President Obama Gives A Progress Report On ObamaCare



Barack Obama, JD: United States Health Care Reform. Progress To Date And Next Steps

Importance The Affordable Care Act is the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965. The law implemented comprehensive reforms designed to improve the accessibility, affordability, and quality of health care. Objectives To review the factors influencing the decision to pursue health reform, summarize evidence on the effects of the law to date, recommend actions that could improve the health care system, and identify general lessons for public policy from the Affordable Care Act. Evidence Analysis of publicly available data, data obtained from government agencies, and published research findings. The period examined extends from 1963 to early 2016. Findings The Affordable Care Act has made significant progress toward solving long-standing challenges facing the US health care system related to access, affordability, and quality of care. Since the Affordable Care Act became law, the uninsured rate has declined by 43%, from 16.0% in 2010 to 9.1% in 2015, primarily because of the law’s reforms. Research has documented accompanying improvements in access to care (for example, an estimated reduction in the share of nonelderly adults unable to afford care of 5.5 percentage points), financial security (for example, an estimated reduction in debts sent to collection of $600-$1000 per person gaining Medicaid coverage),




and health (for example, an estimated reduction in the share of nonelderly adults reporting fair or poor health of 3.4 percentage points). The law has also begun the process of transforming health care payment systems, with an estimated 30% of traditional Medicare payments now flowing through alternative payment models like bundled payments or accountable care organizations. These and related reforms have contributed to a sustained period of slow growth in per-enrollee health care spending and improvements in health care quality. Despite this progress, major opportunities to improve the health care system remain. Conclusions and Relevance Policy makers should build on progress made by the Affordable Care Act by continuing to implement the Health Insurance Marketplaces and delivery system reform, increasing federal financial assistance for Marketplace enrollees, introducing a public plan option in areas lacking individual market competition, and taking actions to reduce prescription drug costs. Although partisanship and special interest opposition remain, experience with the Affordable Care Act demonstrates that positive change is achievable on some of the nation’s most complex challenges.

More here


Good summary in the NYT

175 Responses to “President Obama Gives A Progress Report On ObamaCare”

  1. July 25, 2016 at 3:25 pm

    Love the success of Obamacare. Thanks Nerdy!

  2. 3 Judith Fardig
    July 25, 2016 at 3:25 pm

    Love my President and First Lady. Hate what we are likely to see at the DNC tonight because Bernie revolutionaries cannot see reality.

  3. 4 jacquelineoboomer
    July 25, 2016 at 3:32 pm

  4. 5 JER
    July 25, 2016 at 3:33 pm

    • 6 cd4biden
      July 25, 2016 at 11:45 pm

      Hi JER,
      Question – how did this above Tweet get posted at 10:58am this morning yet have a photo of the First Lady speaking tonight at the convention? I mean, that is the dress she wore, and that is the podium. so confusing.

  5. 7 sherijr
    July 25, 2016 at 3:34 pm

    Yay Obamacare!! Thank you President Obama!

    On Bernie being booed for telling his followers to support Hillary (according to news stories) I find that very interesting… I have always believed that most of his supporters are rightwingers/ repubs. When I was at the party I was kicked out of, when someone mentioned Bernie, I stated that he was a ‘nut’… I was basically booed for saying such a thing. I suspect that most of the people in that room were also republicans. Anyhoo… heres one test Bernie could try: Tell his supporters he’s going to support Trump- bet they’d cheer him.

    • 8 arapaho415
      July 25, 2016 at 5:19 pm

      GE sherijr.

      Here’s GIF…

      Have only heard Bernie as a talking head and in Dem debates, creepy how he addresses his cult as “brothers and sisters,” too reminiscent of Jim Jones, if you ask me.

    • 10 Wilson Michael
      July 25, 2016 at 7:32 pm

      I agree. The Dem convention will be just fine, when the main speakers present. The disrupters will be won over or silenced.

      • 11 sherijr
        July 25, 2016 at 8:10 pm

        Yep. Don’t see how anyone can sit in there and listen to these folks and not cheer and be moved.

  6. 12 FoxfireTX
    July 25, 2016 at 3:35 pm

    That Bernie, just one hell of a leader.

    Sanders did not confront the booing delegates directly. He did not use this opportunity to address their anger and disappointment. He looked a bit surprised by the intensity of the Clinton opposition. He moved ahead with his prepared speech. After he was done—and the crowd had chanted, “Thank you, Bernie!”—Mother Jones asked Sanders three times what he thought about his delegates fiercely booing Clinton. He did not respond and quickly left the ballroom.

    So how much will Sanders do to persuade his delegates to follow his advice? In this appearance, he didn’t go beyond his prepared remarks. And Aisha Dew, a whip for the North Carolina Sanders delegation, said she has not heard anything from the Sanders campaign regarding the actions delegates should take. Earlier in the day, at a Florida delegation breakfast, Sanders offered no instructions on how delegates might conduct themselves on the floor of the convention this week.

    After Sanders departed the convention center, his campaign manager Jeff Weaver remained as delegates milled about and wondered what would be next for them at the convention. What about the booing of Clinton? he was asked. “Oh,” he said, with a tone of nonchalance, “people will come around.”

    • 13 Judith Fardig
      July 25, 2016 at 3:39 pm

      This is on Bernie to TELL his damn supporters not to help Trump by booing any speaker during this convention. UGH!!!

      • 14 FoxfireTX
        July 25, 2016 at 3:42 pm

        Yup, didn’t even address it. Like I said, one HELL of a leader!

      • July 25, 2016 at 4:00 pm

        Back in the spring, he said he wouldn’t tell his folks what to do. The BernBots need a reminder that they are outnumbered; it could get real ugly if the Clinton delegates respond to the boarish behavior by booing Bernie…

  7. 16 donna dem 4 obama
    July 25, 2016 at 3:44 pm

    My pressure is about through the roof reading these Bernie Supporters who were dyed in the wool Obama supporters from the old Obama Blog say they will vote Green or Jill Stein. Ugh…. Forgive me but I needed a palate cleanser. They grow so fast…..

    • 17 vcprezofan2
      July 25, 2016 at 3:50 pm

      I ❤ this! They look so lover-ly! Hey DD's princesses, where's mine?

      Muwaaah! x 2

    • 25 Linda
      July 25, 2016 at 3:57 pm

      Jill Stein praised the Brexit vote then tried to cover it up by deleting it .

    • July 25, 2016 at 4:00 pm


      So glad you have your adorable grand girls to soothe your soul. They are so adorable. Love the affection they show each other!!

      • 27 donna dem 4 obama
        July 25, 2016 at 4:11 pm

        Meta, it is awful. It’s days like today that I wish I wasn’t on Facebook. They ooze with hate toward Hillary and the DNC and are cheering a loss this November so they can declare they told us so. But yet, they just love PBO. I just don’t get it.

        • July 25, 2016 at 4:18 pm

          I’m so sorry you have to endure that. I was on Facebook for a short while and couldn’t deal with it. PRESS ON, Donna. Press on.

        • July 25, 2016 at 8:28 pm

          Hi Donna. They can’t possibly “just love” PBO, otherwise they wouldn’t chance seeing all his accomplishments annihilated. If they voted for him for his race, shame on them. Incidentally, your grands are precious !!

    • 30 Judith Fardig
      July 25, 2016 at 4:09 pm

      Thanks, You Donna! There is such joy and beauty in the world which these two precious girls exemplify. We keep fighting for them and all the children of the world!

    • July 25, 2016 at 5:16 pm

      Thank you Donna. We all needed that. ❤️ 🕊 ❣

    • 32 nathkatun7
      July 25, 2016 at 6:44 pm

      The twins are so precious, Donna! They’ve really grown so fast. I am sure they have a good time with their grandma. I am very partial to twins. My mom was a twin. She also had twins (brother and sister) that I come after. And, one my sisters(my mom’s second child) had twins (boy and a girl.)

      Wishing you and your family all the best.

    • 34 Nena20409
      July 25, 2016 at 8:14 pm

      Sugar, Sugar……..They Your Candy Girls!
      Thanks for the wider smile on my face, Donna!

  8. 36 No Child Left Behind
    July 25, 2016 at 3:44 pm

  9. 38 globalcitizenlinda
    July 25, 2016 at 3:52 pm

    three things:

    – I wrote here yesterday that the BS revolutionaries would NOT be satisfied by asking DWS to resign and that they would just pocket that and move on with new demands without batting an eye. they are doing so now and they feel emboldened by the resignation of DWS;

    it is not hard to find evidence that extremists just move the goal posts once you create the space for them to feel victorious;

    – why do we believe that the content of these stolen emails has not been doctored by the authors who clearly have an agenda;

    – the media will milk the email situation and the antics of the BS revolutionaries for ratings and a story line of chaos;

    I am waiting for FLOTUS’ speech today and Sen Warren and that is where my monday ends

    • 39 pkayden
      July 25, 2016 at 6:05 pm

      It was ugly how they chanted against the TPP during Rep Cummings’ speech. I felt bad for him and for the DNC in general. Looks like Bernie Bros are going to make this a very uncomfortable week for Secretary Clinton supporters.

  10. July 25, 2016 at 3:55 pm

    Friends of mine are presenting the colors at the opening of today’s session; unfortunately, unless I’m mistaken, the color guard will not reflect the diversity of the party… 😦

  11. 41 No Child Left Behind
    July 25, 2016 at 4:07 pm

    Our show is on. May God bless the DNC, help HRC and help us. Keep away all evil including the angry members of BS cult.

  12. 42 susanne
    July 25, 2016 at 4:09 pm

    My daughter-in-law’s brother asked to ‘friend’ me on FB yesterday. Seeing lots of interesting stuff from this RW Texas attorney, mostly pro-Johnson. Occurs to me that the Rs who cannot make themselves vote for HRC and also are smart enough to recognize DT as a monster might just switch to this SW Libertarian in quiet droves.

    As for the Bernt-outs, I’m guessing a lot of the boo-ers are Independents who were never going to vote for the Dem candidate anyway– not ready to declare a conspiracy, but it does seem they’re working for the other side, now that their candidate has asked them to vote Dem.

    Nothing is certain, except that we have work to do.

  13. July 25, 2016 at 4:10 pm

    Live now. Gavel at 4:30.

  14. July 25, 2016 at 4:10 pm

    GIVE THEM HELL, people.

  15. July 25, 2016 at 4:12 pm

    Jill Stein is holding a rally this evening at FDR Park (across the street from the Wells Fargo Center). Refresh my memory, did she hold one in Cleveland?

  16. 51 globalcitizenlinda
    July 25, 2016 at 4:16 pm

    I will say this again: I am looking forward to FLOTUS’ address tonight

  17. 53 jackiegrumbacher
    July 25, 2016 at 4:18 pm

    If the Bernie crazies plan a floor fight and intend to enter Bernie’s name in nomination for president or vice president, he has one simple solution for dealing with that. He can do what HRC did in 2008 and ask that his name NOT be put in nomination and that Hillary Clinton be nominated by acclamation. Democratic Senate leaders like Reid and Schumer should be on the phone with him right now laying out his “options”–a momentary ego boost or a blighted and short-lived Senate career. If that doesn’t work, we may see some behind the scenes action by the President. PBO has handled far greater international and domestic challenges than Berniebots and I have no doubt he, in concert with HRC, will take firm and resolute control of this convention. One thing that PBO will not tolerate is disrespect of FLOTUS! I would not want to be Bernie Sanders of his bots boo her speech.

  18. 54 sherijr
    July 25, 2016 at 4:20 pm

    Ha, our Mayor 🙂 gaveling in.

  19. 55 cd4biden
    July 25, 2016 at 4:20 pm

    it’s on. The DNC has officially opened for business. check it out on

  20. July 25, 2016 at 4:20 pm

    Baltimore Mayor Stephanie Rawlings-Blake gavels in!! AWESOME!!

  21. 57 sherijr
    July 25, 2016 at 4:21 pm

    I went to Philadelphia for the first time last summer and loved it.. really lovely city, imo.

  22. 58 sherijr
    July 25, 2016 at 4:24 pm

    Hey now, Boys to Men 🙂

  23. July 25, 2016 at 4:26 pm

    Boyz II Men, oh YES!!

  24. 62 Linda
    July 25, 2016 at 4:27 pm

    BernieBots blocking the entrance….laying on the ground.


  25. July 25, 2016 at 4:28 pm

    We’ll see, won’t we.

    • 65 cd4biden
      July 25, 2016 at 4:36 pm

      They are not protesting on the floor…..they are protesting on the ground. Jeez talk about literal much.

  26. 66 sherijr
    July 25, 2016 at 4:30 pm

    well I’m an atheist but I sure do like her prayer 🙂 🙂

  27. July 25, 2016 at 4:31 pm

    Bernie supporters already disrupting. UGH, this is disgusting.

  28. 70 globalcitizenlinda
    July 25, 2016 at 4:32 pm

  29. July 25, 2016 at 4:36 pm

    • 72 COS
      July 25, 2016 at 4:38 pm

      Disgusting and no respect.

    • 73 pkayden
      July 25, 2016 at 6:16 pm

      They are absolutely disgusting. I regret that Bernie was allowed to run at all. Never again should a non-Democrat be allowed to run on for the Presidential ticket.

  30. July 25, 2016 at 4:39 pm

      July 25, 2016 at 5:08 pm


    • 76 pkayden
      July 25, 2016 at 6:18 pm

      They will if they come out to vote their numbers which there is no doubt that Trump has motivated us to do. Go Hillary!!

  31. July 25, 2016 at 4:41 pm

  32. July 25, 2016 at 4:43 pm

    No surprise here:

  33. 79 sherijr
    July 25, 2016 at 4:50 pm

    Fucking republicans need to shut up and get the hell out of our convention. Real Democrats do not boo the stuff she’s saying. I call BS.

  34. July 25, 2016 at 4:55 pm

    Can we kick those people out of the arena?

  35. 83 No Child Left Behind
    July 25, 2016 at 4:56 pm

    Those BS cult members are crazy.

  36. 84 sherijr
    July 25, 2016 at 4:57 pm

    Big mistake ever letting Bernie run as a pretend democrat.

  37. 87 No Child Left Behind
    July 25, 2016 at 4:57 pm

    • 88 pkayden
      July 25, 2016 at 6:24 pm

      They better enjoy themselves because if Dems are smart, they will never allow a non-Dem to run for the Democratic Presidential spot again. This has been a disaster.

  38. 89 No Child Left Behind
    July 25, 2016 at 4:59 pm

    Nothing will please the enraged berniebros until they are served HRC’s head on a platter.

      July 25, 2016 at 5:04 pm


  39. July 25, 2016 at 4:59 pm

  40. 95 No Child Left Behind
    July 25, 2016 at 5:02 pm

    • 96 donna dem 4 obama
      July 25, 2016 at 5:08 pm

      But he didn’t shut that crap down before today. I read where the cable shows had that Nina Turner on ranting and raving like a mad women over the weekend and Rosario out there today telling his supporter that it won’t be their fault if Hillary looses. Too little Too late. I am sickened by all of this!!!

  41. 97 sherijr
    July 25, 2016 at 5:02 pm

    I guess Bernie’s “revolution” was all about getting the DNC to do things his way.

  42. July 25, 2016 at 5:04 pm

  43. July 25, 2016 at 5:10 pm

    #FORWARD Together

    back to work ….

  44. 102 sherijr
    July 25, 2016 at 5:12 pm

    huh? what revolution?? REal tired of Bernie already. He is not our nominee. He lost. She needs to finish and get off the stage.

    • July 25, 2016 at 5:16 pm

      However, after tonight, don’t think there’ll be any BernBots on the program…

      • 104 sherijr
        July 25, 2016 at 5:20 pm

        I hope you’re right. I hope he makes his happy little speech and that’s the end of Bernie this and Bernie that.. because I’m losing my enthusiasm fast.

  45. July 25, 2016 at 5:13 pm

    This woman was not on the program so I’m guessing she’s a last minute addition to quell the Bernie nuts. She’s going on and on about The Revolution. UGH.

  46. 106 sherijr
    July 25, 2016 at 5:15 pm

    Shoot I’ll give her whatever she wants just to be quiet. This big speech isn’t about anything, policy, humanity.. it’s about changing the DNC rules. But damn she really really cares.

  47. July 25, 2016 at 5:18 pm

    They need the NAACP organist right about now…

  48. 110 donna dem 4 obama
    July 25, 2016 at 5:19 pm

    Here’s the headline the Bernie supporters were hoping for although nothing will satisfy their need for blood at this point.

  49. 111 donna dem 4 obama
    July 25, 2016 at 5:20 pm

    I will repeat!!!!!!!!!!!!!!!!!!!!!!

  50. July 25, 2016 at 5:22 pm

    Hmmmmm……..So not prime time?

  51. 114 No Child Left Behind
    July 25, 2016 at 5:23 pm

  52. July 25, 2016 at 5:23 pm

    They are booing every time HRC’s name or the word “unity” are mentioned. It’s going to be tough going, that’s for sure.

  53. 118 No Child Left Behind
    July 25, 2016 at 5:24 pm

    Praying that the rascals boo their SUPREME LEADER tonight, whether these hyenas are GOP plants or not.

  54. 120 No Child Left Behind
    July 25, 2016 at 5:27 pm

    It’s f*** too late for that. Bernie fed them spoonful of crap after crap, month after month. Their old system is tarnished.

  55. 121 No Child Left Behind
    July 25, 2016 at 5:28 pm

    Meanwhile, on another crazy land…

  56. 122 No Child Left Behind
    July 25, 2016 at 5:30 pm

  57. 123 No Child Left Behind
    July 25, 2016 at 5:33 pm

    By Zeus! What are they chanting now???

  58. 125 sherijr
    July 25, 2016 at 5:35 pm

    wtf are they chanting?? and how effing dare they. I am sick of these fuckers.

  59. 136 susanne
    July 25, 2016 at 5:36 pm

    Not bedwetting but effing angry at these interruptions. Energy is good, differing opinion is fine, insurrection is just plain stupid.

  60. July 25, 2016 at 5:37 pm

    This is a damn shame! It is terrible what this group is doing to Hilary.
    Nina Turner and Ben Jealous, not to mention Cornel West are great disappontments. To speak racially, do they not realize that the white people booing Clinton/Kaine are going to be fine no matter who wins? It will be the munirities, poor whites, Hispanics, immigrants and women who are going to catch hell if Hilary loses.
    Healthcare will be gone. Voting rights moved back further. I fear more violence as Trump will call himself quelling the violence, in ways too scary to imagine. White Supremacist groups will feel empowered. Rogue policemen will be at it again.
    It is a nightmare scenario that we are facing, and these Bernie folk could care less.
    If they cannot be gotten under control, we are going to lose this thing.
    And the media is stoking the flames. I am sick about all this.

  61. July 25, 2016 at 5:39 pm

    WE must demand to know who made the decision to let Bernie run as a Democrat. These people do not belong at our Convention.

    • 139 nathkatun7
      July 25, 2016 at 7:07 pm

      I am with you Meta! Bernie should never have been allowed to run as a Democrat. If Bernie supporters don’t like the Democratic Party, they are free to go form their own party. I am just so sick and tired with all these ‘purity progressives.” And if Bernie Sanders can’t guide his supporters, then he is a failed leader.

      By the way, this is why I am strongly opposed to allowing non-registered Democrats to vote in Democratic primaries. As a claifornian, I am disgusted by the behavior of the Bernie delegates from CA. In my humble opinion, If it handn’t been for the open primary in CA, Hillary Clinton would have won the vast majority of the delegates from CA.

  62. July 25, 2016 at 5:43 pm

  63. 142 donna dem 4 obama
    July 25, 2016 at 5:44 pm

    • July 25, 2016 at 5:46 pm

      That’s just the thing. He can’t fix it. They are on a crusade and they have the spotlight! They aren’t going to play nice now.

    • 144 COS
      July 25, 2016 at 5:47 pm

      Thanks Keith. Everyone is blaming Sanders for this mess. It was the way he ran his campaign.

  64. 145 FoxfireTX
    July 25, 2016 at 5:45 pm

    These Bernie delegates are disgusting and an embarrassment. Great job Bernie. Glad your supporters are so respectful. Their actions resemble those crazies in Cleveland last week.

  65. July 25, 2016 at 5:50 pm

    • July 25, 2016 at 5:51 pm

      • July 25, 2016 at 5:53 pm

  66. 151 sherijr
    July 25, 2016 at 5:50 pm

    Hell Yes we can 🙂 speaking my language now.

  67. 152 a4alice
    July 25, 2016 at 5:51 pm

    watching the dnc per Meta’s suggestion. Ben Jealous is speaking right now

  68. July 25, 2016 at 5:51 pm

    Ben Jealous on now. Oh, please, someone take the wheel.

  69. 154 No Child Left Behind
    July 25, 2016 at 5:52 pm

    Ben Jealous is speaking to his raucous crowd. He was one hell of a supporter to THE GREAT SUPREME LEADER along with the big mouth Nina Turner.

  70. 155 No Child Left Behind
    July 25, 2016 at 5:52 pm

    Every speaker has to shout because of the indiscipline of the Bernie delegates. Every speaker.

  71. July 25, 2016 at 5:53 pm

    Is it just me or do they seem to have a lot of mics near the BernieBros?

  72. 158 No Child Left Behind
    July 25, 2016 at 5:55 pm

  73. 159 No Child Left Behind
    July 25, 2016 at 5:56 pm

  74. 160 a4alice
    July 25, 2016 at 5:56 pm

    I think he’s getting through to them. They are cheering.

  75. 161 sherijr
    July 25, 2016 at 5:57 pm

    Full throated by Ben Jealous, glad to see it.

  76. July 25, 2016 at 5:57 pm

    This makes me sick. Truly.

  77. 164 FoxfireTX
    July 25, 2016 at 6:02 pm

    • 165 No Child Left Behind
      July 25, 2016 at 6:09 pm

      Indeed, and I can name a few. Ed Schultz, Bernie Sanders, many Blacks like Ben Jealous and Crazy Uncle C. West. These people help the GOP accomplish what the GOP alone would have never been able to do: divide Democrats by sending fools behind Bernie Sanders.

  78. July 25, 2016 at 6:02 pm

  79. 167 No Child Left Behind
    July 25, 2016 at 6:02 pm

  80. 168 FoxfireTX
    July 25, 2016 at 6:05 pm

    Hillary has been telling him for months what he needed to do to bring these supporters around. But in his arrogance and his concern for continuing his “movement”, he ignored her. He is going to pay a very big price for his nonsense.

    • 169 No Child Left Behind
      July 25, 2016 at 6:07 pm

      I so wish he would go away. I blame him all for the nonsense going on, not to mention the loooooooonnnnnnnnnng minutes spent listening to the rep from Maine, an ardent supporter of his, trying to instill some sense into the Zika heads of Bernie’s cult members.

  81. 170 mtmarilyn
    July 25, 2016 at 6:12 pm

    I am so pissed at theses Bernie Bros if they don’t settle down tonight I might be forced to blow my top to some friends who are Bernie Bros and It’ll be over between us. This whole thing with them and the emails just has me scared to death these evil people will win. I am just going thru a mini rant. The Russians are working to get Trump elected and they will do almost anything now. I also know our msm want controversy. I know I will be on my knees thru this whole election. I know we overcome this. I do believe in our President and our people.

  82. July 25, 2016 at 6:14 pm

    i watched the 2012 Dem Convention….it was so much more exciting then this one so far…..this convention is boring

  83. July 25, 2016 at 6:16 pm

    I’ve heard more about Sanders so far than Hillary? And the convention is for her… MSNBC??? It’s all they talk about is sanders? Lol -This is being pushed by trump & his malevolent tweets .. 😤😡

  84. 175 sherijr
    July 25, 2016 at 6:20 pm

    Alright I am liking this gentleman speaking right now 🙂

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