a democrat with a backbone: gov deval patrick [View all]

Letter From Governor Patrick to the Massachusetts Congressional Delegation on the Affordable Care Act

As you consider current proposals to change the Affordable Care Act (ACA), I write to remind you about what we have learned from health care reform in Massachusetts, and to inform you of some of our experiences so far with implementing it.

We have seen firsthand the positive changes brought about by a strong individual insurance market with protections that ensure a basic level of care. Individuals are protected from being dropped from insurance when they need it most, or being denied coverage because of a pre-existing condition. Benefits must meet minimum standards, and there are limits on individuals’ exposure to out-of-pocket costs for needed health care. And the rest of us are protected against having our premiums inflated or our taxes tapped to pick up the tab for the uninsured or underinsured. With these basic features in place, we have achieved near universal coverage, better health and slower growth in health costs. With the ACA, the same can and will happen for the country.

Much has been made of the fact that some Americans have had their current policies canceled by their insurers. Some of that, we know, is in the normal course of annual insurance renewals. Some is because the existing policies do not provide the minimum level of coverage required by the ACA. So long as the means for individuals to learn about and enroll in affordable alternatives is available, through an improved website, a call center or otherwise, the transition of people from non-compliant policies to compliant ones should proceed.

Nonetheless, the public has been poorly informed about this transition, and too many consumers are unable to enroll conveniently in compliant plans. For some, the temporary delay proposed yesterday by the President may be appropriate. Our experience in Massachusetts tells us that our health plans and their customers have prepared for the transition and are unlikely to need or to use the additional time.

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http://theobamadiary.com/2013/11/15/a-democrat-with-a-backbone-gov-deval-patrick/