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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),
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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
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Good summary in the NYT
Breaking bipartisan taboo, Obama proposes fixes to health care law, including public option. nyti.ms/29zIajl https://t.co/TqXEkxnjTn
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NYT Politics (@nytpolitics) July 11, 2016Obama now calling for public option in article published in JAMA (Obama JAMA has a nice, nerdy ring to it) bit.ly/29L8k1K
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Sy Mukherjee (@the_sy_guy) July 11, 2016
The Obama Diary 
Love the success of Obamacare. Thanks Nerdy!
Hi up there, Jackie4Obama!
Love my President and First Lady. Hate what we are likely to see at the DNC tonight because Bernie revolutionaries cannot see reality.
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.
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.
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.
that’s his “socialist” speak, Arapaho 😉
I agree. The Dem convention will be just fine, when the main speakers present. The disrupters will be won over or silenced.
Yep. Don’t see how anyone can sit in there and listen to these folks and not cheer and be moved.
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.”
http://www.motherjones.com/politics/2016/07/bernie-sanders-delegates-speech-philadelphia
This is on Bernie to TELL his damn supporters not to help Trump by booing any speaker during this convention. UGH!!!
Yup, didn’t even address it. Like I said, one HELL of a leader!
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…
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…..
I ❤ this! They look so lover-ly! Hey DD's princesses, where's mine?
Muwaaah! x 2
They are too much! Yesterday Tay told me “you know gama you’re pretty cool”. You could have sold me for a dime after that 😉
Beautiful! Thanks for sharing.
Seal of approval!!!! ❤ ❤ ❤ Goooo Gama! 😀 😀 😀
Well, Donna, that’s the best darned palate cleanser anyone could come up with. Thank you and could you please just give the adorable ones an extra special hug just for me?
Thanks JG and I will do!
Hi Donna, oh how sweet. I need this beautiful smile to refresh my spirit. They are so precious. ((((((( To the twins))))))HZ
Thanks dear HZ!! ❤
Jill Stein praised the Brexit vote then tried to cover it up by deleting it .
WHAT IN THE WORLD????
So glad you have your adorable grand girls to soothe your soul. They are so adorable. Love the affection they show each other!!
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.
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.
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 !!
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!
Thank you Donna. We all needed that. ❤️ 🕊 ❣
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.
Thanks Nat. They are pure joy and keep me smiling. Best to you and yours as well.
Sugar, Sugar……..They Your Candy Girls!
Gorgeous!
Thanks for the wider smile on my face, Donna!
😳 They are……
crickets from the media on this so far.
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
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.
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… 😦
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.
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.
Live now. Gavel at 4:30.
GIVE THEM HELL, people.
Correction:
This must be a Rightwing organization because there were so many lies told last week during the RNC and I don’t recall them tweeting anything to counter those lies.
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?
NO…
Yup, but it got rained out. Mother Nature was kicking A…
I will say this again: I am looking forward to FLOTUS’ address tonight
yep, me too 🙂
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.
Ha, our Mayor 🙂 gaveling in.
it’s on. The DNC has officially opened for business. check it out on
Baltimore Mayor Stephanie Rawlings-Blake gavels in!! AWESOME!!
I went to Philadelphia for the first time last summer and loved it.. really lovely city, imo.
Hey now, Boys to Men 🙂
Boyz II Men, oh YES!!
What better way to have the artists not complain about your using their song without their permission than to have them come sing it in person themselves. Yeah!
This is AWESOME!!
BernieBots blocking the entrance….laying on the ground.
Ugh……
wonder what will happen to them;
We’ll see, won’t we.
They are not protesting on the floor…..they are protesting on the ground. Jeez talk about literal much.
well I’m an atheist but I sure do like her prayer 🙂 🙂
Bernie supporters already disrupting. UGH, this is disgusting.
I saw that, but they were drowned out.
Beautiful prayer disrupted by Bernie Bros. Really ugly.
Disgusting and no respect.
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.
THAT WOULD BE FINE WITH ME..I’VE BEEN TRYING TO CHANGE MY WHITE SELF SINCE O8’~~~I’M ASHAMED OF A HELL OF ALOT OF WHITE PEOPLE..PERIOD!
They will if they come out to vote their numbers which there is no doubt that Trump has motivated us to do. Go Hillary!!
No surprise here:
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.
Can we kick those people out of the arena?
Who are just trying to cause trouble.
They are delegates, so no.
Those BS cult members are crazy.
Big mistake ever letting Bernie run as a pretend democrat.
AMEN!! Say it loudly so everyone can hear you. Never again.
🙂 for real- never again.
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.
Nothing will please the enraged berniebros until they are served HRC’s head on a platter.
THOSE SANDERS SUPPORTERS ARE NUTS AND VERY IMMATURE..THEY MAY HAVE TO EJECT SEVERAL OF THEM TONITE. IT’S A SHAME BECAUSE TRUMP WILL USE THE BEHAVIOR!
I DON’T BELIEVE ALL OF THEM ARE SANDERS SUPPORTERS..I THINK TRUMP SENT SOME OF THEM……………….
I agree.
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!!!
I guess Bernie’s “revolution” was all about getting the DNC to do things his way.
#FORWARD Together
back to work ….
This is f&&&&&& messy.
huh? what revolution?? REal tired of Bernie already. He is not our nominee. He lost. She needs to finish and get off the stage.
However, after tonight, don’t think there’ll be any BernBots on the program…
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.
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.
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.
I had to mute the tv.
🙂
They need the NAACP organist right about now…
Here’s the headline the Bernie supporters were hoping for although nothing will satisfy their need for blood at this point.
I will repeat!!!!!!!!!!!!!!!!!!!!!!
Hmmmmm……..So not prime time?
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.
They are chanting the entire time Congressman Cummings is speaking. This is awful!
I’ve never seen such disrespect. It’s childish and disgusting.
Praying that the rascals boo their SUPREME LEADER tonight, whether these hyenas are GOP plants or not.
Well, then, they should boo Bernie, not Hillary. She didn’t create this monster, he did.
It’s f*** too late for that. Bernie fed them spoonful of crap after crap, month after month. Their old system is tarnished.
Meanwhile, on another crazy land…
By Zeus! What are they chanting now???
No TPP, according to Twitter.
wtf are they chanting?? and how effing dare they. I am sick of these fuckers.
I can’t make it out. This is beyond disgusting.
I just read on twitter, it was No TPP
OMG
I REALLY want TPP now. 🙂
I know I go on rants about TPP but it really matters. So I’m right there with you!
I trust POTUS, so I support it whole heartedly too meta. 🙂
Does this mean they’re going to disrespect President Obama, too? They must be quelled, by any means necessary!
Oh I don’t doubt for a second they’re going to be rude to any and all. If they go after FLOTUS tonight.. I just don’t know how I’m going to react. This is pissing me off so much.
I am so disgusted!
Oh hell yeah, this absolute crap.
Not bedwetting but effing angry at these interruptions. Energy is good, differing opinion is fine, insurrection is just plain stupid.
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.
WE must demand to know who made the decision to let Bernie run as a Democrat. These people do not belong at our Convention.
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.
Absolutely, Nathkatun!!
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.
Thanks Keith. Everyone is blaming Sanders for this mess. It was the way he ran his campaign.
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.
What does these Berniebros really stand for?
Hell Yes we can 🙂 speaking my language now.
watching the dnc per Meta’s suggestion. Ben Jealous is speaking right now
Ben Jealous on now. Oh, please, someone take the wheel.
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.
Every speaker has to shout because of the indiscipline of the Bernie delegates. Every speaker.
Is it just me or do they seem to have a lot of mics near the BernieBros?
Yes, and they are showing them more than others.
I think he’s getting through to them. They are cheering.
Full throated by Ben Jealous, glad to see it.
This makes me sick. Truly.
Yep that really really got to me, there is no excuse for that crap.
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.
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.
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.
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.
i watched the 2012 Dem Convention….it was so much more exciting then this one so far…..this convention is boring
New post.
https://theobamadiary.com/2016/07/25/tweets-of-the-day-59/
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 .. 😤😡
Jovie watch on youtube: https://www.youtube.com/watch?v=_ePB39acAtA no talking heads
Alright I am liking this gentleman speaking right now 🙂