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GOP Intent On Highlighting Health Care Woes


healHouse Republicans intent on highlighting the woes of President Barack Obama’s health care law need to look no further than their own back yards, some of which are traditionally liberal strongholds.

Maryland’s online health care exchange has been plagued by computer glitches since its rollout last year, reflected in abysmal enrollment numbers well below projections through January. The state’s lone Republican in Congress, Rep. Andy Harris, has asked the inspector general of the federal Health and Human Services Department to investigate.

In Oregon, the online portal has struggled to sign up a single individual, and Republican Rep. Greg Walden recently sent a letter to the Government Accountability Office pressing for an inquiry. Officials in both states insist they are working to fix the problems.

“Everybody’s pointing fingers at everyone else, so we have no idea why this went wrong,” Harris, who was an anesthesiologist at Johns Hopkins Hospital for 30 years, said in a recent interview.

Unified in their opposition to the law, Republicans have been relentless in focusing on its problems, from complaints of canceled policies to higher insurance premiums and Obama’s unilateral decision to delay for two years the requirement that small businesses cover employees.

The GOP effort has intensified this election year as Republicans look to capitalize on dissatisfaction with the law, turning voter dismay into November victories. The ill effect of “Obamacare” is the GOP’s constant refrain.

Nearly 3.3 million Americans have enrolled through the federal and state marketplaces as the federal online site worked out the problems of its disastrous rollout, a recent sign of promise for the 4-year-old law.

A silver lining for Democrats in the recent enrollment numbers is the actual sign-ups exceeding projected totals in New Hampshire, North Carolina, Michigan and Colorado, according to the January figures. Three of those states have Senate Democrats who voted for the law and now face re-election — Kay Hagan in North Carolina, Jeanne Shaheen in New Hampshire and Mark Udall in Colorado.

In Michigan, Democratic Rep. Gary Peters is trying to win the open seat currently held by retiring Democratic Sen. Carl Levin.

But local woes have provided fodder for some Republicans, like Harris and Walden, as the GOP looks to maintain its steady drumbeat of criticism.

Maryland is one of 14 states that chose to run its own exchange, but it has been beset by technological problems, reports of ignored warnings before its start Oct. 1 and a price tag that could exceed $250 million in state and federal dollars. Even Democratic officials have raised the possibility of perhaps abandoning the state operation and switching to the federal online site to sign up individuals.

In the meantime, Harris and Rep. Jack Kingston, R-Ga., two members of the House Appropriations Committee, wrote to HHS Inspector General Daniel Levinson on Feb. 12 requesting an investigation “into the flagrant waste and abuse of taxpayer monies that were spent and are continuing to be spent for the creation of the Maryland health insurance exchange and online marketplace.”

As of January, the most recent enrollment numbers show Maryland signed up 29,059, far fewer than its target of 93,000.

In Oregon, the state exchange website known as Cover Oregon is still plagued with problems, with individuals unable to compare policies and sign up. More than $300 million in federal grants to the state have gone to the website and its future is in doubt.

Walden, who chairs the committee to elect Republicans to the House, along with Rep. Fred Upton, R-Mich., chairman of the House Energy and Commerce Committee, sent a letter Feb. 12 to the GAO seeking an investigation.

The state exchange “has been such a technological failure that even now, months after the start of the open enrollment period, the site is unable to enroll anyone,” Walden and Upton wrote.

As of January, 33,808 had signed up for health insurance in Oregon, nowhere near the projected goal of 146,940.

Republicans and outside groups have seized on problems with the law to pummel Democrats who voted for “Obamacare,” as the GOP looks to increase its majority in the House and grab control of the Senate. In Oregon, first-term Sen. Jeff Merkley has defended the law at town halls and is certain to face more challenges on the issue. He has said he is working on legislation to fix the law.

His likely Republican opponent is Monica Wehby, a pediatric neurosurgeon who has been critical of “Obamacare.”

In the next eight months before the election, Republicans who call the shots in the House will cast a harsh spotlight on the law through hearings and narrowly focused legislation designed to divide Democrats. The GOP has done it this year with bills requiring the Obama administration to report weekly on how many Americans have signed up for health care coverage and a measure bolting new security requirements on the law.

One bill drew the support of 33 Democrats; the other attracted 67 Democrats who bucked the administration.

Last year, House Republicans voted more than 40 times to repeal, replace or gut the law, and strong GOP opposition to “Obamacare” precipitated the 16-day partial government shutdown last fall that was a political blow to Republicans.

Since recovered, Republicans say privately they are unlikely to push for full repeal in light of the law’s popular elements, such as insurance for individuals even with an existing condition and allowing children to remain on their parents’ plans until age 26. Also, Republicans have been unable to unify around an alternative to health care plan.

(AP)



4 Responses

  1. I remain puzzled by the continuing Republican opposition to Obamacare – a name they gave to the Affordable Care Act.

    They gave that name thinking it would stigmatize the program. If the program succeeds (as I am sure it will), they will have instead put a name on it that memorializes its chief proponent, more dramatically and prominently than Social Security memorializes President Franklin Roosevelt or the Civil Rights Act memorializes President Lyndon Johnson.

    The basis of the opposition as described in the article is faulty rollouts and startups of the insurance exchanges. That is admittedly a problem, but one that has been solved by the federal program and many states, and will soon be solved by all states. So time is running out on this strategy, and the Republicans will have to find another.

    Of course, Republicans have not put forward their own alternative, but they have not praised the system before Obamacare, when 40+ million Americans were without any insurance or other support, and the US spent (as a portion of gross domestic product) more than double the amount that other advanced, developed industrialized countries spent on healthcare.

    Republicans continue to cling to the belief that their anti-Obama posture is sufficient to win control of Congress and state governorships. They tried this strategy in the 2012 presidential election – an election that should have been theirs for the taking, given the dismal economic performance of the preceding 4 years – but they were shocked (but not shocked, shocked) to find that their predictions and expectations of victory were baseless. (There predictions were utterly unsupported by most independent polls, but so sharp was Republican disconnection from reality that they continued to believe that they would win, even after the votes were counted – recall, e.g., Karl Rove telling Fox News to hold up their call of the Ohio vote for Obama.)

    This is not good for America. Democracy needs two credible parties grounded in reality. Republicans should be asking why governments cannot engage contractors to design computer programs to implement government policy, not pointing to the failure of computer programs to discredit the policies and programs they are supposed to implement. Even former Mayor Mike Bloomberg, who made his private-sector fortune by lawfully monopolizing information systems for a segment of the financial industry, could not avoid a disaster when he engaged a contractor to develop a new system for the City’s payroll. The cost overruns were colossal and the system still does not perform as intended. And as long as Republicans fail to address real problems, Democrats will have electoral success.

  2. nfgo3:
    The problems with Obamacare are fundamental and will not go away when the computer glitches are resolved. The only reason Republicans are currently mocking the rollout is because that is an easy target that everyone can see. However even after the glitches are resolved the devastating effect of Obamacare on the economy will be felt. Obama will regret endorsing the use of the Obmamcare nickname. Because it will will surely fail and he will go down in history as the president who took a bad situation (both on the economy and healthcare) and made it 10 times worse.

    Just a few short months ago Republicans started a government shutdown because democrats refused to delay the employer mandate. Where are we today? Obama delayed the mandate by presidential decree, now that’s a democracy!

    The fundamental problems of Obamacare are too many to list, however I am pretty confident that by the time we get to the next presidential election it will be clear to everyone that this ill conceived plan is a true disaster. Unfortunately I am afraid that the republicans are going to be so busy fighting each other and not offering an alternative that they will not be able to capitalize on this.

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