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U.S. NEWS A7
                                                                                                                                        Tuesday 22 March 2016

Health insurance gains due to Obama’s law, not economy

BY RICARDO ALONSO-              In this March 23, 2010. file photo, President Barack Obama signs the health care bill in the East                                    didates denounce “Obam-
ZALDIVAR                       Room of the White House in Washington. There’s growing evidence that most of the nation’s dra-                                        acare” for a litany of woes.
ASSOCIATED PRESS               matic jump in health care coverage is due to President Barack Obama’s law, and not the gradual                                        But some prominent con-
WASHINGTON (AP) --             economic recovery.                                                                                                                    servative experts recognize
There’s growing evidence                                                                                                                                             that the law has increased
that most of the dramatic                                                                                                                          Associated Press  coverage, even as they
gain in the number of Amer-                                                                                                                                          propose other approaches
icans with health care cov-    lackluster rebound for em-       Medicaid, which was ex-          Kaestner said “most of the                                          to meet that goal.
erage is due to President      ployer-based coverage.           panded under Obama’s             heavy lifting” seems to be                                          “Repealing the law without
Barack Obama’s law, and        “It’s very clear that the Af-    law. The percentage of           coming from Medicaid ex-                                            a plausible plan for replac-
not the gradual recovery of    fordable Care Act has            Americans covered by em-         pansion.                                                            ing it would be a mistake,”
the nation’s economy.          done most of the work in         ployers stayed about the         Employer-provided insur-                                            said a policy paper from 10
That could pose a political    decreasing the number of         same.                            ance plans remain the                                               leading GOP health policy
risk for Republicans running   uninsured,” said economist       - The National Health Inter-     mainstay for workers and                                            experts, published by the
against “Obamacare” in         Robert Kaestner of the Uni-      view Survey from the Cen-        their families, covering                                            business-oriented Ameri-
the GOP primaries as they      versity of Illinois at Chicago.  ters for Disease Control and     an estimated 150 million                                            can Enterprise Institute.
shift to the general election  The numbers vary across          Prevention also found that       to 170 million Americans.                                           Democratic front-runner
later this year. While the     different government sur-        employer coverage was es-        But even before the 2007-                                           Hillary Clinton has already
health care law remains        veys, but the overall pat-       sentially flat between 2010      2009 economic recession,                                            previewed how Democrats
highly unpopular in the par-   tern is strikingly similar:      and 2014. But the same sur-      workplace coverage was                                              might use the issue this fall,
ty, the prospect of taking     - The Census Bureau’s            vey found 12.6 million more      steadily shrinking because                                          frequently reminding voters
away health care cover-        American Community Sur-          people with health insur-        of rising medical costs.                                            they risk losing some popu-
age from millions of people    vey found about 3 million        ance during that period.         Obama’s law provides sub-                                           lar benefits if the health
could trigger a backlash if    more people gained em-           - The Census Bureau’s Cur-       sidized private insurance                                           care law is eliminated.
the eventual GOP nomi-         ployer coverage between          rent Population Survey           for those who don’t have                                            Meanwhile, a nonpartisan
nee’s plan to replace it is    2010, when the health law        found no statistically signifi-  access at work, along                                               analysis of Trump’s initial
seen as coming up short.       passed, and 2014. But the        cant change in the number        with a Medicaid expan-                                              outline for repealing and
“There are different phas-     number of uninsured peo-         of people covered by em-         sion geared to low-income                                           replacing the health care
es of the campaign,” said      ple dropped by more than         ployers from 2013 to 2014,       adults in states that agreed                                        law found it would push
GOP pollster Bill McInturff.   10 million during that same      while the number of unin-        to do so. Most individuals                                          millions back into the “unin-
Playing to like-minded vot-    period. The strongest gains      sured people dropped by          are required to have cover-                                         sured” category.
ers in the primaries, Re-      appeared to come from            nearly 9 million as the law’s    age, and larger employers
publican front-runner Don-                                      main coverage expansion          must offer it or face fines.                                        The analysis last week from
ald Trump doesn’t have                                          got under way during that        The health care law has                                             the nonpartisan Commit-
to spell how he’d replace                                       time.                            been difficult to navigate                                          tee for a Responsible Fed-
Obama’s law. “When you                                          “This kind of shift in insur-    for consumers, and its skin-                                        eral Budget found that the
get to the general election,                                    ance I don’t think can be        ny policies can expose pa-                                          Trump plan would increase
the demand for what you                                         explained by the econo-          tients to high medical bills.                                       the number of uninsured
are going to do different                                       my,” economist Christine         But it’s becoming a back-                                           by about 21 million people
starts to escalate.”                                            Eibner of the RAND Corpo-        stop for millions of Ameri-                                         while costing the govern-
Under “Obamacare,” the                                          ration said. “The increase (in   cans in a changing econ-                                            ment nearly $500 billion
share of Americans with-                                        coverage) is large enough        omy.                                                                over 10 years.
out health insurance has                                        that it can’t be driven by       On the campaign trail, Re-                                          Replacing Obama’s law
dropped to a historic low                                       just economic recovery.”         publican presidential can-                                          with a conservative alter-
of about 9 percent, with                                                                                                                                             native that delivers com-
room to go even lower.                                                                                                                                               parable coverage would
But even as the economy                                                                                                                                              require considerable tax-
has expanded, major gov-                                                                                                                                             payer dollars, something
ernment surveys point to a                                                                                                                                           few Republicans seem
                                                                                                                                                                     ready to accept.
                                                                                                                                                                     “Any repeal has to have a
                                                                                                                                                                     way to increase coverage
                                                                                                                                                                     and not just by a few mil-
                                                                                                                                                                     lion,” said economist Gail
                                                                                                                                                                     Wilensky, who ran Medi-
                                                                                                                                                                     care under former Presi-
                                                                                                                                                                     dent George H.W. Bush.
                                                                                                                                                                     Obama’s law “is obviously
                                                                                                                                                                     not the only way to do this-
                                                                                                                                                                     but it is important that it gets
                                                                                                                                                                     done” Wilensky added.q
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