What's Obamacare? A studious Reddit user has read the mammoth 955-page Patient Protection and Affordable Care Act, and outlined the important points of what the new law actually does, with specific citations. While the recently-upheld law itself remains unpopular, most individual components of the bill enjoy widespread popularity among republican politicians and the public, despite the fact that both groups remain largely unaware of the bill's actual provisions. [more inside]
In less than an hour, the Supreme Court will hand down its final judgment in what has become one of the most crucial legal battles of our time: the constitutionality of President Obama's landmark health care reform law. The product of a strict party line vote following a
year century of debate, disinformation, and tense legislative wrangling, the Affordable Care Act would (among other popular reforms) require all Americans to buy insurance coverage by 2014, broadening the risk pool for the benefit of those with pre-existing conditions.
The fate of this "individual mandate," bitterly opposed by Republicans despite its similarity to past plans touted by conservatives (including presidential contender Mitt Romney) is the central question facing the justices today. If the conservative majority takes the dramatic step of striking down the mandate, the law will be toothless, and in danger of wholesale reversal, rendering millions uninsured, dealing a crippling blow to the president's re-election hopes, and possibly endangering the federal regulatory state.
But despite the pessimism of bettors, some believe the Court will demur, wary of damaging its already-fragile reputation with another partisan 5-4 decision. But those who know don't talk, and those who talk don't know. Watch the SCOTUSblog liveblog for updates, Q&A, and analysis as the truth finally comes out shortly after 10 a.m. EST.
This morning marked day two of marathon proceedings in what's likely the most momentous and politically-charged Supreme Court case since Bush v. Gore: the effort to strike down President Obama's landmark health care reform law. While yesterday was a sleepy affair of obscure technical debate, today's hearings targeted the heart of the law -- the individual mandate that requires most Americans to purchase insurance by 2014. With lower courts delivering a split decision before today, administration lawyers held some hope that at least one conservative justice could be persuaded to uphold the provision, which amortizes the risk that makes universal coverage possible. But after a day of deeply skeptical questioning by swing justice Anthony Kennedy and his fellow conservatives [transcript - audio], the mandate looks to be in grave trouble, with CNN legal analyst Jeffrey Toobin going as far as calling the day "a train wreck" for the administration. But it's far from a done deal, with a third day of hearings tomorrow and a final decision not expected until June.
Atul Gawande offers a way for health care to be improved through experimentation and pilot programs, much as agriculture was in 20th century
Health Care: Who Knows 'Best'? "...comparative research on effectiveness is only part of the strategy to improve care. A second science has captured the imagination of policymakers in the White House: behavioral economics. This field attempts to explain pitfalls in reasoning and judgment that cause people to make apparently wrong decisions; its adherents believe in policies that protect against unsound clinical choices. But there is a schism between presidential advisers in their thinking over whether legislation should be coercive, aggressively pushing doctors and patients to do what the government defines as best, or whether it should be respectful of their own autonomy in making decisions. The President and Congress appear to be of two minds. How this difference is resolved will profoundly shape the culture of health care in America." Interesting NY Review of Books article by Jerome Groopman.
Republican Scott Brown has defeated Democrat Martha Coakley in the special election to fill Ted Kennedy's former senate seat. [more inside]
Lawmakers attempt to target elective cosmetic surgery to pay for health reform in the United States. Simply an inviting target? The idea isn't that new, it was shelved once before. Now it's back. There is opposition as botox sales have already been dropping off.
Michelle Cottle takes a look at the rise of Betsy "Death Panels" McCaughey - No Exit: The never-ending lunacy of Betsy McCaughey: Since her earliest days in the spotlight, McCaughey has presented herself as a just-the-facts-please, above-the-fray political outsider. In reality, she has proved devastatingly adept at manipulating charts and stats to suit her ideological (and personal) ambitions. [more inside]
Senate Finance Chair Max Baucus has released the "chairman's mark" (his draft) of health-care legislation, America's Healthy Future Act. [more inside]
The healthcare debate explained on the back of 4 napkins. Napkin 1: The health care equation. Napkin 2: It's not about health care. Napkin 3: The plans on the table. Napkin 4: What's it mean to me?
Healthcare reform has agitated right-wing extremists and moneyed interests in the United States for some time — during the presidencies of FDR and Truman as well as Clinton and Obama, most recently — but where do the objections originate from, and particularly those which are known to be based on complete untruths? Some of these lies start with or are repeated by well-known right-wing media personalities, but there are other people who get the ball rolling, who are perhaps less well-known. Elizabeth "Betsy" McCaughey originated one of the current myths more commonly known as "death panels", but despite her attempts to market herself as a folksy voice fighting for the well-being of senior citizens, she has been an effective advocate for the interests of private health insurance companies since the early 1990s. [more inside]