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Roundup: Affordable Care Act Improves Cancer Treatment For People of Color

Research presented at the annual meeting of the American Society of Clinical Oncology this past weekend found the Affordable Care Act to be linked to a reduction in racial disparities in cancer care as well as earlier diagnosis and treatment. Here’s how these findings were covered:

Essence: While Republicans Work To Dismantle The Affordable Care Act, It’s Saving Black Cancer Patients’ Lives. “The Affordable Care Act (ACA), or Obamacare, does more than just make health care affordable to all, it’s also opening doors to life-saving treatment for Black cancer patients. New studies find that the ACA is linked to minimizing racial disparities within the care of cancer patients and earlier diagnoses for ovarian cancer patients, which often goes undetected until it spreads and becomes fatal, according to The Mayo Clinic.” [Essence, 6/3/19]

The Root: Affordable Care Act Reduces Racial Disparities In Cancer Treatment. “It turns out the Affordable Care Act may have acted to make care affordable and accessible to black folks. According to new research, the law has been linked to a reduction in racial disparities in the care of cancer patients and to earlier diagnoses and treatment for ovarian cancer, according to the Washington Post… Today, black adults in states with expanded Medicaid under the ACA are almost entirely caught up with white patients for early treatment.” [The Root, 6/2/19]

Washington Post: ACA Linked To Reduced Racial Disparities, Earlier Diagnosis And Treatment In Cancer Care. “Proponents of the embattled Affordable Care Act got additional ammunition Sunday: New research links the law to a reduction in racial disparities in the care of cancer patients and to earlier diagnoses and treatment of ovarian cancer, one of the most dangerous malignancies. According to researchers involved in the racial-disparity study, before the ACA went into effect, African Americans with advanced cancer were 4.8 percentage points less likely to start treatment for their disease within 30 days of being given a diagnosis. But today, black adults in states that expanded Medicaid under the law have almost entirely caught up with white patients in getting timely treatment, researchers said. Another study showed that after implementation of the law, ovarian cancer was diagnosed at earlier stages and that more women began treatment within a month. The speedier diagnoses and treatment were likely to have increased patients’ chances of survival, the researchers said.” [Washington Post, 6/2/19]

STAT: The Affordable Care Act Erased A Racial Disparity In Cancer Care, A New Study Says. “The expansion of Medicaid under the Affordable Care Act in 2010 nearly erased a key disparity in access to cancer care for white and African-American patients, according to a new study…Without Medicaid expansion, white patients received chemotherapy within a month of their cancer diagnosis 48.3% of the time. But African-American patients received chemotherapy within a month 43.5% of the time, 4.8-point difference. In states where Medicaid was expanded, this 4.8-point difference decreased to 0.8 points, a difference that was not statistically significant. In white patients, the Medicaid expansion increased the percent of patients who received chemotherapy in a month by two points; among African- Americans, there was a six-point change.” [STAT, 6/2/19]

CNN: Medicaid Expansion Tied To ‘Timely’ Treatment For Black Cancer Patients, Study Says. “‘The new findings came as no surprise to Dr. Georges Benjamin, executive director of the American Public Health Association, who was not involved in the research. ‘It tells you that insurance is important. Insurance matters,’ Benjamin said…So again you’re beginning to see more and more of this evidence that the states that did not expand are putting their citizens at extraordinary risk, which is preventable,’ Benjamin said. ‘They’re missing an opportunity to improve the health of their population and with this new cancer study, it shows that they’re also missing an opportunity to address issues around health equity.’” [CNN, 6/2/19]

Associated Press: More Blacks Got Timely Cancer Care Under ‘Obamacare.’ “New research suggests that states that expanded Medicaid coverage under the Affordable Care Act eliminated racial differences in being able to quickly start on treatment after a diagnosis of advanced cancer. The law that is often called “Obamacare” let states expand Medicaid eligibility and offer subsidies to help people buy health insurance.” [Associated Press, 6/2/19]

Wall Street Journal: One New Study Showed Earlier Diagnosis And Treatment Of Ovarian Cancer Under ACA. “One of the new studies concluded that the rates of diagnosis of earlier-stage ovarian cancer and start of treatment within 30 days improved after the implementation of the ACA. The study, led by researchers at Johns Hopkins University’s department of gynecology and obstetrics in Baltimore, used data on more than 70,000 patients from the National Cancer Database, which is run by medical groups and includes information about roughly 70% of newly diagnosed cancer patients…The study found a 1.7% relative improvement in early-stage ovarian-cancer diagnosis among women under 65, and a 1.6% gain in their start of treatment within 30 days of diagnosis. Dr. Anna Jo Smith, the lead study author, said the ACA improved patients’ access to primary-care doctors, which may have helped detect early-stage ovarian cancers.” [Wall Street Journal, 6/2/19]

Roundup: Trump Administration Urges States To “Demolish” Basic Structure Of Affordable Care Act

Today, the Trump administration announced its latest effort to sabotage the Affordable Care Act by mounting an unprecedented attack on the ACA’s marketplaces.

Here’s what media, experts, and patient groups had to say:

Washington Post: Trump Administration “Demolishing” Basic Rule Of Affordable Care Act That Federal Subsidies May Only Be Used To Purchase Plans In Federal Marketplace. “The Trump administration is urging states to tear down pillars of the Affordable Care Act, demolishing a basic rule that federal insurance subsidies can be used only for people buying health plans in marketplaces created under the law…The changes go beyond a variety of other steps Trump administration health officials have taken in the past year to weaken the ACA, which the president has opposed vociferously…The new steps go further by undercutting the basic ACA structure of the insurance marketplaces created for those who cannot get affordable health benefits through a job.” [Washington Post, 11/29/18]

American Lung Association: New 1332 Waiver Guidance “Would Further Erode Patient Protections, Undermine Care For People With Lung Disease.” [American Lung Association, 11/29/18]

Wall Street Journal: “The Waivers Have The Potential To Be One Of The Most Decisive Factors In Letting States Go Separate Ways On Health Care.” “The waivers have the potential to be one of the most decisive factors in letting states go separate ways on health care. Some are likely to keep the current system, where premium tax credits go to consumers who buy ACA-compliant plans on the exchanges, while others may upend much of that system altogether.” [Wall Street Journal, 11/29/18]

Larry Levitt, Senior Vice President Of Kaiser Family Foundation: New Guidance Allows States To Offer Subsidies For Plans That Do Not Cover Pre-existing Conditions And Paves Way For States To Increase Subsidies For Higher-income People And Reduce Subsidies For Lower-income People. “The Trump administration has filled in details of ACA waiver guidance, illustrating how states could restructure premium subsidies, including subsidizing lower premium plans that don’t cover pre-existing conditions…Under the new ACA waiver rules, states could restructure premium subsidies so they are based only on age and not by income, increasing subsidies for higher-income people and reducing them for lower-income people.”“ [Larry Levitt, 11/29/18]

Sabrina Corlette, Senior Research Fellow At Georgetown University’s Center On Health Insurance Reforms: It’s “Really Hard To See How Any Of These Concepts (Except Reinsurance) Can Meet The Statutory Guidelines.” [Sabrina Corlette, 11/29/18]

HealthLeaders Media: “Verma Lambastes ACA, Giving States 4 Ways To Bypass It.” [HealthLeaders Media, 11/29/18]

And here’s how legislators reacted:

Democratic Leader Nancy Pelosi: Trump Administration Is “Cynically Working To Make Health Insurance More Expensive And To Leave More Americans Without Dependable Coverage At All.” “The American people just delivered an overwhelming verdict against Republicans’ cruel assault on families’ health care.  But instead of heeding the will of the people or the requirements of the law, the Trump Administration is still cynically working to make health insurance more expensive and to leave more Americans without dependable coverage at all.The Trump Administration is trying to push more Americans into junk insurance plans that do not cover essential health care, leaving families exposed to crushing out-of-pocket costs after an injury or illness.  Meanwhile, Republicans continue to push their monstrous lawsuit to strike down the vital protections for people with pre-existing conditions.” [Democratic Leader, 11/29/18]

Sen. Patty Murray, Ranking Member Of Senate Health, Education, Labor, And Pensions Committee: “The Trump Administration Is Brazenly Warping A Tool Meant To Help States Innovate And Lower Prices So It Can Further Gut Protections For People With Pre-existing Conditions And Drive Up Health Care Costs.” “These new templates are nothing more than a how-to guide for health care sabotage. The Trump administration is brazenly warping a tool meant to help states innovate and lower prices so it can further gut protections for people with pre-existing conditions and drive up health care costs. Congress created these waivers and included guardrails to allow for innovation while making sure people could get high-quality, affordable coverage—however the Trump Administration’s guidance takes us in the opposite direction.” [U.S. Senate Committee On Health, Education, Labor & Pensions, 11/29/18]

Sen. Ron Wyden, Ranking Member Of Senate Finance Committee: Trump Administration Has Created “Fast Lane To Flood Health Care Markets With Junk Plans And Quarantine Older Americans And Those With Pre-existing Conditions Apart From Everyone Else.” “The Trump administration has created a fast lane to flood health care markets with junk plans and quarantine older Americans and those with pre-existing conditions apart from everyone else…Section 1332 was created to generate new and better ideas that improve families’ health – the Trump administration’s approach warms over old and bad ideas that increase costs for consumers and lowers the quality of care. Trump’s sabotage crusade continues to deprive working Americans with the health care security they need, and today’s news accelerates America’s slide back to the days when health care was reserved for the healthy and wealthy.” [U.S. Senate Committee On Finance, 11/29/18]

ROUNDUP: Experts Slam Trump’s Backdoor Repeal through 1332 Waivers

Experts condemned the Trump Administration’s new federal policy to water down the guardrails ensuring health insurance plans sold in states that are seeking approvals of “1332 waivers” provide the full range of benefits and the cost-sharing protections in the Affordable Care Act. Here’s a look:

Larry Levitt, Senior Vice President Of Kaiser Family Foundation: Trump 1332 Waiver Guidance Gives States Much The Same Flexibility As Repeal Would. “Republicans couldn’t repeal and replace the ACA last year, but this guidance gives states the flexibility to shift the law in much the same way…It’s hard to overstate how much flexibility states will have under the Trump administration’s new guidance for ACA waivers,” he said. “This will likely widen the gap between red states and blue states for access, affordability, regulation, and protections for pre-existing conditions.” [Business Insider, 10/22/18]

HuffPost: 1332 Waiver Rule Change “Almost Certainly Means That, Overall, People With Serious Medical Problems Are Likely To Have A Harder Time Finding Coverage.” “But Monday’s rule change almost certainly means that, overall, people with serious medical problems are likely to have a harder time finding coverage ― and, ultimately, paying their medical bills. Under guidance from the Department of Health and Human Services that takes effect immediately but likely won’t affect insurance markets for another year, state governments will have new leeway to request waivers from some of the federal health care law’s core requirements…But this latest regulatory change is a reminder that the GOP has never given up on its goal of wiping ‘Obamacare’ off the books, and that people with serious medical problems are likely to suffer as a result.” [HuffPost, 10/22/18]

Axios: The Waiver Announced Yesterday “Could Add Up To One Of Its Most Substantive Blows Yet Against The Affordable Care Act.” “As in-the-weeds as a revised waiver process sounds, the practical effects of what the Trump administration announced yesterday could add up to one of its most substantive blows yet against the Affordable Care Act…Under the Obama administration, states seeking a waiver from the ACA’s rules had to show that their alternatives would cover just as many people as the ACA, with insurance that’s just as robust, for the same cost. That’s why only 8 waivers have ever been granted. But under the Trump administration’s approach, if the same number of people have access to ACA-level coverage, that’ll count — even if few of them actually choose it.” [Axios, 10/23/18]

Sabrina Corlette, Research Professor At Georgetown University: New Guidance Essentially Means That It’s Okay If Certain Subpopulations Are Harmed So Long As Things Work Out In Aggregate. “‘The guidance under Obama… meant that a state’s plan couldn’t result in fewer people enrolled in affordable, comprehensive coverage,’ Corlette explained. ‘This new guidance is saying that so long as people in the state have ‘access’ to [comprehensive] coverage, it doesn’t matter what they actually do… If un-insurance spikes or there’s a big movement to [less comprehensive plans] a state won’t get dinged for that.’ Corlette noted that the Obama administration insisted that state waivers not hurt certain vulnerable populations, including those with severe medical needs. ‘This is saying that so long as things work out in the aggregate, then it’s OK if certain subpopulations are harmed,’ she said.” [HuffPost, 10/22/18]

Waiver Could Allow States To Let Residents Use Subsidies Intended For Comprehensive Coverage To Cover Junk Plans. “Perhaps the biggest change states could enact would involve who would receive Obamacare’s federal premium subsidies, which have been critical to sustaining enrollment in recent years. Currently, subsidies can only be used to buy policies on the exchanges and can only go to those who earn less than 400% of the poverty level (just over $48,500 for a single person or $100,000 for a family of four). States could file waivers asking to provide subsidies to those buying short-term health plans, for instance, Verma said on a call with reporters. The Trump administration is pushing these policies, which have terms of less than a year, as a more affordable alternative to Obamacare. These plans typically have lower premiums so they could be more attractive to younger and healthier people who may not need all of the benefits required under Obamacare.” [CNN, 10/22/18]

New York Times: Timing Of The Announcement Was “Puzzling” Coming Just Before An Election In Which Protection Of People With Pre-existing Conditions Has Been Top Tier Issue. “Coming two weeks before Election Day, the new policy appeared to be a political gift to Democrats, who are making health care a potent campaign theme…The timing of the announcement, just before an election in which the protection of people with pre-existing conditions has been a top-tier issue, was puzzling.” [New York Times, 10/22/18]

Trump Administration Opening Door For States To Gut Protections For People With Pre-existing Conditions. “But the latest administration proposal to weaken insurance standards comes as President Trump and Republican congressional candidates are intensifying their bid to convince voters that the GOP backs patient protections in the 2010 law, often called Obamacare…The new proposal from the Department of Health and Human Services and the Treasury Department would not explicitly scrap the law’s protections, which bar health plans from denying coverage to people with preexisting medical conditions. But the administration plan would dramatically reshape rules established by the 2010 law that were designed to prevent states from weakening these protections.” [Los Angeles Times, 10/22/18]

Roundup: Trump’s Latest Attempt To Deceive The American People

From all four corners of the internet, Trump’s pack of health care lies in USA TODAY has been exposed. People will remember this as Trump’s latest detached-from-reality attempt to cover up the truth about the GOP’s war on health care.

Within hours of posting, Trump’s article received criticism from those who know health care the best. Here’s what they had to say:

Washington Post: “Almost Every Sentence Contained A Misleading Statement Or Falsehood.” “President Trump wrote an opinion article for USA Today on Oct. 10 regarding proposals to expand Medicare to all Americans — known as Medicare-for-All — in which almost every sentence contained a misleading statement or a falsehood. Many of these are claims we have already debunked. Presumably, the president is aware of our fact checks — he even links to two — but chose to ignore the facts in service of a campaign-style op-ed.” [Washington Post, 10/10/18]

Vox: Trump’s USA Today Op-ed On Health Care Is An Absurd Tissue Of Lies. “USA Today published an op-ed bylined by President Donald Trump Wednesday morning that’s so dishonest it could almost have been Trump speaking extemporaneously at a rally. In fact, it’s so dishonest that some clever editor appears to have subversively snuck links into the text that debunk some of its key claims — it’s hard to believe that Trump or his communications staff would have done so…Follow the ‘pre-existing conditions’ link and you’ll get a Washington Post fact-check item explaining that Trump has betrayed this promise. Follow the ‘new health care insurance options’ link and you’ll find Trump talking during the campaign about allowing insurance plans to be sold across state lines, which hasn’t happened. Most importantly of all, if you follow the link for ‘eviscerated Medicare’ you find a New York Times analysis of Sen. Bernie Sanders’s Medicare-for-all plan that concludes that Medicare enrollees ‘would have more generous coverage’ under his plan. This is the core lie of Trump’s op-ed.” [Vox, 10/10/18]

New York Magazine: “The Most Perfectly Emblematic Fact About Trump’s Health-care Record Is That He Has Written An Op-ed Pointing Out That He Has Broken His Own Promises.” “The most striking thing about the op-ed, other than the ludicrous claim to have fulfilled his promise on preexisting conditions, is that it does not mention his biggest and most important health-care campaign promise: to cover everybody. Trump promised this over and over…If protections for people with preexisting conditions remain in place, it will be only because his administration loses its legal fight to eliminate them. Whether Trump is more than dimly aware of any of these facts is an open question. The most perfectly emblematic fact about Trump’s health-care record is that he has written an op-ed pointing out that he has broken his own promises.” [New York Magazine, 10/10/18]

PolitiFact: Trump’s Claims on Medicare Are “Horrible Mischaracterization.” “This is a ‘horrible mischaracterization of the proposal,’ said Linda Blumberg of the Urban Institute. Medicare for All would actually give an expanded version of traditional Medicare to everyone, with broader coverage — including items such as dental and vision care — while eliminating virtually all out of pocket costs, she said.” [PolitiFact, 10/10/18]

Michael Hiltzik For Los Angeles Times: “The op-ed Bristles With Lies And Misrepresentations.” “USA Today gave President Trump a big gift Wednesday by publishing a largely fact-free attack on the “Medicare for all” plan promoted by Sen. Bernie Sanders (I-Vt.), disguised as an op-ed written by Trump himself. In strictly factual terms, the op-ed bristles with lies and misrepresentations about Medicare for all, Medicare itself, Trump’s own healthcare policies, and Democratic and Republican approaches to Medicare.” [Los Angeles Times, 10/10/18]

NPR: “The President Is Trying To Play On The Fears Of Seniors.” “The president is trying to play on the fears of seniors — who vote in large numbers — with the claim that any effort to improve health security for younger Americans must come at their expense. But that is a false choice.” [NPR, 10/10/18]

Trump Claims Health Premiums Are Decreasing, When Some Are In Fact Rising. PolitiFact: “Trump references an article about the cost of ‘benchmark’ plans under the Affordable Care Act falling 2 percent in 2019. But it’s worth noting that the decline occurred after ACA premiums rose significantly in 2018 due to uncertainty about what the Trump administration would do with the law. In addition, ACA premiums are a minority of all private health insurance premiums. In its annual survey of health insurance benefits, Kaiser reported earlier this month that for employer-sponsored health insurance, the average premium for a solo policyholder increased 3 percent over the past year, while the average family premium increased by 5 percent. That exceeded the growth in employee wages and overall inflation.” [PolitiFact, 10/10/18]

Media Matters: “The Piece Is A Conglomeration Of Previously Debunked Distortions And Outright Lies.” “The piece is a conglomeration of previously debunked distortions and outright lies common to Trump’s stump speeches, leading several reporters to criticize the paper for its role…In one particularly gobsmacking case, USA Today allowed Trump to claim that as ‘a candidate, I promised that we would protect coverage for patients with pre-existing conditions’ and that as president, he has ‘kept that promise.’ The paper’s Twitter feed even highlighted that passage in a tweet. Republicans’ position on this issue is one of bottomless bad faith, an effort to confuse the public by saying they supports protections for people with pre-existing conditions while acting to deregulate the health insurance industry.” [Media Matters, 10/10/18]

Jim Acosta, CNN’s Chief White House Correspondent: “This Column May Break The Record For The Number Of Falsehoods From A President Ever Published In A Newspaper Op-ed.” “This column may break the record for the number of falsehoods from a President ever published in a newspaper op-Ed. Just this tweet alone is false – ‘outlaw private health care plans’ and ‘letting anyone cross our border’ Huh? Fact check: false and false. Come on USA Today.” [Acosta, 10/10/18]

Dan Gillmor, Professor At Arizona State University’s Walter Cronkite School of Journalism And Mass Communication: Op-ed “Full Of Outright Lies.” “Publishing this op-ed is journalistic malpractice. It is full of outright lies, easily demonstrated lies. Disgraceful.” [Gillmor, 10/10/18]

GQ: Publishing Lie-ridden Op-ed Launders Trump’s “Standard-issue Dishonesty Through A Medium That Readers Depend On For Independence And Objectivity.” “At this point we all know that the president is an unhinged serial liar who literally makes things up for applause. Because the First Amendment exists, there is no way to prevent him from doing so. But publishing this embarrassing collection of inane vagaries—and hiding behind its “opinion” framing, as if there is no distinction between good-faith, fact-based disagreements and facially absurd lies—launders his standard-issue dishonesty through a medium that readers depend on for independence and objectivity.” [GQ, 10/10/18]

The Root: USA Today Allows Trump To Publish Fake News. “For some reason—possibly because USA Today is trying to get into the good graces of the president, or maybe they just wanted some press—USA Today allowed the Donald J. Trump to publish an op-ed that is full of mistruths that only become apparent when you’re done reading the lies. In short, USA Today published fake news.” [The Root, 10/10/18]

Roundup: Trump Justice Department Argues that Protections for Pre-existing Conditions are Unconstitutional

Tonight, the Trump Administration went to court to take away protections away from 52 million Americans with pre-existing conditions, and raise costs for millions more.

Headlines are emphasizing just how significant this decision is:

Washington Post: Trump Administration Won’t Defend ACA In Case Brought By GOP States. [6/7/18]

Vox: The Trump Administration Believes Obamacare’s Preexisting Conditions Protections Are Now Unconstitutional. [6/7/18]

CNN: Trump Administration Tells Court It Won’t Defend Key Provisions Of The Affordable Care Act. [6/7/18]

Axios: Trump’s Justice Department Says The ACA Is Unconstitutional. [6/7/18]

Politico: Trump Administration Backs Court Case To Overturn Obamacare Provisions. [6/7/18]

Talking Points Memo: Trump’s Justice Department Refuses To Defend Obamacare In Court. [6/7/18]

The Hill: Justice Dept. Argues Key Parts Of ObamaCare Are Unconstitutional. [6/7/18]

Washington Examiner: Trump Administration Tells Court It Won’t Defend Obamacare Against Lawsuit Seeking To Cripple It. [6/7/18]

Reuters: U.S. Justice Department Says Obamacare Individual Mandate Unconstitutional. [6/7/18]

And experts underscore just how dangerous it will be:

Larry Levitt, Vice President For Health Policy At Kaiser Family Foundation: “The Justice Department’s brief creates another cloud of uncertainty for insurers, just as they’re filing proposed ACA rates for 2019. When insurance companies face uncertainty, they increase premiums.” “The Trump administration is arguing in court that the ACA’s protections for people with pre-existing conditions should be thrown out. The Justice Department’s brief creates another cloud of uncertainty for insurers, just as they’re filing proposed ACA rates for 2019. When insurance companies face uncertainty, they increase premiums…27% of non-elderly adults have pre-existing conditions. Arguing in court that protections for them should be eliminated, as the Trump administration is now doing, could provoke a backlash in an election year.” [Larry Levitt, 6/7/18]

Andy Slavitt, Former Director Of Centers For Medicare And Medicaid Services: “The Biggest Health Care News of the Year.” “BREAKING: The biggest health care news of the year. The Trump DOJ tonight just told the courts to dismantle pre-existing conditions protections and other consumer protections. This may seem predictable, but these actions are unprecedented.” [Andy Slavitt, 6/7/18]

Nicholas Bagley, Health Law Professor at University of Michigan: “I’m at a loss for words to explain how big of a deal this is.” “This is an enormous blow to the integrity of DOJ…I am at a loss for words to explain how big of a deal this is. The Justice Department has a durable, longstanding, bipartisan commitment to defending the law when non-frivolous arguments can be made in its defense. This brief torches that commitment.” [Nicholas Bagley, 6/7/18]

Sam Berger, Senior Advisor At Center For American Progress: DOJ Wants To Take Health Care Away From Those With Pre-Existing Conditions. “For those who don’t have time to read the DOJ brief, a quick summary of the argument: ‘We want to take away health care from people with pre-existing conditions and are willing to make patently absurd legal arguments to do so.’ DOJ’s argument was so inconsistent with the law, that career lawyers actually asked the court to remove them from the case, so that they would not have to be associated with it. That almost never happens, and tells you how terrible DOJ’s legal argument is.” [Sam Berger, 6/7/18]

Topher Spiro, Vice President For Health Policy At Center For American Progress: “This Is A Political Attack On The ACA And People With Pre-Existing Conditions.” “Three respected career DOJ attorneys withdrew from the case in protest just before this brief was filed. That tells you how politicized this is. This is a political attack on the ACA and people with pre-existing conditions.” [Topher Spiro, 6/7/18]

Andy Slavitt, Former Director Of Centers For Medicare And Medicaid Services: “Collusion Between Conservative Plaintiffs And The ‘Defense’ Would Make Pre-Existing Protections And Age Rating Protections Unconstitutional.” “The DOJ, responsible for upholding the rule of law, is not defending the people in a frivolous lawsuit to say that without the mandate, the rest of the ACA can’t be enforced. This collusion between the conservative plaintiffs and the “defense” would make pre-ex protections and age rating protections unconstitutional. In an active of savage cynicism, the Trump Administration doesn’t want this to go into effect until after the election.” [Andy Slavitt, 6/7/18]

Sam Baker, Health Reporter At Axios: “Sick People Would Just Be Out.” “If DOJ gets its way here, insurers would be free to deny people coverage based on pre-existing conditions. Forget complicated market interactions — sick people would just be out.” [Sam Baker, 6/7/18]

Matthew Yglesias, Co-founder Of Vox: “Good Reminder Of The Real Stakes In The Midterms.” “Good reminder of the real stakes in the midterms; if Republicans do well, they will try as hard as they can to take people’s health care away.” [Matthew Yglesias, 6/7/18]

Editorial Roundup: Across the Country, Standing Up to Health Care Sabotage

Across the country, editorial boards are speaking out against Republicans’ repeal-and-sabotage war on health care as rising costs and higher uninsurance rates take a toll on American communities:

San Antonio Express-News: Health Care Numbers Moving In The Wrong Direction. [5/27/18]

Los Angeles Times: CA Should Fight The Good Fight Against Bad Health Insurance Policies. [5/25/18]

Boston Globe: Repeal Failed, But The GOP’s ACA Attack Continues. [5/12/18]

Charlotte Observer: Get ready for Obamacare Sticker Shock. [5/9/18]

Valley News: Health-Care Sabotage Begins to Kick In. [5/7/18]

Washington Post: Americans Are Starting To Suffer From Trump’s Health Care Sabotage. [5/6/18]

Florida Times-Union: Obamacare has become Trumpcare. [4/12/18]

Des Moines Register: Elected officials undermine Iowans’ health insurance. [4/3/18]

Minneapolis Star Tribune: Sabotaging the Affordable Care Act will lead to pricier insurance. [3/27/18]

Portland Press Herald: Republicans responsible for looming chaos in health care marketplaces. [3/22/18]

Star-Ledger: State Lawmakers Must Rescue Obamacare. [3/11/18]

St. Louis Post-Dispatch: In Iron County, the rural health care catastrophe comes home. [3/8/18]

New York Times: Trump Tries to Kill Obamacare By A Thousand Cuts. [2/21/18]

Los Angeles Times: The Trump administration wants to cut premiums for the healthy at the expense of the sick. Again. [2/21/18]

Research Roundup: Studies Show Better Health Care Outcomes, Stronger Household Finances Thanks to Affordable Care Act & Medicaid Expansion

Six new studies highlight the positive impact of the Affordable Care Act is having on health care in America. Three outcomes-focused studies show clear improvements in care for gynecological cancer, head and neck cancer, and serious psychological distress, while two Medicaid Expansion studies find that expanded coverage leads to lower out-of-pocket costs and stabler household finances. Meanwhile, health care reform has entirely closed the demographic coverage gap between Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) and white Americans.

This new research joins a growing body of work that leads to a simple conclusion: the Affordable Care Act provides measurable benefits for Americans’ health and financial well-being. Here’s a look at the six studies:

Effects of the Affordable Care Act on Young Women With Gynecologic Cancers [Obstetrics & Gynecology, 5/7/18]

This study finds that the ACA’s expansion of access of coverage allowed more young women to catch gynecologic cancer early, improving the likelihood of successful treatment.

  • The study examined nearly 4,000 cases of gynecologic cancer among 21-26-year-old-women and more than 20,000 cases among 27-35-year-old women, comparing those which came about before the ACA and those after its implementation, finding that those with access were more likely to be treated.
  • The study found that prior to the ACA just one in three women between the ages of 19 and 26 were insured, but after its implementation, more than nearly four in five women were covered, helping to account for the diagnoses.
  • The report concluded that, “Young women with gynecologic cancer were more likely to be insured and diagnosed at an early stage of disease.”
  • “This study adds to the evidence of the positive effects of improved coverage through the ACA on young women’s healthcare costs and choices,” noted Dr. Laura Havrilesky, a gynecologist at the Duke University Medical Center, in an editorial published in accordance with the findings.

Changes in Health Insurance Coverage and Barriers to Health Care Access Among Individuals with Serious Psychological Distress Following the Affordable Care Act [Administration and Policy in Mental Health and Mental Health Services Research, 5/12/18]

This study examined mental health outcomes in accordance with the Affordable Care Act, concluding that the ACA has led to better coverage outcomes and increased affordability for non-elderly adults with serious psychological distress (SPD).

  • Examining non-elderly adults with SPD from 2014-2016, the study’s authors found that these adults saw increased coverage and a reduction in the delaying or foregoing of necessary care due to the ACA, and that the law “reduced the odds of an individual with SPD not being able to afford mental health care.”
  • As the study’s authors note, “Mental health care access among racial and ethnic minority populations and people with low income has improved during 2014–2016,” something almost certainly attributable, at least in part, to the ACA

ACA Decreased Non-Insurance Rates Among Patients With Head and Neck Cancer [American Head & Neck Society, 4/19/18]

Another new study finds that in states that expanded Medicaid, patients with head and neck cancer had better health care access.

  • The study analyzed more than 89,000 patients, finding higher coverage rates among both Medicaid enrollees and private insurance, as well as an uninsured rate among diagnoses which decreased nearly 50% after January 2014, in states which expanded Medicaid.
  • The study found that those lacking coverage had an overall survival rate of just 49% compared to 63% among those insured, as well as a a 5-year disease-specific survival rate of just 57% compared to 72% among those insured.

The Effect of the Affordable Care Act Medicaid Expansions on Financial Wellbeing [Journal of Public Economics, 5/7/18]

Another study compiled by employees of the Federal Reserve Bank of Chicago and the University of Illinois, University of Michigan, and Northwestern University found that low-income residents saw better financial outcomes in states which expanded Medicaid.

  • Using credit reporting agency data, the researchers compared the financial outcomes among low-income adults in states which expanded Medicaid and those which did not, determining that Medicaid expansion “significantly reduced d the number of unpaid bills and the amount of debt sent to third-party collection agencies among those residing in zip codes with the highest share of low-income, uninsured individuals.”
  • The study found that Medicaid expansion lowered unpaid balances in collections “by between $65 and $88,” while Medicaid enrollees saw their amount of unpaid balances in collections decrease “by approximately $1,140.”
  • As the authors note: “Our findings suggest that the ACA Medicaid expansions had important financial impacts beyond increasing health care use.”

The Effect of ACA State Medicaid Expansions on Medical Out-of-Pocket Expenditures [Medical Care Research and Review, 5/10/18]

A new analysis from the University of Michigan’s Institute for Social Research finds that Medicaid expansion lowered out-of-pocket medical expenses.

  • The study, conducted by Joelle Abramowitz of the Institute of Social Research, analyzed data from the Current Population Survey Annual Social and Economic Supplement between 2011-2016, finding that those in states which expanded Medicaid saw their medical spending decreases, due to fewer premiums and reduced out-of-pocket medical expenses.
  • The study’s findings “suggest that the expansions were associated with a relatively larger likelihood of having zero premium expenditures and of having zero nonpremium medical out-of-pocket expenditures for low-income individuals,” as well as suggest “that the expansions were effective in reducing medical out-of-pocket expenditures.”

Health Insurance for Asian Americans, Native Hawaiians, and Pacific Islanders Under the Affordable Care Act [JAMA Internal Medicine, 4/30/18]

Researchers from the Harvard T.H. Chan School of Public Health analyzed the impact of the Affordable Care Act on coverage among Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs), finding that the ACA closed the uninsured rate gap between AANHPIs and white Americans.

  • Using data from the American Community Survey, the researchers examined the uninsured rate among AANHPIs prior to the ACA and after its implementation, the first study of its kind, finding that unlike other minority groups which saw a decrease in the coverage gap between themselves and white Americans, the coverage gap among AANHPIS was eliminated.
  • Overall, the uninsured rate among AANHPIs dropped 7.3% following the ACA. Among the subgroups of AANHPIs, all saw significant drops: 14.3% among Guamanian or Chamorro, 6.5% among Samoan, and 4.9% among Native Hawaiians, as well as 5.9% among other AANHPIs.
  • “The notable gains in health insurance coverage for AANHPI groups represent valued progress toward health equity,” said senior author Howard Koh, the Harvey V. Fineberg Professor of the Practice of Public Health Leadership at Harvard Chan School and Harvard Kennedy School.

COVERAGE ROUNDUP: A Year Later, Americans Remember House Republican Vote to Repeal Our Health Care

Associated Press: A Year After ‘Obamacare’ Vote, Democrats See Election Cudgel. “The Democratic charge on health care represents a turnaround from recent elections… [and] the failed GOP repeal effort helped turn the tables. A Wall Street Journal-NBC News poll last month showed people trust Democrats over Republicans for handling health care by 18 percentage points. A Kaiser Health Tracking Poll in February showed Obama’s law with a favorable rating from 54 percent of Americans, its highest score in more than 80 Kaiser surveys since the statute’s enactment. Marking the vote’s anniversary, progressive groups planned more than a dozen rallies Friday from California to Virginia. The liberal Save My Care was airing a 30-second television ad in Washington, D.C., showing top Republicans celebrating the House vote with Trump in the White House Rose Garden. ‘We won’t forget’ appears on a black screen after newscasters intone the bill’s impact, including letting insurers charge higher prices for people with pre-existing medical conditions.” [AP, 5/4]

Bakersfield Californian: A Year Later, Congress’ Attack On Healthcare Consumers Continues. “One year ago, May 4, 2017, is a day that should live in infamy for 14 California Representatives, including Bakersfield’s congressman Kevin McCarthy, who led the effort to shred healthcare protections for their constituents. While key parts of the Affordable Care Act, Medicaid, and other federal programs ultimately survived, it was only by a margin of a single vote in the U.S. Senate. We should never forget that these irresponsible Representatives voted for the so-called American Health Care Act and against their own constituents and that they continue attempts to undermine our health system… On this anniversary, Californians cannot forget the decisions made by their Congressmembers, or the continued attempts and administrative attacks on our health care. We must not just remember the past, but work to protect our health care into the future.” [Bakersfield Californian, 5/2]

Washington Examiner: Obamacare Allies Attack Gop To Mark Anniversary Of House Repeal Vote. “Obamacare advocacy groups and allies are trying to remind voters ahead of the November midterm elections about the one-year anniversary of the House’s passage of Obamacare repeal. Groups are planning ads, rallies, and other outreach efforts on Thursday and Friday centered around the May 4 anniversary of the House vote… Protect Our Care is holding a series of 18 to 20 events across 13 states Thursday and Friday…  The actions come as Democrats and Obamacare allies hope to hammer Republicans for their attempts to repeal Obamacare in the midterms. Protect Our Care Campaign Director Brad Woodhouse said that exit polls in several special elections that Democrats won showed healthcare as a top issue.” [Washington Examiner, 5/3]

Athens Messenger: Reflections On The American Health Care Act. “One year ago, on May 4, 2017, the House of Representatives passed the so-called ‘American Health Care Act,’ or AHCA. The health care repeal bill would have cut coverage, increased costs, and eliminated protections for tens of thousands of Ohioans. The bill also would have imposed an ‘age tax,’ letting insurers charge people over 50 times more for coverage, and put the health of one in five Americans on Medicaid — including seniors, children and people with disabilities — in jeopardy… As we remember the devastation that we narrowly escaped thanks to the Senate striking down the House’s AHCA, we must recommit ourselves to fighting for our health care, holding our representatives in Congress accountable, and, come November, voting out of office those who put partisan politics and big donors before us, their constituents.” [Athens Messenger, 5/4]

Huffington Post: For The First Time In An Election Cycle Since Obamacare’s Passage, A Majority Of The Public Now Approves Of The Health Care Law. “One year ago, President Donald Trump and House Republicans gathered in the Rose Garden for a victory ceremony. Speaker Paul Ryan (R-Wis.) had just shepherded through a bill repealing major parts of the Affordable Care Act, moving them a step closer to their promise of undoing President Barack Obama’s signature legislative achievement. ‘We don’t have to talk about this unbelievable victory — wasn’t it unbelievable? So we don’t have to say it again. But it’s going to be an unbelievable victory, actually, when we get it through the Senate,’ Trump boasted, standing in front of beaming House members… ‘We see health care as the defining issue of the 2018 midterms,’ said David Bergstein, spokesman for the Democratic Senatorial Campaign Committee. ‘The Republican health care agenda is incredibly toxic with voters of every political persuasion.’ For the first time in an election cycle since Obamacare’s passage, a majority of the public now approves of the health care law. Democrats now have a sizable advantage over the GOP on the issue, and candidates frequently bring up their support for Obamacare while meeting with voters.” [Huffington Post, 5/4]

Des Moines Register: A Year Later, Republicans’ American Health Care Act Is A Nightmare For Small Businesses. “One year ago this week, a majority of the House of Representatives, including representatives Rod Blum, David Young and Steve King, voted for and passed the so-called ‘American Health Care Act,’ or AHCA, an ACA repeal bill that would have cut coverage, increased costs and eliminated protections for more than 100,000 Iowans. They proved that they are willing to play political games with Iowa’s health care, including thousands of small businesses, farmers, entrepreneurs and the self-employed in their very own districts.” [Des Moines Register, 5/4]

The Hill: Say It With Me: Democrats Are The Party Of Health Care. “From looking at the polling, special election outcomes and national sentiment, the answer should be clear to all of us: Democrats are the party of health care… There has been a sea change for ObamaCare in America. Today, the law is favored by 49 percent of Americans and opposed by 41 percent in the Real Clear Politics average. According to Gallup, 56 percent now believe health care is the government’s responsibility, while only 42 percent think it’s not. A Washington Post-Kaiser Family Foundation poll even found that 51 percent support single-payer coverage, while 43 percent oppose it… This sentiment takes on special importance because Friday is the one-year anniversary of the Republicans voting to repeal ObamaCare. So when they say ‘MAGA!’ to you, simply reply ‘Health care!’ to them.” [The Hill, 5/3]

East Central Minnesota Sun This Week: “I Will Be Forever Grateful That The Senate Failed To Pass A Bill.” “May 4 is the one-year anniversary of the day the Republican majority in the House of Representatives, including Rep. Jason Lewis, voted to repeal the Affordable Care Act. If this bill would have passed Congress, people we know would have lost their coverage through the repeal of the Medicaid expansion. Many people, especially seniors, would have been faced with the uncertainty of premium increases. I will be forever grateful that the Senate failed to pass a bill later in the summer.” [Sun This Week, 5/3]

New York Times: On Anniversary Of House Obamacare Repeal, Democrats Look To Extract A Price. “All told, the House bill would have increased the number of people without health insurance by 14 million this year and by 23 million in 2026, the Congressional Budget Office estimated… Beyond the House repeal bill, Democrats have also developed a broader argument that Republicans have inflicted damage on health insurance markets, partly because of actions taken by the Trump administration to undermine the Affordable Care Act. Just this week, they gained an assist from an unlikely figure: Tom Price, Mr. Trump’s former secretary of health and human services, who said that ending the requirement that most people have coverage, known as the individual mandate, would increase costs for people buying insurance. Helping the Democrats, polls have shown that the Affordable Care Act has gained in popularity since the 2016 elections. In an NBC News/Wall Street Journal poll conducted last month, Democrats had an 18-percentage-point edge when people were asked which party they thought would do a better job dealing with health care.” [NYT, 5/2]

Albany Times Union: Ad Campaign Targets Faso, Stefanik & Tenney. “On the anniversary of Congress’ passage of the American Health Care Act, which would have repealed key parts of the Affordable Care Act, the labor union 1199SEIU is launching a radio and print ad campaign to remind local voters of that three New York representatives who supported that version of the bill. The union, in a statement, said that the goal of the campaign is to remind voters of that efforts to sabotage healthcare and Medicaid are still ‘a very real threat.’” [Times Union, 5/4]

USA Today: Democratic Candidates Running On Health Care After GOP Attempts To Repeal Obamacare. “Friday marks the year anniversary of House Republicans’ vote to repeal and replace the Affordable Care Act.  It was the first vote of a months-long effort from congressional Republicans to get rid of the law. It ultimately failed in the Senate, but it left many Republicans on record voting to remove millions of Americans from the rolls of the insured — and Democrats are hammering them for it. After years of playing defense on health care, Democratic candidates have made it a top issue this election cycle. They are pledging to fix the flaws in Obamacare while targeting Republican attempts to “sabotage” it and take coverage away. And grassroots organizations that protested Republican efforts are keeping up the pressure with events planned around the anniversary. ‘This is going to be a continuing conversation throughout the election,’ said Sen. Chris Van Hollen, of Maryland, chairman of the Democratic Senatorial Campaign Committee. ‘I’m seeing this as an issue in every state.’” [USA Today, 5/2]

New Jersey Globe: New Kim Video Hits MacArthur On Health Care Vote. “Democratic congressional candidate Andy Kim is using the one-year anniversary of Rep. Tom MacArthur’s move to repeal Obamacare to launch a new web video ad that slams the GOP congressman for introducing legislation ‘that tried to take away health care for millions of Americans.’ In ‘Holding MacArthur Accountable,’ Kim points to the birth of his son as the moment he decided to run. ‘Last year, the doctor told me and my wife that our baby boy might not be able to make it. We had to prepare ourselves for the fact that he might have a problem that would affect him for the rest of his life,’ Kim says in the ad. ‘I remember turning to my wife and telling her that if our family gets through this, if our baby is born healthy, that I will do whatever I humanely can to hold Tom MacArthur accountable for what he did. That’s why I’m running for Congress.’” [New Jersey Globe, 5/4]

Roll Call: Liberal Groups Release Polls Showing Health Care Could Hurt GOP Incumbents. “A sizable percentage of voters surveyed said they were less likely to support Republican incumbents who voted for the GOP health care bill. More voters surveyed in the districts also approved of the health care law than disapproved. ‘It has been one year since House Republicans proudly voted for health care repeal, and it is clear that their constituents have neither forgotten nor forgiven them,’ Tim Hogan, a spokesman for Health Care Voter, said in a statement.” [Roll Call, 5/4]

Research Roundup: Studies Confirm That ACA, Medicaid Improve Health Care Access and Outcomes, Boost Local Economies

Over the past month, five studies looking at the impact of the Affordable Care Act have been released: three analyzing Medicaid expansion, and two analyzing marketplace coverage. These studies covered a broad scope of health care-related outcomes, from treatment for chronic conditions to jobs created in a local economy, and each came to the same conclusion: the ACA is providing clear benefits for Americans.

Here’s a look at what these five studies found:

Louisiana Department of Health: Medicaid Expansion and the Louisiana Economy

A report released in April by the Louisiana Department of Health analyzed Louisiana’s Medicaid expansion, finding that expansion not only boosted the state’s economy but also save the state money, leaving Gov. John Bel Edwards to conclude, “It is costing us less to have more people insured.” Among its key takeaways:

  • The state saw a $1.85 billion economic impact due to Medicaid expansion, with Louisianans seeing $1.12 billion in personal earnings and local tax receipts totaling $746 million, with the economic impact “spread throughout the state.”
  • Louisiana saw 19,000 new jobs created under Medicaid expansion, making clear that “such healthcare can also positive affect the labor participation rate.”
  • Over 545,000 Louisianans have benefited under Medicaid expansion, including more than 180,000 Louisianans who visited a doctor and received new preventive services, more than 35,000 Louisianans who received breast cancer screenings, and more than 48,000 Louisianans who received mental health services.
  • Medicaid expansion saved the state $317 million, leading Gov. John Bel Edwards to note, “It was the easiest big decision I’ll ever make as governor.”
  • As the study’s authors concluded, the economic impact will continue “as long as the state maintains the program and as long as no major changes are instituted by the federal government, either through acts of the U.S. Congress or regulatory decisions made by the Center for Medicare & Medicaid Services.”

University of Montana Bureau of Business and Economic Research: Medicaid Expansion Has Boosted State’s Economy, Added Jobs, Improved Health Care

A March study from the University of Montana Bureau of Business and Economic Research examined the effects of Montana’s Medicaid expansion, and found that it has not only provided insurance to more than 94,000 Montanans, but had a major impact on the state’s economy. Among its key takeaways:

  • Montana’s Medicaid expansion was responsible for creating 5,000 new jobs,  in the health care, retail, construction and hospitality industries, and $280 million of personal income.
  • Labor-force participation has increased six points, from 58 to 64 percent, among those eligible for Medicaid expansion, Montanans aged 18-64 and earning up to 138 percent of the federal poverty level .
  • Medicaid expansion has saved $40 million in Medicaid benefits, in addition to providing $902 million worth of health care services. “The savings are enough to pay for the costs,” said Bryce Ward of the BBER.
  • Medicaid expansion accounts for an estimated $564 million per year on health care spending, with nearly 70% of this being “new money,” or an economic boost spurred only by expansion.
  • As Sheila Hogan, director of the state’s Department of Health and Human Services said, “Medicaid expansion is doing what it’s supposed to do, help Montanans live healthier lives and save the state money.”

America’s Health Insurance Plans: The Value of Medicaid: Providing Access to Care and Preventive Health Services

An April study from America’s Health Insurance Plans (AHIP) compared data from Americans covered by Medicaid, private insurance, and not covered, analyzing the access to care received under each, finding that Medicaid tremendously improves access to care. Among its key takeaways:

  • Adults (five-times as likely) and children (four-times) were significantly more likely to have access to “a usual source of care” than those without insurance.
  • Adults (four-times as likely) and children (two-to-three times) were significantly more likely to obtain preventative care than those without insurance.
  • Those enrolled in Medicaid had access to care at levels comparable to private coverage, and far better access to care than those without insurance.
  • As the authors concluded, “The findings from this study refute outdated, less rigorous studies that question the value of Medicaid, and add to the growing number of recent studies that demonstrate the value of having insurance coverage generally, and Medicaid more specifically.”

Health Affairs: Effects Of The ACA’s Health Insurance Marketplaces On The Previously Uninsured: A Quasi-Experimental Analysis

An April study published in Health Affairs, led by Harvard Medical School clinical fellow Anna Lise Goldman, MD, compared adults who had gone through periods without insurance to those with continuous coverage. It found that the ACA improved health care outcomes, especially among low-income adults. Among its key takeaways:

  • The introduction of the ACA saw the uninsured rate decrease by 11 percentage points and the number of of individuals unable to access necessary care fall by two points, as well as more outpatient visits, more prescriptions being filled, and a higher probability of a hospital stay.
  • Lower-income individuals, those with incomes of between 138 and 250 percent of the federal poverty level, saw even larger increases in the number of outpatient visits and prescriptions being filled.
  • As the study’s authors concluded, “The ACA led to a significant decline in the uninsurance rate, decreased barriers to medical care, increased the use of outpatient services and prescription drugs, and increased diagnosis of hypertension, compared to a control group with stable employer-sponsored insurance.”

Health Affairs: The Affordable Care Act’s Marketplaces Expanded Insurance Coverage For Adults With Chronic Health Conditions

An April study published in Health Affairs examined the role the ACA marketplace had on non-elderly adults with chronic conditions, finding that those far more Americans with chronic conditions obtained coverage through the marketplace. Among its key takeaways:

  • During the time period analyzed, 45% of marketplace enrollees aged 18-64 were treated for chronic conditions, compared to just 35% of those not enrolled in marketplace coverage and 38% of adults with employer insurance.
  • Those enrolled in marketplace coverage obtained more service use than those without it, underscoring the long-term benefits of the ACA.

REACTION ROUNDUP: Health Care Proves Political Asset for Democrats in PA-18

DEMOCRATIC CANDIDATES REACT

Allison Stephens, D-Candidate for NV04: “In #PA18, 53% of dem voters & 63% of independent voters were opposed to #ACA repeal. One thing is clear: healthcare will be a deciding issue in 2018. The GOP must abandon repeal. We need access to quality, affordable healthcare in #NV04. #ProtectOurCare” [Allison Stephens, 3/14/18]

Christina Hartman, D-Candidate for PA10: “My opponent @RepScottPerry is a member of the House @freedomcaucus that pushed to gut protections for those with preexisting conditions. #PA10 voters will remember in November. #PA18 @ProtectOurCare #TrumpCare” [Christina Hartman, 3/14/18]

Pat Ryan, D-Candidate for NY19: “Must continue to remind voters in #NY19 that @RepJohnFaso (and fellow Rs) voted to rip healthcare away from our community. Protecting healthcare for working families key to @ConorLambPA victory in #PA18; cc @1199UpstateNY #ProtectOurCare” [Pat Ryan, 3/14/18]

Eddie Sundquist, D-Candidate for NY23: “ The voters of #PA18 proved that we will not stand idly by when Republicans like @RepTomReed vote to take away healthcare from 68,000 #NY23 constituents. A diagnosis should not be a death sentence or mean financial ruin.” [Eddie Sundquist, 3/14/18]

TOP INFLUENCERS: THIS IS BIG

Andy Slavitt, top Obama Administration health official: “BREAKING: Even with #PA18 officially too close to call, health care voters carried the day. 52% of voters ranked health care as a top issue. By 64-36, those voters favored @ConorLambPA.” [Andy Slavitt, 3/14/18]

Tom Perez: “That’s when we do well. That’s how Doug Jones won. He was talking about kitchen table issues, he was talking about healthcare. Conor Lamb was talking about health care… that’s how we’re winning elections by talking about those shared issues. That’s what Conor was fighting for. He was fighting for access to health care — the number one issue for voters in district 18, as it was across the country was health care. And they understand that Democrats believe health care should be a right for all and not a privilege for many.” [MSNBC, 3/14/18]

Mario Molina, former CEO of Molina Healthcare: “Reassuring to hear @ConorLambPA talk about the importance and support of critical health and safety net programs. “They are America’s way of saying, ‘We are all in this together.'” [Mario Molina, 3/14/18]

Steven Dennis, Bloomberg reporter: “ACA opposition *used* to be solid gold for GOP Conor Lamb took mend it, don’t end it position; PPP (D) poll found ACA at 44/42 approval in #PA18” [Steven Dennis, 3/14/18]

DNC: Voters Reject Trump-Republican Agenda. “Health care was a top issue in last night’s election and Conor Lamb won those voters by a wide margin, making it clear voters reject Republican policies that have already left millions more Americans without health insurance and sent premiums skyrocketing.” [DNC to press list, 3/14/18]

Topher Spiro, Vice President for health policy at Center for American Progress: “BOOM. This is it. Any vulnerable Republican who voted to repeal health care is toast.” [Topher Spiro, 3/14/18]

Jonathan Cohn, Senior National Correspondent at Huffington Post: “Maybe trying to take health insurance from millions of people is a political loser.” [Jonathan Cohn, 3/14/18]

HOW IT PLAYED IN THE HEADLINES

The Week: GOP efforts to kill ObamaCare might have tipped the scales for Conor Lamb in Pennsylvania’s special election [3/14/18]

ThinkProgress: Pennsylvania voters say the GOP’s health care antics cost Saccone their vote [3/14/18]

Daily Intelligencer: 5 Lessons From the Pennsylvania Special Election [3/14/18]

MarketWatch: Pennsylvania Democrat Lamb had upper hand with voters on health care, poll finds [3/14/18]

Vox: Conor Lamb decisively won the health care vote in the Pennsylvania special election [3/14/18]