Showing posts with label headaches. Show all posts
Showing posts with label headaches. Show all posts

Monday, October 28, 2013

Obamacare headaches: More than the website

The HealthCare.gov website is shown. | Reuters

White House officials insist all will work once the website is up. | Reuters





President Barack Obama has said it again and again: Obamacare is more than just a website. And he’s right — the Affordable Care Act’s benefits aren’t limited to healthcare.gov.


Neither are its hangups.







The range of issues and potential issues runs the gamut, from the truly glitchy — the small and likely solvable — to much more serious threats to the viability of the health exchanges at the heart of Obamacare.


White House officials insist all will work once the website is up, running and easy to use. But the intensity of the national focus on the website has saved them from having to answer questions about other potentially damaging issues that have arisen either outside the virtual confines of healthcare.gov or in conjunction with troubled portal.


Mostly, those problems are a matter of pocketbooks and politics.


Consumers are suffering from sticker shock; a major cross-section of previously insured Americans are finding out that their plans are changing to conform with Obamacare even though the president promised they wouldn’t; evidence of customer satisfaction is anecdotal; and there’s still no guarantee that the young “invincibles,” who must make up 20 percent to 30 percent of the pool to make the exchanges work, will actually enroll.


“You have to bust a myth that they’re young invincibles and they don’t want it,” one senior White House official said. “That’s just not true based on the data.”


But right now, it’s not clear that the administration will be able to get enough young and healthy people to sign up for insurance through the exchanges to make the program work, and the piece of the law designed to drive those folks into the insurance market — a tax for non-compliance under the individual mandate — is becoming politically untenable even for some Democrats.


The new market rules in Obamacare take effect in January — blocking plans from charging people with pre-existing conditions more than the healthy and charging women more than men, and limiting how much more older people can be charged than younger ones.


Supporters say the new rules will make the market more fair, opening it up to people with pre-existing conditions and eliminating discrimination based on gender. But the changes come at a price.


And while subsidies are available to offset the costs to lower income people, individuals making more than $ 46,000 or a family of four bringing home $ 94,000, bear the full brunt of the new prices. The big reveal has shocked some consumers, especially the healthy ones who had relatively affordable insurance before and make too much money to get subsidized coverage next year.


The White House has put out a report on premiums that found 60 percent of people getting coverage under Obamacare next year will pay premiums of less than $ 100 per month. That includes those who enroll in Medicaid – the health program for the poor — and pay very little.


The premiums came in “lower than expected,” beating earlier government projections, which the administration welcomed. But that doesn’t necessarily mean they’re low.


Some consumers who don’t have insurance are just finding out now that the fine will pale in comparison to the hundreds of dollars a month they would have to pay to buy coverage and deductible thresholds in the thousands of dollars. And others are discovering that they make too much money to qualify for subsidies.


“There’s been a whole lot of emphasis on what’s going on with the website, but there’s been a lot less on the people who aren’t going to get subsides,” said Jennifer Beason, an insurance broker in the Atlanta area. “Their rates are going through the roof.”


Then there are consumers who simply believe it’s unfair to make them pay a tax for not buying insurance on a website that doesn’t work.


White House officials insist the main impediment is the website — not the basic pricing construct — and that young, healthy folks will sign up in droves once the bugs are driven from the system.


In fact, all of these things weigh against what’s the ultimate measure of the success of the law: Can the administration enroll an estimated 7 million people by the end of March — and will they be the right mix of young healthy folks and older sicker types?


Before the exchanges launched, insurers made predictions on enrollment, and priced their premiums accordingly. Low enrollment, or a disproportionately large number of sickly people, would be devastating.




POLITICO – TOP Stories



Obamacare headaches: More than the website

Monday, October 14, 2013

6 presidential siblings and the headaches they caused

6 presidential siblings and the headaches they caused
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Every aspect of the American presidency comes under intense scrutiny, but few parts of a president’s life contain as many amusing, slightly sordid anecdotes as their siblings’ behavior




Every aspect of the American presidency comes under intense scrutiny, but few parts of a president’s life contain as many amusing, slightly sordid anecdotes as their siblings’ behavior. When a new president takes office, his ne’er-do-well siblings receive a whole slew of opportunities for corrupt behavior, legal scrapes, and generally humiliating mayhem. Here are a few of our favorites:


1. Neil Bush: Opening doors when opportunity knocks


George W. Bush’s younger brother Neil certainly hasn’t done much to make his brother’s rocky political life any easier. Neil’s been making the wrong kind of news since as far back as the 1980s, when as the son of Vice President George H.W. Bush he served as a director of Silverado Savings and Loan, which cost taxpayers an estimated $ 1 billion when it collapsed. He drew accusations of insider trading chicanery in 1999 when he made nearly $ 800,000 in three trades of Kopin Corporation stock in a single day; Bush had been a consultant for Kopin and sold on the day the stock’s price soared as the result of good news from a client. Bush also had a somewhat dubious-sounding arrangement with Grace Semiconductor, a Chinese company with ties to former Chinese president Jiang Zemin. Despite admittedly not knowing anything about semiconductors, Bush had a deal to receive $ 2 million in stock and $ 10,000 for every board meeting he attended to discuss business strategies, a deal that led to claims of influence peddling.


These little business episodes were just appetizers for Bush’s truly bizarre 2003 divorce proceedings. His wife Sharon Smith accused Bush of enjoying the company of high-priced escorts on business trips to Thailand and Hong Kong. (Bush’s defense: Yes, he had sex with these strange women, but they might not have been prostitutes. They just showed up at his door, and he slept with them. No money changed hands.) Not content to let things die with that simple embarrassment of infidelity, Neil’s friend John Spalding accused Sharon of pulling out Neil’s hair for use in a voodoo curse. Sharon countered that she simply wanted the hair tested for evidence of cocaine use. In either event, the President couldn’t have been too pleased as this saga played out in front of the media.


2. Roger Clinton: Codename “Headache”


Some presidential siblings wait until their brother takes up residence in the White House to start making trouble. Not Bill Clinton’s half-brother Roger, though. By the time Bill had jumped from the Arkansas governor’s mansion to Washington, Roger had already spent a year behind bars for a 1984 cocaine distribution arrest. He then spent much of Bill’s two terms trying to realize his dream of becoming an Elvis-like rock star with his band, Politics, and appearing in a string of abysmal movies that must have been almost as embarrassing for Bill as the cocaine arrest. (It’s one thing to get in trouble for drug trafficking, but it’s quite another to have the poor judgment to appear opposite Pauly Shore in Bio-Dome.)


Despite his busy schedule, he still found time to get into an altercation with a stockbroker at a Knicks game in 1993 and later unsuccessfully lobbied for pardons for his drug-dealing chums. Bill actually included Roger’s cocaine arrest in his flurry of pardons in 2001; Roger showed his gratitude by promptly getting arrested for drunk driving a month later. It’s easy to see why his Secret Service codename was “Headache.”


3 & 4. Hugh and Tony Rodham: Brothers in harm


Despite the nickname, Roger might not even have been the biggest familial headache Bill Clinton had to deal with during his term. Instead, the Clintons introduced a new species of White House blight: bad presidential brothers-in-law. While Roger was pretty much a run-of-the-mill troublemaker, Hillary’s brothers Hugh and Tony were bumbling power grabbers who kept making almost comical attempts to capitalize on their sister’s high station. In 1999, Hugh, a former Florida public defender, and Tony, whose resume included work as both a private eye and a repo man, joined in on a $ 118 million business plan to process and import hazelnuts from the Republic of Georgia. There was a slight hitch though: The brothers’ key connection in Georgia was a major political rival of Georgia’s president (a key American ally). Bill and Hillary had to work in tandem with National Security Advisor Sandy Berger to talk the brothers out of their hazelnut empire. (We can only hope Roger Clinton would later defend his own antics with, “…yeah, but I never attempted to politically destabilize former Soviet republics, did I?”)


After this episode, Hugh seemed to start behaving. That image only lasted for a couple of years, though. When Bill Clinton issued the slew of pardons before leaving office in 2001, drug dealer Carlos Vignali and Glenn Braswell, who had peddled a fake baldness cure by mail, received a sentence commutation and a pardon, respectively. Somehow, Hugh Rodham pocketed $ 400,000 for offering legal help in acquiring the pardons. Although the transaction may have been perfectly legal, it certainly didn’t appear all that kosher, and the Clintons suffered further embarrassment when the story broke.


5. Billy Carter: The mother of all brothers


Truly the standard by which all other presidential sibling’s antics are judged, Billy burst onto the national scene as the boisterous, hard-drinking counterpoint to his pious, reserved brother Jimmy. Billy’s early antics were amusing and fairly innocuous: He endorsed the legendarily terrible Billy Beer in an effort to make a little cash off of his hard-living image, and he made quips like, “My mother went into the Peace Corps when she was sixty-eight. My one sister is a motorcycle freak, my other sister is a Holy Roller evangelist and my brother is running for president. I’m the only sane one in the family.” While he worked hard to convey a roughneck bumpkin image to the press, Billy’s confidantes claimed that he was in fact well-read and an able businessman who used his Southern bona fides to help his older brother’s political cause. On the other hand, Billy’s drinking turned from amusing to tragic as his fame grew.


In 1979, he had to go into rehab to curb his drinking. Around the same time he nearly lost his Georgia home to the IRS for failing to pay a six-figure federal income tax bill for 1978. The real capper, though, came when Billy began consorting with Libya at a time when relations between the North African nation and the U.S. were starting to strain. In 1978, he made a trip to Libya with a group of Georgia businessmen who were interested in expanding trade with the country; Billy then hosted a Libyan delegation in Atlanta. When questioned about his dealings, Billy responded, “The only thing I can say is there is a hell of a lot more Arabians than there is Jews,” a public-relations nightmare for which he later apologized. The damage got worse in 1980 when Billy registered as an agent of the Libyan government and received a $ 220,000 loan from the Libyans for helping facilitate oil sales. This transaction led to accusations of influence peddling and a Congressional investigation. In short, it was enough to make Jimmy Carter long for the days when his brother’s antics only included such little quirks as urinating in public in front of a group of reporters and dignitaries.


6. Donald Nixon: Big loans for small potatoes


Prior to 1960, nobody had even heard of Donald Nixon, even though his brother Richard had been VP under Eisenhower. When Richard launched his own presidential campaign against JFK, though, Donald found himself flung into the spotlight. Don was a restaurateur, and not a very good one. In 1954, he was running a chain of Nixon’s drive-ins in Whittier, California and fell upon some tough financial times. In an effort to keep the business afloat, he accepted a $ 205,000 loan from Howard Hughes. “Big Don,” as he called himself, never got around to paying Hughes back, and voters had to wonder why a defense contractor like Hughes was suddenly so interested in a chain of burger joints that just happened to be run by the Vice President’s rotund brother. Whatever the reasoning, the loan wasn’t enough, and the chain went under the following year.
Don caused a second stir in 1969 by once again joining his pal Hughes for a shadowy trip to the Dominican Republic. Nothing came of this episode, but it certainly didn’t look good to have Big Don once again flitting about with Hughes. All of this might explain why the press later learned in 1973 that during Nixon had the Secret Service tap Big Don’s phone calls lest he do something illegal, or even more problematic, embarrassing to his brother.


HONORABLE MENTION: Sam Houston Johnson


Lyndon Johnson’s brother loved to have him some drinks. Once hammered, he’d get chatty with the press, a habit that LBJ eventually curbed by placing him under Secret Service surveillance. According to several sources, he’d occasionally pass a bad check, too. Sam Houston Johnson later wrote a book My Brother Lyndon in which he slammed LBJ as a bully who was a difficult boss. As Time put it, “A rivalry with the leader of the free world played hell with Sam’s self-image.”


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