Monday, November 18, 2013

Are media and pols just rooting for failure?

I know a lot of people waiting for help with health care. I have a son who is only insured because the Affordable Care Act (ACA) lets us keep him on our family policy to age 26. I have a brother-in-law, friends and acquaintances with individual policies who want cheaper, more comprehensive coverage. I have many friends with pre-existing conditions who will now be able to get insurance.

But you’d never know it from the daily news. One month into ACA’s initial six-month enrollment period and crisis ensues. Frankly, I’m crisis’d out.

First, did we really think a web site designed to interface with multiple other government AND private organizations’ sites would work seamlessly? How often do Facebook changes gum up its operation, and people threaten to abandon it forever? It hasn’t happened yet.

And, have you ever called your health insurer to get approval for a procedure or medication? How many menus and people did you go through to get an answer? Did we really expect this to be simple?

Second, the web site is not the only way to enroll. People can call to enroll, or print forms off the web site and mail them in. They can also locate a navigator in their area and sit down with a person to go through the process.

But I don’t hear about these options in major media reporting. Instead, they report on the problems with the web site and on individuals whose current policies are being replaced with more expensive (and more comprehensive) plans. Unfortunately, they often leave out the rest of the story . . .

As Joan McCarter writes on Daily Kos: “They're not telling people they can shop around for a better deal. Which is precisely the point of the health insurance exchanges. These insurers are betting that people will go the route of least resistance, and just fork up the money for the plan they're being pushed toward. . . . They're going to squeeze whatever extra money they can get out of people because that's what they do.”

This week’s case in point comes from CBS News. They reported about a woman in Florida, Dianne Barrette, whose $50 a month health “insurance” was replaced with a $591 plan.

Erik Wemple described Barrette’s current policy as a “pray-that-you-don’t-really-get-sick plan” and writes on his blog: “More coverage [reporting] may provide a deeper understanding of the ins and outs of Barrette’s situation: Her current health insurance plan, she says, doesn’t cover ‘extended hospital stays; it’s not designed for that,’ says Barrette. Well, does it cover any hospitalization? ‘Outpatient only,’ responds Barrette. Nor does it cover ambulance service and some prenatal care.”

Yet Barrette, who earns about $30,000 annually, could get better coverage and subsidies to pay for it via the health care exchanges.

Like my friends and neighbors frustrated by the letters they’re getting from their insurers, I’m frustrated by the lack of constructive information coming from media and our politicians. At a time when real people need help, they are rooting for failure. We don’t need shoddy news reports and hearings designed to point fingers. We need information about how to sign up for better, more affordable coverage.

The Affordable Care Act is law like Social Security and Medicare. It is regulation enacted to prevent consumers from being bankrupted by health care emergencies and profit-seeking insurers. Either help or get out of the way.

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