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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