Tens of millions with ACA medical insurance could also be spared huge price increases


Covering COVID-19 is a every day Poynter briefing of story ideas concerning the coronavirus and other timely topics for journalists, written by senior faculty Al Tompkins. Enroll here to have it delivered to your inbox every weekday morning.

How quickly things can change when Congress is attempting to shuffle out of D.C. for a month in a midterm election yr and big issues are stacking up like airplanes on a tarmac.

The laws that was once generally known as “Construct Back Higher” on Thursday became the “Inflation Reduction Act.” This recent complex package of tax increases, subsidies for individuals who get insurance through the Inexpensive Healthcare Act and tax increases on corporations will come before a Senate vote next week.

One week ago today, I told you that in a matter of weeks, tens of millions of Americans who get their medical insurance through the Inexpensive Care Act’s insurance marketplace will probably be getting a letter within the mail telling them that their medical insurance costs, in some cases, will double. In much more cases, the premiums will rise by greater than $100 a month.

That may occur if Congress doesn’t extend the insurance subsidies in place now. The subsidies expire at the top of the yr. Until Wednesday evening, it appeared the subsidies might grow to be a heated midterm election issue. But Senator Joe Manchin, D-W.Va., who every week ago wavered in his tie-breaking support for extending the subsidies, now agrees that the nation should extend the federal subsidies for Inexpensive Care Act premiums, first enacted by the American Rescue Plan for 3 years. That doesn’t make the subsidies everlasting, but that’s one other issue for an additional Congress.

It’s difficult to overstate how necessary that is, despite so little news coverage of this issue. Bloomberg points out:

The framework’s ACA subsidy extension comes because the share of Americans who depend on the ACA continues to grow. A recent report the CDC published this morning shows the share of Americans without health coverage continued to fall in the primary quarter to eight%, or 26.4 million people— down from 9.5%, or 30.8 million, in the primary quarter of 2021. In April, HHS reported that total enrollment for Medicaid expansion, ACA marketplace coverage, and the Basic Health Program reached an all-time high of over 35 million people in early 2022, Sara Hansard reports.

The Kaiser Family Foundation provides a deep dive into this issue including probable increases if the subsidies will not be prolonged (though it appears now they will probably be.) But journalists, keep in mind that just as we now have witnessed this week, in a midterm election yr, things change quickly and sometimes in a heated way. Stay alert.

No doubt, lawmakers who vote for President Joe Biden’s plan will crow that they voted to lower drug prices. If the bill passes and becomes law, not much will change for most individuals for years. A significant a part of that claim will probably be embodied by saving $288 billion through prescription drug pricing reforms. The reforms include two major measures including allowing Medicare to barter drug prices and capping out-of-pocket costs to $2,000.

As I said, drug prices will not be going to drop fast, even under the brand new plan before the Senate. It’s a six-year process that begins next yr, then the cap on out-of-pocket prescriptions for Medicare kicks in in 2025. Then, 10 or 15 drugs at a time, Medicare will negotiate with drug corporations for lower prescription prices for some costly drugs. The Kaiser Family Foundation explains the timeline:

(Kaiser Family Foundation)

Manchin also now says he’ll support laws that Senate Majority Leader Chuck Schumer says is essentially the most “pro-climate laws that has ever been passed by Congress.” While passage shouldn’t be assured, The Latest York Times explains just a few of what it could do:

The bill goals to tackle global warming through the use of billions of dollars in tax incentives to ramp up wind, solar, geothermal, battery and other clean energy industries over the subsequent decade.

Firms would receive financial incentives to maintain open nuclear plants that may need closed, or to capture emissions from industrial facilities and bury them underground before they’ll warm the planet. Automotive buyers with incomes below a certain level would receive a $7,500 tax credit to buy a recent electric vehicle and $4,000 for a used one. Americans would receive rebates to put in heat pumps and make their homes more energy-efficient.

Senate Democrats estimated that the laws would enable the US to chop greenhouse gas emissions to 40 percent below 2005 levels by 2030, putting the nation inside striking distance of the aggressive climate goals laid out by Mr. Biden last yr.

Two recent studies (which have yet to undergo peer review) say the CDC’s guideline that it is best to isolate for five days after testing positive for COVID-19 are incorrect. Considered one of the studies, from Massachusetts General Hospital, says there may be nothing magical about five days of isolation. Some individuals are infectious eight days after testing positive.

The important thing, these researchers say, is to remain isolated until you test negative, as Biden did this week.

NPR explained:

“We don’t have anything that claims definitely you might be contagious or definitely you’re not,” says Dr. Emily Landon, an infectious disease specialist at UChicago Medicine. “The very best thing we now have are these rapid antigen tests.”

A study co-authored by Landon followed health care staff on the University of Chicago who had been infected but were feeling mostly higher and went to get tested after five days. They found that greater than half of them still tested positive on antigen tests after six days.

Unlike PCR tests, which seek for genetic material from the virus, rapid antigen tests work by searching for the proteins which are packed contained in the virus. A positive test generally correlates with the presence of infectious virus. Scientists can determine that by taking samples from someone who’s been infected and attempting to grow the virus in a lab — what’s generally known as a viral culture.

Generally, most individuals who get infected will not be still testing positive on an antigen test 10 days after symptom onset.

“If you have got enough virus in your system to be turning certainly one of these tests positive, meaning your body probably hasn’t yet fully cleared the infection,” says Hay.

Take a look at this map of documented monkeypox cases and it could remind you of the CDC COVID-19 maps, where the US leads the world in recent cases. The U.S. has greater than 4,600 monkeypox cases, while Spain has 3,700. No one else is close.


A month ago, the U.S. had 244 cases. We’ve had a 1,900% case increase in a month.

The U.S. Food and Drug Administration cleared greater than 786,000 doses of monkeypox vaccines to be distributed nationwide through health departments and more are on the way in which.

It was not that way back that entrepreneurs thought up a technique to get around state laws that banned casino gambling. They put the casinos on barges and called them boats and declared themselves outside of state, or in some cases, federal jurisdiction. Now a physician has the thought for a floating abortion clinic within the Gulf of Mexico. Yahoo News has the small print.

There already is a Dutch charity called Women on Waves that sails offshore to countries where abortions are illegal. The group also uses what it calls abortion drones to ferry abortions pills into countries where the drugs are illegal.

The newest Pulse survey from the U.S. Census shows that week by week, Americans are beginning to fall behind paying their bills and affording basic expenses.

Here’s a comparison of two survey periods:

(Bloomberg-based on U.S. Census survey)

You may download the most recent data tables here.

Table 1. Difficulty Paying Usual Household Expenses within the Last 7 Days, by Select Characteristics[<1.0 MB]

Table 2. Methods Used to Meet Spending Needs within the Last 7 Days, by Select Characteristics

The second table is particularly interesting since it tells us how individuals are finding ways to pay their bills from borrowing from family and friends to using bank cards to drawing on savings.

You may go state by state to see how your local trend compares. Search for the state tabs at the underside of the page. They is usually a bit hidden when you will not be searching for them.

You may see how different demographics and age groups pull from different resources. The most important bank card using group is 25- to 54-year-olds and the most important group borrowing from family or friends is the 25- to 39-year-old bracket.

The international computer chip shortage is tough on the businesses that produce the plastic cards you employ as debit and bank cards. They, after all, use computer chips. The story behind the shortage is that Ukraine is home to 2 corporations that produce half of the world’s neon and that is essential for chip production.

Trade website paymentsdive.com reported:

Chipmakers use neon to regulate the specialized lasers they use to make semiconductors. Prices for Neon have skyrocketed for the reason that invasion of Ukraine. In accordance with the South China Morning Post, the typical wholesale price of industrial-grade neon in China has jumped nearly nine-fold for the reason that invasion began.

Throughout the baby formula shortage that sent people scrambling, families were reminded that despite the fact that some online sites had formula, the federal government doesn’t allow WIC advantages (the special supplemental nutrition program for Women, Infants and Children) for use for online purchases, even when the costs online are lower than in-store prices, and even when online is the one place people can find the supplies they need — like formula.

A handful of states including Minnesota, Iowa, Nebraska, Massachusetts, Washington, South Dakota and Nevada are a part of a recent pilot program that can allow WIC families to purchase online supplies. The programs start next yr.

CNN explained what’s holding up the move to online sales:

Federal law requires that WIC recipients sign their name or enter a PIN number on the time they receive their groceries. For e-commerce, the federal government would need to waive this requirement for states.

The technological hangups are trickier. Families on WIC get their advantages through a sensible card that appears a debit card, however it doesn’t work quite the identical way. Debit cards deduct the money value of a purchase order from a checking account; WIC cards actually keep track of the variety of items an individual purchases. A card might allow someone to purchase three cans of baby formula a month, for instance. WIC foods must meet certain dietary requirements, so the cards also restrict the variety of products that could be purchased.

With a view to move those smart cards online, stores need to construct recent systems to do it. That work is underway, however it goes to take some time. Even when these pilot projects get underway, WIC shoppers will only give you the option to buy foods online at one store.

“There’s no technique to quickly move to online ordering at this point,” said Geraldine Henchy, director of Nutrition Policy and Early Childhood Programs on the Food Research and Motion Center in Washington, DC. “They’ll’t do it. It’s too complicated, and it’s a security risk. So, they’ll’t pivot to simply go to online ordering for WIC,” Henchy said in an interview.

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Al Tompkins is senior faculty at Poynter. He could be reached at atompkins@poynter.org or on Twitter, @atompkins.


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