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Tampilkan postingan dengan label Obama. Tampilkan semua postingan
Tampilkan postingan dengan label Obama. Tampilkan semua postingan

Sabtu, 21 Januari 2012

Obama admin: 2.5M young adults gain coverage

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FILE - In this Nov. 30, 2011, file photo, U.S. Health and Human Services Secretary Kathleen Sebelius participates in an roundtable discussion on health information technology and job creation at Cuyahoga Community College in Cleveland. The Obama administration says the number of young adults going without medical coverage has shrunk by 2.5 million since the new health care law took effect. A new analysis to be released Wednesday, Dec. 14, 2011, finds the drop is two-and-half times larger than indicated by government and private estimates from earlier this year. The health care overhaul allows young adults to stay on a parent’s plan until they turn 26. (AP Photo/Tony Dejak, File) FILE - In this Nov. 30, 2011, file photo, U.S. Health and Human Services Secretary Kathleen Sebelius participates in an roundtable discussion on health information technology and job creation at Cuyahoga Community College in Cleveland. The Obama administration says the number of young adults going without medical coverage has shrunk by 2.5 million since the new health care law took effect. A new analysis to be released Wednesday, Dec. 14, 2011, finds the drop is two-and-half times larger than indicated by government and private estimates from earlier this year. The health care overhaul allows young adults to stay on a parent’s plan until they turn 26. (AP Photo/Tony Dejak, File)eval("var currentItemd57851005a80479aaeeb90a12c70b9ff = 1;");eval("var nextd57851005a80479aaeeb90a12c70b9ff = 0;");eval("var previousd57851005a80479aaeeb90a12c70b9ff = 0;"); WASHINGTON (AP) — Young adults trying to get traction in a tough economy are getting a welcome assist: the new federal health care law has markedly improved their access to health insurance.

The number of young Americans ages 19-25 lacking health insurance has shrunk by 2.5 million since President Barack Obama's health care overhaul took effect, the administration announced in an analysis released Wednesday.

That drop is 2½ times as large as the decline indicated by previous government and private estimates from earlier this year, which showed about 1 million had gained coverage.

The improvement comes even as the uninsured rate stayed basically stuck for those a little older, ages 26-35.

Under the health care overhaul, adult children can stay on a parent's plan until they turn 26, a provision that has proven popular in an otherwise divisive law.

Health and Human Services Secretary Kathleen Sebelius said the numbers show the law is making a big difference for families with adult children.

"Many of them gained coverage earlier this spring, meaning the law was there for young people as they graduated from college or high school and began their careers," she said.

Administration officials said there are a couple of reasons for the better-than-expected result.

First, there is more data available now than earlier this year. Secondly, analysts are slicing the numbers more precisely than the government usually does.

The health care law's main push to cover the uninsured doesn't come until 2014. But the young adults' provision took effect last fall, and most workplace health plans started carrying it out Jan. 1. Since then, families have flocked to sign up adult children making the transition to work in a challenging environment.

The overall fate of Obama's law remains uncertain, with the Supreme Court scheduled to hear a constitutional challenge next year, and Republican presidential candidates vowing to repeal it. But this provision seems to have gotten a seal of approval from consumers.

"The increase in coverage among 19- to 25-year-olds can be directly attributed to the Affordable Care Act's new dependent coverage provision," said the HHS analysis.

Using unpublished quarterly statistics from the government's ongoing National Health Interview Survey, analysts in Sebelius' policy office determined that nearly 36 percent of those age 19-25 were uninsured in the third calendar quarter of 2010, before the law's provision took effect.

That translates to more than 10.5 million people.

By the second calendar quarter of 2011, the proportion of uninsured young adults had dropped to a little over 27 percent, or about 8 million people.

The difference — nearly 2.5 million getting coverage — can only be the result of the health care law, administration officials said, because the number covered by public programs like Medicaid went down slightly.

Overall, nearly 30 million Americans are ages 19 to 25.

"From September 2010 to June 2011, coverage rose only among those adults affect by the policy," said the HHS report.

The National Center for Health Statistics has documented a broadly similar trend in its official publications, only it's not nearly as dramatic.

Administration officials said those statistics did not focus on the change from calendar quarter to calendar quarter, as does the new HHS report. Instead, they pool data over longer time periods, and that has the effect of diluting the perceived impact of the law, officials said.

Traditionally, young adults have been more likely to be uninsured than any other age group.

Some are making the switch from school to work. Others are holding down low-wage jobs that don't usually come with health care. And some — termed the "invincibles" — pass up job-based health insurance because they don't think they'll use it and would rather get extra money in their paychecks.

Other early coverage expansions in the health care law have not worked as well, including a special program for people with health problems turned away by private insurers. Many applicants found the premiums unaffordable.

Young adults are less expensive to cover than people who are middle-aged, and many companies have spread the extra premiums among their workers. Benefits consultant Delloite LLP has projected additional health plan costs in the range of 1 percent to 2 percent for covering young adults.

Before the health care overhaul, families with adult children faced a hodgepodge of policies. Some health plans only covered older children while they were full-time students. Others applied an age cutoff.

Associated Press

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Minggu, 04 Desember 2011

Obama, Clinton To Announce Energy Saving Program

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Enlisting former President Bill Clinton as a partner, President Barack Obama is announcing a $4 billion effort to increase the energy efficiency of government and private sector buildings, aiming for fuel savings and job creation at no cost to taxpayers.

The proposal, to be announced by Obama and Clinton on Friday, would upgrade buildings over the next two years with a goal of improving energy performance by 20 percent by 2020. The federal government would commit $2 billion to the effort and a coalition of corporations, labor unions, universities and local governments would undertake the other half.

The contractors who undertake the work would be paid with realized energy savings, thus requiring no up-front federal expenditure.

"Upgrading the energy efficiency of America's buildings is one of the fastest, easiest and cheapest ways to save money, cut down on harmful pollution and create good jobs right now," Obama said in a statement.

The president will make the announcement after touring a downtown Washington office building whose owners have agreed to make more energy efficient under Obama's plan.

The program, known as Energy Savings Performance Contracts, has been in place since the Clinton administration but has been little used. Obama's announcement is yet another in a string of White House initiatives designed to address the current weak economy without having to seek congressional approval.

Gene Sperling, director of the White House National Economic Council, said private economic analyses indicate that the $4 billion plan could generate about 50,000 jobs over two years.

The program builds on an initiative that Obama launched in February and that Clinton led through his Clinton Foundation to get the private sector to invest in greater energy efficiency. Clinton already had announced commitments of $500 million in energy efficiency projects in June.

The Obama administration helped finance private sector energy upgrades through its 2009 stimulus program. But that money has begun to run out, and advocates of the new initiative say they hope the effort fills the void.

Joining Obama and Clinton will be Thomas Donohue, the president and CEO of the U.S. Chamber of Commerce, a long-time proponent of the Energy Saving Performance Contracts.

"We have been pushing the ESPC program for more than a decade because this holds tremendous potential," Donohue said in a statement. "Despite the benefits of ESPCs, the program has been grossly underutilized."

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A race to extract 2 billion barrels of oil means low unemployment, but residents question the cost.

A race to extract 2 billion barrels of oil means low unemployment, but residents question the cost.

The proposal's goal is to improve energy performance by 20 percent by 2020.

But the legislation under consideration by Congress could lead to a dangerous spike in oil prices.

But the legislation under consideration by Congress could lead to a dangerous spike in oil prices.



Health Management



Education Information

Obama on AIDS: 'We can beat this disease'

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President Barack Obama makes remarks on World AIDS Day , Thursday, Dec. 1, 2011, at George Washington University in Washington. (AP Photo/Carolyn Kaster) President Barack Obama makes remarks on World AIDS Day , Thursday, Dec. 1, 2011, at George Washington University in Washington. (AP Photo/Carolyn Kaster) Alicia Keys, center, and Muhtar Kent, the chairman of the Board and CEO of The Coca-Cola Company, left, applaud as President Barack Obama spoke during a World AIDS Day event, Thursday, Dec. 1, 2011, at George Washington University in Washington. (AP Photo/Carolyn Kaster) Musicians Bono, right, and Alicia Keys talk during a panel discussion on World AIDS Day, Thursday, Dec. 1, 2011, at George Washington University in Washington. (AP Photo/Evan Vucci) Musicians Bono, right, and Alicia Keys take part in a panel discussion on World AIDS Day, Thursday, Dec. 1, 2011, at George Washington University in Washington. (AP Photo/Evan Vucci)eval("var currentItemd57851005a80479aaeeb90a12c70b9ff = 1;");eval("var nextd57851005a80479aaeeb90a12c70b9ff = 0;");eval("var previousd57851005a80479aaeeb90a12c70b9ff = 0;"); WASHINGTON (AP) — President Barack Obama set an ambitious goal Thursday for significantly increasing access to life-saving AIDS drugs for people in the U.S. and around the world, as he announced a renewed American commitment to ending a pandemic that has killed 30 million people.

"We can beat this disease," Obama declared during a World AIDS Day event in Washington. Former Presidents George W. Bush and Bill Clinton also participated via satellite.

Obama pledged U.S. support to help 6 million people in countries hardest hit by the virus get access to antiretroviral drugs by the end of 2013, increasing the original U.S. goal by 2 million. And he announced plans to boost spending on HIV treatment in the U.S. by $50 million.

"The rate of new infections may be going down elsewhere, but it's not going down here in America," he said. "There are communities in this country being devastated still by this disease. When new infections among young, black, gay men increase by nearly 50 percent in three years, we need to do more to show them that their lives matter."

As part of Obama's new overseas initiatives, the U.S. will also aim to get antiretroviral drugs to 1.5 million HIV-positive pregnant women to prevent them from passing the virus to their children; distribute more than 1 billion condoms in the developing world in the next two years; and fund 4.7 million voluntary medical male circumcisions in eastern and southern Africa over the next two years. Research shows circumcisions reduce the risk of female-to-male HIV transmission by more than 60 percent.

The new global goals build on the work of the President's Emergency Plan for AIDS Relief, which focuses on prevention, treatment and support programs in 15 countries hit hardest by the AIDS pandemic, 12 of them in Africa. Bush launched the $15 billion plan in 2003, and in 2008, Congress tripled the budget to $48 billion over five years.

Obama praised Bush for his leadership on AIDS relief, saying the program will be one of the former president's greatest legacies.

"That program — more ambitious than even leading advocates thought was possible at the time — has saved thousands and thousands and thousands of lives, spurred international action, and laid the foundation for a comprehensive global plan that will impact the lives of millions," Obama said. "And we are proud that we have the opportunity to carry that work forward."

Despite Obama's more ambitious goals, the relief program's budget is not expected to increase. Instead officials said the expanded targets would be funded through savings achieved by making the program more efficient and cutting the costs of treatment.

The president urged other wealthy nations to fulfill their financial pledges to a global fund to fight HIV and AIDS, and jabbed those who have not contributed money.

"Countries that haven't made a pledge need to do so," he said. "That includes China and other major economies that are now able to step up as major donors."

Obama also announced new initiatives to combat HIV, the virus that causes AIDS, in the U.S. The White House said there are 1.2 million Americans living with HIV, and 50,000 new infections each year. Officials said he would direct the Department of Health and Human Services to increase funding for domestic treatment by $50 million

The bulk of the new funding — $35 million — will go to state programs that help people living with HIV and AIDS get access to medicine. There are currently more than 6,500 Americans living with the virus on waiting lists for medication, according to the White House.

The rest of the domestic funds will go to HIV medical clinics across the country, with an emphasis on areas where infections have increased and care and treatment are not readily available. Officials said the additional clinic funding would give 7,500 more patients access to treatment.

The $50 million is already part of the HHS budget, and officials said Obama does not need congressional approval to reallocate the funds.

The HIV virus has infected an estimated 60 million people worldwide since the deadly pandemic began 30 years ago. More than 33 million people are currently living with the virus.

While the failure to find an effective HIV vaccine continues to frustrate the medical community, experts say scientific research in recent years has led to substantial progress in preventing and treating the virus.

Obama ordered his staff to reevaluate both their international and domestic approaches to HIV and AIDS this summer after being briefed on the scientific advancements.

Members of both parties praised the new initiatives and commended Democratic and Republican leaders for coming together.

"Here's what we can do when we work together. We've got leaders of both political parties standing behind something that works," said Gayle Smith, Obama's senior director for development and democracy at the National Security Council.

Tony Fratto, a former Bush spokesman, urged both parties to avoid making the fight against AIDS a political issue.

"The only way to undermine this historic undertaking is if it becomes a partisan issue," he said. "The reasons a Barack Obama and a George W. Bush can support America's leading role in addressing this disease may be very different, but what's important is they've sought the same goal."

___

Follow Julie Pace at http://twitter.com/jpaceDC.

Associated Press

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Sabtu, 29 Oktober 2011

Obama and Romney health plans borrowed from Nixon

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Mitt Romney, shown at a CNN debate, contends the Massachusetts health care plan differs greatly from the Obama planMitt Romney, shown at a CNN debate, contends the Massachusetts health care plan differs greatly from the Obama planRomney promises to repeal Obama health care plan, yet critics find links between twoStuart Altman says both plans had their basis in Richard Nixon's health care planAll three plans built on private, employer sponsored health insuranceRomney, Obama plans don't significantly restrain costs, he saysEditor's note: Stuart Altman, Chaiken Professor of National Health Policy at Brandeis University's Heller School for Social Policy and Management, is co-author of a new book, "Power, Politics and Universal Healthcare".

Waltham, Massachusetts (CNN) -- Mitt Romney has pledged to repeal President Obama's universal health care law if he is elected president. Critics find his position rather strange, arguing that the plan he helped develop when he was governor of Massachusetts is quite similar in design to the Obama plan. Romney disputes his critics, saying there are important and fundamental differences between the plans. Who is correct?

In actuality, both plans draw extensively from legislation offered by President Nixon in January 1974. In a book just published, "Power, Politics, and Universal Health Care," David Shactman and I explain how Romney and Obama used the same approach as Nixon to lower the number of uninsured.

All three built their system on private, employer-sponsored insurance in which all but the smallest employers had to provide insurance to their workers or pay a penalty. All utilized Medicare to insure the elderly and an expanded Medicaid-type program to insure the poor. All provided subsidies to low-income individuals and small employers. The Romney and Obama plans created state-based private insurance exchanges to make insurance more accessible and affordable to small business and individuals.

Stuart Altman

President Obama has been heavily criticized by conservatives because his plan includes a mandate for all individuals to have insurance or pay a penalty. Romney, too, has joined those criticizing the president, yet his plan in Massachusetts included just such a mandate. This idea was originally proposed by conservative groups as a measure of personal responsibility and an alternative to a single-payer system advocated by many progressive organizations. Romney believes it is alright to have a state require all to have coverage but that it cannot be mandated by the federal government.

Romney contends the Massachusetts plan required no new funding, whereas the Obama law calls for nearly a trillion dollars in increased taxes and cuts in projected Medicare spending over 10 years.

What Romney doesn't say is that the Massachusetts plan is partly funded with earmarked federal dollars and partly with state funds generated by a tax increase previously enacted to pay for a universal coverage plan that was never implemented. Unfortunately for Obama, there was no larger entity to support his plan. He had to pay for his plan with new federal monies and cuts in future federal spending. Although the federal government will assume a greater proportion of health spending, total health spending in the United States is projected to increase only 2% more by 2019 under the Obama plan than it would have otherwise.

As with the Nixon proposal, neither Romney nor Obama decided to include significant measures to reduce health care costs. Although both were criticized, I believe that was a sound political decision that allowed all the major health groups to support both plans. President Clinton's health plan drew strong opposition from many stakeholders because it included a tight spending budget. Under Obama's plan, hospitals, insurers and drug companies agreed to modest cuts in future revenues or rate increases, because all expected increased revenues from the millions of newly insured Americans. Both Obama and Romney expected that constraining health costs would be necessary in future years.

A complete review of the two plans should acknowledge that the Obama plan includes many components not in the Massachusetts legislation. The most controversial are a board appointed to control Medicare spending and a requirement that insurance companies spend a minimum percentage of their revenues on direct patient care.

The plan also includes a number of provisions to reform Medicare and Medicaid, and an extensive list of new delivery system approaches to be tested with federal pilot and demonstration programs. Important as these components may be, they are not part of the basic framework of the plan.

After comparing the Romney and Obama plans, it is clear that the similarities far outweigh the differences. Romney could argue, however, that Obama didn't use the Massachusetts plan as a model but rather drew on the proposal put forth by Richard Nixon almost 40 years earlier.

Romney's plan worked for Massachusetts, reducing its uninsured rate to the lowest in the country. Although the legislation did not put a brake on rising health care costs, there is some evidence it did reduce its rate of growth compared to other parts of the country. Health insurance premiums have traditionally been higher in Massachusetts than in the rest of the United States. The gap, however, has narrowed somewhat as premium growth between 2006 and 2010 in the United States grew by an average yearly rate of 5.1% while in Massachusetts the average growth was 4.4%.

The opinions expressed in this commentary are solely those of Stuart Altman.



Education Information



Technology

Selasa, 25 Oktober 2011

Obama healthcare law issues before high court

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By James Vicini

Tue Oct 25, 2011 5:27pm EDT

n">(Reuters) - Six cases involving President Barack Obama's healthcare overhaul legislation are pending before the Supreme Court as part of the legal battle over the law's fate.

The following key issues have emerged in the legal briefs recently filed in the cases stemming from Obama's signature and most controversial domestic achievement that involved the biggest reform of the healthcare system in nearly 50 years:

INDIVIDUAL INSURANCE MANDATE

The most important issue involved whether the Congress exceeded its power by requiring that all Americans buy health insurance or pay a penalty. The law aims to provide more than 30 million uninsured Americans with coverage.

The Obama administration in its Supreme Court appeal argued that Congress could enact this provision, called the individual mandate, under its powers in the U.S. Constitution to regulate interstate commerce. The mandate is due to take effect in 2014.

Congress adopted the law to address a national crisis of health insurance costs rising beyond the reach of millions of Americans and coverage denied to millions more, Solicitor General Donald Verrilli, a former White House lawyer, said in a brief.

Opponents of the law, including 26 of the 50 states, argued that Congress exceeded its powers. They said the law dramatically expanded the federal government's power and argued that the provision should be struck down as unconstitutional.

Former Bush administration Solicitor General Paul Clement, who represents the states, called the law "an unprecedented legislative initiative" that seeks "to force individuals to engage in commerce so that the federal government may regulate them."

WHAT HAPPENS TO THE REST OF THE LAW?

In a broader issue, the states and the National Federation of Independent Business -- a lobbying group for small businesses -- said the entire healthcare law must fall if the mandate is declared unconstitutional.

The federation and states contend that the individual mandate is at the heart of the law, a carefully crafted compromise, and new insurance regulations and other provisions cannot survive on their own.

The administration disagreed. It said it would be wrong to strike down all other provisions of the law, especially those unrelated to the mandate, such as the requirement that insurers provide coverage for young adults.

The administration said a few key provisions, including one that will bar insurers from refusing to issue coverage to a person because of a pre-existing medical condition, could not be separated from the mandate.

EXPANSION OF MEDICAID ON THE STATES

The states also challenged the expansion of Medicaid, a federal-state partnership that provides health care to poor Americans. They argued that Congress unconstitutionally forced the expansion on the states by threatening to withhold billions of dollars in funds from states that refuse to cooperate.

The administration said the provision expanding Medicaid eligibility to cover individuals with income up to 133 percent of the federal poverty level was a valid exercise of Congress's power to set the terms in appropriating federal funds.

MUST THE PENALTY BE IMPOSED FIRST?

The Obama administration and some opponents of the law asked the court to address whether lawsuits challenging the mandate are barred because the penalty for not obtaining individual insurance has yet to be imposed.

At issue is a federal law aimed at preventing lawsuits from tying up tax collection and whether the challenges can only be decided after taxpayers actually begin paying the penalty for not purchasing insurance.

The administration said the law, the Anti-Injunction Act, did not require dismissal of the challenges to the mandate. But the administration said the Supreme Court should consider the issue and consider appointing a lawyer to make that argument.

ARGUMENTS LIKELY IN MARCH

The Supreme Court next month is expected to consider the various appeals, to officially agree to take up the law, and it could clarify the issues to be decided.

The next steps would be for legal briefs to be filed, the scheduling of oral arguments, most likely in late March, and a ruling expected by the end of June.

Legal experts said it was impossible to predict how the court might rule. A decision by the nine-member court, closely divided with five conservatives and four liberals, could come down to Chief Justice John Roberts and Justice Anthony Kennedy, who often casts the decisive vote, they said.

The Supreme Court cases are Thomas More Law Center v. Barack Obama, No. 11-117; National Federation of Independent Business v. Sebelius, No. 11-393; U.S. Department of Health and Human Services v. Florida, No. 11-398; Florida v. Department of Health and Human Services, No. 11-400; Virginia v. Sebelius, No. 11-420; and Liberty University v. Geithner, No. 11-438.



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Health Management

Rabu, 28 September 2011

Obama healthcare law headed for Supreme Court

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President Barack Obama is pictured as he delivers remarks on the need to provide states with relief from key provisions of the No Child Left Behind education policy, at the White House in Washington September 23, 2011. REUTERS/Jason Reed

President Barack Obama is pictured as he delivers remarks on the need to provide states with relief from key provisions of the No Child Left Behind education policy, at the White House in Washington September 23, 2011.

Credit: Reuters/Jason Reed

By James Vicini

WASHINGTON | Mon Sep 26, 2011 6:00pm EDT

WASHINGTON (Reuters) - The Obama administration on Monday cleared the way for the U.S. Supreme Court to decide in its 2011-12 term the president's signature healthcare law that requires Americans to buy insurance or face a penalty.

A Justice Department spokeswoman said it decided against asking the full U.S. Appeals Court for the 11th Circuit to review the August ruling by a three-judge panel of the court that found the requirement unconstitutional.

The decision not to seek review by the full appeals court will likely speed up consideration of the matter by the high court in its 2011-12 term that begins next week. A ruling could come by late June, in the middle of the presidential campaign.

The Supreme Court has long been expected to have the final word on the legality of the individual mandate, a cornerstone of President Barack Obama's healthcare law. A big uncertainty has been over when the court would decide the issue.

The law's fate before the nine-member court, closely divided with a conservative majority and four liberals, could come down to two Republican appointees, Chief Justice John Roberts and Justice Anthony Kennedy, legal experts have said.

The law, adopted by Congress in 2010 after a bruising battle, is expected to be a major political issue in the 2012 elections as Obama seeks another four-year term. All the major Republican presidential candidates oppose it.

Obama, a Democrat, has championed the individual mandate as a major accomplishment of his presidency and as a way to try to slow soaring healthcare costs while expanding coverage to the more than 30 million Americans without it.

The 11th Circuit appeals court, based in Atlanta, ruled by a 2-1 vote last month in favor of 26 states and others who challenged the mandate for exceeding the power of Congress.

The Obama administration could have asked the full U.S. 11th Circuit Court of Appeals to reconsider its decision. But that could have pushed back any Supreme Court ruling to its 2012-13 term.

The 2-1 ruling conflicted with other appeals courts that have upheld the law or have rejected legal challenges, including a lawsuit by the state of Virginia which was dismissed on procedural grounds.

A U.S. appeals court based in Cincinnati ruled Congress had the power to adopt the individual mandate, which takes effect in 2014. The losing side in that case, the Thomas More Law Center, already appealed to the Supreme Court in July.

The administration has steadfastly maintained its belief that the law will survive judicial scrutiny and be upheld by the Supreme Court. The states that have challenged the law have argued it went beyond Congress' authority to require coverage.

(Additional reporting by Jeremy Pelofsky; Editing by Doina Chiacu and Eric Walsh)



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Peliculas Online

Minggu, 18 September 2011

Obama Signs Patent Overhaul Bill

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Hoping it will spur innovation, President Obama signed a bill Friday overhauling the nation's patent laws. The law switches to a "first to file" rule for granting patents. It also allows new challenges to existing patents. But critics say it will not help individual inventors get their ideas to market. Melissa Block talks to NPR's Laura Sydell for more.

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All Things Considered– Researchers at Crater Lake National Park have been documenting the park's soundscape.

Researchers at Crater Lake National Park have been documenting the park's soundscape.

Monkey genes protect cats against HIV infection; jellyfish genes make them glow.

Monkey genes protect cats against HIV infection; jellyfish genes make them glow.

Melissa Block talks to NPR's Laura Sydell for more.



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Peliculas Online

Sabtu, 17 September 2011

Obama Signs Patent Overhaul Bill

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