After surviving a Supreme Court decision and a presidential election, the Obama administration’s health-care law faces another challenge: a public largely unaware of major changes that will roll out in the coming months.
States are rushing to decide whether to build their own health exchanges and the administration is readying final regulations, but a growing body of research suggests that most low-income Americans who will become eligible for subsidized insurance have no idea what’s coming.
… Seventy-eight percent of the uninsured Americans who are likely to qualify for subsidies were unfamiliar with the new coverage options in a survey by Democratic polling firm Lake Research Partners. That survey, sponsored by the nonprofit Enroll America, also found that 83 percent of those likely to qualify for the expansion of Medicaid, which is expected to cover 12 million Americans, were unaware of the option.
One of the many justifiable criticisms of how Obamacare was passed was that so little thought was given to creating a political constituency for the bill — a substantial segment of voters who would clearly see how they would benefit from it. (Thus the suggestions at the time for simply expanding Medicare to everyone, or at least those over 55.) Now we learn that this wasn’t just a problem in 2009, but in 2012 as well.
Kliff alludes to the GOP trying to gum up the works, mentioning that “Initial White House efforts at outreach caused congressional Republicans to accuse the administration of using taxpayer money for political gain.“ But if nothing else, there’s not much reason President Obama himself can’t launch a personal barnstorming tour to promote the new law’s benefits.
In fact, it should be obvious that he could have done so this year, when he was already criss-crossing the country for, um, other purposes.
But I guess it’s yet another example of Democratic “leaders” being afraid to challenge right-wing messaging. You see, for all the flak Romney got for calling 47% of Americans dependent on government handouts, that frame is why Team Obama couldn’t brag about easier, more affordable access to health care being on the way.
Instinctively, too many voters would assume that they would never see any of these taxpayer-financed goodies (even if, as in the Kliff articles, they were in fact eligible) — instead, folks would believe the subsidies were going to, you know, “undeserving” beneficiaries. (Hint, hint.) And Obama didn’t feel brave enough to challenge that assumption.
Perhaps now, with literally nothing to lose, he’ll come around. Or perhaps not.



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Swopa!
This has mystified me as well. As inadequate as the ACA is, it still provides clear direct benefits to millions of Americans. I do not understand why the feds have not been swamping the airwaves with PSAs telling Americans what is available and how to access it, much like they do for SS or Medicare.
How and why is the public supposed to be aware of unformed health exchanges and unfinalized regulations for a forced medical insurance law that doesn’t take effect for two years?
Colorado is a it different. The Gov, Hickenlooper, released the budget he’s putting in front of our Lege this January.
It’s the first one without cuts in 5 years, and has a major Medicaid expansion component, which they’re tying to the ACA (to the extent they’re tying it.)
So locally, it’s not the “Happy Days Are Here Again” budget, but it is significantly better than years past, and quite a relief on the Medicaid side, considering too that CO has moved forward with making an ACA Exchange.
It is complicated here in Montana. The Dems took the governorship, but the Republicans still dominate the legislature and they hate the ACA. Our newly minted Republican attorney general even ran on repealing ACA. It is going to be an interesting 9 months when the leg goes into session next year.
I still think that the feds have fallen down on informing the public about the provisions of the bill, especially give the pervasive rightwing propaganda against it.
I haven’t run into anyone who totally understands the ACA. Usually I can understand most things (except my
DVD player) but I’m at a complete loss regarding this.
I have 2 adult kids who have no insurance and all I want to know is will this awful law help them.
Last week I heard a discussion (somewhere on npr) about the pr campaign that is supposed to be ramping up to educate folks about it. I hope so.
I’ll omit a repeat of my complaints echoing my mystification as to why they didn’t promote this during the passage fight.
The president will be too busy barnstorming to win support for cuts to Medicare and Social Security to cross the country to win support for the ACA.
Another problem with this is finding a doctor who will accept Medicaid. What good is it if one cannot find a doctor that will accept the insurance. My sister has that problem; she is disabled and on Medicare and has to travel 40 miles into the city to see a doctor. That’s just ridiculous.
I’ll bet you anything, that whatever will come out of this will still be unaffordable. The system does not have to be subsidized if it is cheap enough, or at least more people being able to afford it, so subsidies will be lower. So you will see those unable to afford insurance being hit with penalties for not being able to afford it. I am assuming it is going to be somewhat like child support system, where the if you can’t afford it the government will keep hitting you with all kinds of penalties to destroy your ability to pay. This is it the American way of thinking: instead of designing an intelligent system, will build into it punishment. But as long as private enterprise is going to be involved, the rates will never come down to levels low enough to become affordable by vast majority of those needing it. So expect unrelenting attacks by Republicans that it is a welfare program.
I always wondered if Obama ever even KNEW what was in the thing he signed, he’s been so busy with…ah…international affairs and all.
How can he promote it of he doesn’t have a clue as to what his “signature achievement” is?
Maybe he should caucus with Baucus and Wellpoint
“. . .One of the many justifiable criticisms of how Obamacare was passed was that so little thought was given to creating a political constituency for the bill. . .”
————
I don’t see how anyone who survived that interim could agree. There was keening and hectoring galore by advocates, which had a lot of thought behind it.
It wasn’t the lack of thought, but erroneous conclusions and group think among boosters which undermined things. There was an assumption that citing specific benefits, especially leaning on those which did not require the overarching framework of ACA, would convince the public. So it was age 26, 24/7. The public isn’t that stupid, and correctly smelled manipulation.
Then there was pass the bill so we can find out what’s inside it. Now glitches and errors galore are being uncovered, and not even a public option. Thanks a lot.
The question now isn’t about any lack of thought before, there was too much of it of the wrong kind. But how to fix what’s wrong now? O isn’t of a mind to compromise on any of it, the cranky House probably won’t rescue, and no one seems to want to segway to a better single payer regime.