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Consumer Spending On Health Care Surged Since 1960s | Bloomberg.com’s “Chart of the Day” notes that consumer spending’s share of the U.S. GDP is experiencing a surge as household purchases, including health care expenses, has grown as a proportion of the economy, climbing from 61 percent in the mid 1960s to 71 percent today. “Medical payments now account for about 16 percent of total consumer spending, more than food and clothing combined, which make up about 11 percent, or housing, which accounts for about 15 percent.” Health care costs have remained steady in 2010, increasing by just 3.9 percent , thanks in part to the Affordable Care Act. Over time, reform will further lower the rate of increase by investing in comparative effectiveness research and rewarding more efficient delivery of services.

Fatima Najiy

Economy

Catholic Leaders Call On Gingrich And Santorum To ‘Stop Perpetuating Ugly Racial Stereotypes’ About Poverty

Faith in Public Life reports that more than 40 Catholic leaders and theologians across the country are calling on two of their “fellow Catholics,” GOP contenders Newt Gingrich and Rick Santorum, to stop using divisive rhetoric about race and poverty on the campaign trail.

Noting that Catholics consider racism an “intrinsic evil,” the open letter confronts the two candidates about their comments singling out minorities who receive welfare:

As Catholic leaders who recognize that the moral scandals of racism and poverty remain a blemish on the American soul, we challenge our fellow Catholics Newt Gingrich and Rick Santorum to stop perpetuating ugly racial stereotypes on the campaign trail. [...]

Labeling our nation’s first African-American president with a title that evokes the past myth of “welfare queens” and inflaming other racist caricatures is irresponsible, immoral and unworthy of political leaders.

Some presidential candidates now courting “values voters” seem to have forgotten that defending human life and dignity does not stop with protecting the unborn. We remind Mr. Gingrich and Mr. Santorum that Catholic bishops describe racism as an “intrinsic evil” and consistently defend vital government programs such as food stamps and unemployment benefits that help struggling Americans.

Gingrich frequently derides President Obama as a “food stamp president” and recently said he would go to the NAACP and tell African Americans they should “demand paychecks and not be satisfied with food stamps.” He also said “really poor children…have no habits of working and have nobody around them who works,” and don’t know how to earn an income “unless its illegal.”

In Iowa, Santorum proclaimed, “I don’t want to make black people’s lives better” through government aid — conveniently ignoring that only 9 percent of Iowans on food stamps are black. After facing criticism for his remarks, he tried several times to deny he had ever made them.

Despite the fact that 39 percent of Americans on welfare are white, Gingrich and Santorum have directed their vitriol toward minorities in speeches before mostly-white audiences. Instead of acknowledging that millions of American families are looking for help in difficult times, the candidates have played up stereotypes of “lazy blacks” who prefer a government handout to hard work.

Those stereotypes are inaccurate as well as offensive. As Tanya Somanader notes, an increasing number of food stamp beneficiaries actually do have jobs and receive paychecks that are the primary source of their income — but most of those incomes still keep them below the poverty line. The Catholic leaders who signed the letter call it “misleading and insulting” to suggest that the unemployed would rather collect benefits than work at a time when there are four job seekers for every job opening.

Santorum Embraces Government Health Care…For Veterans

Rick Santorum claims that the expansion of government health care in Obamacare inspired him to run for president and regularly condemns the government’s involvement in the Medicare program. “We should not have a government-run health care system on Medicare or anything else, because it completely distorts the market,” he explained at a town hall in South Carolina on January 12. “It’s top down. It’s not the way America works best.”

But this morning, during an appearance on C-SPAN’s Washington Journal, the former Pennsylvania senator embraced the most government-centric health care system of them all: veterans health care — a fully integrated structure of government payers and providers. Santorum said his parents met on a government veterans base and said his father worked as a government health care provider:

SANTORUM: The answer is [veterans health care] should be excluded from any kind of reduction. These are people, men and women, who stepped forward to defend this count country. The country has a special obligation to them as a result of that. these are heroic people. [...] I grew up on VA grounds, my mom and dad met at a VA after World War II. [...] And I got a chance to meet veterans and work with them and volunteer at the hospital. And i can tell you that there problems in the VA health care system. There’s a lot of problems with quote government-run medicine. [...] The one thing we can’t do is cut those benefits.

Watch it:

The veterans’ health care structure of doctors and hospitals is not without its problems, but it actually provides veterans with benefits that are the envy of the rest of the health care system — including private payers and providers. A study by the RAND Corporation found that “VA patients were more likely to receive recommended care” and “received consistently better care across the board, including screening, diagnosis, treatment and follow up.”

Romney Inadvertently Defends Obamacare

Mitt Romney reiterated his pledge to repeal the Affordable Care Act during Thursday night’s GOP presidential debate in South Carolina and promised to replace the law with three national provisions that, he claimed, could help small businesses and individuals find health care coverage. Unfortunately for Romney, all three ideas are already incorporated in full or in part in the health care reform law he seeks to repeal. Watch his comments:

The comparison:

Romney’s Replacement Affordable Care Act
“Care for people that have pre-existing conditions if…they’ve been previously insured.” Sec. 1201 provides that individuals won’t be denied insurance even if they have no prior coverage history. Romney’s proposal is more limited and would allow insurers to discriminate against those who have not been “previously insured.”
“I’ll allow people to own their own insurance, rather than just being able to get it from their employer.” Sec. 1321 establishes health care exchanges that would allow individuals to shop for their own health care policies. Sec. 1302 (e) allows younger adults to purchase high deductible catastrophic policies. Anyone can still purchase coverage in the individual market.
“We’ll make it work in a way that’s designed to have health care act like a consumer market.” Sec. 1321 encourages states to build new health care marketplaces — or exchanges — in which consumers will have a choice of insurers.

For more on Romney’s replacement plan and why it’s not ad adequate solution for lowering the number of uninsured or reducing health care costs, click here.

Obama Administration Approves Rule That Guarantees Near-Universal Contraceptive Coverage

Our guest blogger is Jessica Arons, Director of the Women’s Health and Rights Program at American Progress.

Today, in a huge victory for women’s health, Health and Human Services Secretary Kathleen Sebelius announced that most employers will be required to cover contraception in their health plans, along with other preventive services, with no cost-sharing such as co-pays or deductibles. This means that after years of trying to get birth control covered to the same extent that health plans cover Viagra, our country will finally have nearly universal coverage of contraception.

Opponents of contraception had lobbied hard for a broad exemption that would have allowed any religiously-affiliated employer to opt out of providing such coverage. Fortunately, the Obama administration rejected that push and decided to maintain the narrow religious exemption that it initially proposed. Only houses of worship and other religious nonprofits that primarily employ and serve people of the same faith will be exempt. Religiously-affiliated employers who do not qualify for the exemption and are not currently offering contraceptive coverage may apply for transitional relief for a one-year period to give them time to determine how to comply with the rule.

Twenty-eight states already require employers, including most religiously affiliated institutions, to cover contraception in their health plans. The only change is that now they must cover the full cost.

Family planning results in better health outcomes for women and their children—a woman who has a planned pregnancy is more likely to be in better health when she gets pregnant and more likely to seek prenatal care, and children who are born at least two years apart are healthier. Family planning is also the most effective tool we have in reducing unintended pregnancy and the need for abortion.

An expanded religious exemption would have created an unreasonably large loophole that would have kept these benefits beyond the reach of millions of women. This decision honors the conscience of these women over that of the institutions that employ them and ensures that cost will no longer be a barrier to accessing basic and essential preventive health services.

Update

“The United States Conference of Catholic Bishops is promising a legal challenge” over the new rule, Kaiser Health News reports. “There really is no change,” said Sister Mary Ann Walsh, director of media relations for the bishops. “What has been announced is that they are going to delay an enforcement. It’s as if they said ‘We’ll give you a year to figure out how to violate your conscience.’” The bishops’ group “will fight this edict; they have no choice but to fight this edict,” she said.

Santorum Campaign Circulates Romney’s 2002 Pro-Choice Pledge At South Carolina Debate

CHARLESTON, South Carolina — Former Pennsylvania Sen. Rick Santorum (R) criticized fellow presidential candidate Mitt Romney’s (R) record on abortion issues at Thursday night’s debate, saying Romney had been inconsistent in his support for anti-abortion causes. Romney, Santorum noted, supported abortion during his 1994 Senate campaign and his 2002 campaign for the governorship of Massachusetts.

Romney, predictably, attempted to deflect the criticism, saying he had “made a mistake” years ago. “Is there any possibility that I ever made a mistake in that regard?” Romney asked. “I didn’t see something that I should have seen? Possibly.” Watch it:

Immediately after the exchange, Santorum’s campaign began distributing copies of the pledge Romney signed in 2002 for Planned Parenthood of Massachusetts, which included Romney’s signature, which featured the following questions and answers, among others:

Do you support the substance of the Supreme Court decision in Roe v. Wade? YES

Do you support state funding of abortion services through Medicaid for low-income women? YES [...]

Do you support the teaching of responsible, age-appropriate, factually accurate health and sexuality education, including information about both abstinence and contraception, in public schools? YES

In the pledge, Romney also expressed support for expanding access to emergency contraception and for legislation to help prevent “violence, intimidation, and harassment directed at reproductive health providers and their patients.”

Romney spokesperson Stuart Stevens would not further expand on Romney’s explanation of his past support for the pledge as a “mistake,” saying after the debate that Romney’s response stood for itself. In November, the Romney campaign insisted that he “does not believe that federal taxpayer dollars should be used to fund groups that provide abortions or abortion-related services,” despite his support for Planned Parenthood’s 2002 pledge.

Romney Supporter Tim Pawlenty: Gingrich And Santorum Have Embraced ‘Elements Of’ Obamacare ‘As Well’

Tim Pawlenty — who famously characterized the Affordable Care Act as “Obamneycare” because it is so heavily modeled on Mitt Romney’s health care law in Massachusetts — doubled down on his argument that President Obama and the Democrats relied on Romney’s law as a blueprint for national reform in the spin room of Thursday night’s GOP presidential debate in South Carolina. But then, the former Minnesota governor went further, suggesting that Newt Gingrich and Rick Santorum have also embraced “elements of Obamacre”:

PAWLENTY: Newt Gingrich embraced the individual mandate and elements of Obamacare as well. Rick Santorum has embraced other elements of health care reform that are problematic relative to Democrats and Barack Obama. So don’t single Mitt out with respect to your question.

Watch it:

Indeed, all three candidates supported the individual requirement to purchase health insurance coverage and Romney and Gingrich backed exchange-like mechanisms where individuals and small businesses have the advantages of large employers in purchasing coverage. They also embraced regulations that prohibited insurance companies from denying coverage to people with pre-existing conditions and subsidizing coverage for lower-income Americans. For more on the similarities between Gingrich’s and Romney’s health care proposals and the Affordable Care Act, click here and here.

Morning CheckUp: January 20, 2012

Santorum goes after Romneycare: “Former Senator Rick Santorum went after Romney for the health-care overhaul he signed into law in Massachusetts, which has an individual mandate like the federal law.” “Of Romney and Gingrich, Santorum said that he was working on conservative causes “while these two guys were playing footsie with the left.” Romney’s retort: “If you want to be governor of Massachusetts, that’s fine, but I want to be president of the United States.” [Daily Beast]

Romney explains himself: “On stage for the final debate before the South Carolina primary Thursday, Mitt Romney gave one of his longest and most detailed answers about how he’d seek to repeal the health care law, and how he’d replace it.” [TPM]

Abortion wars burned hot in 2011: “States passed a whopping 67 new laws last year that restrict access to abortion, NARAL Pro-Choice America said Thursday. And the House took eight votes on anti-abortion-rights measures, the most since 2000.” [The Hill]

Health records access expanded for federal employees: “Health insurance carriers that provide coverage for federal employees must soon begin offering their members additional downloading and data-sharing capabilities.” [Modern Healthcare]

Colorado GOP go after health care law: “Colorado’s Republican-led House on Thursday passed what the GOP calls a new tactic to challenge the federal health care overhaul. The House voted 33-31, largely along party lines, to call for a state-initiated amendment to the U.S. Constitution repealing last year’s health care law.” [CBS News]

Ohio of two minds on health reform: “When it comes to federal health reform, the Kasich administration seems to be of two minds. One of Gov. John Kasich’s top appointees, Greg Moody, has enthusiastically embraced a key goal of health reform: boosting quality and moving toward more preventive, coordinated care. But a second official, Lt. Gov. Mary Taylor, who Kasich tapped to head Ohio’s insurance department, has impeded implementation of the Affordable Care Act, calling it a ‘catastrophic law.’” [Newark Advocate]

Mental illness affects 1 in 5 Americans: “Mental illnesses are among the most common health problems facing Americans, with 20 percent of adults having a diagnosable mental, behavioral, or emotional disorder. That’s according to a new report from the Substance Abuse and Mental Health Services Administration.” [NPR]

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