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Winners and Losers on Obamacare’s Supreme Court Victory

Brandon Moseley

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By Brandon Moseley
Alabama Political Reporter

Republicans are denouncing the 5-4 decision by the Supreme Court and Democrats are celebrating a victory where many had grudgingly assumed defeat was inevitable.  Both party’s spin doctors are telling this tale in a way they believe will advance their separate agendas.  This was the most important Supreme Court case in 40 years and almost every American will be affected by the shock waves from this decision……whether they realize it or not.

The big winner of course was President Barack H Obama.  The President admittedly inherited two wars in the Middle East, a housing market collapse, and a recession.  That said, he staked his presidency and all the political capital and muscle he had to pass the Patient Protection and Affordable Care Act and it cost him the House of Representatives.  If after all of that the U.S. Supreme Court had told him that the entire act was unconstitutional (as many of us and four Supreme Court Justices believed it was), that would have been (rightly) seen as a sad spectacle and a waste of time.  Now his Presidency has an actual accomplishment that it can point to…..other than a successful mission by SEAL team 6.  This election MAY become a referendum on whether or not we want Obamacare; but if Obamacare had lost Thursday it would have been a referendum on the economy and President Obama would have lost that argument.  BIG win for Obama.

The pharmaceutical companies were big winners.  Obama needed corporate allies to push Obamacare through the Congress and after the insurance companies balked at his proposals the drug companies came forward with millions of $$$s in advertising and lobbyists in exchange for not getting saddled with government price controls on their merchandise.  Their core business is safe and the costly Medicare Perscription Drug Benefit survived untouched by Obamacare.  Score it a win for big Pharma.

Persons with preexisting conditions were winners.  Pre-Obamacare you paid for insurance when you were young and healthy so you could get insurance if your health changed for the worse and preexisting conditions meant you were turned down by health insurance.  Now a 45 year old 330 pound diabetic who just had a heart attack will be able to get health insurance and can’t be turned down (beginning in 2014).  Now it means rates will go up for everybody on the plan, but score it a win for unhealthy people.

Slackers won big.  In the America of long, long ago, you turned 18 and you went to college, joined the military, or left to start a career.  That appears to have changed and now 20 somethings are playing video games on their parents couch and the government is now requiring that insurers cover “children” until they are 26 on their parents’ healthcare insurance.  Again the other people paying for family coverage on the plan will be paying for this, but slackers everywhere can rejoice.

This was a big win for news talk radio.  Nothing drives ratings on conservative talk radio shows like President Obama messing with your healthcare.

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This was a win for Romney.  This just went from being an election to being a crusade.  If conservative won’t reach for their checkbooks to defeat a President who has expanded federal power more than anybody since LBJ in the 60s; then they really can’t call themselves conservatives anymore.

The states.  Thursday was not a total victory for team Obama.  The Court agreed that the federal government can not force the states to expand Medicaid to take in millions of the uninsured.  Dozens (if not all) the states will opt out of the Medicaid expansion.  They simply don’t have the funds in their budgets.

That is pretty much it for the winners……now let’s take a look at the losers.

Insurance companies.  After today, the only business more regulated than insurance companies may be nuclear power plant operators.  The government is regulating what insurers can sell, how they market it, profit margins, administrative costs, executive bonuses and has created a situation of adverse selection where the sick, the diseased, the unhealthy have to be insured, while raising rates so that the young and the healthy have to subsidize the less healthy on the plan.  Health insurers were big losers.

Doctors.  Obamacare is enormously unpopular with physicians.  Obamacare cuts what doctors get paid, strips them of their right to not participate in procedures that violate their consciences, and raises their regulatory burden without giving them what they wanted most…..tort reform.  Expect thousands to leave the field.

The uninsured.  Obamacare was supposed to decrease the ranks of the uninsured.  When the Supremes tossed out the demand that states expand Medicaid to include many more adults it meant that 30 million who would have been insured under Obamacare likely won’t be and now they will have to pay more on their income taxes too.

The Tea party.  Obamacare birthed the modern tea party movement.  They exist to wage war on Obamacare and the growing state apparatus.  They failed to stop it in 2010.  They failed to get it repealed in 2011 and the Court rejected their views on the subject again.  The tea party may be losers today….but they have not lost this war yet.

Medical device makers just got slammed with a new tax so they are among the losers.

The elderly will see their access to doctors decreased and eventually they will receive less and less care as the government seizes more power over senior healthcare and increasingly life extending treatments will be harder to get.

Business.  Obamacare slaps business and industry with greater costs and makes insurance less affordable.

Religious institutions.  Their fight for the preservation of religious liberty goes on even though it appears that this court is firmly in the Obama camp.  By the time their case is finally heard Obama could have packed the court with another Kagan or Sotomajor.

The currently insured.  Rates are going up and the people who currently have health insurance are going to have to absorb the costs.  A lot of employers will drop coverage and pay the fine rather than pay increasing premiums.

The taxpayers.  The government is spending $1.3 trillion a year more than it takes in now and now the government is adding new entitlements and more bureaucracies.  Obamacare is adding billions more to the $15.9 trillion national debt.  Somebody will pay for this at some point in time and the resulting combination of budget cutting and increased taxes will be painful for all of us.

Brandon Moseley is a senior reporter with eight and a half years at Alabama Political Reporter. You can email him at [email protected] or follow him on Facebook. Brandon is a native of Moody, Alabama, a graduate of Auburn University, and a seventh generation Alabamian.

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Health

Madison County mask order goes into effect Tuesday

Eddie Burkhalter

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Studies have shown that wearing masks reduces transmission of coronavirus.

Madison County’s health officer issued a face mask order to slow the spread of COVID-19, which goes into effect Tuesday at 5 p.m. 

Madison County Health Officer Dr. Karen Landers, who also serves as the assistant state health officer, issued the order, which requires those over the age of 2 to wear masks in businesses or venues open to the public, while on public transportation, in outdoor areas open to the public where 10 or more people are gathered and where maintaining 6 feet of distance from others is not possible. 

“We need to do all we can to limit the spread of COVID-19,” State Health Officer Dr. Scott Harris said in a statement. “Until we have a vaccine or treatment for COVID-19, wearing a face covering in public is a key measure we have available to prevent transmission of the virus.”

Huntsville Mayor Tommy Battle in a statement expressed support for the mask order. Madison County now joins Jefferson County, Montgomery, Mobile and Selma in requiring masks while in public. 

“This is a simple math problem. Since June 16, the number of positive cases in Madison County has tripled, and the number of hospitalizations has increased 660 percent,” Battle said in the statement. “We need to take precautionary measures, such as wearing face covers, distancing 6 feet, and handwashing to provide a safe environment for our citizens.” ​​

Madison Mayor Paul Finley also noted the surging cases and said he supports the order. 

“Since day one, we as elected officials have said we would work to find the balance of personal versus economic health. While personal responsibility is still paramount, our dramatic rising numbers dictate this step be taken to continue to support all citizens’ safety,” Finley said in a statement. 

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Medical experts believe COVID-19 is most often spread when an infected person, with or without symptoms, talks, coughs or sneezes. Studies have shown that wearing masks reduces transmission of coronavirus.

Other exceptions to Madison County’s mask order include:

  • Persons while eating or drinking.
  • Patients in examination rooms of medical offices, dental offices, clinics or hospitals where their examination of the mouth or nasal area is necessary.
  • Customers receiving haircare services, temporary removal of face coverings when needed to provide haircare.
  • Occasions when wearing a face covering poses a significant mental or physical health, safety or security risk. These include worksite risks.
  • Indoor athletic facilities. Patrons are not required to wear face coverings while actively participating in permitted athletic activities, but employees in regular interaction with patrons are required to wear face coverings or masks.
  • Private clubs and gatherings not open to the public and where a consistent 6-foot distance between persons from different households is maintained.

“Although not mandated, face coverings are strongly recommended for congregants at worship services and for situations where people from different households are unable to or unlikely to maintain a distance of 6 feet from each other,” the department said in a statement on the order.

This is a simple math problem. Since June 16, the number of positive cases in Madison County has tripled, and the number of hospitalizations has increased 660 percent."

Parents must ensure children over 2 years old wear masks in public, and childcare establishments and schools are to develop their face covering policies and procedures, according to the department.

The order also mandates that businesses and venues open to the public provide a notice stating that face coverings are required inside, and signage is required at all public entrances. 

“Wearing a face covering can help keep family, co-workers, and community safe,” Harris said. “This is the simplest act of kindness you can take for yourself, your family and your community, especially for those who are at high risk of contracting the virus.”

The Alabama Department of Public Health advises these actions to prevent the spread of COVID-19:

  • Wash your hands frequently with soap and water for 20 seconds
  • Social distance by staying 6 feet away from others
  • Avoid people who are sick
  • Stay home if you can; work remotely if possible
  • Cover your mouth and nose with a face covering when around others
  • Cover coughs and sneezes
  • Clean and disinfect frequently touched surfaces
  • Monitor your health

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Push to rename Edmund Pettus Bridge gains steam, but Selma activists want their say

The latest effort to rename the bridge is gaining momentum, with a petition surpassing 300,000 signatures, but residents of Selma are saying not so fast.

Micah Danney

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The Edmund Pettus Bridge in Selma, Alabama. (via Wikimedia Commons)

The latest effort to rename the Edmund Pettus Bridge is gaining momentum, with its online petition surpassing 300,000 signatures and attracting some high-profile supporters, but residents of Selma are saying not so fast.

“We don’t agree that one person’s name should go on the bridge because it was a collective of people that made that happen,” said Alan Reese, of Selma, whose grandfather F.D. Reese was one of the “Courageous Eight” who invited Dr. Martin Luther King, Jr. to join their push for voting rights.

The bridge became a landmark of the civil rights movement in 1965, when state troopers and a white posse attacked the roughly 600 marchers who crossed it as they attempted to march to Montgomery to register to vote.

The event became known as Bloody Sunday and galvanized support for civil rights for Black Americans. Among the beaten was Georgia Rep. John Lewis, then a member of King’s Southern Christian Leadership Conference.

His role as a leader of that march, and the injuries he suffered from a trooper’s baton, made him the focus of The John Lewis Bridge Project, a nonprofit formed last month by Michael Starr Hopkins, who has worked as a political strategist for several Democratic campaigns.

Hopkins had just watched the 2014 film “Selma” and looked up who Edmund Pettus was. When he learned that Pettus had been a Confederate general and reputed grand wizard in the Ku Klux Klan, Hopkins decided he wanted to do something to change the bridge’s name. He created the petition, and within 24 hours, it had more than 10,000 signatures.

Its goal is half a million signatures, Hopkins said. He’s also raising money to start an outreach program in Alabama and nationally to build a pressure campaign to change the name. 

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Lewis responded to a previous petition to rename the bridge in his honor with a statement that it was not his desire. His office has not addressed the current effort. Lewis is undergoing treatment after he was diagnosed with advanced pancreatic cancer in December.

Hopkins said he understands Selma residents’ concerns.

“If someone was coming into my back yard and wasn’t from where I was from, telling me that I needed to change something, you know, I’d be a little ticked off too,” Hopkins said.

After speaking with Reese, he agreed that the citizens of Selma need to be central to the conversation about what will happen to the bridge’s name.

Alternatives to Lewis’s name have been suggested, including bestowing the honor on the “foot soldiers” who marched there, or on the eight activists who led the Dallas County Voters League, which laid the groundwork for the march that made the bridge a global icon of nonviolent struggle.

The very thing that my forefathers and mothers were walking on the bridge to secure was agency."

“Yes his name was on the bridge on Bloody Sunday, but if he had had it his way, none of the people crossing that bridge would have been let out of shackles, and we would still be slaves,” Hopkins said. “So I think that by continuing to keep his name on the bridge, you bestow a sense of honor that he is undeserving of.”

Reese said he plans to speak to Hopkins later this week to figure out how to proceed. This isn’t the first push to rename the bridge, and Reese said that Selma’s residents are tired of outsiders making decisions about what happens to what may be the most famous landmark in their community.

Monuments have faces, he said. The bridge is not a monument, and its history changed the meaning of Pettus’s name, he said, although he understands the urge to change it. If that happens, he wants the name to prompt people to learn about what the people of Selma did before and after Bloody Sunday. If it honored the Couragious Eight, for instance, that might encourage future generations to learn about who they were. 

Reese’s grandfather was not featured in Ava DuVernay’s 2014 film, he noted. DuVernay tweeted recently in support of renaming the bridge.

Lydia Chatmon, who works to promote tourism in Selma and is a program manager for the Selma Center for Nonviolence, said that most surviving foot soldiers she has talked to aren’t keen on changing the name. It could also have implications for tourism, she said, noting that the bridge is under review for designation as a UNESCO World Heritage Site.

The bridge’s renaming is an opportunity to have a valuable conversation at a critical time, Chatmon added. The brutality captured by cameras on the bridge sent shock waves through American society, as did the brutality of George Floyd’s death captured by cell phone cameras, she said. Part of the process of building a better nation is having an open dialogue about issues like the bridge and how its name and legacy are owned and handled.

She looks forward to setting a date for an open town hall where the discussion can take place, likely in early August, she said.

Above all, it is a matter of agency, Chatmon said. King’s model for social change required the consent and participation of the people his work purported to help.

“The very thing that my forefathers and mothers were walking on the bridge to secure was agency,” Chatmon said.

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Alabama’s COVID-19 hospitalizations surge over July 4th weekend

The new high of 919 patients in hospitals being treated for COVID-19 on Sunday was 41 percent higher than the number of patients a week ago on June 28.

Eddie Burkhalter

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The number of people hospitalized with COVID-19 in Alabama hit another record high on Sunday. (Stock photo)

The number of people hospitalized with COVID-19 in Alabama hit another record high on Sunday, jumping over 900 for the first time since the pandemic began, and while the state’s supply of intensive care beds and ventilators are currently adequate, there’s concern that usage of both could spike in the coming weeks. 

The new high of 919 patients in hospitals being treated for COVID-19 on Sunday was 41 percent higher than the number of patients a week ago on June 28, and the seven-day average of hospitalizations was also at a record high on Sunday at 818. Over the last week, Alabama saw five record highs in COVID-19 hospitalizations. 

Dr. Don Williamson, president of the Alabama Hospital Association and a former state health officer, told APR on Monday that 893, or 57 percent of the state’s supply of ventilators, were available Monday morning, while 309 of 1,669 ICU beds, or 18.5 percent, were available. 

Williamson said while those two indicators are encouraging, it may take several weeks to learn whether many of those hospitalized will worsen and require ICUs and ventilators, and possibly lead to a rise in deaths. He said another possibility is that younger people are being admitted for COVID-19 but may not become sick enough to require more of the hospitals’ resources, and doctors are getting better at caring for coronavirus patients.

“We just don’t know yet. We don’t know which way we’re going to go,” Williamson said. “We just know we got a whole lot more cases than we had a month ago, and we’ve got a lot more hospitalizations than we had a month ago.” 

Williamson said that from the week beginning June 29 to the week starting July 5, the average number of daily COVID-19 hospitalizations increased by 140, rising from 658 hospitalizations to 798 hospitalizations on average during that time. He believes the number of confirmed cases will continue to spike after Fourth of July celebrations. 

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For six straight days, Alabama has added more than 900 new COVID-19 cases daily, and on Monday the state recorded 925 new cases, and the 14-day average of new cases was also higher than it’s been since the pandemic began, at 1,025. 

While testing has increased in Alabama, so too has the percent of tests that are positive, a marker public health experts say shows that there still isn’t enough testing and many cases are going undetected. 

We just know we got a whole lot more cases than we had a month ago, and we've got a lot more hospitalizations than we had a month ago.”

The 14-day average of percent positivity was 13.5 percent on Monday, and taking into account incomplete data on negative tests in April, which inflated the positivity percentage, the data Monday was at a record high. Public health experts say the number should be at or below five percent.

The seven-day and 14-day average of daily COVID-19 deaths both were at 11 on Monday, and the numbers have remained largely steady for most of May, June and July.

In the last week, there have been 79 COVID-19 deaths in the state. Since the pandemic began, there have been 984 deaths in Alabama attributed to the virus, and the Alabama Department of Public Health estimates that 23 more deaths are likely due to COVID-19.

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Governor awards $48 million to Department of Education, up to $50 million for higher education

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Gov. Kay Ivey on Monday awarded $48 million of the Governor’s Emergency Education Relief Fund (GEERF) to the Alabama State Department of Education in response to challenges related to COVID-19. This allocation will enable schools to enact policies established in the Alabama State Department of Education’s Roadmap to Reopening Schools.

As schools across Alabama are navigating increased challenges related to COVID-19, this initial investment will assist by providing budget stability, enable distance learning for any student that seeks it, and get additional resources to students most in need.

The allocation will be used as follows:

  • $10 million to equip all school buses with WiFi capabilities to increase internet connectivity and help bridge the digital divide
  • $4 million to improve remote learning opportunities by providing digital textbook and library resources for all students
  • $26 million to provide additional academic support to bridge learning and achievement gaps
  • $9 million to support intensive before and after school tutoring resources for learning and remediation in schools

Additionally, Alabama institutions of higher education will be able to submit requests for a combined reimbursement of up to $50 million of the federal Coronavirus Aid, Relief, and Economic Security Act (CARES Act). Alabama received approximately $1.9 billion of CARES Act funding to respond to and mitigate the coronavirus pandemic. Alabama Act 2020-199 designated up to $118.3 million of the Coronavirus Relief Fund for any lawful purpose as provided by the United States Congress, the United States Treasury Department, or any other federal entity of competent jurisdiction.

“I am pleased to invest in our state’s greatest asset – our students,” Governor Ivey said. “As we respond and adapt to COVID-19, we must ensure that our local school districts and institutions of higher education receive necessary support and provide our students full access to their educational opportunities. Closing school during the pandemic disproportionately impacts students who are already struggling, and it is our obligation to provide as much stability and access possible in these uncertain times.”

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