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About East Oregonian : E.O. (Pendleton, OR) 1888-current | View Entire Issue (Oct. 19, 2017)
NATION East Oregonian Page 6A Thursday, October 19, 2017 Uncertainty reigns ahead of new health care sign-up period By BARBARA RODRIGUEZ Associated Press DES MOINES, Iowa — Jason Sanford has heard so many rumors about the changing health care landscape that every few weeks he dials a local information desk, seeking just a rough estimate of what his diabetes medication will soon cost him. The answer is the same every time: It’s too early to say, even with the next open enrollment period under the Affordable Care Act beginning in two weeks. “It’s just hearsay,” said the 55-year-old sales representative from Davenport. “There’s no channel for information that I’m getting anywhere.” After several failed attempts in Congress to repeal and replace the 2010 health care law, Americans across the country are grappling with unanswered questions about how “Obamacare” will function during the six-week sign-up period beginning Nov. 1. The confusion is especially pronounced in Iowa, which is seeking last-minute federal approval to revamp its indi- vidual insurance market. Uncertainty has mounted in recent days amid a push by President Donald Trump to allow the purchase of skimpier insurance plans than the ACA requires and a move by the pres- ident to cut off federal payments that help keep consumer costs down. Then on Tuesday, some senators announced a tentative agreement to continue those payments. What it all means for Iowa isn’t clear. Its proposal, known as the stopgap measure, would be unlike any other state’s health insurance market. It would replace the variety of plans from which people can choose with just one plan for everyone, and the cost would be based not just on income, but on age. Critics say it could prove more expensive for individuals AP Photo/Charlie Neibergall Gail Orcutt counts her medication at the kitchen table in her home, Tuesday in Pleasant Hill, Iowa. GOP, Dem senators push health deal as Trump keeps distance WASHINGTON (AP) — The authors of a bipartisan plan to calm health insurance markets said Wednesday they’ll push the proposal forward, even as President Donald Trump’s stance ricocheted from supportive to disdainful to arm’s-length and the plan’s fate teetered. “If something can happen, that’s fine,” Trump told reporters at the White House. “But I won’t do anything to enrich the insurance companies because right now the insurance compa- nies are being enriched. They’ve been enriched by Obamacare like nothing anybody has ever seen before.” The agreement by Sens. Lamar Alexander, R-Tenn., and Patty Murray, D-Wash., on a two-year extension of federal subsidies to insurers that Trump has blocked gained an important new foe. The anti-abortion National Right to Life said it opposed the measure because it lacked language barring people from using their federally subsidized coverage to buy policies covering abortion, said Jennifer Popik, the group’s top lobbyist. In another blow, Doug Andres, spokesman for House Speaker Paul Ryan, R-Wis., said Ryan “does not see anything that changes his view that the Senate should keep its focus on repeal and replace of Obamacare.” With hard-right conser- vatives wielding considerable influence and unwilling to prop up President Barack Obama’s health care law, it was unclear if Ryan would be willing to even bring the measure to his chamber’s floor. Overall, it was a bad day for the bipartisan accord, with several Republicans conceding that it likely needed Trump’s backing to survive. with high-cost medical needs. State officials argue the higher out-of-pocket expenses would be offset by lower monthly premiums. Gail Orcutt, of the Des Moines suburb of Pleasant Hill, receives costly chemotherapy for lung cancer. She attended some meetings over the summer on the stopgap measure, though she said she left confused. Because she doesn’t know what her costs will be next year, she is considering putting off some periodic scans that help detect if her disease is spreading. “I just might need to skip those until I’m on Medicare,” said the 64-year-old retired elementary school teacher, who will be eligible in May for the national health program for older Americans. Reyma McCoy McDeid hears concerns like Orcutt’s almost every morning when she listens to voicemails from strangers who have called into the Central Iowa Center for Independent Living, a disabled-services center where she is executive director. She tries to provide as much as information as she can — which often is little more than the callers already know. “I listen,” she said. “I think that’s something that people are needing right now. I think a lot of people are overwhelmed. Health care is an extremely important part of being alive, and people are feeling really vulnerable.” Jennifer Busch, who typi- cally answers Sanford’s calls about diabetes, is one of a small number of federally funded “navigators” in Iowa whose job is to help people enroll in the insurance marketplace. For now, she offers only general answers because she hasn’t received word from the state on how everything would work under the stopgap. “It’s difficult to reassure people because I don’t know what the picture looks like either,” said Busch, who works for Genesis Health System. Some health care experts say if Iowa’s plan is approved in the next two weeks, there won’t be enough time to inform people adequately about the changes. “It’s just hard to imagine there’s not going to be mass confusion,” said Timothy Jost, a retired professor at Wash- ington and Lee University’s law school. Gender equality perception splits down party lines By DAVID CRARY AP National Writer NEW YORK — Does the United States still have hard work ahead of it in enabling women to attain equality with men? The answer, according to a new large-scale survey, may depend on whether it’s coming from a Democrat or a Republican. The survey, released Wednesday by the Pew Research Center , found a sharp partisan divide on several questions related to gender equality. According to Pew, Democrats are largely dissatisfied with the nation’s progress on this issue — 69 percent say the U.S. hasn’t gone far enough when it comes to giving women equal rights. Among Republicans, 54 percent say things are about right; only 26 percent say the country has more work to do. Do American men have easier lives than women? Another big partisan gap: 49 percent of Democrats say this is true, compared to 19 percent of Republicans. Among Democrats, those with a college education are far more likely than those with no college experience to express dissatisfaction with the current state of gender equality. While 81 percent of Democrats with at least a bache- lor’s degree said the U.S. hasn’t gone far enough in giving women equal rights, that view was shared by only 55 percent of Democrats with a high school diploma or less. There were no significant education gaps among Republicans in views of the state of gender equality. Pew’s researchers also inquired about personal experiences with gender discrimination. Overall, 43 percent of women said they have experienced discrimination or been treated unfairly because of their gender, compared to 18 percent of men. Democratic women were more likely than GOP women to say they experienced such discrimination — 51 percent versus 34 percent. Among men, it’s Republicans who more often say they suffered gender discrimination — 20 percent compared to 14 percent of Democratic men. Large majorities in both parties — 89 percent of Democrats and 74 percent of Republicans — said it’s very important for women to have equal rights with men in the U.S. The perceptions differed on where the country is in achieving that goal. The Pew report did not seek to analyze reasons for the partisan gap. Christina Hoff Sommers, a former philosophy professor who is a resident scholar at the American Enterprise Institute, suggested the reasons were complex, but added this observation: “The Republican Party is the daddy party; the Democratic Party, the mommy party. And now mom’s a Feminist,” she wrote in an email. 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