House bill, the Senate plan is expected to repeal the ACA’s employer and individual insurance mandates and most if not all of the tax increases Democrats levied to pay for new programs and benefits. But the Senate bill likely will only begin a years-long phase-out of the ACA’s Medicaid expansion in 2020 rather than end it as the House measure does.

The Senate also is expected to include more generous tax credits than the House bill that more closely resemble the system already in place under Obamacare. But the funding levels would still be lower than the current law. And according to Axios, the bill would allow states to opt out of some ACA insurance regulations, but it would do so by loosening existing waivers within the current law rather than follow the House in creating a new waiver system. And the Senate proposal would require that states adhere to more of Obamacare’s regulations than the House bill.Senate Majority Leader McConnell has quietly abandoned the language of “repeal-and-replace” that his office originated seven years ago in the immediate aftermath of the ACA’s enactment. In more than a dozen speeches on health care that McConnell has delivered on the Senate floor since the House passed its bill in early May, he hasn’t uttered the word “repeal” a single time, according to transcripts provided by the majority leader’s office. Nor has he repeated his own pledge to rip out Obamacare “root and branch.” “We’re going to make every effort to pass a bill that dramatically changes the current health care law,” McConnell told reporters on Tuesday, setting a new standard for the bill Republicans plan to release on Thursday.

When the year started, legislation leaving Obamacare substantially in place would have been dead on arrival with hardliners in the House and Senate, who demanded that party leaders expand on a bill that former President Barack Obama vetoed in 2015. That measure did not fully repeal the ACA either, bowing to Senate budget rules limiting how much of the law Republicans could scrap without a filibuster-proof 60 votes. But it eliminated the tax credits and subsidies undergirding the law’s insurance exchanges along with its tax increases and mandates. And with Republicans now in control of both Congress and the White House, conservatives in the House Freedom Caucus this spring began pushing the leadership to go further by repealing Obamacare’s core consumer protections guaranteeing the coverage of essential health benefits and prohibiting insurers from charging higher rates to people with preexisting conditions.

The deal that ultimately allowed the AHCA to pass the House was an under-appreciated turning point in the health-care debate. The concession that Speaker Paul Ryan and a few key moderates made to the Freedom Caucus was to allow states to opt out of some of Obamacare’s insurance regulations, most crucially on equal treatment for pre-existing conditions. But the concession that conservative lawmakers and outside groups made in return was just as significant: They agreed to back off their demand for full repeal and endorse—or at least not fight—a bill that fell far short of that goal.“While this legislation does not fully repeal Obamacare, it’s an important step in keeping that promise to lower healthcare costs,” the Freedom Caucus said in its statement upon passage of the AHCA. It was a message echoed by outside groups like FreedomWorks, Heritage Action, and the Club for Growth, who agreed to drop their opposition to the bill, a move that gave Republicans additional cover to vote for it. Conservatives had embraced an incrementalist approach to Obamacare. The new standard they adopted for health-care legislation was not whether it eliminated the Affordable Care Act but whether it would lower premiums for most consumers.One key question for McConnell is whether the most outspoken conservatives in his caucus—Senators Rand Paul of Kentucky, Ted Cruz of Texas, and Mike Lee of Utah—will judge the Senate bill by that more modest baseline. Republicans can lose no more than two votes to secure passage, and a group of moderate senators is proving just as difficult for party leaders to nail down. To this point, Paul has been the most critical of the GOP approach and the most likely to oppose the proposal from the right. The House bill, he complained, already kept 90 percent of Obamacare’s subsidies. “If this gets any more subsidies in it, it may well be equal to what we have in Obamacare. So it really wouldn’t be repeal,” Paul said on Tuesday, according to Bloomberg. Even so, the Kentucky conservative wouldn’t rule out supporting the bill until he read the text.Cruz and Lee have participated in the Senate process as members of the 13-man working group, and aides have said both have bought into McConnell’s incremental approach. But the two have each complained about the emerging draft in recent days, either on the substance or the top-down, secretive process used to write the bill. “We’re not there yet,” Cruz said Tuesday on Fox News. “The current draft doesn’t do nearly enough to lower premiums.”The Congressional Budget Office projected that in states that opted out of Obamacare’s insurance requirements under the waivers allowed in the House bill, average premiums would drop significantly. But the tradeoff is that people with preexisting conditions would face sharply higher costs or be priced out of insurance entirely. Conservatives have argued that the high cost of adhering to the ACA’s minimum coverage requirements has forced insurers to raise premiums in order to make a profit.Conservative activists briefly held out hope that the health-care bill would move further to the right in the Senate, buoyed by efforts by Cruz and Lee to have Republicans override parliamentary rulings limiting how much of Obamacare they could repeal through the budget reconciliation process. But party leaders never seriously considered that option, which moderate Republicans were likely to oppose.In recent weeks, conservatives have instead focused on demanding that the Senate preserve—or deepen—the reforms to Medicaid in the House bill while still repealing all of Obamacare’s tax hikes. “It is clear that significant portions of the Republican Party have no intention of actually repealing Obamacare despite campaigning on that objective for years,” Mike Needham, CEO of Heritage Action, said in a statement on Wednesday.

“Conservatives will evaluate legislative language when it becomes available, looking particularly at whether the legislation empowers states to get out of the onerous insurance mandates imposed by Obamacare, maintains and improves the House’s Medicaid reforms, and repeals Obamacare’s stifling taxes.”

Make no mistake, Republicans aren’t merely tinkering around the edges of the health-care system, or Obamacare. The Senate proposal that will come out on Thursday will significantly alter the federal funding of Medicaid and, in all likelihood, would result in millions fewer Americans having health insurance over the next decade, as projected by the CBO. And while they won’t be excited by the bill, conservative senators and activists might well come around to support it. They’d vote for the plan as a step in the right direction, a weakening of Obamacare. But like McConnell, they won’t be calling it something that it’s not: repeal.

https://www.theatlantic.com/politics/archive/2017/06/senate-republican-bill-obamacare-repeal/531108/

What’s in the Senate Republican Health-Care Bill

Like the House version, Mitch McConnell’s proposal would slash taxes, cut Medicaid, and eliminate Obamacare’s insurance mandates for individuals and employers.

The Senate Republican health-care bill is finally out in the open.

After weeks of secretive deliberations, party leaders on Thursday released a 142-page proposal that would slash taxes on the wealthy and businesses; reduce federal funding for Medicaid and phase out its expansion under the Affordable Care Act; and limit the tax credits available to help people purchase insurance on the individual market. The legislation, titled the Better Care Reconciliation Act of 2017, is officially labeled a “discussion draft,” but Senate Majority Leader Mitch McConnell wants Republicans to debate and vote on the bill by the end of next week.

Like the American Health Care Act that passed the House in May, the Senate bill is a substantial revision to Obamacare but not a wholesale repeal. And while Senate Republicans had vowed to start over rather than work off the unpopular House proposal, their version is structured the same way. The Senate measure mirrors the House bill in eliminating the ACA’s employer and individual insurance mandates and most of the tax increases it imposed to pay for new programs. Both proposals call for an overhaul of Medicaid funding that would allow states to institute work requirements and end the program’s status as an open-ended entitlement. The Senate bill would go further than the House’s $800 billion in cuts by reducing its growth rate beginning in 2025, but unlike the House version, it would begin a three-year phase-out of the program’s expansion in 2020. The AHCA would cut off the expansion entirely that year.

As expected, Democrats assailed the proposal as a draconian measure that would strip health insurance from millions all for the goal of providing tax cuts for the rich. They seized on comments that President Trump reportedly made to Republican senators in which he called the House proposal “mean.”
“Simply put: This bill will result in higher costs, less care, and millions of Americans will lose their health insurance, particularly through Medicaid,” Senate Minority Leader Charles Schumer said. “It’s every bit as bad as the House bill; in some ways, it’s even worse.”

But the McConnell was never intended to appeal to Democrats. Instead, the majority leader and the Senate policy staffers who wrote the bill were trying to strike a delicate balance between conservatives bent on ripping up Obamacare and moderate Republican senators who, though they campaigned on repeal, now want to preserve its central benefits. Whether McConnell achieved that middle ground is unclear, as few Republican senators leapt to embrace his proposal in the immediate aftermath of its release. The first official holdouts to emerge were a group of four conservatives: Senators Rand Paul of Kentucky, Ted Cruz of Texas, Mike Lee of Utah, and Ron Johnson of Wisconsin.“Currently, for a variety of reasons, we are not ready to vote for this bill, but we are open to negotiation and obtaining more information before it is brought to the floor,” they said in a joint statement. “There are provisions in this draft that represent an improvement to our current health care system, but it does not appear this draft as written will accomplish the most important promise that we made to Americans: to repeal Obamacare and lower their health care costs.”Their statement was significant because together, their opposition alone could sink the bill given the GOP’s narrow, 52-48 majority in the Senate. But its careful wording left a lot of room for any or all of the conservatives to come around by the time the bill hits the floor next week. Paul, who has been a critic of the GOP approach for months, was more harsh in a pair of tweets he sent on his own. “The current bill does not repeal Obamacare. It does not keep our promises to the American people,” he wrote. Paul had long been considered a likely no vote, as it is unlikely McConnell could move the bill far enough to the right to get his support without losing moderates.
The draft will also face the test of whether its provisions pass muster under the Senate’s complex rules for budget reconciliation, which would allow Republican to circumvent a Democratic filibuster. Aides on Thursday acknowledged that “there will be ongoing discussions with the Parliamentarian” in the Senate about certain parts of the bill.The Senate proposal targets abortion coverage by prohibiting the use of tax credits to buy insurance plans that cover the procedure, and it would ban funds from going to Planned Parenthood. Those provisions could jeopardize the support of two moderate Republicans, Senators Susan Collins of Maine and Lisa Murkowski of Alaska, who have said they oppose restricting federal funding to Planned Parenthood. A spokeswoman for Collins, Annie Clark, said Thursday she would be reviewing the bill into the weekend. “She has a number of concerns and will be particularly interested in examining the forthcoming CBO analysis on the impact on insurance coverage, the effect on insurance premiums, and the changes in the Medicaid program,” Clark said.The Senate bill also allows states to opt out of some of Obamacare’s insurance regulations, but it does not allow waivers that would let insurance companies charge higher rates to people with preexisting conditions. “We’re not touching preexisting conditions,” one top GOP staffer told reporters on a Thursday conference call. While the House bill created a new waiver system aimed at allowing states to get around Obamacare requirements, the Senate expands an existing waiver in the current law to make it easier for states to apply. The provision, aides said, would allow insurance companies in states that obtain waivers to sell plans that do not provide essential health benefits, including maternity care, hospitalization, and mental-health treatment.Unlike the House bill, the Senate proposal contains funding for cost-sharing payments for insurers to help stabilize the faltering individual insurance market under Obamacare. They would continue through 2019 before being repealed entirely. The payments are the subject of a lawsuit that House Republicans filed against the Obama administration three years ago, and while the Trump administration has continued the subsidies, its refusal to guarantee them over the long term has prompted more insurers to exit the ACA exchanges.McConnell has drawn criticism from senators in both parties for writing the bill behind closed doors without public hearings, though it’s unclear if the mounting frustration among some Republican senators about the process will threaten the legislation’s passage. In a floor speech on Thursday morning, the majority leader said senators would have “ample time” to review and amend the bill before a final vote. The Congressional Budget Office said it would release its analysis of the Senate bill’s cost and impact on insurance early next week. It found that the House bill would leave 23 million more people uninsured over the next decade while reducing average premiums depending on whether states opted out of Obamacare’s insurance regulations.“We debated many policy proposals. We considered many different viewpoints,” McConnell said. “In the end, we found that we share many ideas about what needs to be achieved and how we can achieve it. These shared policy objectives and the solutions to help achieve them are what make up the health care discussion draft that we talked through this morning.”Senate budget rules call for what’s known as a “vote-a-rama” where members of either party offer amendments in a single session. And in many ways, it appears McConnell’s draft is designed to be amended. The bill, for example, does not include funding for the opioid crisis that Senators Rob Portman of Ohio, Shelley Moore Capito of West Virginia, and others were demanding. Nor does it adopt their proposal for a longer, seven-year phase-out of the Medicaid expansion. But by omitting those provisions at the front end, McConnell could be inviting Portman, Capito, and other wavering senators to add them by amendment so they can claim credit for improving the bill when it comes to the floor. Similarly, the statement Paul, Cruz, Lee, and Johnson appeared to be a play for changes that could win their ultimate support.Republicans have a razor-thin majority of 52 seats, and McConnell can lose no more than two votes to pass the bill with a tie-breaker from Vice President Mike Pence. The majority leader will also face difficulty securing support from conservatives who feel the proposal doesn’t go far enough in dismantling Obamacare.https://www.theatlantic.com/politics/archive/2017/06/whats-in-the-senate-republican-health-care-bill/531258/
Mark Levin’s new book, “Rediscovering Americanism,” an assault on the media and progressives and a call for Americans to take back their country, debuts today at No. 1 on Amazon.

Showing the draw of the New York Times bestselling author and top syndicated radio host, his book is already on the way to becoming another big seller.

“My new book covers a lot of territory — philosophy, history, economics, law, culture, etc. And I look deeply into what is meant by Americanism, republicanism, individualism, capitalism. What do we mean by natural law, unalienable rights, liberty, and property rights? From where do these principles come? Why are they important?” he told Secrets.

It follows in the path of his other books and the nation: Liberty and Tyranny: A Conservative Manifesto; Ameritopia: The Unmaking of America; The Liberty Amendments; and Plunder and Deceit.

Secrets reviewed “Rediscovering Americanism”last week and wrote:

In the book, Levin attacks the embrace by the media, politicians, and academia of progressive promises of a “utopia” defined by the end of personal freedom and individuality.

He has a grim name for it: “The Final Outcome.” Levin wrote, “They reject history’s lessons and instead are absorbed with their own conceit and aggrandizement in the relentless pursuit of a diabolical project, the final outcome of which is an oppression of mind and soul.”

Levin added, “the equality they envision but dare not honestly proclaim, is life on the hamster wheel, where one individual is indistinguishable from the next.”

Paul Bedard, the Washington Examiner’s “Washington Secrets” columnist, can be contacted at pbedard@washingtonexaminer.com

http://www.washingtonexaminer.com/mark-levin-book-condemning-media-progressives-debuts-no-1-amazon/article/2627178

Dems face identity crisis

Democrats are grappling with how to keep their progressive base happy while winning over white working-class voters who left the party in the 2016 elections.

Defections by blue-collar voters cost Democrat Hillary Clinton the states of Michigan, Pennsylvania and Wisconsin, all of which went to President Trump. It was the first time since 1988 that a GOP presidential candidate had won Michigan or Pennsylvania, and the first time since 1984 in Wisconsin.

The fallout has created an identity crisis for a Democratic Party seeking to find its way forward in the post-Obama era.

A string of House special election losses culminating in Democrat Jon Ossoff’s disappointing defeat in Georgia last week has only intensified the scrutiny and second-guessing of Democratic strategy, to say nothing of the hand-wringing by party activists craving a victory.

“I’m not convinced we know what the best thing is for the party right now,” said Democratic strategist Jim Manley. “I’m not convinced we have the answers.”

Democrats trying to figure out what they’re doing wrong are focused on how they’ve seemingly lost a significant part of the Democratic base all while failing to turn out enough progressives.

There are different views about what to do across the party, with some questioning whether the white working-class voters can be won back by a party that seems to be tilting leftward with the rise of Sen. Bernie Sanders(I-Vt.) and other liberal voices.

“I’ve spoken to some folks who think we have to only choose one or the other,” said one former senior aide to President Barack Obama. “And after this election cycle, I think there are some who believe there may be some truth to that.”

A lot depends on whether the party can find the right candidate with the right message, particularly in 2020.

“Democrats need a reason for showing up. Give them a reason to believe, and we won’t be having this discussion,” the former Obama aide said.

Democrats say there is a way to appeal to both progressives and white working-class voters.

“Everybody is being too simplistic,” Democratic strategist Jamal Simmons said. “Voters are much more complex.”

Simmons said it’s not a matter of choosing to talk about police violence and climate change or the minimum wage and creating jobs.

Progressives, he said, want Democrats to talk about all of that.

They “want politicians to say something about Black Lives Matter and equality — they also want to know how they’re going to get their kids through college, pay off their house and get a better job,” he said. “The thing that’s most frustrating to me is this either-or dichotomy.”

Obama’s victories in 2008 and 2012 show Democrats can win over both groups, say some Democrats.

“This crisis is Democrats not realizing their own strengths, or being scared of articulating their core principles, rather than a crisis of having no agenda,” said Julian Zelizer, a professor of history and public affairs at Princeton University.

He said a focus on economics, climate change and being anti-Trump would animate the party.

“These are the places that 2018 candidates need to focus on, because they are ways to distinguish themselves from the GOP and its agenda,” he added. “Then they should continue to use Trump as a unifying theme. Often experts downplay this, but Republicans were very effective at using Obama that way.”

In recent days, particularly since the Ossoff loss, Democrats have been doing a lot of finger-pointing.

There’s been a movement to stop blaming the 2016 presidential election loss on Russia. And there have been calls to cut ties with current Democratic leaders like House Minority Leader Nancy Pelosi (D-Calif.). Some of those calls, within the House, come from lawmakers such as Rep. Tim Ryan (D-Ohio), who is worried about losing the white working class.

On the other end of the spectrum, some say Sanders’s bashing of Democrats has only deepened wounds.

“A lot of people are sick of it,” said Manley, a former adviser to then-Senate Majority Leader Harry Reid (D-Nev.). “The mainstream part of the party has had it up to here with what he’s been saying.”

Some Democrats are seeking to build a bridge between the two groups.

In an interview Sunday on ABC’s “This Week,” Senate Minority Leader Charles Schumer (D-N.Y.) said the party will unveil a “strong, bold, sharp-edged and commonsense economic agenda” in the coming weeks.

Addressing both wings of his party, he added, “I’m talking to Bernie Sanders. I’m talking to Joe Manchin. This is going to be really something that Democrats can be proud of, and I’m excited about it.”

Manchin, a Democratic senator from West Virginia, is among the most centrist members of Schumer’s conference.

Michael Tyler, a spokesman for the Democratic National Committee, said Democrats will look to expand their support across the party.

He acknowledged in an email to The Hill that in order to win elections, Democrats “have to focus on broadening and turning out our base and on reaching out to Americans who cast ballots for Donald Trump or didn’t vote at all.”

Tyler said Democrats are in the process of rebuilding a party “from an organization whose mission was solely to elect the president of the United States to one that organizes to elect Democrats up and down the ballot, from school board to Senate.”

But it may not be as easy as that, some strategists say.

Asked how the party rebounds and lures both working-class and progressive Democrats, Manley admitted: “I don’t have the faintest idea in this point in time. I’m still trying to digest what happened.”

http://thehill.com/homenews/campaign/339577-dems-face-identity-crisis

Replacing Obamacare is a make-or-break moment for Republicans

 June 25

Sen. Dean Heller (R-Nev.) threw himself off a political cliff last week when he declared full-throated opposition to the Senate version of the Obamacare repeal bill, and it remains to be seen if Heller is hanging by a limb out of sight and can climb back to electoral sanity or has hit rock bottom in his public career.Individual Senate Republicans face different political realities, but the caucus must somehow get the votes necessary to return the revised Obamacare “repeal and replace” bill to the House. To fail to do so is to condemn not only Heller and Arizona’s Sen. Jeff Flake to certain doom but probably others among the eight GOP senators up for reelection. The grass roots’ disgust with this betrayal will be so deep as to endanger every senator, even in deep red states such as Mississippi, Texas and Utah.The political crosswinds and upheavals in the country are already beyond predicting anything, so to add even more cause for grievance by betraying the central promise of the congressional GOP is beyond irresponsible. It is political insanity. Shut the door to the consultants, and throw out the polling senators. If the GOP defaults on its core promise, it is doomed as a party to minority status, probably as early as 2018 and certainly in 2020.

To fail this week almost certainly forfeits the House majority in next year’s midterm elections but perhaps also the Senate’s, and with the latter, the ability to confirm Supreme Court justices and lower court judges, pass budgets under reconciliation, have any chance at serious tax reform and of course approve the crucial repeal of the Defense Department sequestration.

This is of course an imperative vote on saving American health care. Next year, for example, there potentially will be at least 18 counties in Ohio without even a single option for an individuals seeking coverage. The swaths of America where there is only one provider are large and growing. “Choice for consumers” is a delusion, and soaring deductibles have made health care an illusion to millions more.

Obamacare is a catastrophe on its own terms, but the consequences of not passing its repeal are worse even beyond those awful health-care outcomes. It will forfeit every other Republican goal because failing to deliver on the central promise of eight years of debates and campaigns will shatter the credibility every Republican, not just those who block the bill. The party as a whole will be gravely wounded, perhaps beyond healing for a generation or more.

I don’t have to guess about this. I have been talking to the center-right of the country for three hours a day Monday through Friday for the past 17 years. I know the central argument of the conservative activists everywhere in the United States is that Beltway Republicans cannot be trusted to do anything hard. That argument was dented by the discipline with which the GOP put up with the mainstream media and Democrats’ slings and arrows in the fight over replacing Justice Antonin Scalia. Majority Leader Mitch McConnell (Ky.) rightly calculated that to surrender that hill would be to lose not just a political battle but the political war stretching long into the future. It was that big of a deal to the base.

The same is true of Obamacare. To vote “no” on whatever compromise arrives is to express contempt for the Republican Party as a whole – and its grass-roots activists and base voters — and for those ideas it stands for on all major matters, from a strong defense to low taxes to an originalist Supreme Court.

Thus Heller seemed to declare himself a hollow man when he said he could not vote for it, a man without any core beliefs because with his rambling statement he endangered all alleged core GOP beliefs, and thus the GOP will not support him. It isn’t about primaries; primary opponents need not materialize. It is about millions of conservatives who will simply give up on politics.

This is a make-or-break moment for Senate Republicans and the party itself. Sadly, for this conservative, the tone-deafness of Heller may not be unique. It may not even turn out to be particularly rare. We will know in a week. And not one GOP senator will be able to say he or she wasn’t warned.

https://www.washingtonpost.com/opinions/replacing-obamacare-is-a-make-or-break-moment-for-republicans/2017/06/25/c5f7775a-59c9-11e7-9fc6-c7ef4bc58d13_story.html?utm_term=.602544feab43

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. 3590byCharles Rangel (DNYon 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 (60–39with 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 of people without health insurance, with estimates ranging from 20–24 million additional people 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 governmentsconservativeadvocacy groupslabor 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]

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 market were 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 credits.[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 planMedicaidMedicare 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 CBOGruber 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 issued by the Health Resources and Services Administration to implement this provision 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-paymentsco-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] These states can be exempt 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 under 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 mitigation of 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 conservativeThe Heritage 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 HatchChuck GrassleyBob 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 BaucusJeff Bingaman and Kent Conrad, along with Republicans Mike EnziChuck 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 ratingand 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 BakerBob DoleTom 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