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Jan 26Liked by Merrill Goozner

Great column. My understanding of the intricacies of this issue just increased by about 90%. Now can you tell me why the Democratic party can't figure out how to use Obamacare to attract/motivate voters in states like Florida and Texas? We can't tell a story to save our lives.

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My wife and proofreader Karen constantly reminds me that storytelling is important. It's a lost art among far too many journalists, not just liberal politicians.

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This looks pretty much like a good old Modern Healthcare editorial.

Do you think that if the housing and long-term care sections of Medicaid were split off and operated as national independent programs, the beneficiaries of all three programs would get better access to quality care, long term care and housing?

What are the politics of keeping the Medicaid conglomerate together? Who would support breaking Medicaid up to make it more cost effective and better for patients and the poor who need housing?

When Obamacare was enacted in 2009, there were about 10 million to 12 million uninsured American citizens who could not afford individual private insurance plans and were hard core unemployed because of addictions, mental illness and other chronic illnesses and conditions.

Now, after more than 10 years of tweaking and modifying Obamacare and Medicaid, some 21 million are enrolled in Obamacare, which began as a huge wealth transfer scheme and payoff to the special interests that financed Obama's campaigns.

At this point, I don't think anything Trump or Biden says about the future of Medicaid, Medicare or Obama care can be believed. They don't know what Congress will do with those programs and neither do we.

So we'll just muddle through.

Say hi to Vince next time you talk.

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Feb 2·edited Feb 2

2009: "In 2009, 46.3 million persons of all ages (15.4%) were uninsured at the time of interview, 58.5 million (19.4%) had been uninsured for at least part of the year prior to interview, and 32.8 million (10.9%) had been uninsured for more than a year at the time of interview." CDC

2022: "Highlights from the report include: 8.4% or 27.6 million Americans of all ages did not have health insurance in 2022 compared to 10.3% or 33.2 million in 2019. In the same time period, 4.2% or 3 million children did not have health insurance compared with 5.1% or 3.7 million in 2019." CDC

"U.S. Uninsured Rate Dropped 18% During Pandemic"

The 21 million enrolled are enrolled in Medicaid which may "possibly" be considered a "part" of the PPACA. They are really two separate programs. If we look at total enrollment for the two programs, the numbers go to 35 million. HHS

Look, I am an old guy at 75 just like you. We can sit here and claim back and forth they are working or not working which is a ridiculous discussion to have. We both know how hard life can be when the US economy flops. Even with an MA in Econ, I was still exposed to loss of job and was gaffing up trees to cut them down, cutting and weed whipping grass, and no healthcare insurance. I am a Macro-person and my old Econ Prof for my MA and I still talk and write.

It has been a good ride since 68 when I was in the Marine Corps, discharged, went back for a BA and MA till now and retired.

Please get the numbers right as yours are misleading.

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In 2009 even Obama admitted that the number of uninsured was under 30 million, and he was lying. The true number was 10 million to 12 million hard core poor.

The American Hospital Assn. and others who stood to profit from Obamacare planted all the lies about the huge number of uninsured in 2009.

As the first editor of the post 1975 Modern Healthcare and as the former editor and owner of the Health Care Strategic Management newsletter, I have covered and blogged on this issue for decades.

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